The Myanmar military seized power from the democratically elected government in February 2021, imprisoning its leaders and imposing a state of emergency on the country. Days later, medical staff walked out of their jobs in protest, spearheading the civil disobedience movement that saw government employees of all stripes go on strike. Thousands of doctors and nurses are now in hiding, unable to practise for fear of attack or detention.  

Public healthcare services have been in disarray ever since. Treatment for HIV and tuberculosis (TB) have been disrupted, basic healthcare services limited and getting referrals for specialist care has been difficult. When a devastating COVID-19 outbreak hit the country in June, hospitals were quickly overwhelmed, and tens of thousands of people died, unable to access the care they needed.  

COVID-19
MSF opened three independent COVID-19 treatment centres to receive patients with moderate to severe symptoms in Myanmar’s biggest city, Yangon, and Kachin state’s Myitkyina and Hpakant townships. In August, we had begun supporting a facility in Lashio, the capital of northern Shan state, but were ordered to close it four days after receiving our first patients, after which they were transferred to a government facility.  

We also started a COVID-19 information hotline for people in Muse and Lashio, Shan state, and Dawei, Tanintharyi region; donated supplies to institutions, including Lashio prison; and trained frontline healthcare workers on infection and prevention control measures. 

HIV, hepatitis C and tuberculosis
Shortly after the military seized power, we suspended the ongoing transfer of our HIV patients to the Ministry of Health’s programme. We diagnosed and began HIV treatment for new patients in large numbers for the first time since 2019 at our clinics in Kachin and Shan states and Tanintharyi region, as well as continuing care for patients who could no longer access consultations and drug refills at their usual government facilities. We also continued treatment for TB patients and people co-infected with HIV and hepatitis C.  

Basic healthcare
We expanded our basic healthcare services, opening clinics to help people on low incomes in Yangon, who have borne the brunt of the economic fallout of COVID-19 and the political crisis. We also added basic healthcare to our clinics in Dawei, Hpakant and Myitkyina, and expanded our referrals for specialist treatment. 

Rakhine State
The Rohingya living in Rakhine State have been exposed to cycles of persecution for decades and continue to face discrimination, segregation, extortion and restrictions on movement. As a consequence of their lack of status and rights, the Rohingya also face serious restrictions when accessing basic services, including healthcare. 

We continue to run mobile clinics offering basic healthcare, hospital referrals, treatment for sexual and gender-based violence, health education and psychosocial support to Rohingya, ethnic Rakhine and other ethnic groups in Rakhine State. We opened a new fixed clinic in Sin Tet Maw camp, Pauktaw township, improving access to healthcare for internally displaced Rohingya and Rakhine.  

We have a team of community health workers in areas we cannot reach in northern Rakhine who provide basic care and referrals for emergency treatment.