Aye Thinzar Oo

[Aye Thinzar Oo]

According to the case study at the WHO reference, the Primary Health case Structure in Myanmar is public sector, private sector (not-for-profit and for-profit), and EHOs ( source Ministry of Health and Sport, 2020). And also needs variability in the level of collaboration between the MoHS and EHOs. In many parts of the country, EHOs are the main providers in many rural areas.

Under the public sector consists of PHC centers composed by township hospitals, station hospitals, urban health centers, RHCs, and sub-RHCs the data is before coup 2021 data. The private sector composed by private general clinics the data from 2025 was collected. At the EHOs sector mostly in rural areas.
COVID-19 IN 2020, during the first and second waves of COVID-19, EHOs were in contact with the MoHS and re-configured clinics to all for triage. EHO health staff received up-to-date health information about COVID-19 from the MoHS such as suspended inbound international travel, implemented social distancing measures and guidance to health care workers on COVID-19 prevention, and treatment guidance issued by the WHO.

Scaling up and managing critical emergency services on the COVID-19 response, in 2020 Myanmar updated laws and regulations on key areas specified in the international health regulation. Also launched a National health plan in 2017 and drafted of the national health policy in 2018 that is an expansion of UHC through the strengthening of the PHC system.

Communities use formal channels to engage service providers and policy maker and also many other communities used informal , social media channels such as facebook, saw saw shar mobile application, developed by Myanmar Computer Federation in collaboration with the MoHS to get up-to-date daily information, and Viber to share information and coordinate support.

The government was trying to control the COVID situation, and the military seized power in February 2021. So our health system was breakdown until now. That is the reality conditions on Myanmar, no more secure healthcare services from public health (MoHS). Only deliver and received from EHOs sectors but that is on the border area not in all rural area. My opinion we have to settle not only health care sector but also other our living standard condition. But when and how , no way in until now.

References:
Ministry of Health and Sport. (2020). Myanmar: a primary health care case study in the context of the COVID-19 pandemic. In Myanmar: A Primary Health Care Case Study in the Context of the COVID-19 Pandemic

https://pr-myanmar.org/sites/pr-myanmar.org/files/publication_docs/myanmar_health_systems_review.pdf
https://iris.who.int/bitstream/handle/10665/372726/9789240058811-eng.pdf?sequence=1

[Aye Thinzar Oo]

#Towards the UHC scheme in Myanmar
Myanmar is working towards Universal Health Coverage (UHC), which aims to provide all individuals and communities with access to necessary health services without basic financial cost. In the National Health Plan (NHP) of -2017-2021, to increase equity and financial protection and extend access to the basic Essential Package of Health Services (EPHS) for the entire population by 2021. In the first UHC phase, it will reach three phases by 2030. And the service delivery reforms plan, the basic package of services covers a wide range of interventions for reproductive, maternal, newborn, child and nutrition, communicable and non-communicable diseases and emergency conditions.
#What works
NHP aims to improve health and nutrition for women and children of reproductive health strategic plan of 2014-2018. The NHP recognizes the important role of the private sector in expanding access to services and also the involvement of ethnic health organizations (EHOs) and improvements in access to services in conflict-affected areas position, for example, in the border areas in basic emergency care. The limitation of asses to provide health care and the need for standardization training for ethnic health workers (Community Partner International 2024 ).
# What needs to be done
Other human resource reforms are being initiated, including assessing the role of voluntary health workers and revising the job descriptions of basic health staff in the context of a basic package of services for UHC. Focus on strengthening service delivery at the township level and below is essential because most of Myanmar’s population lives in rural areas that have traditionally received less priority in terms of investment in health care and extending health services to rural communities, developing a community-based health workers (CBHWs) program. However significant increases in the allocation of total government expenditures for health (MoHS) and the public financial management system are needed to improve budgeting and funds.
#Strength and weakness
Weakness in service delivery is constrained by difficult regions, conflict in border areas, health systems challenges, particularly distribution of human resources, poor physical infrastructure, insufficient financing, and low absorptive capacity. In remote and hard-to-reach areas, it is difficult to deploy and retain health workers.
Weakness in Quality of Care: health facility assessment identified limited clean water to accessible for patients, limited staff training on infection prevention and control, and limited budgets for facility maintenance and operations. And access to affordable medicine is critical for quality of care due to being a significant contributor to out-of-pocket spending.
References
https://cpintl.org/type/impact-story/universal-health-coverage-in-myanmar-the-way-forward
UHC Day – UHC2030
The fight for Universal Health Coverage in Myanmar – THET
Moving toward UHC : Myanmar – national initiatives, key challenges, and the role of collaborative activities

