On July 31st, 2020, HIV healthcare providers and other key stakeholders gathered at an event in Yangon to inaugurate Myanmar’s first HIV Pre-Exposure Prophylaxis (PrEP) clinics. This marks a major milestone for Myanmar’s strategic response to HIV, and will contribute to the scaling up of HIV prevention efforts.  ​

Seven years ago, Khin Aye went for a routine prenatal check-up while pregnant with her first child. The hospital staff conducted a blood test. “When the test came back, they told me I had hepatitis B.”

Thiri, 37, found out that she was HIV positive during a routine checkup while pregnant in 2013. She was afraid and alone. “I was so scared that others would find out that I had HIV so I didn’t leave the house for a long time. I couldn’t tell my parents.”

In Myanmar, violence against women and girls is a silent emergency. It takes many forms: domestic and intimate partner violence perpetrated within families; unwanted touching and sexual harassment on public transport; and violence occurring in conflict zones where women are particularly vulnerable. In a national survey carried out in 2015 and 2016, one in seven women in Myanmar reported that they had experienced violence since the age of 15.[1] The real number is likely to be many more.

Ma Hnin, 26, lives in South Dagon township, a suburb to the northeast of Yangon, Myanmar's commercial capital. Ma Hnin’s family moved to South Dagon six years ago from a village further east. “It is easier to earn money in Yangon. That’s why my family moved here,” she says. Ma Hnin lives together with her parents, husband and two children - a three-year-old daughter and three-month-old son. Her husband and father both work for a local saw mill. Just over three years ago, when she was pregnant with her first child, Ma Hnin found out that she was hepatitis B positive.

Many women in remote and conflict-affected communities of Kachin State, Myanmar, lack access to reliable and comprehensive birth control options. Until recently in Myanmar, injectable hormonal birth control could only be provided by midwives. However, most communities in Kachin State do not have regular access to midwife services. In an important recent development, the Myanmar Ministry of Health and Sports (MoHS) introduced new guidelines allowing auxiliary midwives (AMWs) to administer a self-injectable hormonal birth control option (known as DMPA-SC), once they have been sufficiently trained. As the AMW network can reach more remote communities, this change has the potential to transform access to reliable and comprehensive birth control for many thousands of women of reproductive age in Kachin State and across Myanmar.