2019 - Gen - Ics - Report - Eng - 7012021
2019 - Gen - Ics - Report - Eng - 7012021
2019 - Gen - Ics - Report - Eng - 7012021
Department of Population
Ministry of Labour, Immigration and Population
Office No. 48
Nay Pyi Taw
December, 2020
Map of Myanmar by State/Region and District
Foreword
The 2019 Inter-censal Survey (2019 ICS) was implemented by the Ministry of Labour,
Immigration and Population, in collaboration with its line ministries and development
partners, in four stages starting November 2019 until January 2020. It was the first in the
country and was carried out to update the information collected during the 2014 Population
and Housing Census. Moreover, it was aimed to provide baseline data for the National
Indicator Framework (NIF) of the Myanmar Sustainable Development Plan (MSDP), assess
the country’s progress on the targets set for the Sustainable Development Goals (SDGs), and
serve as a preparation for the 2024 Population and Housing Census.
The 2019 ICS was under the guidance of the Central Inter-censal Survey Committee which
was responsible for providing policy guidelines for the planning and implementation of the
project. Under the Central Committee, State/ Region/ Nay Pyi Taw, District and Township
Level Committeesa were formed to supervise the implementation of the project at the
different levels.
The data enumeration was carried out using the Computer-Assisted Personal Interviewing
(CAPI). Young volunteers from respective townships were recruited as enumerators and
supervisors.
I sincerely hope that the information in this report will form a critical base for planning,
policy development and decision-making in various sectors including its effective use for
the implementation of sectoral development plans of the Government and socio-economic
reform processes. I also believe that the information can also be used for responding to,
mitigating, and addressing the COVID-19 pandemic.
The contribution from several organizations and professionals made possible the successful
implementation of 2019 ICS. My first gratitude goes to the Government of Myanmar for the
approval and allocation of the budget for the project and to Nay Pyi Taw Council,
State/Region government for their support. Furthermore, I wish to express my sincere
thanks to the members of the Central Inter-censal Survey Committee and of the committee
The 2019 Inter-censal Survey
The Union Report i
at every administrative level who actively coordinated and cooperated in this endeavor.
Likewise, to the Ward/VT administrators for their support during the field activities.
My deepest appreciation for the much needed assistance in the form of funding, technical
and material support provided to the Ministry by the Development Partners, namely, the
United Nations Population Fund (UNFPA), United Nations Children’s Fund (UNICEF), World
Bank, Asian Development Bank (ADB), One Map Myanmar and, VSO Myanmar.
My warmest gratitude is also extended to the people of Myanmar for their support and
cooperation during the enumeration, without them, the project will not succeed.
Chapter 4: Education........................................................................................................ 43
4.1 Literacy and Numeracy................................................................................................ 45
4.2 School attendance....................................................................................................... 46
4.3 Currently attending school by level of education. .................................................... 48
4.4 Highest level of education completed. ...................................................................... 50
4.5 Main reasons for stopping schooling......................................................................... 51
Chapter 5: Labour Force Participation............................................................................... 53
5.1 Economically active population or labour force........................................................ 55
5.2 Status in employment................................................................................................. 58
5.3 Occupation................................................................................................................... 59
5.4 Industry........................................................................................................................ 61
Chapter 6: Fertility and Mortality..................................................................................... 63
6.1 Crude birth rate (CBR)................................................................................................. 65
6.2 General fertility rate (GFR).......................................................................................... 66
6.3 Age-specific fertility rate (ASFR)................................................................................. 66
6.4 Total fertility rate (TFR). .............................................................................................. 68
6.5 Total marital fertility rate (TMFR)............................................................................... 69
6.6 Age at first marriage.................................................................................................... 69
6.7 Age at first live birth (AFLB)........................................................................................ 71
Chapter 7: Migration........................................................................................................ 77
7.1 Internal migration........................................................................................................ 79
7.1.1 Lifetime levels of internal migration.................................................................................... 79
7.1.2 Migration streams..................................................................................................................... 81
7.1.3 Main reasons for movement.................................................................................................. 82
Chapter 8: Disability......................................................................................................... 91
8.1 Disability prevalence rate. .......................................................................................... 93
8.2 Age-specific disability.................................................................................................. 94
8.3 Prevalence of disability by degree of difficulty and domain.................................... 95
8.4 Community participation/activities........................................................................... 96
8.5 Support received. ........................................................................................................ 97
Chapter 9: The Older Population..................................................................................... 101
9.1 Size of the older population. .................................................................................... 103
9.2 Measures of age dependency................................................................................... 104
9.3 Type of pension, allowance and benefit.................................................................. 105
9.4 Type of health care.................................................................................................... 105
9.5 Community participation/activities......................................................................... 108
9.6 Support received. ...................................................................................................... 109
Chapter 10: Housing Characteristics............................................................................... 111
10.1 Type of housing units................................................................................................ 113
Dependency ratios
Total dependency ratio 59.4
Child dependency ratio 43.3
Older age dependency ratio 16.1
Ageing index
60+ years 37.2
65+ years 23.7
International migration
Emigration by broad aged group
0-14 0.7%
15-24 28.7%
25-34 41.8%
35-44 22.1%
45-54 5.9%
55-64 0.7%
65+ 0.1%
Number of room(s)
One 16.5%
The Ministry of Labour, Immigration and Population has successfully conducted the 2019 Inter-censal
Survey (ICS) in November 2019. This was the first Inter-censal Survey undertaken by the government
in response to the pressing demand for up-to-date data crucial for capturing several demographic
changes happening in the country.
The 2019 ICS aims to capture the transformations happening in Myanmar and incorporate them into
the different socio-demographic and economic plans for the country’s development. Likewise, it aims
to provide baseline data for the National Indicator Framework (NIF) of the Myanmar Sustainable
Development Plan (MSDP) as well as to assess the country’s progress on the targets set for the
Sustainable Development Goals (SDGs). The survey also served as a means to sustain the capacity built
during the 2014 Census in preparation for the next Population and Housing Census in 2024.
The ICS was designed to produce district level data to provide national and local managers, policy
makers, programme and project monitors/evaluators with updated information on population
related indicators for evidence-based plans and policies, monitoring and evaluation. Results will also
be used as inputs for generating accurate population estimates during non-census years.
Conducting the 2019 ICS requires the development of a clear supervisory, legal, institutional and
management framework, which outlines the survey guiding and administration structure, key
activities, responsibilities and critical dates, as well as capacity enhancement and resource mobilization.
Enumeration teams were formed in every township. On average, each enumeration team consisted
of one supervisor and up to four enumerators. However, some teams had less than four enumerators
because some townships had relatively fewer number of sample enumeration areas. Each team
covered an average of eight enumeration areas.
The Mapping and Structure/Household Listing activity is one of the major tasks in any data collection
undertaking. This guides the enumerators on the coverage of their assigned Enumeration Areas (EAs)
(no duplication or missing households) and helps in the identification of the sample households.
Enumeration area maps for 2019 ICS, using GIS technology, were developed based on enumeration
area maps of 2014 Population and Housing Census. For the Listing of Structures/Households and
mapping , there were two levels of trainings conducted: the first level training (Training of Trainers)
which was held at DOP, Central Office in Nay Pyi Taw; and the second level training for the staff of
Immigration and Population offices which was conducted at the respective State/Region offices.
The Mapping and Structure/Household Listing started on 1st April 2019 and completed in September
2019. Seventeen teams from DOP were sent to the field to work first on the sample EAs of Nay Pyi Taw
to gain sufficient experience before they proceed to the rest of the sample EAs. A total of 4,316 EAs
were selected for the 2019 ICS of which 4,028 EAs (93%) were successfully covered.
The list of indicators for 2019 ICS was developed based on the objectives of the ICS as well as on
the results of consultative process (data user consultation workshop and bilateral consultations) with
concerned ministries/departments. It also adhered to the guidelines stipulated in the United Nations’
Principles and Recommendations for the 2020 Round of Population and Housing Censuses, and past
census experiences in Myanmar and other countries. Based on the final list of indicators, the
questionnaire was developed through the assistance of experts from UNFPA, UNICEF, ADB and VSO.
After the draft questionnaire was developed, another consultative workshop was held where
comments and suggestions from the workshop were considered as bases for the finalization of the
questionnaire. Manuals for supervisors and enumerators were then developed.
The 2019 ICS collected individual information on demographic, migration, education, labour force
participation, fertility, mortality, disability, older population, participation in community activities,
well-being and support received by older population and people with disability, as well as housing
and household information such as presence of household equipment or assets/goods in the
household, sources of drinking water, sanitation, and hygiene. In total, the questionnaire contained
110 questions (Annex 3).
1.6 Preparing the CAPI systems for data collection using mobile tablets
After finalizing the questionnaires, the data processing team from DOP worked with the expert from
the World Bank in developing the Computer-Assisted Personal Interviewing (CAPI) system for data
collection using computer tablets, setting the equipment, installing the software, testing the data
collection system, training on how to use the tablet, preparing and setting the Head Office’s server for
networking/storage of the collected data. A series of testing was conducted in September 2019 prior
to the finalization of the census questionnaire and the CAPI system.
Young volunteers from respective townships were recruited as enumerators and supervisors through
advertisements/local immigration offices. The appointment of enumerators and supervisors was done
by the township Immigration and Population Officers. There were two levels of trainings held: the first
level was conducted for the core trainers at the Department of Population. They served as trainers for
enumerators’/supervisors’ trainings. Training of field staffs for the survey was conducted in four phases
during the period from 21st October 2019 to 13th January 2020. Trainees per phase were trained for 14
days each. The training consisted of a combination of classroom training and practical exercises. There
were altogether 2,039 enumerators and 617 supervisors recruited and trained.
a. First stage: Enumeration in Kachin State and Chin State (hard-to-reach areas) and Nay Pyi
Taw (accessible) from 18th November to 1st December 2019
b. Second stage: Enumeration in Kayah State, Kayin State, Mon State, Tanintharyi Region, and
Ayeyawady Region from 11th to 24th December 2019
c. Third stage: Enumeration in Bago Region, Sagaing Region and Magway Region from 2nd to
15th January 2020
d. Fourth stage: Enumeration in Yangon Region, Mandalay Region, Rakhine State, and Shan
State from 16th to 29th January 2020
Mobile tablets were used in collecting responses from the Survey . On average, one supervisor was
assigned to 4 enumerators. The ICS covered only Conventional Households and hence, did not cover
those institutional and homeless population. Out of 4,316 sample EAs, 3,960 EAs were enumerated (92%).
Due to security concern, out of 273 sample EAs in Rakhine State, only 72 EAs were covered. Nationally
representative samples of 548,553 individuals in 132,092 selected households were interviewed.
