I've taken a peek at the final draft of the National Strategic Plan for HIV. A few comments:

Incidence in people who inject drugs

There is no information on the trajectory of the epidemic among people who inject drugs. Is it increasing? Was this information intentionally excluded?

Migrants

The inclusion of migrants is absurd.

"Estimates from the 2014 census indicate that over 11 million Myanmar residents have migrated internally or externally. No comprehensive information is available on HIV prevalence or risk behaviours in migrants and mobile populations in Myanmar but programme data suggest that HIV is an issue among migrant groups who are engaging in high risk behaviour. Migration alone is not a risk for HIV infection."

According to the NSP, migrants compose 21% of the entire population of Myanmar. So they are the 'general population'. Reaching ten million migrants sucks up resources that could be used for other real key populations. I don't know which UN system organisations lobbied successfully for their inclusion but am sorry that the group creating the plan was unsuccessful in excluding them.

Prioritization

There appears to be a lot of rationalisation that went on to include 37% of the population in the high priority townships. A Delphic method could have produced similar results. Who will decide when the prioritization changes?

PMTCT

Almost half or 46% of all infants born to HIV-positive women were lost to followup. Do pregnant women who test positive do not receive immediate antiretroviral treatment for their own health and that of their infants? This is a health system failure.

Onwards,

Jamie