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TRANSCRIPT
(先)
14-047
26 5
i
GDP IMF 2011-12 2012-13 5.9% 6.4%
2011
GDP 2010-11 37.9 24.1
38.0
30.5
(21.3 ) (18.9 )
ii
2011
5 UNICEF 2013
HIV
2011-2016 2006-2011
17
/
3 3003,662 1 2012 31,719 1 2012
180 2 2011 1940
6
200
1,600 20,000
1 2 JICA 2013 3
iii
1964
10
2013 10
1 11 2
2013 12 14
28 2014 4 20 26
1a)
b)
2
iv
HIV
X
c)
1
2
()
HIV/AIDS2,530.50
( )810.00
90.00
22
ICU 2,133.25
5,563.75
v
1)a)
( )
58 37 46 ICU 48 3 3 159
b)
2
vi
X
c)
2
() 4,416.98
24,349.66
469.75 9,236.39
vii
viii
1802011 35
Myanmar Health Vision 2030
2012 ( )
( )( )
3 ( )
(2012 ) (2020 )3
31,719 36,600 13,745 16,700
310 360 101 80
28 60 184 360
ix
(2010-2012 )(2019 )
3 20,706 2012 22,777
8,086 2010 8,895 1,053 2011 1,158
566 2010 623 744 2012 1,000
1 ............................................................................................. 1-1
1 - 1 ............................................................................................. 1-1
1-1-1 ......................................................................................................................... 1-1
1-1-2 ........................................................................................................................... 1-10
1-1-3 ................................................................................................................... 1-12
1 - 2 .................................................................... 1-14
1 - 3 ........................................................................................................... 1-16
1 - 4 ....................................................................................................... 1-17
2 ......................................................................................... 2-1
2 - 1 ................................................................................................. 2-1
2-1-1 ......................................................................................................................... 2-1
2-1-2 ......................................................................................................................... 2-6
2-1-3 ............................................................................................................................. 2-8
2-1-4 ................................................................................................................. 2-9
2-1-4A ................................................................................................... 2-9
2-1-4B ..................................................................................................... 2-14
2 - 2 ............................................................................ 2-18
2-2A ....................................................................................................... 2-18
2-2A-1 ............................................................................................... 2-18
2-2A-2 ........................................................................................................................... 2-19
2-2A-3 ................................................................................................................... 2-20
2-2B ........................................................................................................... 2-22
2-2B-1 ............................................................................................... 2-22
2-2B-2 ........................................................................................................................... 2-23
2-2B-3 ................................................................................................................... 2-26
2 - 3 ................................................................................ 2-28
3 ......................................................................................................... 3-1
3 - 1 ......................................................................................................... 3-1
3-1-1 ......................................................................................... 3-1
3-1-2 ......................................................................................................... 3-2
3 - 2 ................................................................................................. 3-3
3-2A ......................................................................................................... 3-3
3-2A-1 ............................................................................................................................. 3-3
3-2A-2 .............................................................................. 3-11
3-2A-3 ....................................................................................................................... 3-38
3-2B ........................................................................................................... 3-46
3-2B-1 ........................................................................................................................... 3-46
3-2B-2 .............................................................................. 3-55
3-2B-3 ....................................................................................................................... 3-74
3-2-4 ....................................................................................................... 3-82
3-2-4-1 ................................................................................................. 3-82
3-2-4-2 ..................................................................................... 3-83
3-2-4-3 ..................................................................................... 3-85
3-2-4-4 ................................................................................. 3-86
3-2-4-5 ............................................................................................................ 3-87
3-2-4-6 ..................................................................................................... 3-88
3-2-4-7 ............................................................................. 3-91
3-2-4-8 ..................................................................................... 3-92