The mobile tablet devices used in the survey were running on Android 4.0 system and up. CSEntry
7.2.1 software was used in these devices to capture the responses from the interviews while CSPro 7.2
software was used to design the consolidation processat the Headquarter. CSWeb was installed on the
server at the Headquarter and all communication between the field and the Headquarter was done
through the CSWeb server.
Data entry application was developed with internal consistency checks and validations using CSPro
software. Data synchronization process was implemented as follows; (i) In-field supervisors assigned
the sample households to enumerators using Bluetooth. The enumerators conducted interviews after
receiving the household assignments, then, sent the collected data to the In-field supervisors via
Bluetooth. (ii) In-field supervisors received and checked the data from enumerators. To check and
rectify inconsistencies in the data file, supervisors conducted re-interviews on around ten percent of
the total number of households assigned to them. (iii) Subsequently, In-field supervisors transmitted the
completed data by Enumeration Areas to the server via mobile network. (iv) At Headquarter, In-office
supervisors were assigned to monitor the data coming from the field and produced the data collection
status based on the number of EAs completed, generated quality control tables; and regularly
backed-up the data.
The 2019 ICS provisional results were launched on 31st August 2020 to fulfill the need of data to
measure progress of national development plans as well as to establish a baseline to assess the impact
of COVID-19 and plan for response. The report presented 10 sessions including, Summary, Population
Characteristics, Education, Labour Force, Migration, Fertility and Mortality, Disability, Older Population,
Housing and Household Characteristics, Water, Sanitation and Hygiene. The provisional results are
available online at https://www.dop.gov.mm/ and https://myanmar.unfpa.org/en/publications
The planning and implementation of the 2019 ICS took into consideration a number of strategies and
activities to ensure reliable, quality and timely data. Designing of the census questionnaires through
field testing and extensive consultative processes with government ministries/departments,
development partners, universities and research institutions and other data users ensured that the
information collected from the survey were relevant to data users and conformed to international
standards and guidelines. In addition, monitoring teams comprised of high ranking officials from DOP
and UNFPA visited the fields at the beginning of the listing and enumeration phase to oversee the
operations and to ensure that the field work was conducted as planned and that rules and guidelines
were followed as prescribed.
The sample for the the 2019 Inter-censal Survey (ICS) is designed to provide reliable estimates of key
indicators for all districts of Myanmar at the mid-point between the decennial censuses. A stratified
two-stage sample design is used for selecting the sample for the ICS. The primary sampling units
(PSUs) selected at the first stage are the enumeration areas (EAs) defined for the 2014 Myanmar
Census of Population and Housing, which provided population counts for wards and village tracts as
of 29th March 2014. The EAs are small operational areas with well-defined boundaries identified
on maps that were used for the census enumeration. They have an average of about 135 households
each (140 for urban EAs and 133 for rural EAs). There are a total of about 79,240 EAs in Myanmar.
These EAs were stratified by urban and rural areas within each district.
Myanmar had a total of 74 districts in 2014 Census. The districts of Laukine, Hopan and Makman in
Shan State were excluded from the frame for the ICS because those areas were not accessible for the
enumeration. Hence, the 71 districts of the country served as primary domains of the survey and a
total of 4,316 EAs were selected at the first sampling stage for the ICS, corresponding to about 5.36%
of the EAs in the Census frame.
The sample EAs were first allocated to the districts in proportion to the square root of the number
of households in each district from the 2014 Myanmar Census. This type of allocation increases
the sample for the smaller districts and decreases the sample for the larger districts compared to a
proportional allocation. The resulting allocation was then adjusted to have a minimum of 32 sample
EAs in most of the smallest districts, and a maximum of 120 sample EAs in the largest districts. Then
within each district, the specified number of sample EAs was allocated to the urban and rural strata
proportionally to the number of households in the Census frame.
Within each stratum the sample EAs were selected systematically with probability proportional to size
(PPS) based on the number of private households in each EA from the 2014 Census frame. Within each
of these sample EAs a new listing of households is being conducted to provide an updated sampling
frame for selecting the households at the second sampling stage. A sample of 35 households were
selected from the listing for each sample EA, to be interviewed for the ICS. A CSPro program was
developed by to select a systematic sample of 35 households based on the total number of households
listed in each EA.
In 2019 ICS, a total of 4,316 EAs were selected at the first-stage of sampling. Of these, 4,028 were listed
but the actual data collection were made in only 3,960 EAs due to operational difficulties encountered
The sampling weights in general were generated as a product of 3 components namely: (a) the base
weights, (b) non-response adjustment weight, and; (c) post-stratification weights. That is, the final
survey weights for household j in EA i from stratum h, is conceptually calculated as:
Where: w1 is the base-weights; w2.1 is the non-response adjustment; and, w3.12 is the
post-stratification adjustment weight.
The base weights were calculated as the inverse of the selection probabilities. Thus, for the sampling
design utilized for the 2019 ICS the selection probabilities can be calculated as:
M hi n M hi 35
phij ah
= × hi ah
= × (2)
∑ ∑
ah ah
=i 1 =i 1
M hi N hi M hi N hi
In here, the subscript h refers to the stratum in a district, i refers to the sampled EA, and j refers to the
sample household. In addition, ah refers to the number of EAs selected from stratum h. M hi refers
to the total number of households enumerated in the 2014 Census in EA i from stratum h. N hi is the
total number of households listed in 2019. Given the selection probability, the base weights was then
calculated as 1/ phij .
When all sampled EAs are enumerated, the base weights are adjusted to take into account
nonresponse. However, in the case of the 2019 ICS, there were a few districts where non-enumerated
EAs is quite significant. Hence, the strategy used to adjust for non-response is two-fold: (1) adjust
nonresponse at the first stage of sampling, and (2) adjust for nonresponse at the second stage of sampling.
At the first stage of sampling, the first-stage sampling weight adjusted for nonresponse was
calculated as
∑ M ∑ I w
ah ah
hi i 1 hi hi
*
whi × 1 / r ,
whi = =i 1 =
1h hi w =
1h , r = (3)
∑ w
ah
h hi aM
i =1 hi
After calculating the first-stage weights, the sampling weight adjusted for nonresponse was then
calculated as
N hi 35
*
whij = whi* × × (4)
35 nhi*
Where nhi
*
is the actual number of sample households interviewed from sampled EA i in stratum h.
Individual weights were first generated. Note that in the 2019 ICS, all members of the conventional
household were enumerated. To ensure that the estimated population distribution will conform to the
projected population by state, gender and 5-year age-group, the sampling weight as shown in (4) was
then adjusted to the projected population counts in conventional households for 2019. In particular,
the sampling weights were adjusted based on the projected population in conventional households by
state, gender, and 5-year age-groups (0-4, 5-9, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49,
50-54, 55-59, 60-64, 65-69, 70+). Initially, the calculated sampling weight for a given household,
whij* , was assigned to all members of the interviewed household. That is, the initial sampling weight for
* *
individual k, is given by whijk = whij . The final weight for each individual was calculated as:
** *
P[G ]
w= whijk × (5)
Pˆ
hijk
[G ]
P[ G ] is the projected population for group G. In here, the group G refers to a specific age-group, gender
in each state. Pˆ[ G ] is the estimated population in group G and is calculated as Pˆ[ G ] = ∑ hijk∈G whijk
*
.
Once the final person-weights were calculated using (5), the principal person weight approach was
utilized to calculate the final household weight to ensure internal consistency with the results.
In principle, the principal person is the person that is present in all sample households. For the 2019
ICS, the final person weight attached to the designated household weight will be used as the final
** ** **
household weight. That is, the final household weight, denoted by whij , is simply whij = whij1 where
**
whij 1 was the final person weight of the principal person which in this case is the Household head.
*** ** nhi*
w=
hij whij × (6)
nhi**
The sum of weights was obtained for all sub-sampled households should give us an estimate of the
total number of households. However, some small changes were observed between the estimated
total number of households from the full sample and the sub-sample. Such changes may be due to
random error. To achieve internal consistency between the full sample and the sub-sample
(second-phase sample), the weight given in (7) were further calibrated so that such consistency can be
achieved beginning at the state level. The calibrated weights would be the final household weight for
this component and is given by:
' *
D Ld adh ndhi
∑∑∑∑ w
= 1 = 1= 1 = 1
**
dhij
w [***
S=
] hij
***
wdhij × d hL ai ' nj** (7)
D d dh dhi
∑∑∑∑ w
d 1=
= h 1 =i 1 =j 1
***
dhij
Note that the calibration process is done at the state level and hence the subscript [S] is added to
denote the state while the subscript d is added to denote the district in state [S].
Most survey estimates are in the form of totals or ratios. Since one of the primary objectives of the
survey is to generate estimates at the district level, then the estimator for the population totals and
ratios at the district level is given by:
L ah' '
nhi
Yˆd = ∑∑∑ whij
**
yhij (8)
h 1 =i 1 =j 1
=
Yˆd
∑∑∑ w **
hij yhij
Rˆ d = h 1 =i 1 =j 1
=
= (9)
Xˆ ah' '
L nhi
d
∑∑∑ w
h 1 =i 1 =j 1
=
**
hij hij x
L refers to the total number of strata in district d, ah' is the total number of sample EAs in stratum h,
'
nhi is the total number of sample households in EA i from stratum h, and whij** is the final household
weight. The quantities yhij and xhij are the values of the variables y and x for each sample unit. Note
that (9) can be used in the case of estimating proportions by setting xhij = 1 and yhij to 1 if the sample
unit possess the attribute of interest and 0 otherwise . By setting xhij = 1 , (9) can be used in estimating
means.
Standard errors are measures of precision attached to the estimates which can give us indicators as
the degree of usefulness of such estimates. Technically, the standard error of an estimate is defined
as the positive square root of its variance. There are several ways of estimating the variance of an
estimator. Statistical software such as SPSS, Stata, and SAS include routines for estimating them. The
most common method of estimating the variance of the population total employs the primary cluster
method and is calculated as:
'
L
a ' ah
s (Yˆd ) =
∑2
(1 − f h ) ' h ∑ (Yˆdhi − Yˆdh ) 2
= h 1= ah − 1 i 1
where , (10)
ah' n' '
1 ah ˆ
yhij , Yˆdh
hi
=Yˆdhi ∑∑
= **
whij ∑ Ydhi
=i 1 =j 1 ah' =i 1
The factor (1 − f h ) is the finite population correction factor for stratum h, f h is the sampling rate for
stratum h. Since f h is small, this factor can be ignored.