[Aye Thinzar Oo]

There are a lot of gaps between rural and urban health in our country that is before coup. Most rural areas lack electricity and have poor drinking water and hygiene. So it is effected to poor health outcome. The government can’t support fully basic healthcare services. The rural areas are dependent on private health care, and village health workers (volunteers).

The big difference in access and quality of care between the rural and urban areas is access to health information from primary care providers and specialists in the rural area. And rural patients don’t have any other insurance and it is very expensive for health care costing. Healthcare costs are higher, healthcare providers can’t support full access to health services. On the other hand, also a lack of transportation conditions in rural areas, if the most serious accident conditions don’t arrive in a timely. This is the reality in rural areas in our country.

After the coup and current situation, more and more difficult to get primary health care services in rural. Under military control, urban areas can’t get timely healthcare services because of some laws from the current situation.
I suggest my idea to close the gap, firstly in the rural areas need to develop transportation ( means highway roads) for emergency cases, and support for ambulance vehicles. Secondly needs to set healthcare workers according to the population rate. Thirdly, need to support medicine to cover that population.

Conclusion: Our Myanmar people are still far away from UHC (Universal Health Coverage). Before the coup, Myanmar’s aim was to be UHC in 2030. During military control, can’t see any way to fill the gap.

[Aye Thinzar Oo]

Actually , I am not much aware of the health workforce situation. When I worked at my current job, I learned health workforce in the ethnic health sector. At that time it is also important in the health sector. When the project is set up or started, activities and workforce performance must be considered.
This includes healthcare providers (doctors, nurses, midwives, mid-level health workers, pharmacists, dentists, lab technicians, community health workers, etc.) as well as managers and support workers (human resource managers, health managers, public health workers, epidemiologists, clinical engineers, teachers, trainers, etc.). Workforce planning should link policy goals to staff member’s skills and numbers and to performance-enhancing incentives. It also depends on several factors in health, including changing needs as service models change, long training time for some professions, and lack of direct government control over the number of professionals being trained, for example, because of the growth of private medical schools.
To improve the health workforce situation, a key to more workforce planning is better coordination between health planning and planning for training and education. Good basic education includes the development of both professional skills and learning skills. Basic training and continuing development should be planned together.
On the other hand, It needs to build confidence in health services through community health. Uncertainly it will happen like the COVID-19 pandemic by building trust and making sure the guidance from the sources is evidence-based and respected, we can help prevent future pandemics.

[Aye Thinzar Oo]

EMR is considered potentially one of the drivers for the transformation of healthcare. From a patient care perspective, EMR is expected to improve the accuracy of the information, support clinical decision-making and improve the accessibility of information for continuity of care.
Using Electronic Medical Records (EMR) instead of traditional paper-based medical records has several advantages and disadvantages.
Advantages:
Improved accuracy: EMRs can enhance the accuracy of information, reduce errors associated with readability, and ensure that data is up-to-date.
Better accessibility: Health professionals can quickly access patient records, supporting quicker and more informed clinical decision-making.
Enhanced patient care: EMRs can streamline workflows, facilitate faster diagnoses, and improve the overall quality of care provided to patients.
Disadvantages:
Implementation costs: Transitioning to an EMR system can require significant financial investment and training for staff.
Dependence on technology: EMRs are subject to technical failures and require reliable infrastructure, which may not be available in all settings.
Privacy concerns: Electronic records can be more vulnerable to data breaches compared to physical records.
Training Requirements: Staff may require training to effectively use EMR systems, which can be time-consuming and costly.
Conclusion:
EMRs provide streamlined access to detailed patient information. Healthcare providers can view a patient’s complete history, including test results, diagnoses, treatments, and other relevant information, all with a few clicks. By reducing administrative paperwork and allowing more time for patient care. Electronic medical records pave the way toward a more efficient, accurate, and integrated approach to healthcare documentation.