3-2-4-9 .................................................................................................................... 3-92
3 - 3 ............................................................................................... 3-94
3 - 4 ............................................................................ 3-96
3-4-1 ........................................................................................................... 3-96
3-4-1A ................................................................................................. 3-96
3-4-1B ..................................................................................................... 3-97
3-4-2 ................................................................................................................... 3-97
3 - 5 ........................................................................................... 3-99
3-5A ....................................................................................................... 3-99
3-5A-1 ........................................................................................... 3-99
3-5A-2 ........................................................................................................... 3-100
3-5B ......................................................................................................... 3-103
3-5B-1 ......................................................................................... 3-103
3-5B-2 ........................................................................................................... 3-104
4 ......................................................................................................... 4-1
4 - 1 ............................................................................................. 4-1
4 - 2 ( ) ........................... 4-1
4 - 3 ............................................................................................................................. 4-1
4 - 4 ......................................................................................................... 4-1
4-4-1 ................................................................................................................................. 4-1
4-4-2 ................................................................................................................................. 4-2
4-4-2A ................................................................................................... 4-2
4-4-2B ....................................................................................................... 4-3
1. ............................................................................................................................ A-1
2. ........................................................................................................................................ A-3
3. .......................................................................................................... A-10
4. M/D .................................................................................................................. A-13
5. .................................................................................................. A-45
6. ...................................................................................................................................... A-63
7. .................................................................................................................. A-64
N
0 100 200 300km
1-1 .............................................1-5 1-2 ........................................................................................................................... 1-10 1-3 2030 ............................................................................................................. 1-10 1-4 2011-2016 .................................................................................................... 1-11 1-5 ........................................................................................................... 1-11 2-1 .................................................................................................................................2-1 2-2 .........................................................................................................2-2 2-3 .............................................................................................................2-4 2-4 .........................................................................................................2-9 2-5 ....................................................................................................... 2-20 3-1 ............................................................... 3-12 3-2 ........................................................................................................................... 3-13 3-3 ....................................................................................................................... 3-14 3-4 1 ............................................................................................................ 3-18 3-5 2 ............................................................................................................ 3-20 3-6 1 ................................................................................................................ 3-21 3-7 2 ................................................................................................................ 3-22 3-8 ....................................................................................................................... 3-23 3-9 ........................................................................................................................... 3-24 3-10 ................................................................................................................................... 3-27 3-11 ........................................................................................................................................... 3-51 3-12 1 ........................................................................................................ 3-58 3-13 2 ........................................................................................................ 3-59 3-14 1 ........................................................................................................ 3-60 3-15 2 ........................................................................................................ 3-61 3-16 ............................................................................... 3-93 3-17 ................................................................................... 3-93