In the case of a ratio, the linearized estimator is employed and is calculated as:
1
s 2 ( Rˆ d ) = s 2 (Yˆd ) + Rˆ d2 s 2 ( Xˆ d ) − 2 Rˆ d s (Yˆd , Xˆ d )
Xˆ d2
where
(11)
( )( Xˆ )
'
L
a ' − 1 ah
s (Yˆd , Xˆ d ) =
∑ (1 − f h ) h ' ∑ Yˆdhi − Yˆdh dhi − Xˆ dh
= h 1= ah i 1
The 2019 Inter-censal Survey
The Union Report 23
For the more complex statistics such as Total Fertility Rate and under five mortality rate, the
jackknife method of variance estimation was employed. In particular the delete one-psu jackknife
method was employed.
Other measures of sampling error were also computed for the selected indicators for easier
appreciation of the level of precision of the estimates. In addition to the standard error (SE) which
is simply defined as the positive square root of the variance, the Coefficient of Variation (CV) was
likewise calculated as:
SE (estimate)
CV
= (estimate) ×100 (12)
estimate
ME (estimate) = zα /2 SE (estimate)
The CV were calculated for ratios, totals and means. While there is really no hard rule that sets the
value of the CV to declare the estimate as precise, some rule of thumb can be used. Ideally, the
desired CV values can be less than 10% but a more relaxed rule of up to 20% especially for lower levels
of disaggregation such as estimates at the district levels can also be used. Estimates of standard errors
of selected indicators are shown in Annex 1.
The 2019 Inter-censal Survey (2019 ICS) covered only the conventional household population in
Myanmar and, therefore, the population count in this report refers only to conventional household
population (excluding those in institutions such as monasteries, prisons, orphanages, home for the
aged, etc.).
According to the 2019 ICS Myanmar’s total conventional household population was estimated at 51.1
million, an increase of 3.2 million compared to the census count (conventional household population)
of 47.9 million in 2014.
Population distribution is a term used to describe how people are spread across a specific area. In other
words, population distribution shows where people live. Population distribution of Myanmar by State/
Region, presented in Figure 3.1, shows a large regional variation. Yangon Region retained its position
of having the largest proportion of the population (15.3%), followed by Mandalay (12.1%), Ayeyawady
(12.0%) and Shan (10.5%). About half of the conventional household population of Myanmar lived in
these four states and regions. The other half of the population was distributed among the remaining
11 states and regions. The least populated states and regions were Kayah (0.6%), Chin (1.0%), Nay Pyi
Taw (2.3%) and Tanintharyi (2.8%). Less than 7 percent of the total population lived in these four states
and regions (Figure 3.1).
Population density, defined as the number of persons per unit of land area, usually quoted per square
kilometer or square mile, is one of the measures for describing the spatial distribution of a population.
The population density of Myanmar from 2019 ICS was 76 persons per square kilometer. For states and
regions it varies from a high of 762 per square kilometer for Yangon Region to a low of 14 per square
kilometer for Chin State (Table 3.1).
Total
Stage/Region Density (Population/sq.km)
population
UNION 51,144,607 76
Kachin 1,584,375 18
Kayah 311,448 27
Kayin 1,556,552 51
Chin 509,037 14
Sagaing 5,309,914 57
Tanintharyi 1,426,426 33
Bago 4,814,582 122
Magway 3,805,211 85
Mandalay 6,168,225 200
Mon 1,889,274 154
Rakhine 3,230,175 88
Yangon 7,831,830 762
Shan 5,384,244 35
Ayeyawady 6,140,001 175
Nay Pyi Taw 1,183,314 168
According to 2019 ICS, the urban population constituted 28.8 percent (14,740,228) of the total
population. Yangon Region had the highest proportion (69.1%) of people living in urban areas followed
by Mandalay Region and Kachin State (32.1% each). The largest proportion of people living in rural
areas was observed in Magway Region (86.3%) followed by Ayeyawady Region (85.7%), Rakhine State
and Sagaing Region (83.3% each) (Table 3.2).
The 2019 ICS indicates that, of the total population, males made up 46.8 percent and the females,
53.2 percent. The sex ratio of the population (number of males for every 100 females) at the national
level was 87.8 while for urban and rural areas, these were 86.1 and 88.5, respectively. The sex ratio at
birth was 103. In 2014 Census, based on conventional household population, the sex ratio was 88.9. By
five-year age group, sex ratio tended to be high at young ages, but gradually decreased in older ages
(Table 3.3).
Figure 3.2: Sex ratio by age group, 1983 and 2014 Censuses, and 2019 ICS
In all states and regions, the survey recorded more females than males. The highest sex ratio was
observed in Kayah State (95 males per 100 females), followed by Kachin (94), Tanintharyi (94), and
Shan (93). The lowest sex ratio was in Magway Region (82) (Figure 3.3).
UNION
The age-sex pyramid of the 2014 Census and 2019 ICS are shown in Figure 3.4. It shows that the
population pyramid of 2019 still retained the pot-shaped feature of 2014. However, due to fertility
decline, the population in some age groups of 2019, especially for the age groups 5-9 and 10-14,
decreased. On the other hand, the population of older age groups for 2019, i.e., aged 55 years and
over, increased. This scenario was more noticeable for the female population indicating women in
Myanmar, like everywhere else, live longer than men.
Figure 3.4: Population pyramid of Myanmar, 2014 Census and 2019 ICS
Broad age groups of Myanmar population at the national level for 1983, 2014 and 2019 are presented in
Table 3.4. It indicates that although Myanmar still showed similar age pattern of 2014, some changes
were observed between 2014 and 2019. The proportion of young people aged less than 15 decreased
a little from 28.6 percent to 27.2 percent while the working-age population aged 15 to 64 increased
from 65.6 percent to 66.4 percent. The older population (aged 65 and over) also increased from
5.8 percent to 6.4 percent during the same period.
In 2019, the total dependency ratio (aged 0-14 and 65 years and over per 15-64 age group) for
Myanmar was 50.6 (Table 3.5 and Figure 3.5). It declined gradually from 73.9 in 1983 to 50.6 in 2019.
A similar situation was observed for child dependency ratio during the same period. However, older
age dependency ratio and ageing index continued to increase. In 2019, there were 10 individuals aged
65 and over for every 100 persons of working-age population (15-64) in Myanmar.
Total dependency ratio for Myanmar varied between urban and rural areas and across states and
regions (Table 3.6). Total dependency ratio for urban areas was 42.0 while 54.4 for rural areas. The
lowest total dependency ratio (39.8) was observed in Yangon Region and highest (84.4) in Chin State.
The ageing index (ratio of the aged population to the child population) also increased from 20.1 in
2014 to 23.7 in 2019.
The median age of the population is defined as the age that divides the population into two groups of
equal size, one of which is younger and the other of which is older. The median age is often used as
a basis for describing a population as “young” or “old” or as “ageing” or “younging”. Populations with
medians under 20 may be described as “young,” those with medians 30 or over as “old,” and those
with medians 20 to 29 as of “intermediate” age.1 The median age in Myanmar increased from 24.1 in
1983 to 28.2 in 2019 (Table 3.5). Population of Myanmar may be categorized as “intermediate “age.
1The Methods and Materials of Demography (Second edition) Edited by Jacob S. Siegel David A. Swanson
The 2019 Inter-censal Survey
The Union Report 33
Table 3.5: Dependency ratios, 1983 and 2014 Censuses, and 2019 ICS
Figure 3.5: Trends in dependency ratios, ageing Index, 1983 and 2014 Censuses, and 2019 ICS
Table 3.6: Proportion of population by broad age group, dependency ratio, and ageing index,
State/Region, urban and rural areas
Proportion of broad
Dependency ratio
State/ age group
Total Ageing
Region and Total Child Older age
population index
Area 0 - 14 15 - 64 65+ dependency dependency dependency
ratio ratio ratio
UNION 51,144,607 27.2 66.4 6.4 50.6 40.9 9.7 23.7
Urban 14,740,228 22.9 70.4 6.7 42.0 32.5 9.5 29.3
Rural 36,404,379 28.9 64.8 6.3 54.4 44.6 9.8 22.0
Kachin 1,584,375 29.2 66.5 4.3 50.3 43.8 6.5 14.8
Kayah 311,448 33.4 62.5 4.1 60.1 53.5 6.6 12.3
In 2019 ICS, a question was asked on the marital status of people aged 10 years and over. The results
showed that 54.7 percent of males and 50.8 percent of females were married, while 41.2 percent of
males and 37.4 percent of females reported as single. Only 2.7 percent of males and 9.8 percent of
females were recorded as widowed (Figure 3.6).
The comparison of marital status of males and females is presented in Figure 3.7. The difference
between males and females was more significant in the later years, which may be due to men getting
married or remarried later in life while women tend to remain widowed. It can be seen in the graph
that the line for married men slopes up steadily until it reaches the peak at the age group of 55-59 and
then starts to decline. However, the line for married women slopes down after it reaches the peak at
the age group of 35-39 as husbands die and women become widows. This scenario is supported by the
fact that the proportion of widows started to rise visibly at the age group of 45-49.
Figure 3.7: Proportion of population aged 10 years and over by sex, age and marital status
Mean household size is the ratio of the total population in households to the number of households in
an area. It was 4.6 people at the national level in 2019. Figure 3.8 shows the mean size of conventional
households by state and region. The mean household size was highest in Chin State with 5.5, followed
by Kachin State with 5.2, and Tanintharyi Region and Rakhine State at 5.0 persons per household. The
lowest household size was recorded in Bago and Ayeyawady Regions with 4.2 persons per household.
The results also showed that, in 2019, 46.0 percent of households in Myanmar comprised 3 to 4
household members which was an increase of about five percentage points compared with the 2014
Census results. The lowest proportion was the "9 and more persons" category with only 2.4 percent
of the total households. It is interesting to note that the proportion of 1-person household increased
from 4.6 percent in 2014 to 5.4 percent in 2019. All this information reflects the fact that people in
Myanmar preferred smaller households.
Table 3.7: Proportion of households by size of the household, urban and rural areas, 2014 Census
and 2019 ICS
2014 2019
Household size
Union Urban Rural Union Urban Rural
Number 10,877,832 3,049,433 7,828,399 11,162,510 3,120,314 8,042,196
Total 100.0 100.0 100.0 100.0 100.0 100.0
1 person 4.6 4.9 4.5 5.4 5.6 5.3
2 persons 12.4 12.8 12.3 13.6 14.1 13.4
3 persons 19.9 19.1 20.2 22.1 21.2 22.4
4 persons 21.3 20.4 21.7 23.9 23.0 24.2
5 persons 16.5 15.7 16.8 16.2 15.7 16.5
6 persons 10.9 10.5 11.0 9.2 9.1 9.3
7 persons 6.5 6.6 6.4 4.8 5.1 4.6
8 persons 4.1 4.6 3.9 2.4 2.7 2.3
9 persons and more 3.7 5.3 3.1 2.4 3.5 2.0
The head of a conventional household is the household member who makes key decisions and is
recognized as the head of the household by other household members. The head of the household
may be a male or female and not necessarily the main earner in the household.