[Aye Thinzar Oo]

Missing Data: A significant challenge in health facility data collection is missing data, which can undermine data quality and integrity. Missing data leads to incomplete analysis, biased results, and poor decision-making in healthcare. Additionally, the lack of standardized data collection methods makes it difficult to integrate information across different healthcare facilities, further complicating analysis.
Selection bias: in the health facility data collection occurs systematically from the data analysis, leading to unrepresentative samples. Routine healthcare data may not capture diverse patient populations due to factors like access to care, and geographic. As a result, findings based on this data may not accurately reflect the health outcomes.
Data Analysis and Training: Data users and researchers must possess the necessary domain knowledge to interpret the data accurately. Proper understanding of data is essential for accurate statistical analysis and hypothesis testing, ensuring meaningful and reliable results.
Interpretation and Translational applicability of result: it has several key issues, such as data storage, searching, and capturing are technical difficulties and analysis. All the results are applicable across different healthcare settings is complex due to variability in data quality and relevant context.
Ethical and Privacy Issues: Big health data faces significant privacy and ethical challenges in data collection. Patient health information must be protected to prevent misuse, requiring robust security measures to defend against cyber threats. Encryption and secure data storage are essential to safeguard patient privacy.
Conclusion: I propose that data quality should be recognized as a critical challenge in big data analysis. Ensuring accuracy, consistency, and completeness in data collection is essential for effective data governance. Moreover, exploring new approaches to manage and analyze large volumes of data will help improve decision-making and outcomes in healthcare.

[Aye Thinzar Oo]

Let me share my point of view on the four recommendation points for public health professionals to fight corruption.
I agree on key stakeholders in addressing corruption within the health system, it is essential to identify and engage various parties that have an influence or interest in the health sector. Key stakeholders typically include government officials, health care providers, regulatory bodies, non-governmental organizations (NGOs), patients, and civil society groups.
And also agree on building consensus among these stakeholders involves open dialogue, sharing information about the extent of corruption, understanding the motives behind it, and collaboratively developing strategies to mitigate its effects.
Third agreement on prioritizing action against corruption in the health system, stakeholders must first acknowledge the extent of the issue, as highlighted by surveys in the health systems as corrupt.
Finally, agree on a holistic view in addressing corruption within the health system, it is important to recognize that corruption is a multifaceted issue that requires an interdisciplinary approach. This involves examining the various dimensions of corruption, including governance, bribery, and systemic vulnerabilities.
To effectively fighting corruption in the health system, a multi-faceted approach is essential. Enhanced oversight and evaluation of health system professionals can lead to greater transparency, accountability, and efficiency within the system.

[Aye Thinzar Oo]

Currently at a non-governmental organization (NGO), I am working on a health system improvement strategy that involves establishing a facility-based program within an existing clinic in a remote, conflict-affected area. This initiative aims to enhance access to healthcare, improve patient follow-up, and boost patient satisfaction. However, it has not yet fully met its objectives according to the World Health Organization’s six building blocks, which include:
• Service Delivery
• Health Workforce
• Health Information System
• Financing
• Medicine & Technology
• Leadership & Governance
Our implementation process focuses on service delivery, health workforce, and health information systems to sustainably enhance health system performance.
For service delivery, we are establishing standards for essential service packages and promoting access to these services among relevant partners utilizing the facility-based health system. Regarding the health workforce, we are identifying, providing, and supporting community health workers to deliver health services effectively. We also offer feedback on health worker performance to refine health system processes. In the health information systems, we are transitioning to a digital health system to oversee and monitor health data, facilitating informed decision-making.
To summarize, we must work on enhancing the health system using the six building block framework. However, the effectiveness of these functions relies on critical elements like service delivery, health workforce, and health information systems, while improvements in other functions are also necessary.

[Aye Thinzar Oo]

The point that I will select for the discussion will be Point 6:” A null-hypothesis P value greater than 0.05 means that no effect was observed, or that absence of an effect was shown or demonstrated.” from page 341.
That I understand this A null-hypothesis P value greater than 0.05 indicates that the observed data does not provide strong enough evidence to reject the null hypothesis, but it does not imply that there is no effect or association. Instead, it shows that there are many hypotheses, including the null, that could fit the data, and therefore we cannot conclude that there is “no association” or “no evidence” of an effect. So we need to look at the point estimate for the effect size to understand what the data suggests.

