Consultants to a mission to Myanmar to join team on establishment of “The health Equity and Access Fund”



The purpose of this project was to develop a 150 million multi donor fund proposal that will contribute to improving universal health coverage (including a focus on SRHR, TB and HIV), increase conflict sensitivity equity and health care delivery in hard to reach areas and populations. The donors in the Multidonor Fund are DFID (largest donor), SIDA, Swiss Development Corporation and USAID. This appraisal will result in a proposal following the DFID business case outline.


There was a need to support health systems strengthening as part of the overall development of the health system. This was needed to increase effectiveness of the health system (which is very weak and not well developed) and ensure sustainability in the longer term.

Lessons learned

  • The focus on health systems strengthening on one hand and on SRHR on the other, led to interesting debates and resulted in a much stronger proposal than only one perspective would have provided.
  • The inclusion of a specialist in conflict sensitivity and in human rights strengthened the appraisal within the Myanmar context substantially.
  • The interviews with stakeholders showed that health can be an entree point for bringing parties in or justcoming out of conflict together. The identification of a common interest such as for example malaria brought declared enemies around the table to discuss interventions. The communication humanised ‘the other’ and enabled to appreciate the other party.


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