In 2019, 76.8 percent of households were headed by a male and only 23.2 percent by a female. The
comparison of male and female shown in Table 3.8 again illustrates the fact that women in Myanmar
Table 3.8: Number and proportion of heads of households by age group and sex
Proportion of households
Age group of household Number of
headed by:
head households
Male Female
Union 11,162,510 76.8 23.2
10 - 14 631 31.0 69.0
15 - 19 19,996 75.1 24.9
20 - 24 205,085 87.7 12.3
25 - 29 534,530 89.7 10.3
30 - 34 879,849 90.6 9.4
35 - 39 1,122,000 89.0 11.0
40 - 44 1,268,334 86.4 13.6
45 - 49 1,339,713 82.3 17.7
50 - 54 1,337,513 78.8 21.2
55 - 59 1,277,678 73.8 26.2
60 - 64 1,093,599 67.1 32.9
65 - 69 850,928 62.7 37.3
70 - 74 560,207 56.5 43.5
75 - 79 338,428 51.6 48.4
80 - 84 195,527 48.4 51.6
85 - 89 100,681 44.6 55.4
90+ 37,811 40.8 59.2
In the 2019 ICS, information on the presence of birth certificate or if birth was registered was
collected from children aged 15 years and below. Out of the 14.9 million children covered in the
survey, 81.7 percent had a birth certificate while 4.1 percent had no copy of the birth certificate but
reported that the birth was registered. On the other hand, the birth of some 13.4 percent of children
aged 15 years and below was not registered. Birth registration varied between urban and rural areas.
About 91.6 percent in urban and 78.5 percent of children in rural areas reported to have a birth
certificate.
At the regional level, Kachin had the highest proportion (92.5%) of having a birth certificate, followed
by Kayah (91.2%). The least proportion was in Rakhine State (59.4%).
No birth
State/Region Had a birth Not Don’t
certificate but Total Number
and Area certificate registered know
registered
UNION 81.7 4.1 13.4 0.8 100.0 14,887,403
Urban 91.6 2.2 5.5 0.7 100.0 3,633,857
Rural 78.5 4.8 15.9 0.8 100.0 11,253,546
Kachin 92.5 1.6 5.3 0.6 100.0 493,162
Kayah 91.2 2.5 5.3 1.0 100.0 109,850
Kayin 80.5 4.1 14.7 0.7 100.0 552,678
Chin 75.0 6.4 16.9 1.7 100.0 219,034
Sagaing 83.6 4.4 11.4 0.6 100.0 1,543,350
Tanintharyi 89.0 2.5 8.0 0.5 100.0 486,649
Bago 76.5 7.1 15.9 0.5 100.0 1,360,183
Magway 80.5 9.6 9.4 0.5 100.0 1,061,307
Mandalay 87.5 4.0 7.9 0.6 100.0 1,628,595
Mon 88.4 2.3 8.6 0.7 100.0 578,667
Rakhine 59.4 5.4 33.3 1.9 100.0 1,026,585
Yangon 89.9 2.1 7.6 0.4 100.0 1,876,443
Shan 82.1 2.3 14.3 1.3 100.0 1,735,285
Ayeyawady 76.8 2.7 19.6 0.9 100.0 1,871,403
Nay Pyi Taw 82.4 7.4 9.6 0.6 100.0 344,214
Results from 2019 ICS show that the majority of people in Myanmar did not have a bank account. Only
13 percent of total population aged 18 years and over reported having a bank account. Comparing the
urban to rural distribution, about 25 percent of urban population had reported having a bank account
while it was only about 8 percent for rural areas (Table 3.10).
Wide regional variation of having a bank account was observed with the lowest in Kayin State at 5.8
percent and the highest in Yangon Region at 27.2 percent.
According to the information from the 2019 ICS, the main reason for not having a bank account was
“don’t have enough money to have a bank account” 53.2 percent. About 46.6 percent reported that
they did not need or want a bank account.
The regional pattern conformed more or less to that of the national except for Rakhine and Shan States
where the main reason was “do not need/want a bank account” (Table 3.11).
Don’t
Don’t The
understand
Don’t have No bank Don’t fees
the
State/ need/ enough has Don’t like and
procedure
Region and want money convenient trust dealing service Other Number
for
Area a bank to have hours or bank with charges
opening a
account a bank location bank are too
bank
account high
account
UNION 46.6 53.2 3.6 0.3 0.7 5.2 0.4 0.1 34,355,023
Urban 43.3 39.7 1.1 0.3 0.6 3.4 0.2 0.2 10,584,929
Rural 48.1 59.3 4.7 0.3 0.7 6.0 0.5 * 23,770,093
Kachin 49.8 58.1 5.3 0.3 0.3 6.8 0.1 * 1,031,400
Kayah 38.9 58.0 2.4 0.1 * 3.4 0.1 0.1 188,955
Kayin 48.6 60.5 10.9 0.6 1.2 5.5 0.1 * 933,133
Chin 21.9 74.7 4.9 * 0.1 2.8 0.2 0.1 268,918
Sagaing 51.3 53.5 3.4 0.3 0.6 5.0 0.1 * 3,571,142
Tanintharyi 47.3 52.0 3.8 0.4 0.6 3.1 0.5 * 875,916
Bago 44.1 57.7 3.4 0.4 0.7 5.1 1.1 * 3,271,917
Magway 47.9 54.6 3.0 0.2 1.1 3.9 0.8 * 2,610,791
Mandalay 47.1 53.3 2.1 0.4 0.7 3.1 0.1 0.1 4,323,945
Mon 52.2 54.8 4.1 0.2 0.2 4.6 0.1 0.1 1,226,892
Rakhine 61.2 44.2 6.1 0.1 1.3 9.8 0.7 * 2,062,650
Yangon 38.2 43.8 0.8 0.2 0.4 3.5 0.2 0.3 5,694,758
Shan 47.4 43.0 5.5 0.2 0.4 9.5 0.2 0.1 3,449,761
Ayeyawady 47.3 68.1 4.6 0.3 0.5 6.3 0.7 * 4,046,704
Nay Pyi Taw 38.4 64.4 3.2 0.1 1.9 0.6 0.2 * 798,142
Note: * Less than 0.1 percent
Specific information on literacy and numeracy was collected from all persons aged 5 years and over.
However, the analysis in this report focuses only on those aged 15 years and over.
Literacy is defined as the ability to read and write with understanding in any language. Numeracy is
defined as the ability to do simple addition and subtraction without using a calculator. According to the
survey, at the national level, the literacy rate was 89.1 percent while numeracy rate was 89.5 percent.
Out of 15 states and regions, literacy rates of eight regions were above the national level as shown
in Table 4.1 and Figure 4.1. The regions with the highest literacy and numeracy rates were Yangon,
Mandalay and Nay Pyi Taw; all reporting more than 92 percent. Among the seven states that had
literacy rates below the national level, the lowest rates were found in Kayin (70.9%) and Shan State
(72.6%). The numeracy rate followed a similar pattern with the lowest rates observed in Kayin State
(72.6%) and Shan State (80.7%).
Table 4.1: Literacy and Numeracy rates of population aged 15 years and over by sex and State/Region
Table 4.2 shows the school attendance for population aged 5 years and over by State/Region. At the
national level, 9 in 10 people aged 5 years and over reported they had attended pre-school or at least
grade school. The proportion of males (93.5%) was slightly higher than that of females (90.6%). In all
states and regions, school attendance rates for males were higher than that of females.
Figure 4.2 indicates that the gap between urban and rural areas in terms of school attendance is quite
wide. Only about 5 out of 100 people aged 5 years and over in urban areas reported that they had
never attended school while it was about 9 out of 100 people in rural areas. Both males and females
had a similar pattern for this indicator.
Table 4.3: Population aged 3 years and over by school attendance and sex
5-9 4,479,179 2,211,422 2,267,757 92.3 91.8 92.7 7.7 8.2 7.3
50+ 10,298,507 4,375,193 5,923,314 83.2 88.6 79.2 16.8 11.4 20.8
The survey result shows that, only 18 percent of children aged 3-4 years were attending nursery/
pre-school at the time of the survey. Nine out of 10 children aged 5-9 years were at primary school
and seven out of 10 children aged 10-15 years were currently attending secondary school. It clearly
shows that many children dropped out of school after they have attained the primary education.
Gender differences were small in terms of current school attendance for all age groups mentioned
above (Table 4.4).
Figure 4.3 shows the proportion of males and females currently attending school by age. Generally,
there was a small gender difference in all ages. The proportions of school attendance for both boys
and girls were high between ages 6 and 11 years (more than 95%). However, starting from the age of
12, the proportions started to decline slowly with a sharp decline starting from age 14 when more and
more students dropped out of school. As a result, by the age of 18, only 3 out of 10 were attending
school. Sex disparity was noticeable between the ages of 14 and 21, with the girls having higher atten-
dance rates than boys.
Figure 4.3: Proportion of population aged 5 years and over by current school attendance,
sex and age
The population currently attending school by special age groups and sex is presented in Table 4.5.
The purpose of this table is to show some of the indicators of MSDP-NIF. For instance, indicators
for children aged 3 to 8 years are for NIF indicator 4.3.11, “access to early childhood care and
The 2019 Inter-censal Survey
The Union Report 49
development services”. Out of 5.5 million children aged 3 to 8 years, about 65 percent were currently
attending school or pre-school. Sex difference for this indicator was minimal; 64 percent for boys and
66 percent for girls.
Table 4.5: Population aged 3 years and over by current school attendance, special age
groups and sex
Table 4.6 shows that almost half (47%) of the population aged 25 years and over had completed only
primary level of education while 22 percent for middle school level and 13 percent for high school
level. Only 11 out of 100 persons reported they had graduated or completed some years in the
university.
Table 4.6: Population aged 25 years and over by highest level of education completed and sex
Information on the main reasons for stopping school, presented in Figure 4.4, was based on the
question why a person stopped schooling. The figure shows that 3 out of 10 people reported that they
dropped out of school to help the family while 2 out of 10 people responded that they could not afford
schooling. About 19 percent of the population aged 3 to 50 years reported they stopped schooling
because they already completed the desired level of education.