[Aye Thinzar Oo]

Hello everyone, I’m Aye Thinzar Oo, and you can refer to me as “Thinzar.” With a background in computer science, I have approximately 8 years of experience working in software testing, microfinance, and software development, including data collection for Myanmar’s 2015 election. Since 2018, I have been involved in the health sector, focusing on health information systems.
While I don’t have extensive statistical experience, I am proficient in data validation and using SQL queries for health data reporting to assist the M&E team. My organization employs an electronic system for health data collection, which has allowed me to enhance my SQL knowledge. Additionally, I have experience managing health data, including patient and service delivery information.

[Aye Thinzar Oo]

I have experience working in various organizations, some of which had dedicated IT departments while others consisted of small IT teams. Each organization implemented a unique disaster recovery plan tailored to its specific needs, utilizing either on-premise systems or alternative technologies like cloud solutions.

Risk assessment and analysis are crucial for identifying potential threats to systems, including external risks such as natural disasters, human-caused incidents, cyber-attacks, hardware failures, and data sharing vulnerabilities.

Clear notification procedures must be established within the contingency plan to guide the response to disasters. A Disaster Recovery Committee, composed of management, IT leads, security personnel, and human resources, plays a vital role in managing the disaster recovery process. This committee is responsible for detecting and communicating disaster information, maintaining recovery plans, monitoring situations, and ensuring a return to normal operations while continuously improving the disaster recovery plan based on lessons learned.

Recovery procedures should be developed to restore IT services, including actions to recover system data and test functionality, ensuring that security controls are operational. Additionally, training on data security, backup procedures, and maintenance processes is essential to prevent future disasters.

[Aye Thinzar Oo]

Implementing High-Availability technology in the hospital information system (HIS) can significantly benefit patients and the hospital by ensuring continuous access to healthcare services.

Benefits for Patients: It can reduce patient waiting times and improve patient outcomes leading to faster diagnosis and treatment. Healthcare information can provide real-time information and be across and used from one healthcare center to another. It can provide faster data transfer (medical information) and lead to better patient outcomes. It can avoid some malicious. This allows for more informed treatment decisions, reduces the risk of errors, and facilitates smoother communication among doctors, nurses, and specialists. It can empower healthcare professionals to deliver more effective and personalized care, leading to better patient health outcomes.

For Hospitals, it can optimize resource allocation and overall operational efficiency, allowing healthcare providers to deliver better healthcare consistently. It reduces downtime, which is crucial in emergencies, and ensures that patient data and services are always available. It can help hospitals save time and costs in management, reduce the paperwork burden, and minimize risks related to management and data issues.

[Aye Thinzar Oo]

I currently serve as a team leader in software development, overseeing both completed and ongoing projects. I take on the responsibility and accountability for the projects developed, and I typically need to request resources, as cost management falls under the program manager’s view.

While I have not strictly adhered to all 12 steps outlined in project management methodologies, I have utilized several key steps, such as defining the project, listing tasks, planning their sequence, and creating a Gantt chart. My approach differs slightly from standard practices; I developed a customized chart to track task status—ongoing, in progress, or completed—along with task lists, timelines, and assigned personnel. This chart has proven effective for monitoring progress, productivity, performance, and task prioritization, allowing for a clear overview of the project’s status.

I make adjustments to our development plan based on changes in user requirements that arise during the development process. However, we should ensure that we prioritize essential user requirements. For projects where certain requirements are not deemed essential, we generally do not allow for readjustments. Throughout our development, my team and I apply a “review” step to every project. Moving forward, we will consider incorporating elements from the 12-step process into our next project.

