Background
Myanmar has made significant strides in reducing maternal mortality over the past decade, yet rural areas continue to face disproportionate challenges. The Ayeyarwady Region, with its dispersed population and limited healthcare infrastructure, presents a unique case for understanding the interplay between geographic, economic, and cultural factors.
This study was conducted between January and December 2024, covering five townships with a combined population of approximately 1.2 million people.
Methodology
A mixed-methods approach was employed:
- Quantitative: Structured surveys with 1,200 women of reproductive age (15–49)
- Qualitative: 45 in-depth interviews and 12 focus group discussions
- Geospatial: Healthcare facility mapping and travel time analysis
Key Findings
Antenatal Care Coverage
78% of women reported at least one antenatal visit, but only 34% achieved the WHO-recommended four visits. Distance was the strongest predictor (p < 0.001).
Facility-Based Delivery
Rates varied from 92% in peri-urban areas to just 41% in remote island communities.
Implications
Targeted interventions including midwifery-led birthing centres, mHealth solutions, and subsidised transport vouchers are recommended.