Figure 4.4: Population aged 3 to 50 years who stopped schooling by main reasons for stopping
The reference period on labour force used in the 2019 ICS was seven days preceding the survey
enumeration date. The economically active or labour force refers to people who are either working
or unemployed. A person was regarded as having worked or in employment if he/she had engaged in
any activity even for only one hour to produce goods or provide services for pay or profit during the
reference period. Persons in unemployment are defined as all those who were not in employment,
carried out activities to seek employment during the reference period and were currently available to
take up a job when it becomes available.
It is possible to measure the extent of a population’s participation in the labour force by activity rates.
An activity rate is defined as the number of economically active persons in a population of 15 years and
over per hundred persons in that particular population.
According to the survey, 63.2 percent of the population aged 15 years and over were economically
active or in the labour force. Gender difference in labour force participation was quite large. About 76
percent of the male population aged 15 years and over were economically active compared to only 53
percent of their counterparts.
People in rural areas were more economically active than those in urban areas; with the participation
rates of 65.1 percent and 58.9 percent, respectively. There was wide regional variation in the country
with the highest labour force participation rates in Kayah State (70.7%) and Shan State (70.0%) while
the lowest ones were in Mon State (55.4%) and Kayin State (52.8%).
The unemployment rate among persons aged 15 years and over was 2.7 percent at the national level.
The difference in the unemployment rates between urban (2.6%) and rural (2.7%) areas was minimal,
though it was quite large among states and regions. Rakhine State, with an unemployment rate close
to 20 percent, was the highest while the lowest rates were observed in Kayah State and Magway
Region with only about 1 percent each.
According to 2019 ICS, the employment to population ratio was 61.5 percent. This means among
persons who were in the working-age group (15+), 61.5 percent were gainfully employed. The
remaining 38.5 percent were either unemployed or were out of the labour force.
Table 5.1: Labour force participation rate, unemployment rate and employment to population
ratio by sex, State/Region and urban and rural areas
The distribution of labour force participation rate by sex and age in Figure 5.1 illustrates that the
proportions of males in the labour force were much higher than that of females for all age groups. The
rates for both men and women were almost linear/flat from ages 25 to 49 years and started to decline
after age 49. The rates fell rapidly after the age of 60 years for both men and women.
Figure 5.2 shows that the employment to population ratio was much higher for males (74.1%) than
that of females (50.9%). This pattern was more or less similar to that of the labour force participation
rate as shown in Figure 5.1.
Figure 5.2: Employment to population ratio of the population aged 15 years and over by age group
and sex
Status in employment refers to the type of explicit or implicit contract of employment with other
persons or organizations that the employed person has in his or her job.2 This indicator provides
information on the distribution of the workforce according to those: (a) working for wages or salaries;
(b) running their own enterprises, with or without hired labour; or (c) working without pay within the
family/household business.3
Data presented in Table 5.2 shows that among employed persons aged 15 years and over, almost half
(45%) were own account workers, and 27.7 percent were employees who worked in the private sector.
About 4 percent reported they were employees of the Government. It is worth noting that about 13
percent were working without any pay in a household or family business.
Table 5.2: Employed population aged 15 years and over by status of employment
Analysis by sex shows that both for male and female, own account worker forms the biggest group.
The second largest group were employees in private organization comprising 30.5 percent and 24.2
percent for male and female, respectively. A large group of people in Myanmar were economically
active but helping without pay in a household or family business (9.7% for male and 17.2% for female).
2Principles and Recommendations for Population and Housing Censuses, Revision 3, United Nations, 2018,
Para 4.339, Page 233
3Employment by status in employment, ILO
The 2019 Inter-censal Survey
58
The Union Report
Figure 5.3: Population aged 15 years and over by status of employment and sex
5.3 Occupation
Occupation refers to the type of work done in a job by the person employed, irrespective of the
industry or the status in employment in which the person’s job should be classified. Type of work is
considered in terms of the main tasks and duties performed in the job.4
Table 5.3 illustrates that “Skilled Agricultural Forestry and Fishery Workers” is the largest occupational
category in Myanmar. Among those employed persons aged 15 years and over, about 41 percent were
employed in that category. “Service and Sales Workers” was the second-largest occupational group
(18.4%) followed by “Craft and Related Trade Workers” (13.7%) and Elementary Occupations (11.6%).
The rest of the groups were relatively small and made up only about 15 percent of all persons employed.
4Principles and Recommendation for Population and Housing Censuses, Revision 3, United Nations, 2018, Para
4.352, Page 235
The 2019 Inter-censal Survey
The Union Report 59
Table 5.3: Main occupational category of employed persons aged 15 years and over by sex
Percentage Sex
Major occupational category Number
Both sexes Male Female Ratio
Sex ratio by major occupational categories in Table 5.3 and Figure 5.4 shows that males dominated in
six occupational categories. “Plant and Machine Operators and Assemblers” is the most male-dominated
profession with 958 males per 100 females working in that field. Women dominated in three occupational
categories such as “Services and Sales Workers”, “Clerical Support Workers” and “Professional”.
5.4 Industry
Industry (branch of economic activity) refers to the kind of production or activity of the establishment
or similar unit in which the job(s) of the employed or unemployed person was located during the
time reference period established for data collection on economic characteristics.5 For purposes of
international comparison, information on industry was compiled according to the fourth edition of
International Standard Industrial Classification of All Economic Activities (ISIC).
Among those employed persons aged 15 years and over, nearly half (45.3%) were working in the
“Agriculture, Forestry and Fishing” industry. It was followed by “Wholesale and retail trade; repair of
motor vehicles and motorcycles“ (15.7%) and “Manufacturing” (9.5%).
The main industry in which both men and women worked was “Agriculture, forestry and fishing”, with
47.9 percent and 42.0 percent, respectively. “Wholesale and retail trade: repair of motor vehicles
and motorcycle” industry was the second most popular industry for men (about 11%) followed by
“Construction” (about 9%). The second and the third most common industries for females were
“Wholesale, retail trade and repair of motor vehicles and motorcycles” (20.9%) and “Manufacturing”
(13.4%) which was twice higher than that of males (6.3%).
5Principles and Recommendations for Population and Housing Censuses, Revision 3, United Nations, 2018,
Para 4.356, Page 235
The 2019 Inter-censal Survey
The Union Report 61
Table 5.4: Proportion of employed persons aged 15 years and over by major industrial category by sex
Both
Major industrial cotegory Male Female
sexes
Total 100.0 100.0 100.0
Agriculture, forestry and fishing 45.3 47.9 42.0
Mining and quarrying 0.6 1.0 0.2
Manufacturing 9.5 6.3 13.4
Electricity gas steam and air conditioning supply 0.2 0.3 *
Water supply; sewerage waste management and 0.1 0.2 0.1
remediation activities
Construction 5.3 8.9 1.0
Wholesale and retail trade; repair of motor vehicles and 15.7 11.4 20.9
motorcycles
Transportation and storage 4.5 7.9 0.3
Accommodation and food service activities 4.0 2.7 5.6
Information and communication 0.3 0.3 0.3
Financial and insurance activities 0.3 0.3 0.5
Real estate activities * * *
Professional scientific and technical activities 0.1 0.1 0.1
Administrative and support service activities 3.0 3.0 3.1
Public administration and defense; compulsory social security 0.3 0.5 0.1
Education 2.6 1.0 4.5
Human health and social work activities 0.8 0.5 1.1
Arts entertainment and recreation 0.4 0.4 0.3
Other service activities 5.1 5.6 4.5
Activities of households as employers; undifferentiated 1.7 1.6 1.7
goods and services
Activities of extraterritorial organizations and bodies * * *
Not stated 0.2 0.1 0.3
Note: * Less than 0.1 percent
Crude birth rate (CBR) indicates the number of live births per 1,000 population in a given year. It is
obtained by dividing the number of live births born to ever-married women aged 10 years and over
in the last 12 months by the total population, multiplied by 1,000. Using this definition, the CBR for
Myanmar was 16.6 births per 1,000 population. It was higher in rural areas (17.2) than in urban areas
(15.0). Regional variation exists with relatively highest CBR observed in Chin State (26.2), Kayah State
(20.6) and Kachin State (20.2), and lowest in Tanintharyi Region (14.4) and Magway Region (14.6).
Figure 6.1: Crude birth rate by State/Region, urban and rural areas, 2014 Census and 2019 ICS
Crude birth rate
Figure 6.1 that illustrates the comparison of regional CBR between 2014 Census and 2019 ICS,
indicates that CBR has decreased in all states and regions except in Mandalay Region where it
increased by 0.9 percentage point.
The 2019 Inter-censal Survey
The Union Report 65
6.2 General fertility rate (GFR)
General Fertility Rate (GFR), a refined measure of fertility, is defined as the number of live births per
1,000 women aged 15-49 in a given year. As shown in Figure 6.2, the GFR for Myanmar is 59.4 births
per 1,000 women of reproductive ages. The GFRs at regional level varied with a range of 50.0 for
Yangon Region and 109.5 for Chin State.
Figure 6.2: General fertility rate by State/Region, urban and rural areas
The age-specific fertility rate measures the annual number of live births to women of a specified age or
age group per 1,000 women in that age group. An age-specific fertility rate is generally computed as a
ratio. The numerator is the number of live births to women in a particular age group during a period of
time, and the denominator is an estimate of the number of person-years lived by women in that same
age group during the same period of time. It is expressed as births per 1,000 women.6
In 2019, ASFR in Myanmar increased slowly from age group 15-19 years, reached its peak at 25-29
years, and then started to decline sharply with the lowest at 45-49 years. This pattern is true for both
urban and rural areas, although, as expected, the ASFRs were higher in rural areas compared to urban
areas. (Figure 6.3)
6Population Division, Department of Economic and Social Affairs, United Nations; accessed on 4 July 2020
https://www.un.org/en/development/desa/population/publications/dataset/fertility/age-fertility.asp
The 2019 Inter-censal Survey
66
The Union Report
Figure 6.3: Age-specific fertility rate by urban and rural areas
Age-specific fertility rate
As shown in Figure 6.4, Myanmar experienced a fertility decline between 2014 and 2019 where the
ASFRs of women of all age groups were lower in 2019. It also indicates that, for both 2014 and 2019,
fertility was highest in women aged 25-29 and 30-34. It clearly shows that Myanmar women rarely give
birth at young ages and also after age 35.
Figure 6.4: Age-specific fertility rate, 2014 Census and 2019 ICS
Age-specific fertility rate
The total fertility rate, in simple terms, refers to the total number of children born or likely to be born
to a woman in her lifetime if she were subject to the prevailing rate of age-specific fertility in the
population.