[Aye Thinzar Oo]

I have experience in healthcare data and information systems, specifically emphasizing the critical importance of confidentiality, integrity, and availability (CIA) in handling sensitive health data, such as patient records from healthcare facilities. To address this, I prepared to develop a data-sharing policy and established user account permission levels for accessing healthcare data. Recognizing that data collected at the entry-level could risk incomplete patient information, I implemented controlled access measures to ensure that only authorized personnel can access certain records, thereby safeguarding data integrity.
In terms of the CIA principles:
Confidentiality is maintained through security measures like usernames, passwords, two-factor authentication, and data encryption.
Integrity is ensured by preventing unauthorized modifications to data without appropriate permissions from management.
Availability is addressed by ensuring that data is accessible only to authorized users, supported by strategies like regular data backups and cybersecurity attacks.

[Aye Thinzar Oo]

Thank you for sharing the polio surveillance system of Myanmar. In my opinion, utilizing the advanced information technology tools that you mention will be effective in Myanmar health care sectors. For the timely data sharing, it will be challenged in remotes areas.

[Aye Thinzar Oo]

Hello Wannisa, thank you for sharing about the Diabetes Surveillance system in Thailand.
Challenges in diabetes disease – 200 deaths per day are severe.
I think it is a high rate.
In data Transfer methods, it is good and interesting about cloud solution, Mobile uploads and Automated Reporting Systems methods.

[Aye Thinzar Oo]

Hello Aung, I just posted the week 4 assignment, When I posted it, I saw your video presentation. It is a great presentation. I love it, I have to try like you. Thank you for your sharing.

[Aye Thinzar Oo]

Let me share some ideas as a manager in my current position. I have three team members. Two are my junior from the computer fields and one is from another education background. So I have to lead and manage different approaches with them. But for reviewing their task to complete the project is the same management and plan.
Firstly I separate to communicate clearly with the team objective for their tasks. And I give team members the freedom to take ownership of their tasks. Trust in their skills and allow them to explore innovative solutions, which can be their confidence and motivation.
Additionally, I create opportunities for teamwork and collaboration, ensuring that team members feel connected and supported by one another. Finally, I make it a point to regularly acknowledge both large and small achievements because positive reinforcement greatly enhances motivation.

[Aye Thinzar Oo]

Hello Aung, Your approach to motivating your team is commendable and demonstrates effective leadership. By holding team meetings, you clarify project goals and foster open communication, which can enhance team cohesion and engagement. Recognizing individual contributions is another powerful strategy, as it helps team members feel valued and appreciated. Lastly, I think, your practice of reflecting on past successes to find motivation is a great personal strategy that can inspire others as well.

[Aye Thinzar Oo]

Improving my listening skills is essential because I often find myself distracted during conversations, which impacts my ability to fully engage and respond thoughtfully. For example, during team meetings, I sometimes miss critical information due to my focus on formulating my own responses rather than truly listening. This can lead to misunderstandings and inefficiencies.
To enhance my listening skills, I plan to take a few specific actions. I will maintain eye contact and be aware of my body language to show attentiveness. I will practice summarizing what I have heard to ensure I understand the key points being discussed.

[Aye Thinzar Oo]

I think empathy is my strong emotional intelligence, my opinion. I naturally connect with others and can often sense their emotions, which allows me to provide support and understand diverse perspectives. This strength has helped me build strong relationships and foster collaboration.
The weakest component is self-regulation, which is not an inherent ability. I sometimes find it challenging to manage my emotions during highly stressful situations, leading to impulsive decisions or reactions. I am actively working on controlling my emotions, but this has impacted my ability to stay calm and think clearly when faced with conflict.
To improve on self-regulation, my action plan includes mindfulness practices such as meditation and journaling to understand my emotional triggers better. I will also adopt techniques like deep breathing and taking a moment before responding to difficult situations.
Additionally, seeking peer feedback about my emotional responses can provide insight and guide my improvement.

[Aye Thinzar Oo]

After watching the provided VDO of public communication regarding the COVID-19 situation from Singapore and the USA, both leaders addressed the situation, revealing differing approaches influenced by their contexts.

