1. The health facilities and EPI communities master list for Myanmar
Session 9 –
The health facilities and EPI communities master list for Myanmar
Nan Thida Phyo - MOHS
Dr. Kaung Myat Thwin - MOHS

2. Master lists core to public health in Myanmar
4 main geographic objects
Administrative divisions (Region/State, District, Township,Village track)
Villages
Ministry of Home Affairs
Health facilities
Reporting
Divisions
A master list is needed for each of these objects
Ministry of Health and Sports 2

3. Master lists core to public health in Myanmar
EPI communities
Plantation
Ward
Camp …
Villages
Ministry of Home Affairs
Ministry of
Defense
Ministry of Agriculture
And irrigation ?
EPI community
Ministry of Health and Sports
A master list is needed for this object as well 3

4. Master lists core to public health in Cambodia
Geo-Registriy_Workshop_Final_Exec_Sum_ pdf 4

5. Master lists core to public health in Myanmar

6. The health facilities master list for Myanmar
Session 9 –
The health facilities master list for Myanmar
Nan Thida Phyo – MOHS

7. Health facilities master list content
What is an health facility?
Few examples of definition:
Medline Plus: Places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers.
Health authority Abu Dhabi: Standalone building with inpatient services for 24 hours use or longer by patients in the treatment of diseases, injuries, deformities, abnormal physical or mental status, maternity cases, nurseries and dispensaries.
Free dictionary: Building where medicine is practiced.
DOH Philippines: A building or physical structure providing health care.
Wikipedia: in general, any location at which medicine is practiced regularly.
Importance of the geography (location, place,..)
Need to clarify few terms (health care, medicine,…)

8. Health facilities master list content
What is an health facility?
Additional definition:
Health services (WHO): Health services include all services dealing with the diagnosis and treatment of disease, or the promotion, maintenance and restoration of health. They include personal and non-personal health services.
Health care (Wikipedia): Diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in human beings
Medicine (Collins English Dictionary): the science of preventing, diagnosing, alleviating, or curing disease
Infrastructures included in the master list depend on the definition
Pharmacies and mobile clinics would not be included here for example
The definition used by the MOHS in Myanmar:
“A building or permanent physical structure where health care is being provided”

9. Health facilities master list content
The signature domain (2007)1
Good practice would be to have
only one coding scheme
Actually needs to be captured for each field together with the source
Signature_domain_wp pdf
Direct link with the administrative divisions registry
Core fields allowing to uniquely identify, define, locate and contact each facility
Looked at these elements in relation to the current content of the health facility master list 1

10. Health facilities master list content
Uniquely identifying each facility
Rules to choose an appropriate coding scheme
1. Ensure for the code schemes to be meaningless, meaning not to embed codes or other semantic meaning that could change through time in an identifier (e.g., admin division code, health facility type, etc.).
Tororo hospital: UGA993001
What do I do when the information changes?
Do not include such information in your coding scheme
Capture these information as separated fields in your master list

11. Health facilities master list content
Uniquely identifying each facility
Rules to choose an appropriate coding scheme
2. Use a sequence as short as possible but taking into account the number of changes that could take place over the coming decades (function of the current number of health facilities observed in the country)
Avoid long codes
3. Using a check digit, such as the luhn algorithm (e.g., ) or a specific set of characters at the beginning of the sequence (e.g. “HF”) to avoid the problems linked to having a “0” in front of it
The “0” disappears in some software starting with excel
4. Having the ID generated sequentially. (e.g., , , ,... or HF00001, HF00002, HF0003,...)
5. The code remains the same from the opening until the closing of the facility and this even if its name, type (upgrade) or location changes (because of a flood for example)

12. 09 01 10 090110 Example of Cambodia Uniquely identifying each facility
Coding scheme used until now in Cambodia
Province OD
Health facility 09 01 10
090110
The administrative division or Operational District (OD) in which the facility is located can change. Two options when there is a change
Change the code: Loose the continuity in the database which is what happened and was a big problem for the MOH
Keep the code: The content of the code looses its meaning
The « 0 » in front can fall depending on the software you use (e.g. excel)

13. 09 01 10 090110 Example of Cambodia Uniquely identifying each facility
Coding scheme used until now in Cambodia
Province OD
Health facility 09 01 10
090110
The administrative division or Operational District (OD) in which the facility is located can change. Two options when there is a change
Change the code: Loose the continuity in the database which is what happened and was a big problem for the MOH
Keep the code: The content of the code looses its meaning
The « 0 » in front can fall depending on the software you use (e.g. excel)

14. Health facilities master list content
Uniquely identifying each facility
All the other information are stored in the master list and past values are kept in the system
2017
2010
Example for Cambodia
2005
Allows following the changes that are occurring through time

15. Health facilities master list content
Uniquely identifying each facility
Official Health Facility Name
Good practice:
Capture the official name as used in the field
In Myanmar language and English
Include the name of the facility in full
Include the health facility type to avoid names duplicates
Might have to capture Township
Might have to adjust the name in Myanmar language to capture the type
+ Capture past facility names