TFR from 2019 ICS also supported the fact that fertility of Myanmar has declined during the period
2014 and 2019. As shown in Figure 6.5 and Table 6.1, TFR at the national level has decreased from
a level of 2.3 to 2.0. It can also be seen that the decline was more pronounced in rural than in urban
areas. Regional differential of TFR for 2019 followed a more or less similar pattern of 2014. Chin State
still had the highest TFR of 3.9 while the lowest (1.6) was still for Yangon Region.
Figure 6.5: Total fertility rate by State/Region, urban and rural areas, 2014 Census and 2019 ICS
Total fertility rate
Table 6.1: Crude birth rate, age-specific and total fertility rates by age of women, urban and rural
areas, 2014 Census and 2019 ICS
2014 2019
Age of women
Union Urban Rural Union Urban Rural
15-19 0.0218 0.0152 0.0246 0.0203 0.0171 0.0215
20-24 0.0946 0.0682 0.1070 0.0881 0.0693 0.0970
25-29 0.1185 0.0958 0.1286 0.1012 0.0868 0.1083
30-34 0.1059 0.0910 0.1125 0.0980 0.0799 0.1060
35-39 0.0745 0.0593 0.0812 0.0640 0.0587 0.0662
40-44 0.0346 0.0231 0.0399 0.0255 0.0189 0.0283
Total marital fertility is defined as five times the sum of the age-specific marital fertility rates. It is
interpreted as the mean number of children that a woman would eventually have if she got married
at age 15, survived to the end of the childbearing period, and experienced the observed age-specific
marital fertility rates.
The total marital fertility rate at the national level was 3.9. The rates in urban and rural areas were,
respectively, 3.7 and 4.0 children per woman. The highest TMFR (6.4 children per woman) was
observed in Chin State while the lowest rates (3.3 children per woman) were in Bago Region, Yangon
Region and Ayeyawady Region (Figure 6.6).
Figure 6.6: Total marital fertility rate by State/Region, urban and rural areas
UNION
This indicator can provide information on current status at which age young women are entering into
marriage and consensual unions. Like other Asian countries, Myanmar has also been experiencing a
The 2019 Inter-censal Survey
The Union Report 69
transition of the marriage pattern during the last decades. Delayed marriage of both men and women
and permanent celibacy, particularly by women, are the main characteristics of the marriage transition
in Myanmar.7
The 2019 ICS included a question for ever-married women aged 10 years and over on what age they
get married for the first time. As shown in Figure 6.7, the median age at first marriage of Myanmar
women was 21.2 years at the national level; it was higher in urban areas (22.3 years) than in rural
areas (20.9 years). At the regional level, median age at first marriage for women in Yangon Region was
the highest (22.2 years) compared to other states and regions. For example, women in Rakhine State
and Shan State marry relatively earlier with median age at first marriage of 20.3 years and 20.5 years,
respectively.
The comparison of median age at first marriage and age at first live birth is presented in Figure 6.7. The
results indicated that, on average, women in Myanmar have their first child about two years after they
get married. Surprisingly, the difference in years was higher for women in rural areas (2.0 years) than
women in urban areas (1.6 years). Slight regional variation was observed. Women in Nay Pyi Taw, on
average, delayed about 2.3 years to have their first child after they get married while women in Kachin
State and Tanintharyi delayed their first birth about 1.4 years.
Figure 6.7: Median age at first marriage and first live birth by State/Region, urban and rural areas
UNION
Child marriage refers to any formal marriage or informal union between a child under the age of 18
and an adult or another child. It is measured as the percentage of women 20–24 years old who were
first married or in union before they reached the age of 18 years. The United Nations Sustainable
Development Goal (Goal 5.3) call for global action to end this human rights violation by 2030.
⁷Detailed Analysis on Fertility and Reproductive Health Survey, Department of Population, 2001.
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The prevalence of child marriage in Myanmar as presented in Table 6.2, shows that about 16 percent
of ever married women aged 20-24 were in a union before the age of 18. As expected, the proportion
was higher in rural areas (17.0%) than in urban areas (14.7%). Wide regional variation was observed in
terms of early marriage in Myanmar. The proportion of women aged 20-24 who were in a union before
the age of 18 ranges from a low of 9 percent for women in Kayah State to a high of 21 percent in
Nay Pyi Taw and 20 percent in Shan State.
Table 6.2: Proportion of ever married women aged 20-24 years by age at first marriage,
State/Region, urban and rural areas
In this section, the age at first birth of women in Myanmar was examined. In 2019 ICS, information on
age of mother when she had her first live birth was asked for every ever married woman aged 10 years
and over. This information is useful for many family planning programs because of the negative
The distribution of women by median age at first live birth is presented in Table 6.3. The median age
at first live birth was 23.1 years among women aged 15-49 indicating that childbearing in Myanmar is
relatively occurring at a later age. The median age at first live birth for urban women (24.0 years) was
slightly higher than that of rural women (22.9 years).
Table 6.3: Median age at first live birth by current age of women
Singulate mean age at marriage is the average length of single life expressed in years among those who
marry before age 50.9
Results from the survey show that, on average, men get married about 2 to 3 years later than women.
The SMAM of urban areas (25.6) is higher than that of rural areas (24.4). It is true for both males and
females. The SMAM differential among states and regions was marginal; it varied with a range of 23.8
(Ayeyawady Region and Nay Pyi Taw) and 26.4 (Tanintharyi Region) (Table 6.4).
Table 6.4: Singulate mean age at marriage by sex, State/Region, urban and rural areas
8Family Planning and Reproductive Health Database, Measure Evaluation, accessed on 19 August 2020
https://www.measureevaluation.org/prh/rh_indicators/family-planning/fertility/age-at-first-birth
9Methods and Materials of Demography, 2004
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State/Region and Area Both sexes Male Female
Kachin 25.9 27.5 24.1
Kayah 25.2 27.0 23.4
Kayin 24.9 26.5 23.5
Chin 24.5 26.7 22.6
Sagaing 25.3 26.4 24.3
Tanintharyi 26.4 28.2 24.6
Bago 23.9 25.4 22.4
Magway 25.2 26.5 24.0
Mandalay 24.6 25.6 23.6
Mon 25.1 26.9 23.5
Rakhine 24.7 26.3 23.4
Yangon 25.5 26.7 24.5
Shan 24.3 26.0 22.6
Ayeyawady 23.8 25.2 22.4
Nay Pyi Taw 23.8 25.4 22.4
Adolescent fertility rate is defined as the number of births per 1,000 women aged 15 to 19. Having
children this early in life exposes adolescent women to unnecessary risks. Their chance of dying is
twice as high as that of a woman who waited until her 20s to begin childbearing.10
The adolescent fertility rate for Myanmar during the year before 2019 was 20.3 births per thousand
women aged 15-19 years. The rate increased with the increase in age. The rate varied substantially
between urban and rural areas (17 and 22 per thousand, respectively). At the regional level, the rates
differed from a low of 13 births per thousand for Bago Region to a high of 43 births per thousand for
Chin State (Table 6.5).
Table 6.5: Age-specific fertility rates for women aged 15-19 by State/Region, urban and rural areas
The crude death rate is simply the number of deaths occurring during the year per 1,000 population
in a given period. In 2019, the crude death rate for Myanmar was estimated at 7.8 per thousand
population. The result from 2019 ICS shows that the CDR was higher in urban areas (9.3) than in rural
areas (7.2). The state and region CDR indicates that it was the highest in Rakhine State (10.5), followed
by Yangon Region (9.2); the lowest was in Chin State (5.8), followed by Kayah State (6.0) (Figure 6.8).
Figure 6.8: Crude death rate by State/Region, urban and rural areas
Table 6.6 shows the early-age, infant, child and under-five mortality rates based on the 2019 ICS. The
most recent estimate of under-five mortality twelve months before 2019 was 37.7 deaths per 1,000
live births; infant mortality at 30.9 and child mortality at 7.0.11
Life expectancy at birth shows the overall mortality level of a population. It summarizes the mortality
pattern that prevails across all age groups - children and adolescents, adults and the elderly. As shown
in Table 6.6, the life expectancy at birth was 69.4 years for both sexes. It is worth noting that life
expectancy at birth of females (73.3 years) is much higher than that of males (66.5 years). The life
expectancy at birth for people in rural areas was 68.5 years compared to 71.9 years for people in urban
areas.
Table 6.6: Early-age mortality rates and life expectancy at birth by sex, urban and rural areas
11
To estimate early-age mortality indirectly, the West Model from the United Nations Life Tables
(MORTPAK Software) was used.
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Chapter 7: Migration Chapter
Migration 7
Migration is one of the three factors besides fertility and mortality that determine the population
dynamic of an area or a country. This chapter aims to present information on both internal migration
and international migration.
Findings from some studies had shown that internal migration in Myanmar had increased during the
last few decades and the pattern of migration has changed over time.12 This section focuses on the
current level and pattern of internal migration in Myanmar using the data from the 2019 ICS.
A person whose area of residence at the survey date differs from his area of birth is a lifetime
migrant. In this report, lifetime migrants are defined as those who moved from one township to
another at least once at any time in their life. According to 2019 ICS, nearly 17 percent of the
population in Myanmar were found to be lifetime migrants. Table 7.1 shows lifetime internal
migration rates (in-migration, out-migration and net migration) for movements between State/
Region, by sex.
In-migration rate is calculated as the number of in-migrants arriving at a destination per 1,000
population of that destination in a given year.13
The results show that Yangon Region, former capital and commercial hub of Myanmar, had the
highest level of in-migration rate of 265 per 1,000 population. Nay Pyi Taw, the new capital of
Myanmar, followed Yangon with in-migration rate of 145 per 1,000 population. The lowest
in-migration rate (14 per 1,000 population) was found in Ayeyawady, a delta region in the south-west
of the country.
Out-migration rate is calculated as the number of emigrants departing an area of origin per 1,000
population of that area of origin in a given year.
The findings from 2019 ICS indicate that the highest out-migration (159 per 1,000 population) was
observed in Ayeyawady Region. The second highest out-migration rate (138 per 1,000 population)
was seen in Chin State.
Net migration is defined as the difference between in-migration and out-migration. If the in-migration
exceeds out-migration, the term net in-migration is used, which takes a positive sign. Similarly, net
12
Level, Trends and Patterns of Internal Migration in Myanmar, Department of Population, 2013.
13
Population Handbook 5th Edition, Population Reference Bureau
The 2019 Inter-censal Survey
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out-migration is applied when out-migration exceeds in-migration and it takes a negative sign.14
As shown in Table 7.1 and Figure 7.1, out of 15 states and regions, only 2 regions (Yangon and Nay Pyi
Taw) and 4 states (Kayah, Kayin, Kachin and Shan) had gained population through migratiovn. Other
states and regions showed a negative net migration rate that is, lost population from migration.