Singapore’s leader effectively communicates strongly by being concise, credible, and empathetic. They provide clear information, acknowledge public concerns, and promote specific actions, which helps build trust. On the other hand, communication from US leader may be viewed as inconsistent, affecting credibility and potentially leading to confusion among the public.
Singapore’s leader directly communicated with the public about the disease outbreak, providing clear and specific information regarding the current status and comparisons to previous outbreaks like SARS, as well as the mortality rates associated with influenza. In contrast, I did not find the facts presented by the US leader regarding the COVID-19 outbreak to be as informative, which may have contributed to the disruptions caused by the pandemic.
When I listened to VDO, I felt the Singapore Leader was more empathetic than the US, in the US leader’s speech, focused on financial management and their administration rather than disease outbreak information sharing. The Singapore leader reminded and encouraged his population to pass the outbreak together practices.

In conclusion, both countries demonstrated elements of effective communication, but the effectiveness varied based on adherence to the principles of CREC, particularly in establishing credibility and fostering public understanding.

[Aye Thinzar Oo]

Areas of improvement in Myanmar,
Team: The issue of teamwork presents significant challenges for Myanmar. Collaboration between stakeholders in the health team to promote the data flow will be a priority. After the coup, the exchange of information has been limited. Therefore, enhancing cooperation among stakeholders nationwide is a top priority for improvement.
Transparency and Trust: The circumstances before and after the coup are entirely different. Before the coup, the Ministry of Health provided near real-time data to the public every week, and most people had confidence in the government. However, following the coup, trust in the military government has significantly declined among the majority of the public.
Technology: In Myanmar, technology plays a critical role in enhancing healthcare services. However, after the coup, the country is facing challenges, including a significant shortage of qualified personnel and medical facilities.
Techquity: There needs to be better technology to improve healthcare delivery and accessibility. It needs to make better infrastructure and digital tools accessible from everywhere and everyone. But after the coup, digital health capabilities can’t provide as well.
Transformation: All of us planned to transform and update the healthcare system by using digital health records, electronic medical records, and telemedicine which it easier to use in the future. But all the transformation to the health system using digital technology plans was delayed by the coup.

Unfortunately, everything fell under the coup. I hope we can restart and rebuild the health system soon.

[Aye Thinzar Oo]

Thailand’s village health volunteer system is a model of community-based health care. It’s a very impressive system. It is also a wonderful thing for all of us. It is one of the imitate to learn.

[Aye Thinzar Oo]

Thailand’s Social Security Scheme (SSS) is a great approach to a healthcare system the contributions from employers, and the government. So I am very interested in Thailand’s Social Security Scheme (SSS).
Let me share the link that I explored about SSS of Thailand. Thank you for sharing.

https://www.asean-ssa.org/files/Organisation%20Profiles/Social%20Security%20Office-Thailand%20Profile.pdf

[Aye Thinzar Oo]

Thank you for sharing and comprehensive overview of the evolution of the primary healthcare system in Myanmar and highlighting significant historical periods and impacts. Current situation, we face challenges in accessing healthcare.

[Aye Thinzar Oo]

Thank you for your sharing of reality information. Medicine supplies are stocked out in my town, and basic healthcare services are lacking. Due to the coup, all Myanmar people require not only healthcare but also mental health support.

[Aye Thinzar Oo]

Thank you for sharing the reality issue. This is a heartbreaking reality. The lack of access to essential medicines and healthcare services in conflict-affected areas is a serious humanitarian issue. The world should step up to support alternative aid channels and ensure that people in Myanmar and all related countries do not suffer due to funding suspensions.

[Aye Thinzar Oo]

Of course, that you mention information needs to be planned as well. Thank you for your additional information. I need to think about it like you thought much about on deeply.

[Aye Thinzar Oo]

Thank you for sharing your thoughts. I concur that ensuring data quality is a significant challenge in research. And also I agree the striking a balance between ethical considerations and the feasibility of research remains a critical issue.

[Aye Thinzar Oo]

Thank you share your detailed information. Yes, I also understand that you mentioned it. It correctly identifies that selection bias leads to unrepresentative data, which can skew findings and lead to incorrect conclusions. It is a good point of the suggestions of collecting diverse data and utilizing statistical methods.

[Aye Thinzar Oo]

I appreciate your useful suggestions! I concur that it is essential to tackle issues related to missing data, improve data quality, and address privacy concerns to enhance the reliability of big health data in cardiovascular research.

[Aye Thinzar Oo]

Thank you for your sharing, I agree with this recommendation. Corruption is indeed a complex issue that intersects various sectors and disciplines. By employing a multidisciplinary perspective, we can harness insights from legal, economic, social, and health disciplines.