1-1 .........................................................1-1 1-2 .....................................................................1-2 1-3 .............................................................................................1-2 1-4 2011 ................................................................................................1-2 1-5 2011 ................................................................................................1-3 1-6 10 2009-2012 .............................................1-3 1-7 10 2009-2012 .................................................1-4 1-8 10 2009-2012 ..................................................1-4 1-9 10 2009-2012 ......................................................1-4 1-10 .............................................................................................................1-6 1-11 2012 / % ............................................1-6 1-12 ER ..........................................................1-7 1-13 ......................................1-8 1-14 .................................................................1-8 1-15 .....................................................................1-8 1-16 .....................................................................................1-8 1-17 / 2013 ...............................................................................1-9 1-18 ....................................................................................................... 1-12 1-19 GDP ..................................................................................................... 1-12 1-20 ....................................................................... 1-16 1-21 ............................................................... 1-16 1-22 ............................................... 1-17 2-1 .................................................................................2-2 2-2 .............................................................................2-3 2-3 .............................................................................2-3
2-4 .....................................................................................2-4 2-5 .................................................................................2-5 2-6 .................................................................................2-5 2-7 .................................................................2-6 2-8 .............................................................................................2-6 2-9 .....................................................................................2-7 2-10 .................................................................................2-9 2-11 ............................................................................... 2-12 2-12 ................................................................................... 2-14 2-13 ................................................................................... 2-16 2-14 ................................................................... 2-18 2-15 (2009 2012) ........................................................................................ 2-20 2-16 ....................................................................... 2-22 2-17 ....................................................................................................................... 2-23 2-18 ............................................................................................... 2-24 2-19 2009-2012 .......................................................................................... 2-25 3-1 .....................................................................................3-1 3-2 .....................................................................................................3-2 3-3 .....................................................................................................................3-4 3-4 .....................................................................................................................3-5 3-5 ................................................................................................................... 3-10 3-6 ................................................................................................................... 3-11 3-7 ....................................................................................... 3-12 3-8 ............................................................................................... 3-14 3-9 ............................................................................................................................... 3-15 3-10 ....................................................................................................................... 3-16 3-11 ........................................................................................................................... 3-16 3-12 ................................................................................................................................... 3-24 3-13 ............................................................................................................................... 3-28 3-14 ................................................................................................................................... 3-31 3-15 ................................................................................................................................... 3-31 3-16 ........................................................................................................................... 3-32 3-17 ............................................................................................................................... 3-32 3-18 ................................................................................................... 