Yangon Region had the highest level of positive net migration rate (234 per 1,000 population) followed
by Nay Pyi Taw with a net migration rate of 88 per 1,000 population. Ayeyawady Region had shown
the biggest negative net migration rate (-145 per 1,000 population) followed by Chin State (-120 per
1,000 population).
Table 7.1: Lifetime internal migration rates for movements between State/Region by sex
In-migration rate per Out-migration rate per Net migration rate per
State/Region 1,000 1,000 1,000
of current population population population
residence Both Both Both
Male Female Male Female Male Female
sexes sexes sexes
Kachin 102.0 115.2 89.5 54.2 48.6 59.6 47.7 66.7 29.9
Kayah 116.8 113.8 119.7 65.0 66.7 63.4 51.8 47.2 56.2
Kayin 93.5 100.1 87.4 39.5 34.3 44.3 53.9 65.8 43.1
Chin 17.6 17.7 17.4 137.6 132.2 142.4 -120.0 -114.5 -125.0
Sagaing 31.3 32.4 30.4 69.0 72.9 65.8 -37.7 -40.4 -35.4
Tanintharyi 33.7 42.6 25.3 39.8 36.5 42.9 -6.1 6.0 -17.5
Bago 33.8 33.1 34.5 116.9 115.8 117.9 -83.1 -82.7 -83.4
Magway 19.2 20.0 18.5 116.2 128.3 106.4 -97.0 -108.3 -87.8
Mandalay 70.2 68.3 71.8 73.1 80.0 67.3 -2.9 -11.8 4.5
Mon 60.6 70.9 51.9 114.9 103.2 124.8 -54.2 -32.3 -72.8
Rakhine 14.4 19.3 10.2 54.8 51.5 57.7 -40.4 -32.2 -47.5
Yangon 265.1 253.1 275.5 31.2 32.0 30.6 233.8 221.1 244.9
Shan 58.2 62.9 53.8 35.3 31.2 39.2 22.8 31.6 14.7
Ayeyawady 14.4 15.0 13.8 159.4 154.2 164.2 -145.0 -139.1 -150.5
Nay Pyi Taw 145.0 144.7 145.4 57.3 62.2 52.9 87.7 82.5 92.4
14
Manual VI. Methods of Measuring Internal Migration, United Nations, 1970.
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Figure 7.1: Lifetime internal net migration rates for movements between State/Region by sex
Strictly defined, a migration stream is the total number of moves made during a given migration
interval that have a common area of origin and a common area of destination. In practice, it is usually
a body of migrants having a common area of origin and a common area of destination.15
Findings from surveys and 2014 Census have consistently shown that the direction of flow of migration
in Myanmar is unusual when viewed from a regional or international perspective. For example, the
result from the 2014 Census indicated that almost half of lifetime migration (46.9%) occurred among
urban areas and less than 10 percent of movement was from rural to urban areas. Meanwhile,
migration from rural areas was directed primarily towards other rural areas.
Information from the 2019 ICS allows for updated information on the pattern of migration streams in
Myanmar. In this report, four types of migration streams (urban to urban, urban to rural, rural to urban
and rural to rural) are presented.
Information from Table 7.2 indicates that the pattern of migration streams in 2019 was consistent with
the findings from previous surveys and 2014 Census. Movement from urban to urban areas, though
decreased significantly between 2014 and 2019, was still the largest (37%) among the four types of
15
Manual VI. Methods of Measuring Internal Migration, United Nations, 1970
Migration streams, when looking from the gender perspective, showed only a slight difference and
followed the national pattern.
People migrate for many different reasons. In 2019 ICS, reasons for movement were categorized into
eight such as employment, education, marriage, followed family, conflict, medical/health services,
natural disaster, and others.
Figure 7.2 shows that the main reason for migration, for both male and female, was to follow
family (36.6%), followed by employment (31.4%) and marriage (26.2%). However, the main reasons
for movement were different between male and female. For example, the most common reason for
male was for employment (39.7%) while it was to follow the family for female (40.1%). Marriage was
the third most common reason for male (21.6%) while second for female (30.1%).
The main reason for movement within the country varied across states and regions. Seven
states and regions followed the national norm of having “to follow family” as the most common
reason. However, for Kachin, Kayin, Shan and Nay Pyi Taw, the main reason was for employment. It is
interesting to note that in Kachin State, situated in the far north of the country where job opportunities
in jade and gold mines attract people from all over the country, almost half of the migrants (44.6%)
reported they moved to work or to look for a job. Moreover, more than one third of the migrants in
Kayin, Nay Pyi Taw and Shan also reported that they moved for economic reasons. This may be the
perfect example of how better job opportunities can pull people to in-migrate. In Yangon Region, the
commercial hub of the country, 34 percent of migrants moved in for employment; however, about
42 percent have reported they moved in to follow their families. Another interesting finding was
that at least two in five migrants in Bago, Magway and Ayeyawady Regions indicated they moved
because of marriage (46.6%, 45.2% and 50.5%, respectively) (Table 7.3).
UNION 31.4 3.4 26.2 36.6 0.7 0.3 0.8 0.6 100.0
Kachin 44.6 5.0 20.8 26.5 2.4 0.1 0.4 0.2 100.0
Kayin 38.0 2.6 18.3 37.1 3.3 0.2 0.4 0.1 100.0
Chin 21.0 10.9 27.8 38.7 0.2 1.0 0.3 0.1 100.0
Sagaing 25.4 3.7 39.6 29.5 0.3 0.3 0.8 0.4 100.0
Tanintharyi 34.4 2.8 24.6 37.1 0.5 0.1 0.1 0.4 100.0
Bago 18.4 2.6 46.6 31.2 0.3 0.2 0.5 0.2 100.0
Magway 21.0 4.1 45.2 28.3 0.4 0.3 0.5 0.2 100.0
Mandalay 32.7 3.3 29.4 33.5 0.3 0.2 0.4 0.2 100.0
Mon 27.1 5.1 27.4 37.9 0.9 0.3 1.1 0.2 100.0
Yangon 33.8 3.2 17.9 42.2 0.4 0.3 1.0 1.2 100.0
Shan 36.7 2.3 22.5 35.0 2.7 0.2 0.4 0.2 100.0
Ayeyawady 20.1 3.3 50.5 23.8 0.4 0.2 1.4 0.4 100.0
Nay Pyi Taw 35.8 1.1 25.8 35.0 * 0.3 0.5 1.5 100.0
Note: * Less than 0.1 percent
The 2019 ICS identified two types of international migrants: persons who have moved to another
country and persons who have moved into Myanmar. Information of Myanmar nationals who were
currently residing in other countries was obtained by asking respondents, primarily the household
head, whether or not there were former household members who were living abroad. The information
collected about them includes their relationship to head of household, sex, date of birth, year of
departure from the country, name of the destination country, main reason for leaving the country, type
of channel used to leave the country, migrant’s education and marital status before departure, current
activity abroad, remittance during the last twelve months and main channel used for remittance.
The two populations (those living abroad and the resident population) cannot be combined because
these were defined differently. This section will focus only on the analysis of those who were living
outside Myanmar at the time of the survey.
Information from the 2019 ICS shows that approximately 1.6 million former household members were
living outside of Myanmar. Of these, 61 percent were males and 39 percent were females.
About 67 percent of those living outside of Myanmar were living in Thailand. Malaysia hosted about 14
percent of the reported total, followed by China (6.7%) and Singapore (4.5%) (Figure 7.3). This pattern
was consistent with the findings from the 2014 Census.
Majority of emigrants (about 96%) migrated due to economic reasons, for both males and females.
Education was the second main reason although the proportion was extremely low (2%), with a higher
proportion of females than males (2.5% versus 1.6%) (Table 7.4).
Table 7.4: Reasons for leaving the country of international migrants by sex
About 26 percent of those living outside Myanmar reported that the channel they used to leave the
country was “family connections”. The second most common channel was “labour broker” (24%)
followed by “friend connections” (18%). However, the most common channel for male emigrants was
“labour broker” while it was “family connections” for female emigrants (Figure 7.4)
Figure 7.4: Type of channels used for leaving the country by sex
Figure 7.5, which presents the main channels used in sending remittance, shows that 6 in 10 emigrants
sent remittances through banks. About 17 percent relied on friends or relatives to carry the money for
them. About 9 percent were still using the ‘Hundi’. Only a few migrants used money transfer operators
such as Western Union, Money Gram or Xepress Money etc. (6.8%) or Mobile financial services such
as Wave Money, True Money or M-Pitesan etc. (4.8%).
A higher proportion of men than women used banks to send remittances to the country (67% versus
54%) while higher proportions of women than men for the remaining channels.
7.2.6 Remittances
Remittances covered under this section refer to cash sent back to their households by the emigrants.
During the twelve months before the survey, nearly 69 percent of the emigrants had sent remittances
to their households in Myanmar. About 36 percent of emigrants sent between 500,000 and 2,000,000
kyats while another 36 percent remitted less than 500,000 kyats. About 17 percent had remitted
between 2,000,000 and 4,000,000 kyats and only 11 percent sent more than 4,000,000 kyats (Figure
7.6). There was a little gender difference in the amount sent; 29 percent of males sent more than
2,000,000 kyats while it was only 26 percent for females.
Results from the survey found that most of the emigrants (92.0%) were working as “Employee”, clearly
supporting the fact that the majority of them left the country for economic reasons. There was
relatively higher proportion for males (95.7%) than females (86.2%). Moreover, about 7 percent of
female emigrants were working in a “household work” compared to only 0.2 percent for males
(Table 7.5).
Results from 2019 ICS revealed that the majority of emigrants were not well educated before their
departure to foreign countries. About 66 percent of the emigrants had completed only below high
school (primary: 34% and middle school: 32.3%), with 8 percent with no education at all. Although the
education level of both males and females conform to the national norm, female emigrants tend to be
lower educated than their counterparts (Figure 7.7).
Age-sex pyramids of emigrants for the 2014 Census and 2019 ICS are presented in Figure 7.8. The
shapes of both pyramids are more or less the same suggesting the age structure of emigrants did not
change much during 2014 and 2019. As can be seen in these age-sex pyramids, the majority of
emigrants in 2014 and 2019 were adults in the economically active ages between 20 and 44 years.
Figure 7.8: Age-sex pyramids of former household members living abroad, 2014 Census and 2019 ICS
According to the 2019 ICS, a total of close to six million people aged 5 years and over out of fourty six
million of the same age group had reported having at least one type of disability (Table 8.1). This
translates to a disability prevalence rate of Myanmar at 12.8 percent. Among the six types of
disabilities, the most common type was difficulty in seeing (6.3%), followed by walking/climbing steps
(5.4%), remembering/concentrating (4.4%), hearing (2.4%), self-care (1.9%) and lastly, communication
(1.6%).