[Aye Thinzar Oo]

Thank you for your sharing. The suggestions to enhance anti-corruption measures and advocate for independent audits are excellent ways to foster accountability within health organizations.

[Aye Thinzar Oo]

It’s great to see your extensive background in biotechnology, marketing, and clinical vaccine trials! I think, your experience as a Clinical Research Associate and your work in data management showcase a strong foundation in both clinical processes and data integrity.

[Aye Thinzar Oo]

Hi Siriluk, thank you for sharing, regularly testing and training are essential to ensure preparedness while leveraging cost-efficient solutions like cloud backups and Disaster Recovery as a Service (DRaaS) can enhance scalability and compliance. This comprehensive approach is vital for minimizing data loss and ensuring business continuity.

[Aye Thinzar Oo]

Thank you for sharing the detailed steps of the disaster recovery plan. It can consider the backup solution, and specific needs, and consider a hybrid approach that combines both cloud and on-premise solutions for optimal data protection. Using a tool and the automation system that you propose will also be more effective and can reduce system failures.

[Aye Thinzar Oo]

Hello Siriluk, Thank you for sharing the project idea to transition from paper-based to Electronic Data Capture (EDC) in clinical trials is well-conceived and addresses key aspects like data accuracy, efficiency, and compliance. I think you can set a strong foundation by clearly identifying stakeholders and deliverables and a structured plan covering development and validation phases.

[Aye Thinzar Oo]

Hi Wannisa, Thank you for your research project. Your project plan on DRG sounds well-structured and comprehensive. Clearly defining your goals, tasks, and team roles is essential for effective project management. Using a Gantt chart will help visualize the timeline and ensure everyone stays on track. Regular meetings for progress monitoring and problem-solving are also crucial for adapting to any challenges that arise.

[Aye Thinzar Oo]

It sounds like your team employs a collaborative approach to project review, which can be very effective. Discussing launching a dashboard or course allows each team member to share insights, which can lead to constructive feedback and improvements. Closing the project after this discussion helps ensure that any lessons learned are formalized and that everyone is aligned on future actions. Thank you for your sharing, Aung

[Aye Thinzar Oo]

It is exactly Arjan; the user requirements never end every project. I got a Gantt chart practice step from there. It will be helpful for us.

[Aye Thinzar Oo]

Thank you for your comment. Changes in governance, data collection protocols, and reporting structures would likely affect the data flow diagram for malaria surveillance after a military coup. Due to instability in health information systems and exchangeable communication pathways among stakeholders, data reporting will also change.

[Aye Thinzar Oo]

Thank you for your insightful comment. I agree that incorporating ethnic health facilities into the malaria surveillance project is crucial, especially in areas governed by ethnic administration. I saw you incorporate ethnic health sectors in your presentation, and that’s why I feel your presentation is great.

[Aye Thinzar Oo]

Hello all , Thank you for your suggestion to improve my listening skills. I will practice and try the best exercises.

[Aye Thinzar Oo]

Thanks for sharing about yourself. I would suggest (only my opinion and suggestion) some points to improve social skills, practicing starting small conversations, using open-ended questions to engage others, actively listening to their responses, and gradually participating in networking events to build confidence. Feel free to think of me if you need ideas for starting small talks.

[Aye Thinzar Oo]

I got one point from your discussion, “Seeking to balance our logical thinking with emotional understanding can enhance our relationships and social interactions”. Thank you for your sharing.

[Aye Thinzar Oo]

Hello, This is only my suggestion for you. Start by practicing active listening, focusing on non-verbal cues, and reflecting on your feelings and their impact on others. By working on building connections, you can enhance your ability to empathize with those around you.

[Aye Thinzar Oo]

I agree that improving infrastructure and making digital health tools more accessible in rural areas is essential for ensuring that everyone can receive timely care and information.

[Aye Thinzar Oo]

I agree and thank you for highlighting the critical challenges our country faces due to past conflicts and instability. I completely agree that fostering collaboration among various stakeholders is essential for progress.

[Aye Thinzar Oo]

Thank you for your opinion and you express that the viruses frozen in the polar ice are new knowledge for me.

[Author]

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