3-47 3-19 ............................................................................................................... 3-48 3-20 ............................................................................................................................... 3-49 3-21 ........................................................................................................................... 3-49 3-22 ................................................................................................................... 3-55 3-23 ........................................................................................... 3-57 3-24 ................................................................................................................................... 3-61 3-25 ............................................................................................................................... 3-67 3-26 ............................................................................................................................... 3-67 3-27 ........................................................................................................................... 3-68 3-28 ............................................................................................................................... 3-68 3-29 ............................................................................................................... 3-86 3-30 ............................................................................................................................... 3-88 3-31 ................................................................................................... 3-89 3-32 ........................................................... 3-90 3-33 ............................................................... 3-91 3-34 ........................................................................................... 3-96 3-35 ................................................................................................................... 3-98 3-36 ....................................................................................................... 3-98 3-37 ............................................................................... 3-99 3-38 ....................................................................... 3-99 3-39 ................................................. 3-100 3-40 ............................................................. 3-102
表 3-41 日本側負担経費（ロイコー総合病院） ................................................................................. 3-103 表 3-42 「ミ」国側負担経費（ロイコー総合病院） ......................................................................... 3-103 表 3-43 人件費・維持管理費の試算結果（ロイコー総合病院） ..................................................... 3-104 表 3-44 機材消耗品費の試算結果（ロイコー総合病院） ................................................................. 3-105 表 4-1 定量的効果指標と目標値(ラーショー総合病院) .......................................................................4-2 表 4-2 定量的効果指標と目標値(ロイコー総合病院) ...........................................................................4-3
ACEM Australasian College for Emergency Medicine AIDS Acquired Immune Deficiency Syndrome ASTM American Society for Testing and Materials AusAID Australian Agency for International Development: AVI Australian Volunteers International BME Biomedical Engineer BR Brick Structure BS British Standard CB Concrete Block Structure CMSD Central Medical Store Depot CPAP Continuous Positive Airway Pressure CT Computed Tomography DFID Department for International Development DIN Deutsche Industrie Normen ECG Electrocardiograph EIA Environmental Impact Assessment E/N Exchange of Notes EP Emulsion Paint ER Emergency Room EU European Union G/A Grant Agreement
GAVI Alliance Global Alliance for Vaccines and Immunization GDP Gross Domestic Product GFATM Global Fund to Fight AIDS, Tuberculosis and Malaria GL Ground Level HDU High Dependency Unit HIV Human Immunodeficiency Virus H5N1 Hemagglutinin 5 and Nuaraminidase Type 1
HT Half Timber Structure
( )
ICD-10 International Statistical Classification of Diseases and Related Health Problems
ICU Intensive Care Unit IEE Initial Environmental Examination IFEM International Federation for Emergency Medicine IMF International Monetary Fund IMR Infant Mortality Rate JICA Japan International Cooperation Agency JIS Japanese Industrial Standard LAN Local Area Network LCDC Lashio City Development Committee MDGs Millennium Development Goals MMA Myanmar Medical Association MMR Maternal Mortality Rate
NICU Neonatal Intensive Care Unit NGO Non-Governmental Organization NS Nurse Station ODA Official Development Assistant OPD Outpatient Department OT Operation Theater PQ Pre-qualification RACS Royal Australasian College of Surgeon RC Reinforced Concrete SARS Severe Acute Respiratory Syndrome STD Sexually Transmitted Disease U5MR Under 5 Mortality Rate 5 UNDP United Nations Development Program UNICEF United Nations Children’s Foundation UNFPA United Nations Population Fund USAID US Agency for International Development WHO World Health Organization
1-1
1
1-1
1-1-1
(1)
676,578km2 1.8
1-1 51990
HIV
1-1
/ 1,000 / 1,000
5
/ 1,000 / 10
HIV
1,000
HIV
151,000
2011 2011 1990 2011 1990 2011 2010 2011 2011 65 30 77 48 107 62 200 220 77
63 19 85 36 117 43 250 64 31 67 18 102 34 148 42 470 10 5
74 8 29 11 35 12 48 490 200 75 12 36 17 50 22 59 250 48 81 1 6 2 3 2 3 3 1
74 3 15 6 7 6 29 81 8 83 1 5 2 6 3 5 8 2
2013
2030 Myanmar Health Vision 20302031 5
4 2001/02 2010/112030/31 1-2
1-35
1-2
1-2 2001/02 2010/11 2031 ( )
60-64 65 75-80 IMR / 1,000 59.7 48 22
5 U5MR / 1,000 77.8 62 29 MMR / 100,000 255 *200 90
2013 Health in Myanmar2013 MOH 2011 200 2012 5 2010
1-3
2009 2010 2011 2009 2010 2011(IMR)/ 1,000 15.4 14.1 10.5 15.6 14.4 9.8
5 (U5MR)/ 1,000 26.8 19.8 15.3 24.4 25.0 15.3 (MMR)/ 100,000 150 170 70 160 50 120
State/Region Health Profile
(2)
1 ICD-10
1 15 1-4
11-5
WHO 40%
1-4 2011%
1 T00-07 10.6 2 O20-29, O75 6.7 3 O80 6.0 4 A09 5.4 5 B50-54 3.2 6 O00-08 2.9 7 B25-34 2.6 8 K29 2.1 9 H25-28 2.0
10 J06 1.8 11 T10, T12 1.8 12 P96 1.7 13 A15-16 1.6 14 T51-T65 1.5 15 K76 0.5 - - 49.6
100.0 Health in Myanmar 2013
1-3
1-5 2011%
1 B20-24 HIV 6.3 2 A40-41 5.0 3 J95-99 3.9 4 A15-16 3.9 5 K76 3.8 6 P05, P07 3.7
