The earthquake pushes the health system of Myanmar to the brink of collapse

On March 28, it shook destroyed earthquakes in the middle of Myanmar. With a major group of 7.7 size and negatives of up to 6.7, this event is the most important earthquake chain that has been hit in Myanmar since 1912.

The earthquake directed many cities and villages, killing more than 3500 and wounding 5,000 until this writing. 210 other remains missing. According to at least three hospitals, including hospitals in Mandalay, which fell “like the paving papers” under the tremors of the tremors. The World Health Organization (WHO) announced that health workers in affected areas have been overwhelmed by the number of patients who need urgent medical attention.

The natural disaster puts more pressure on the health system in Myanmar, which was under the attack and targeted it by the ruling military in the country since a coup in February 2021. The military council continued its attacks after the earthquake, and informed BBC that the air strikes occurred on societies in hours immediately after the hours followed by those trying to stimulate the survivors of rubbing. Military Junta also has a record of preventing aid from reaching areas that are needed more than that, which is now repeated.

In its fifth year, the conflict created one of the worst humanitarian crises that have been overlooked in the world before the earthquake. Health workers continue to face daily targeted attacks, as they seek to provide care for patients and wounded. Recent aid discounts by the United Kingdom and the United States are also exposed to the critical aid programs in Myanmar.

Disease and displacement in Myanmar since the 2021 coup

Myanmar was making progress towards a sustainable period of peace and democracy until the 2021 coup. The human cost of this conflict is enormous: the United Nations Office for the Coordination of Humanitarian Affairs, which was informed before the earthquake that nearly a third of the residents of Myanmar, is about 18.6 million people, requires urgent humanitarian assistance, and more than 3 million consecutive border areas have been displaced.

The mass displacement of people from cities and towns to small villages and camps internally displaced in rural areas, which leads to high infectious diseases. Drug -resistant malaria increased by 1000 % in some areas, and partly returns to coercive migration that transport people to rainforest areas with a high rate of malaria and made the treatment more difficult to reach. Likewise, multi -drug resistant tuberculosis has risen since 2021, when the rate of infection in Myanmar has risen to more than four times the global average.

Medicines and basic equipment are constantly banned from ethnic areas and border areas where the displaced residents request a shelter. This military siege has directly contributed to the spread of preventive diseases, which leaves children at risk in particular in the face of low vaccination rates. Recovery in diseases that are once controlled, such as polio, measles, and bents are now a threat, which endangers the people of Myanmar and neighboring countries and global health efforts.

In an article published on Think Global Health in March 2024, the health system in Myanmar was described as the battlefield. Since then, the crisis has deepened, with more than 1500 total attacks on health care and infrastructure workers, and the non -profit security organization became at least 135 health care workers who have been killed since 2021. Health workers expect fixed and potential attacks on themselves and patients.

1000 %

Drug -resistant malaria increased by 1000 % in some areas after a 2021 coup

The Military Council tried to prevent health care. The attacks used artillery and explosives were common, including explosives that were dropped on health facilities from Junta Fighter Jets. Armed aircraft also pose an increasing threat, allowing the Punta to cause destruction on the ground from a distant position.

Despite the attacks, the health workers in Myanmar who work outside the areas controlled by military, and providing care in a healthy system parallel to adapting to new challenges against difficulties, including cuts at the USAID and external aid from various European countries, including the United Kingdom. Since the earthquake, the last challenge to Myanmar, health workers provide free care in the streets of Mandalay.

Health workers in Myanmar

UK health partnerships, coordinated by global health partnerships (GHP), provided and financing through the official development assistance budget in the United Kingdom (ODA), provided support for health workers in the country since 2014. This cooperation includes health professionals and their medical royal colleges and provides medical education, guidance and support for health workers in Myanmar. Over the past four years, the organization has conducted nearly 200,000 remote consultations, has supported online medical education for up to 1,000 young doctors, and has provided certificate certificate courses for nurses.