16. Health facilities master list content
Uniquely identifying each facility
Official Health Facility Name
Issue of the Myanmar language fonts
Excel
Google
spreadsheet
Myanmar_Language_in_GIS_Datasets_MIMU.pdf
Need to use UNICODE fonts to work well on in GIS software
QGIS
Applies to all the information captured in Myanmar language
Depends on the fonts installed on your computer

17. Health facilities master list content
Define each facility
Health facility type
Type of the health facility based on the official classification used in the country
Currently available for public health facilities managed by the MOHS
Needs to be completed for the private and the other governmental health facilities (MOHA, MOD)

18. Health facilities master list content
Define each facility
Ownership or managing authority
Major classification: Government, Private
The master list only includes governmental health facilities managed by the MOHs for the moment
Sub-classification to be defined for both
Government: MOHA, MOD
Private: Single Proprietorship; Partnership; Corporation; Corporation; Cooperative; Foundation; Religious; Non-government Organization Or
Private institution name

19. Health facilities master list content
Locate each facility
Address
Street number and name (when it applies)
Location in the administrative structure
Official code and name of the Region/State, District, Township, Village track and Villages in which the health facility is locate
Official name from the GAD gazetteer
No official code for the moment but under discussion
Using the Pcode from the MIMU database (not a master list) in the meantime
+ The administrative structure of the country also evolve through time
Requires for an official and regularly updated master list of administrative divisions and villages

20. Health facilities master list content
Locate each facility
Geographic coordinates
Latitude and longitude of the health facility expressed in decimal degrees together with the indication of the source, method and accuracy level attached to the coordinates (a separate field for each information)
Longitude: ###.#####
Latitude ##.#####
Example for Myanmar
Accuracy of the geographic coordinates currently in the master list is unknown and remains to be improved
Reason for the Session 6 and Exercise 1 yesterday

21. Health facilities master list content
Contact each facility
Information needed to contact the health facility through different media including but not limited to the full name and position of the health facility head as well as the phone numbers (mobile, landline) and address (to be captured in separated fields).
Information to be completed in the master list
Other important information to capture
Health facility opening date
Health facility closing date (when applicable)
Operational status (active, inactive) …
Information to be completed in the master list
The Regions/States have an important role to play to establish and regularly update the master list

22. Health facilities master list content
Data dictionary
Defines what is recognized as the official source for each of the field
Attaches a source and time stamp (start validity date) to each field for quality and monitoring
52 fields currently in the data dictionary

23. Session 9 – The EPI communities master list for Myanmar
Dr. Kaung Myat Thwin - MOHS

24. EPI communities master list content
What is an EPI community?
Any inhabited place observed in the country
The sum of the population living in EPI communities at a given time cover both the total population and the one eligible for vaccination in the country.
Such place can present different population’s presence status:
Short term
Settlement setup for a period shorter than 1 year
Long term
Settlement setup for a period longer than 1 year
Seasonal
Settlement setup temporarily over the same period every year

25. EPI communities master list content
What is an EPI community?
Such place can be of different type:
Type
Definition
Population's presence status options
Ward
4th level administrative divisions encountered in urban areas and officially recognized by the GAD
long term
Village
long term settlement officially recognized by the GAD
Army
Settlement managed by the Ministry of Defense
short term, long term, seasonal
Camp
Settlement typically settled for displaced population (refugees or internally displaced population for example)
short term, long term
Workers settlement
Settlement setup by workers to live close to their place of work (plantation, factory, building site, mining site…)
Other settlement
Any other inhabited place not covered by the other definitions

26. EPI communities master list for Myanmar
Plantation
Ward
Camp …
Village
Ministry of Home Affairs
Ministry of
Defense
Ministry of Agriculture
And irrigation ?
EPI communities
Complex object!!
Ministry of Health and Sports 26

27. EPI communities master list content for Myanmar
Plantation
Ward
Camp …
Village ?? ?? ??
Administrative divisions
master list
Master list 2
Master list 3
Master list …
EPI communities
EPI communities
Master list
Does not exist for the moment 27

28. EPI communities master list content for Myanmar
How could it look like?
We did the exercise in preparation for this training
25 fields capturing:
The EPI community code, name, type, population presence status and location as per the cEPI database
For EPI communities that are villages: MIMU Pcode and GAD official name of the Region/State, District, Township, Village Track and Village as well as geographic coordinates from the MIMU database
The official code and name from the DOPH health facility master list for the 1st and 2nd level health facility to which the EPI community is attached to

29. EPI communities master list content for Myanmar
How could it look like?
Required quite some work to be created
MIMU villages not appearing in the EPI communities master list and EPI communities reported as villages not appearing in MIMU’s database
Geographic coordinates missing for several communities
Will require for some more work and the help from the Magway Region MOHS staffs to be first completed and then regularly updated
…and then this would need to be expanded to cover the whole country!!

30. EPI communities master list content for Myanmar
The unique ID in the EPI communities master list you will use during the training
EPI
Temporary EPI community ID:
Same approach as for the health facility master list
8 numeric digits as there are more than 70,000 villages in the country
MMR
MIMU Pcode for administrative divisions:
185343
MIMU Pcode for villages:
Health facility ID (DOPH master list)
HF000001