7 I64 3.6 8 I50 3.2 9 B50-54 3.1
10 I30-52 2.3 11 J12-18 1.8 12 I61 1.6 13 N17-19 0.9 14 I21 0.9 15 B25-34 0.9 - - 55.1
100.0 Health in Myanmar 2013
10 10 1-6
1-9HIV
2012 /
HIV1 2
1-6 10 2009-2012 2009 2010 2011 2012
1 1,562 672 1,121 9242 712 655 739 9153 655 633 397 5614 565 477 381 5235 227 348 345 3866 211 HIV/ 236 296 3737 HIV/ 211 215 271 3628 187 181 267 HIV 2699 186 140 263 262
10 128 130 HIV 252 246
1-4
1-7 10 2009-2012 2009 2010 2011 2012
1 518 696 791 8742 461 526 327 5873 / 321 / 250 / 220 / 1964 244 188 188 1885 219 132 134 1566 144 111 119 1297 94 97 105 948 53 96 84 789 49 79 69 72
10 28 79 31 28
1-8 10 2009-2012 2009 2010 2011 2012
1 HIV/ 44 36 26 HIV 362 35 HIV/ 33 HIV 21 333 25 29 18 324 20 19 18 325 19 19 15 326 15 16 14 117 14 15 12 118 9 13 10 109 8 11 9 9
10 / 6 8 8 8
1-9 10 2009-2012 2009 2010 2011 2012
1 26 30 21 142 / 18 16 13 113 10 / 14 10 74 10 8 8 / 75 7 6 / 7 56 6 6 5 47 5 5 5 38 5 5 3 29 3 2 2 1
10 2 1 1 1
(3)
17
1-1 /
1-5
1-1
2011-16
1-1-2
2011
1 2011-16
3
1-10
100%
100%
2012 Sanctioned Beds Available Beds 1-11
1-11
60% 61%74%
65% 51% 36% 93%
2015 684 1,200
/
/ (1)
(1)
(6)/ (9)(6)/ (27)
(112)/ (1)
/
/ (1)
(1)
(20)/ (37)(17)/ (70)(261)/ (2)
1-6
1-10
2010 2011 2012 2010 2011 2012 17,276 17,818 17,464 5,282 5,671 7,694
317 260 310 566 488 4861 125 121 125 54 61 85.1 181 192 203 123 98 119
6.0 6.0 5.0 5.6 5.0 5.7 90 96 101 63 50 59
36 39 45 38 33 35 3.0 3.0 2.0 3.9 6.1 5.0
1,00030 26 33 14 18. 17
Annual Hospital Statistics Report 2009
1-11 2012 / %
% % % %106 61 80 49 83 66 84 89
59 37 ICU 2 2 43 27 79 48
71 44 60 55 194 121 69 92
36 36 4 7 52 52 1 9
264 264 - -
1016
2 2030 4
2
CT
/10
CT
1-7
3
ERER
24 365CT
4 ER 1-12
1-13 1-14 1-152011 2012 ER
6.5 ER4 130
ER2012
28 24% 8 10%
1
1-12 ER 2009 2010 2011 2012
n.a. n.a. n.a. 2,140 3,897 2,788 2,577 3,738
1-8
1-13
2009 2010 2011 2012 2009 2010 2011 2012 762 701 643 744 54 47 193 184
8 13 17 76 72 94 101 116
1-14 2009 2010 2011 2012
1 314 273 286 5862 85 117 124 1113 64 67 73 884 47 20 24 485 14 27 34 326 1,649 1,905 2,238 2,797
2,173 2,409 2,779 3,662
1-15 2009 2010 2011 2012
1 321 502 652 5612 233 251 216 2503 137 105 115 1364 110 96 106 1235 114 120 94 1176 641 659 651 664
1,556 1,733 1,834 1,851
ACEM IFEMRACS
1-16 2 2017 /
ACEM AusAIDAVI
1-16
1 2013 12 SEA Games2012 13 18 EM 1
EM Post Graduate Diploma2014 2
2 2015 EM 2017EM
3 EM EM EM
Myanmar Emergency Medicine Development Program Briefing Paper
1-9
(4)
1 2013 2 / 1-17
WHO 1,000 2.3
2012-13 29,832
28,254 20,617 1,000 2012 IMF
6,367 1.24
75%
60%
1-17 / 2013/ ( )
1 3,818 2 3,376 3 3,276 4 2,371 5 958 6 796 7 626 8 353 9 597
10 417 11 773 12 728 13 659 14 3,833 15 1,988 16 104
Health in Myanmar 2013
2
1-10
1-1-2
1-2
1-2
(1) 2030
2030
5
1-2 1 3 9
SARS H5N1
1)2)
3)4)5)6)7)8)
9)Health in Myanmar 2012
1-3 2030
(2) 2011-2016
4 12
2030 Myanmar Health Vision 2030
2011-2016 National Health Plan 2012-2016
Hospital Care Program
1-11
1)2)3)4)
5)
6)7)8)9)
10)11)
12)
Health in Myanmar 2013 1-4 2011-2016
(3)
1 2 5
6
1)2)3)4)
5)
6)7)
National Health Plan 2011-2016 1-5
1-12
1-1-3
(1)
GDP IMF 2011-12 2012-13 5.9% 6.4%
2011
1-18 2008-09 2009-10 2010-11 2011-12 2012-13
GDP 3.6 5.1 5.3 5.9 6.4 GDP 346 381 496 562 553
GDP 588 635 811 900 868 1.9 7.7 8.9 -1.1 4.7
4.0 4.0 4.0 4.0 4.0 58.8 60.0 61.2 62.4 63.7
-1.4 -0.5 -1.0 -1.3 -2.5
(2)
GDP 2010-11 37.9
24.1 38.0
30.5
(21.3 ) (18.9 )
1-13
1-19 GDP2008-09 2009-10 2010-11
7,170,165.3 41.8% 7,569,840.4 39.9% 7,923,735.4 37.9% 5,881,369.7 34.3% 6,122,685.2 32.3% 6,367,646.6 30.5%
1,288,795.6 7.5% 1,447,155.2 7.6% 1,556,088.8 7.4% 3,606,599.8 21.0% 4,240,330.2 22.4% 5,024,916.6 24.1%119,595.8 0.7% 133,256.1 0.7% 143,412.2 0.7%
2,750,743.3 16.0% 3,269,513.7 17.2% 3,938,849.3 18.9%736,260.7 4.3% 837,560.4 4.4% 942,655.1 4.5%
6,378,313.0 37.2% 7,154,769.8 37.7% 7,942,672.3 38.0%2,247,195.0 13.1% 2,611,702.8 13.8% 2,933,053.0 14.0%450,942.5 2.6% 500,055.9 2.6% 549,596.7 2.6%
3,680,175.5 21.5% 4,043,011.1 21.3% 4,460,022.6 21.3%GDP 17,155,078.1 100% 18,964,940.4 100% 20,891,324.3 100%
[ ] 4 3
1-14
1-2
2008
5
UNICEF 2013 HIV
2011-2016 2006-2011
17
/
3 3003,662 1 2012 31,719 1 2012
180 2 20111940
6
200 1,600 20,000
1964
1 2 JICA 2013 3
1-15
10
1-16
1-3
1954
1975
1-20 1-21 1987
1-20
2005 20102006-2011
3
2005 2010/
2009 2014
2012 2015 2
3
JICA
1-21
2007 8
2.04 UNICEF
2007 2.17 UNICEF
2008 3.46
2009 3.08
2013 12.56
2013 11.40 5
1-17
1-4
1-22
1-22
2012-15 UNFPA
429.5
USD
HIV
2011-15 UNICEF
5
HIV/
198.6USD
5
HIV
2001-16 GAVIAlliance
109.2USD
B
5
2011-16 GFATM
HIV HIV/
113.2USD
SC
HIV HIV
HIV/
94.0USD
UNOPS/
32.9
USD SC
72.6USD
UNOPS
17.4
USD SC
91.4USD UNOPS
2011-16 EU 150EUR 2014-20
2011-15 DFID
58.0
GBP 4
30.0GBP
HIV/ 4.0GBP
1.0GBP
2011-13
AusAID
5.0AUD
2012-16
3.5AUD
2013-16 3MDG 15.0AUD HIV/
1-18
2013 USAID
HIV/
HIV/
HIV
HIV
H5N1
2-1
2
2-1
2-1-1
(1)
2-1 8
5
Myanmar in Health 2013
2-1
(2)
2-2
1)
2-2
61% 60%65%
51%
2-1( )
1 1 0 1 - 1
104 68* 36 7 4 3
288 147* 141 8 6 2
76 76 - 23 13 10
78 46 32 3 2 1 - - - 3 - 3
592 363 229
2-5 611-20 105
2-3
2-2( )
1 1 1 7 1 8 6 2 4 1 1 - 7 1 6 5 1 4
1 1 - 5 7 1 3 4 1 1 1 - 6 2 9 8 - 4
1 1 1 6 1 5 2 1 4 1 - - 1 1 4 1 - 3
1 - - 4 1 4 2 - 4 - - - - - - - - -
- 1 - - 1 3 - - 1 - 1 - - 1 3 2 - 1 1 1 - 2 2 5 8 - 6
- - - 1 - 1 - - 2 - - - - - - - - 1
- - - 2 - 1 - 1 - - 1 - 1 - - - - 1
8 9 2 42 18 50 37 9 36 61 105 9 36
2-3( )
( ) 2 3 1 4 2 8 3 1
2 2 4
2 6
2 1
2 1
1 1 ( ) 36
76
2-4
2)
/
2-3
74% 60%36%
95% 5 2
2-4( )
1 1 0 1 - 1
104 37* 67 1 1 0 289 275* 14
8 1 7 58 36 22
17 5 12 48 39 9
2 1 1 - - 03 2 1
532 398 134
2-5
2-5( )
1 1 - 3 2 2 9 19 - 7 - 1 - - - 1 3 - -
1 - - 3 2 9 19 1 6 - - - - 1 5 8 - 2
1 - - 1 1 5 8 - 4 1 1 - 3 2 11 19 - 6
1 - - 3 2 11 19 - 6 1 - - 3 2 11 19 - 5
- - 1 2 9 18 - 5 - 1 - - - - - - 1 - - 1 - 1 5 8 - 1
- 1 - - 1 5 8 - 2 - 1 - - - - - - 3
1 - - - - 4 6 - 1 - 1 - - - 7 8 - 1
1 - - - - 2 3 - 1 1 1
9 7 1 18 2 16 94 165 1 46 37 275
2-6( )
( ) 1 1 1 1 2 3 3 8
1 2 2 1 3 2
1 2 4
1 2
1 2
1 1 1 ( ) 2
36
2-6
2-1-2
2010/11 2011/12 1%2012/13 3% 4 1 3 31
52-7 2009/10 20 30%
2011/12 2012/13 290%70%
2-7
2008/09 2009/10 2010/11 2011/12 2012/13 2013/14
41,362 47,275 60,601 73,060 176,935 303,054 10,080 16,521 24,743 27,764 213,535 195,228 51,442 63,796 85,344 100,824 390,470 498,282
% 5.5 24.0 33.8 18.1 287.3 27.6 137 175 210 495 518 n.a.
