National Policy on HIA and Mobilization Myanmar. Occupational and Environmental Health Division Department of Public Health Ministry of Health

Transcription

1 National Policy on HIA and Mobilization Myanmar Occupational and Environmental Health Division Department of Public Health Ministry of Health

2 1. Basic Country Data

3 Geographic Data - Total area: 261,969 sq mi (678,500 sq km) Land area: 253,954 sq mi (657,741 sq km) - Location: Myanmar occupies the Thailand/Cambodia portion of the Indochinese peninsula. India lies to the northwest and China to the northeast. Bangladesh, Laos, and Thailand are also neighbors. The Bay of Bengal touches the southwest coast.

4 Demographic Data (a/c to Population and housing census 2014) - Population : 51,419,420 - Growth Rate: 0.89 % - Crude Birth Rate: 15.8/1000 (Urban), 17.2/1000 (Rural) - Infant Mortality Rate: 62/1000 LB - Under Five Mortality Rate: 72/1000 LB - Life expectancy: Population Density : 76.1 population per square kilometer - Literacy Rate: 89.5%

5 Socioeconomic Data Per Capita GDP U.S. $1,700 Largest City is Yangon, 7.36 million Other large cities: Mandalay, 6.15 million; Nay Pyi Taw 1.16 million (Capital)

6 2. Policy Structure related to HIA and EIA

7 accidents and injuries and social health determinants). EIA - Include in the Section 42 of the Environmental Conservation Law, under Ministry of Natural Resources and Environmental Conservation HIA - No guidelines for HIA - TWG (HIA) was formed in last month at NEHAP (National Environmental Health Action Plan) meeting. - In EIA procedure under Environmental Conservation Law, state that description of the surrounding environment need public health components (Mortality and morbidity, occurrence of disease,

8 3. HIA Process

9 3. HIA Process - HIA was done with reference of IFC and ICMM - For license --- No criteria for consultants - Our department done - Environmental monitoring - Air quality, Water quality - Medical monitoring - Health assessment of the workers (Periodic medical examination) - Workplace Assessment - Air quality, Waste and Water quality, Heat Stress and Light, Noise level

10 4. National Guidelines on HIA

11 4. National Guidelines on HIA - Recently start to prepare for National HIA guidelines and demonstration project with the help of ADB.

12 5. Applying the HIA on Crosscutting Issues

13 Crosscutting Issues - Communicable disease - HIV, Vector Born Diseases and TB - Non-Communicable disease - CVD, Respiratory disease - Environmental Health- Effect of Climate change on health - Water Sanitation and Hygiene - Injury - Nutritional Problems *Vertical Programmes under Ministry of Health and Sports *Collaboration between Programmes but only focusing on specific disease, not link to HIA.

14 6. Capacity Building

15 Lecture for Post Graduated Students - HIA and EIA course in Occupational and Environmental Health curriculum at University of Public Health and Master of Preventive and Tropical Medicine. - No specific training related to EIA and HIA.

16 1. CNICO Ferro-nickel Factory - Workplace and Environmental monitoring Air quality monitoring, Waste Water and Soil quality monitoring, Sound level, Heat Stress - Medical monitoring of the workers- Physical Examination, Chest X-ray, Biomarker survey among the workers 2. Pesticide Factory - Workplace and Environmental monitoring Air quality monitoring (cannot identify the pesticide % in the total dust), Waste Water quality monitoring - Medical monitoring of the workers- Physical Examination, Biomarker survey among the workers

17 7. Challenges and Solutions to Strengthen HIA Related to Policies

18 Challenges Related to Policy 1. National Procedure and Guidelines on HIA 2. List of projects that need HIA in EIA procedure 3. Training modules for HIA and training materials 4. Criteria for the HIA consultants and monitoring firms

19 Challenges Related to Capacity Building 1. Training related to HIA not only to the students but also to the non-health agencies who want to do HIA. 2. Training to the consultants and monitoring firms. 3. Training to the review team members of the HIA. 4. Training materials (tools, manuals, guidelines, IEC material). 5. TOT training to the health personals.

20 Challenges Related to Monitoring 1. Need to upgrade the existing environmental toxicological lab as the Reference lab. 2. Technical support to the Lab technician.

21 - Among 51 millions, the health of the workers (21 million) are covered by our occupational and environmental department. - But when we can done HIA effectively, the health of 51 millions people can be covered.

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