 Mon National Health Committee health workers prepare insecticide to control mosquitoes as part of malaria prevention efforts in a village in southeast Myanmar. (MNHC/CPI) Between 2012 and 2020, Myanmar (Burma) made extraordinary gains against malaria. The number of confirmed cases fell by almost 88% and the reported number of deaths fell by 98% (1). In 2020, only 10 deaths in Myanmar were officially attributed to malaria (2). This was the result of a coordinated multi-stakeholder prevention, control and elimination strategy supported by sustained local and international investment. But these gains are now under threat due to the impacts of the COVID-19 pandemic and the February 2021 coup.
 Kyi San Lwin, Founder of Precious Lady, helps women in Rakhine State, Myanmar, develop livelihoods and increase their financial independence. (Precious Lady/CPI) “I had to rely on my husband since we married, so now I am happy to earn money. Now, we are saving for my son's future and it makes me feel so pleased.” Eindray Eindray, 28, lives in Rakhine State, Myanmar, with her husband and five-year old son. She is one of 30 women enrolled in a livelihood project implemented by Community Partners International partner Precious Lady, that teaches sewing and handicraft skills, provides them with sewing machines and raw materials, offers basic sales and marketing training, and helps them to access markets where they can sell their products.
 Dr. Ashim in the Emergency Department at Sadar Hospital, Cox's Bazar, Bangladesh. (Md. Dipu/CPI) When Dr. Ashim started working at the COVID-19 Isolation Unit at Sadar Hospital, Cox’s Bazar, in late 2020, Bangladesh was in the midst of a severe wave of COVID-19. “The pressure was very intense,” he explains. “We were overwhelmed with the number of patients. We had 20 beds but we were receiving more than 40 patients each day. We had to turn some patients away because we didn’t have enough space. The Emergency Department was also full.”
 A health worker in the COVID-19 ward at the hospital in Yangon, Myanmar, operated by the Karen Baptist Convention with support from Community Partners International. (KBC/CPI) “My grandmother’s blood oxygen level dropped to 80% and she couldn’t eat or drink. At the end, she was so weak that she couldn’t breathe from the oxygen tank. Losing a family member in front of my eyes really made me understand the danger of COVID-19.”
In early October 2021, Elizabeth’s whole family came down with COVID-19 in their village in Ayeyarwady Region, Myanmar. The country was in the midst of a devastating third wave that killed many thousands of people. The health system, already shattered by political unrest, was overwhelmed.  A technician fills a tank with oxygen at the new oxygen plant in Hpa-An, Myanmar. (KEHOC/KDHW/CPI) On January 2, 2022, five days after the first confirmed cases of the COVID-19 Omicron variant were detected in Myanmar, a new oxygen generation plant supported by Community Partners International and the Access to Health Fund opened at a facility operated by the Karen Department of Health and Welfare (KDHW) in Hpa-An, Kayin (Karen) State.
Changing Farming Practices to Improve Food Security in Myanmar’s Naga Self-Administered Zone1/26/2022
 ENDO project manager Vang Sing (right) meets with a farmer from Namlit village in Myanmar's Naga Self-Administered Zone. (ENDO/CPI) In Myanmar’s Naga Self-Administered Zone, crop yields for farmers practicing traditional slash-and burn agriculture have been falling due to climate change and deforestation. With support from a private donor, Community Partners International (CPI) launched a pilot project to help communities to adopt new and sustainable farming practices and improve their food security.
 Anam Ali, CPI's Country Director in Bangladesh, cuts the ribbon at the opening ceremony for the new health post supported by CPI in Camp 1W of Kutupalong Refugee Camp, Cox's Bazar, Bangladesh. (Md. Dipu/CPI) Moments after the health post’s doors opened for the very first time on Thursday, December 2, 2021, eight-year-old Omme came in with her father Abul. She was suffering from abdominal pain and fever. The doctor on duty saw Omme immediately and provided care. “Everyone is helpful here,” remarked Abul. “The doctor listened carefully and gave my daughter medicine. I am happy.”
 Tweltar, 9, was able to continue studying after her school closed thanks to the Saya Foundation's home learning program supported by Community Partners International. (Saya Foundation/CPI) When the COVID-19 pandemic closed Myanmar’s schools in June 2020, Htar’s nine-year-old daughter Tweltar reacted as most children would. “At the start, she was happy that she didn't need to go to school and could play at home much more than before,” Htar explains. But, as school closures lengthened from weeks into months, Tweltar changed her mind. “Gradually, she realized that her school had been closed for a long time and she wanted to start learning again."
 A COVID-19 patient is treated at home in Myanmar with an oxygen concentrator provided by Community Partners International. (CPI/MCHS) Yan Win Soe, founder of the Myanmar Community Health Society (MCHS), knows well the personal tragedies that the third wave of COVID-19 unleashed on the people of Myanmar. “My elder sister got COVID-19 and died due to lack of oxygen at the critical time.”
 A health worker administers the cholera vaccine to a child in Kutupalong Refugee Camp, Cox's Bazar, Bangladesh. (Md. Dipu/CPI) For Rohingya refugees in Kutupalong Refugee Camp, Bangladesh, cholera is an ever-present threat. The cramped and crowded conditions, limited access to water, sanitation and hygiene services, and seasonal flooding create an environment in which cholera can quickly take hold. Rohingya volunteers supported by Community Partners International (CPI) and local partner Green Hill are assisting a cholera vaccination campaign that has successfully reached 96% of refugees in their catchment areas since October 10.
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