% - 27.7 20.0 135.7 46.5 - 139 187 250 245 449 n.a.
% - 35.0 33.7 -1.2 83.4 - 2008-09 2011-12 Health in Myanmar 2012-13
5 2-8 952010/11 30
2011/12 2012/13 80
2-8
2008/09 2009/10 2010/11 2011/12 2012/13
138,564 187,140 250,155 245,096 449,393 35.0 33.7 -1.2 83.4
n.a. 9,394 11,416 11,250 18,454 0 0 0 0 0
138,564 196,534 261,571 256,346 467,847
105,408 156,269 203,984 202,870 284,223 700 900 1,300 1,200 1,600
12,800 12,800 12,800 12,800 12,800 1,300 1,500 2,000 2,400 2,500 2,500 2,500 11,000 4,270 75,121 n.a. 4,697 5,708 5,625 9,227
n.a. 4,697 5,708 5,625 9,227 15,856 13,171 19,071 21,556 73,149
( ) 50,000 138,564 196,534 261,571 256,346 467,847
6 2-9
2-7
95% 2011/122011/12 2007/08 4
2011/12 2012/13CT
2-9
2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 135,119 142,871 179,979 215,098 502,235 524,183
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2 13.50 27.00 1 13.50 13.50 1 21.76 21.76 1 20.25 20.25 1 20.25 20.25 1 13.50 13.50 1 37.97 37.97 1 52.35 52.35 1 41.36 41.36
3-63
1 22.20 22.20 1 33.99 33.99 1 20.43 20.43 1 19.45 19.45 1 9.28 9.28 1 24.09 24.09 1 28.01 28.01 6 42.30 253.80
10 21.15 211.50 2 34.50 69.00 1 21.15 21.15 1 62.56 62.56 1 13.50 13.50 1 21.76 21.76 1 20.25 20.25 1 20.25 20.25 1 13.50 13.50 1 37.97 37.97 1 52.35 52.35
1,273.872,488.82
2 21.15 42.30 8 42.30 338.40
10 21.15 211.50 1 34.50 34.50 1 21.15 21.15 1 21.15 21.15 2 10.50 21.00 1 21.50 21.50
1,149.241,860.844,349.662,734.22
213.75213.75
54.0054.009.009.00
175.0025.0018.0018.00
9,236.395,879.00
(3)
4.23.8m
3-64
2 2
1 2
2 2.5m1 20cm
(4)
1) 20
5m 8t/ 20t/ 2 2.5m1 8t/
2)
3)
Moderate Zone 0.1-0.15gal( )
Fc=21N/ 345 N/ 295 N/
ASTM
3-65
(5)
1)
2)
200kVA 1
HDU(High Dependency Unit)
(AVR) AVR
3)
4)
LAN
5)
6) X
3-66
7)
8)
9)
(6)
1) ICU HDU
2)
3)
4)
ODA
5)
6) 1
7)
8) ICU HDU
3-67
(7)
1)
2)
3-25
3-26
EP
EP
EP
3-68
3-2B-2-3
3-27
3-29
7-5-2
500mA 1989
2005
2012 1,345
3-69
1
2013 12( )
11
2011
42012 1,222
1
3 1
2012 4,428 5,545 150 12,9121
300 350
HIV 1
1 1
34 HDU 1 3
2005
3
3-70
11 3
1 HDU 1 1 3
12 1
7
1 5
1
1
4
1 1 2012
100 180
1 1
11
1
4 1 2 2 3
2 ICU 20121,851
ICU 2
3-71
1 4
1 1 2 11 1 4 13 2 1
4 11 2 4 1
2 3 ICU1 2
12
2011 17015
1
30 2 1
2012 207 488 112
1 3 11
11 1 1 1
1 1 3 11 2
12 2 2 2
1 1
1 2012
995
3-72
520
11
1 11
2012 177
3 1
TENS 1
12 3 823 10
3 6 ICU 1 HDU 7 27
13 1
2 11 1 1
2013
793
2 22 ICU 1 6 2 12 NICU 1
1 4 8 1 1 8 11 1 10 8 4
2 4 2 12
3-73
NICU 2 2 31 ICU 1
1 3 10 1424 16
14 2 6
2 1
1 21 1 1
1
1
3-74
3-2B-3
No.