The future of programs such as the UK's health partnerships for Myanmar is now in the wake of the announcement of Prime Minister Sir Kerr Starmer that the UK's ODA budget will decrease to 0.3 % of the total national income (GNI) by 2027 to finance an increase in defensive spending. In her spring statement, Treasury Adviser Rachel Reeves revealed more details about the UK government's plans to reduce ODA against the schedule set by the Prime Minister. Three quarters of the discounts will be delivered before 2027, with 0.5 billion pounds sterling (636 million dollars) in 2025-26, followed by huge discounts of 4.5 billion pounds ($ 5.7 billion) in 2026-27, and the final amount of 6.5 billion pounds (8.3 billion dollars) to be cut in 2027-28, when UK ODA reaches 0.3 % From GNI.

The health worker provides free care for a patient in the streets of Mandalay, Myanmar, after an earthquake of 7.7 degrees struck on March 28, 2025.

The discounts to the US Agency for International Development announced by President Donald Trump in January 2025 are also certainly harm to Myanmar. The modern analysis conducted by the World Development Center shows that these cuts are worth a total of $ 14,284,000 in Myanmar, including ending all financing for the DEP and Inclusion Grandments Program (DIP). The sudden party of this program, which has supported students from marginalized groups – including those from ethnic minorities and disability – to reach higher education is likely to increase the aggravation of the deficiency of the health workforce in Myanmar and puts more pressure on the health system that is beaten in the country. On April 5, American relief workers who respond to the earthquake were implemented.

These discounts are not only morally hateful but also looking, according to the officials of the US International Development Agency. Before the current political turmoil and armed resistance in the country against the army, Myanmar was already classified as suffering from a decisive deficiency in the health workforce [PDF] Before 2021. This situation may get worse only during the current conflict, which leaves the country so that it does not reach half of the requirements of the 44.5 World Health Organization for the World Health Organization. [PDF]. Now, with the work of the workforce and education already disabled, cutting programs such as DIP will only exacerbate the current health force deficiency.

It is also possible that those who provide health care in Myanmar currently leave the workforce to escape from the brutality of the Military Council, either while the conflict continues or shortly after its end. During a visit in December 2024 to the borders of Thailand-Meyanmar, GHP representatives spoke with health workers who provide care along the border and in mobile medical teams. A health worker from Kayen's state told us that they see a sharp rise in PTSD between the health workforce, who expect to rise only given that many of those who provide care for patients and wounded during their attack from the army are currently living their shock and have not yet reached after birth.

The decisive shortage of healthcare workers in Myanmar, associated with targeted attacks on health infrastructure and changing global financing environment, draws a particularly dark image of the future of health care in the country.

In the direct period, after the March 28 earthquake tragedy, aid agencies that send support to the country must ensure that they reach the needy.

In the words of the United Nations Special Rapporteur Tom Andrews. “[The junta] weapon[s] This aid. They send it to the areas they control, and they deny it to the areas they do not. . . . This was the pattern of their response to natural disasters in the past. I am afraid that I will completely expect this to be the case with this disaster. ”

The global community to protect healthcare in Myanmar must, decisively, should unite to protect health workers from systematic attacks. Instead of cutting relief programs, donors who have ways to help continue to invest in comprehensive health coverage, support for health care workers in the front lines including through direct aid, to respond to the escalating multiple health crises in Myanmar.

Ruby was seen in Mandalay, Myanmar, after an earthquake of 7.7 in March 28, 2025.

Gonathon Foster is the Director of Policy Policy Policy Policy Partnerships (previously). He is a member of the health partnerships of the Myanmar community, a group of individuals and organizations held by global health partnerships.

Thinn Thinn Hlaing is the Rural Director of Myanmar at Global Health Partnerships (previously) and an honorary chemist at Addenbroke's Hospital, NHS Foundation of the University of Cambridge.

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