B-01
B-02 1
B-03 2
B-04 1
B-05 2
B-06
B-07
3-75
3-75
3-76
3-76
3-77
3-77
3-78
3-78
3-79
3-79
3-80
3-80
3-81
3-81
3-82
3-2-4
3-2-4-1
E/NG/A
2
2E/N G/A
(1)
(2)
1)
3-83
2)
3)
(3)
(4)
(5)
3-2-4-2
(1)
3-84
(2)
1)
1)-1 2 1
21
42
5 10
1)-2 5 10
2)
19 17
3-85
3) 2 24
(3)
3-2-4-3
(1)
1)
2)
3)
3-86
(2)
3-29
( )( )
X 1
( )
( )
( )
3-2-4-4
(1)
3-87
(2)
(3)
(4)
3-2-4-5
5 10 20 25
3-88
3-30
2
100kN/m2
60kN/m2
78kN/ (8ton/ )
BS 6
JIS +0 -5cm +0 -5cm +0 -3cm +0 -3cm +5cm 0 +5cm 0
30mm 30mm 60mm 60mm 40mm 40mm 5mm 5mm 10mm 10mm
BS 2001 3
()
24N/mm2 21N/mm2
21N/m
()
BS ASTM 50m33
12cm 2.5cm 15cm 2.5cm 0.3kg/m3 0.3kg/m3
4.5% 1.5% 4.5% 1.5%
( ) 35 35
1m 10mm
1m10mm
JIS
()
BS
1
1.75Mpa 60
BS
BS
3-2-4-6
(1)
1)
2)
3-89
3-31
[ ]
[ ]
[ ]
3-90
(2)
1)
6
11
2)
3-32
LS-001 LS-005 ( )LS-007 ( )LS-012 LS-013 LS-019 (2 )LS-021 LS-024 CPAPLS-031 LS-032 LS-034 (LS-040 LS-064 LS-067 LS-069 LS-114 ( )LS-115 ( )
3-91
3-33
LK-001 LK-004 ( )LK-008 LK-011 LK-013 (2 )LK-015 LK-023 LK-024 ( )LK-025 ( )LK-030 LK-043 LK-044 LK-045 LK-056 LK-074 LK-079 LK-083
(3)
21
900 m 3 440
800km 3 432
40 25
1.7CMSD
3-2-4-7
3-92
3-2-4-8
3-2-4-9
E/N G/A
(1)
(2)
P/Q
(3)
(3)-1
114 4
213 1
31
3-93
3-16
(3)-2
5 10
15
3-17
3-94
3-3
(1)
(1)-1
(1)-2
(2)
(3)
3-95
3-96
3-4
3-4-1
3-4-1A
(1)
61 60
3-34
1 1 1 -
104 68 7 4
288 147 8 6
76 76 23 13
78 46 3 2 3 - 592 363
(2)
1) 2 1
1
2)
CMSD
3-97
3-4-1B
(1)
102 37 297 275 5836 2012-13
37 275 36
(2)
1) 1 2
2)
CMSD
3-4-2
(1)
210
3-98
3-35
1 /5 1 /31 /3 1 /10
1 /1 /
1 /
(2)
1
1 1
3-36
LED( )20 30
20,000 40,000301520
25 301020
(3)
3-99
3-5
3-5A
3-5A-1
(3)
(1)
(2) : 231.86 ( 23.65 )
3-38
( )(1)
1) ( ) 7,253,000 739,8062) ( ) 19,112,000 1,949,4243) 131,449,000 13,407,798
4) 9,630,000 982,2605) 9,630,000 982,2606) 57,000 5,8147) 4,540,000 463,0808) 1,884,000 192,1689) X 398,000 40,59610) 398,000 40,59611) 99,500 10,14912) 30,121,000 3,072,342
(2)1) ( ) 17,289,000 1,763,478
231,860,500 23,649,771
(3)
25 12 1US$=99.99
1EURO=135.92 1 MMK 0.102
3-100
3-5A-2
3-39
2012/13
(MMK) (MMK) (1) 284,223,000 322,148,000 (2) 101,248,000 74,340,000
1) 1,600,000 1,808,000 2) 12,800,000 17,357,000 3) 2,500,000 4,120,000 4) 75,121,000 13,446,000
CT 50,000,000 0 20,000,000 0
5,121,000 13,446,000 5) 0 3,187,000 6) 0 1,733,000 7) 9,227,000 32,689,000
385,471,000 396,488,000
(1)
68 147 761 2012/13 2017/18
26.05%5
13.0% (284,223,000 MMK+(72,000 MMK×12)) ×1.13 322,148,000 MMK/
(2)
1) 2012/13 2017/1826.05 13.0
1,600,000 ×1.13 1,808,000 MMK/
2) 2 13.0
12,800,000 ×1.2×1.13 17,357,000 MMK/
3) 1
13.0
5 World Economic Outlook Database (IMF, 2013 10 ) 2013~2016
3-101
1 1 30 5
14 liter×0.5 hours×5 days× 12 months×823MMK/liter 346,000 MMK/
1 800,000MMK
(2,500,000 346,000 800,000)×1.13 4,120,000 MMK/
2012/13 75,121,000MMK 50,000,000MMK CT20,000,000MMK
5,121,000MMK
5,121,000MMK×1.161 5,787,000MMK/
10
0.1% 4,980,000 MMK
5
10 0.2% 2,679,000 MMK
(5,787,000 4,980,000 2,679,000) 13,446,000 MMK/
NGO
8,895 1,50016,724 88%
88% 2,820 2,820,000 1.13 3,187,000 MMK
1 150US$×12 ×963MMK/US$ 1,733,000 MMK
3-102
(3)
25,0977,592 32,689
3-40 2012-13 (MMK) (MMK)
9,227,000 7,592,000
25,097,000 9,227,000 32,689,000
(4)
2012/13 5-3 75,121CT
5,121 9,227 2012/1314,348
2017/1815,179 32,6892017/18 47,868
2009/10 20 3030 35
2008/09 5.52012/13
449 2017/18 767
CT2012/13 3.8 2017/18 6.2
2.4
3-103
3-5B
3-5B-1
(3)
(1)
(2) : 124 ( 12.67 )
3-42
( )(1)
1) ( ) 2,328,000 237,456 2) 25,278,000 2,578,356 3) 2,022,000 206,244
4) 4,815,000 491,130 5) 3,866,000 394,332 6) 1,685,000 171,870 7) 4,113,000 419,526 8) 59,224,000 6,040,848
(2)1) ( ) 20,885,000 2,130,270
124,216,000 12,670,032
(3)
25 12 1US$=99.99
1 MMK 0.102
3-104
3-5B-2
3-43
2012/132016/17
(MMK) (MMK)(1) 214,422,736 236,385,000 (2) 29,968,000 47,307,000
1) 600,000 659,000 2) 9,750,000 18,532,000 3) 800,000 2,136,000 4) 15,425,000 * 15,728,000 5) 0 1,593,000 6) 0 1,733,000 7) 3,393,000 6,926,000
244,390,736 283,692,000
(1)
37 275 361 2012/13 2016/17
19.57%6
9.8% (214,422,736MMK+(72,000MMK×12)) ×1.098 236,385,000 MMK/
(2)
1) 2012/13 2016/17
19.57% 9.8% 600,000 ×1.098 659,000 MMK/
2) 2
9.2%
9,750,000 ×8800/6100×1.2×1.098 18,532,000 MMK/
6 World Economic Outlook Database (IMF, 2013 10 ) 2013~2015
3-105
3)
1 1 30 59.8%
14 liter×0.5 hours×5 days× 12 months×823MMK/liter×1.098 380,000 MMK/ (a)
1 2 9.8% 800,000×2cars×1.098 1,756,000 MMK/ (b)
(a) (b) 2,136,000 MMK/
4) ( 10 )
100.1%
9,128,000 MMK/ (c)
5
10 0.2% 6,600,000 MMK/ (d)
(c) (d) 15,728,000 MMK/
5) ( 50% ) 2013/14 1,000,000MMK 2013/14
2016/17 12.3%7 6.2%
1,000,000 ×1.5×1.062 1,593,000 MMK/
6) 1
150US$×12 ×963MMK 1,733,000MMK/
7) 412
280 692
3-44 2012/13 (MMK) (MMK)
3,392,000 4,125,000
2,801,000 6,926,000
7 World Economic Outlook Database (IMF, 2013 10 ) 2014~2015
3-106
(3)
2012-13 29,968,000
6,926,000 2016/1747,307,000
2008-09 2009-10 62016/17 6 634,062,000
2012/13 6.3 2016-177.5 1.2
4-1
4-1
3
4-2 ( )
3
4-3
4-4
4-4-1
(1)
180 2011
4-2
35
(2)
(3)
Myanmar Health Vision 2030
2012 ( )
( )( ) 3
( )
4-4-2
4-4-2A
(1)
(2012 ) (2020 )3
31,719 36,600 13,745 16,700
310 360 101 80
28 60 184 360
4-3
(2)
4-4-2B
(1)
(2010-2012 )(2019 )
3 20,706 2012 22,777
8,086 2010 8,895 1,053 2011 1,158
566 2010 623 744 2012 1,000
(2)