People living in rural areas had higher levels of disability, both in absolute and relative terms,
compared to their urban counterparts. Among the population who reported having a disability in at
least one of the six domains, 4.3 million lived in rural areas and 1.7 million lived in urban areas. The
disability prevalence was 13.1 percent in rural areas and 12.3 percent in urban areas. The prevalence
of disability was higher among females (13.9%) than males (11.6%).
The disability prevalence varies across states and regions where relatively higher rates were reported
in Chin (20.6%), Rakhine and Ayeyawady (17.3% each) and Magway (17.0%) while the lowest was
observed in Shan (8.6%).
Table 8.1: Population aged 5 years and over by disability status, disability prevalence rate, type of
disability, sex, State/Region, urban and rural areas
Although people can have a disability at any point in their life, the empirical evidence has shown that
the prevalence of disability increases with age. The findings from the 2019 ICS also indicated that
disability is closely related to age as shown in Figure 8.1. Disability prevalence rates were low (less
than 5%) in the younger age groups 10 to 29 years. The rate was about 11 percent among those aged
40 and 44 years; then started to increase sharply until it reached over 80 percent for people aged 90
years and over.
At younger ages, only a small difference in the age-specific disability prevalence rates was observed
between males and females. Between the ages of 55 and 59 years, the prevalence rates for males and
females were still close; 25.8 and 28 percent, respectively. After the age of 59, the prevalence rate for
females increased at a faster pace than that of males.
To measure the severity of the disability, interviewers asked each household member aged 5 years and
over about their disability status and the degree of difficulty. Respondents were to choose from the
following responses: “no-no difficulty”, “yes – some difficulty”, “yes – a lot of difficulty” and “cannot
do at all”. Figure 8.2 shows that among population aged 5 years and over, very few people (less than
1%) reported that they have “a lot of difficulty” and “cannot do at all”. For example, only 0.06 percent
of males and 0.10 percent of females reported severe degree of difficulty (cannot do at all) in seeing;
only 0.46 percent of males and 0.62 percent of females reported a moderate degree of difficulty (a lot
of difficulty) in seeing. Similar rates of prevalence were reported for the other five functional domains.
Percent
Figure 8.3 shows the proportion of population aged 5 years and over with disability and had
participated in community/social/religious activity in the last 12 months by sex and type of activity.
Among those with disability, 39.6 percent had participated in at least one of the activities listed.
Clearly, among those activities, religious activities was the most common. Almost 36 percent of people
with disability reported that they participated in such activities. The percent difference between men
and women was quite modest, 39 percent and 33 percent, respectively. Participating in humanitarian
Figure 8.3: Proportion of population aged 5 years and over with disability who participated in any
community/social/religious activity in the last 12 months by sex and type of activity
Percent
Among the population aged 5 years and over with disability, one in five reported he/she had received
at least one kind of support in the last 12 months. About 78.1 percent received no support at all and
2.6 percent reported they did not need any support in the last 12 months. There was not much
difference in the proportion of support received by men and women (Figure 8.4).
Findings from 2019 ICS show that support to people with disability mostly came from other members
of the same households (Table 8.2). About 12 percent of the people with disability reported this source
against only about 7 percent from non-household members/organization. The most common type of
support that people with disability received was financial (17%). Meal (5.5%) was the second most
common support. Medical support (2.7%) comes as the third common support. Male and female
difference in the proportion of people with disability who received support was minimal.
Table 8.2: Proportion of population aged 5 years and over with disability who received support in
the last 12 months by sex, type and source of support
Source of support
Population with disability who re-
From household From non-household
ceived support
members members/organization
Type of support
Both Both
Both sexes Male Female Male Female Male Female
sexes sexes
Financial 17.0 15.4 18.2 10.7 9.5 11.6 6.3 5.9 6.5
Assistance on daily 1.0 0.9 1.1 0.9 0.8 1.0 0.1 0.1 0.1
activities inside the
house
Assistance on activities 0.2 0.2 0.2 0.1 0.1 0.1 0.1 0.1 0.1
outside the house
Both Both
Both sexes Male Female Male Female Male Female
sexes sexes
Medical support 2.7 2.5 2.8 1.9 1.7 2.0 0.8 0.8 0.9
Home care 0.4 0.3 0.4 0.3 0.2 0.3 0.1 0.1 0.1
Meal 5.5 4.9 5.9 3.8 3.3 4.1 1.7 1.7 1.8
The increase in the absolute number and relative proportion of the older population are presented
in Table 9.1 where the results from two Myanmar censuses (1983 and 2014), and 2019 ICS were
compared. The 1983 census enumerated about 2.2 million people aged 60 years and over, comprising
6.4 percent of the total population. In 2014, the enumerated older population was about 4.5 million
which is equivalent to 8.9 percent of the total population. According to 2019 ICS, the older population
was about 5.2 million comprising 10.1 percent of the total conventional household population. During
the last four decades, the proportion of older population and working-age population aged 15-59 had
increased while the proportion of the children aged 0-14 had decreased significantly. During 1983
and 2019, the median age of Myanmar’s population rose from 20.2 years to 28.2 years and, thus,
Myanmar’s population in 2019 was older.
Table 9.1: Population by broad age groups, 1983 and 2014 Censuses, and 2019 ICS
16
United Nations. 1983. Vienna International Plan of Action on Aging. United Nations, New York; United Nations
2002. Report of the Second World Assembly on Ageing. Madrid. 8-12 April 2002. Population A/CONF. 197/9.
United Nations, New York; United Nations Department of Economic and Social Affairs (UN DESA). 2015.
World Population Ageing 2015. ST/ESA/SER.A/390. United Nations, New York.
The 2019 Inter-censal Survey
The Union Report 103
9.2 Measures of age dependency
The demographic indicators of ageing presented in this section are the index of ageing, older age
dependency ratio, potential support ratio and parent support ratio. Each indicator captures some
aspects of the population-wide implications of ageing by comparing the numbers of children and older
people who may be dependent on the support of working-aged adults (15-59).
Children still outnumbered the older population by a wide margin, but the index of ageing has
increased from 16.5 in 1983 to 37.2 in 2019 (Table 9.2). In 1983, there were about 17 older people per
100 children while there were 37 older people per 100 children in 2019.
Table 9.2: Indicators of population ageing, 1983 and 2014 Censuses, and 2019 ICS
The older age dependency ratio (number of persons aged 60 years and over per 100 persons aged
15-59 years) in Myanmar was 16.1 in 2019 and 11.5 in 1983. On the other hand, the total dependency
ratio (population aged under 15 plus the population aged 60 year and over per 100 people aged
15-59) was 59.4 in 2019 and 81.6 in 1983. This decrease was mainly due to significant decline in the
proportion of children. During the same period, the child dependency ratio (population under 15 per
100 persons aged 15-59 years) declined from 70.0 to 43.3.
The potential support ratio is the number of people aged 15-59 per one older person. The potential
support ratio is an alternative way of expressing the numerical relationship between those more likely
to be economically productive and those more likely to be dependents. It is the inverse of the old-age
dependency ratio, that is, the number of persons of working age (i.e., aged 15 to 59) per person aged
60 years or over.17 Between 1983 and 2019, this ratio declined from 9 to 6 potential workers per
person aged 60 years or over.
The parent support ratio, that is, the ratio of the population aged 85 years or over to that aged 50 to
64, provides an indication of the level of support families may be able to provide to their oldest
17
World Population Ageing 2007, United Nations
The 2019 Inter-censal Survey
104
The Union Report
members.18 This ratio increased from 1.7 in 1983 to 3.4 in 2019 indicating persons well past middle
age are two times more likely than they were in 1983 to be responsible for the care of older relatives.
Table 9.3 shows the proportion of older people who received pension, allowance and benefits. Only 14
percent of older people reported they received at least one kind of pension, allowance or benefits. Work
pension was the most availed type of pension with 6.5 percent, followed by family pension (2.4%).
Table 9.3: Proportion of older population who had pension, received allowance, benefits by type of
pension, allowance, benefits and sex
Out of the 5 million older people, close to 2 million persons (38%) reported they had visited a health
care facility during the last 12 months. Majority of the older people who visited a health care facility
tend to rely on government hospitals (37%) and private hospitals or clinics (38.4%) for their health care
(Table 9.4). “Got sick and needed consultations and medicines (out-patient)” was the most common
reason for visiting a health care facility with 37.6 percent, followed by “medicine for maintenance”
(26.4%) (Table 9.5).
18
World Population Ageing 2007, United Nations
The 2019 Inter-censal Survey
The Union Report 105
Table 9.4: Proportion of older population who visited a health care facility in the last 12 months by
type of health care facility and sex
Older population who visited any health care facility 1,971,964 744,421 1,227,543
PUBLIC SECTOR
Other public * * *
PRIVATE SECTOR
Both 5,161,168 1,971,964 11.6 13.4 1.9 26.4 37.6 8.5 0.6
sexes
60 - 64 1,864,573 648,938 12.0 13.6 1.6 25.9 38.4 7.9 0.6
Male 2,099,398 744,421 14.0 12.2 1.8 24.8 36.8 9.7 0.8
Female 3,061,770 1,227,543 10.2 14.1 1.9 27.4 38.1 7.8 0.5
Figure 9.1 shows the proportion of older population who participated in community/social/religious
activity in the last 12 months by sex and type of activity. Some 40 percent of older people indicated
they had participated in at least one activity. Clearly among those shown, “religious activities” was the
most popular. Almost 36 percent of older people indicated they participated in such activities, with 12
percentage point difference between males’ and females’ participation (43%, and 31%, respectively).
Participating in humanitarian activities was the second most common activity. On the other hand,
participating in political meetings and gatherings was quite uncommon, with only 0.5 percent. In every
activity, older men had higher participation rates compared to their counterparts.
Percent
Among 5 million older people, 27.8 percent received at least one kind of support in the last 12 months,
70.4 percent did not receive any, and just 1.8 percent reported they did not need at all. There was not
much difference in the proportion of support received by men and women (Figure 9.2).
Figure 9.2: Proportion of older population who received support in the last 12 months by sex
Percent
People living in same households were important sources of support to older persons particularly
in providing money, food and medical supports (Table 9.6). About 18 percent of the older persons
reported that the support they received came from people in same households while only about 10
percent from non-household members/organization.
Table 9.6: Proportion of older population who received support in the last 12 months by sex, type
and source of support
Source of support
Older population who received
support From household From non-household
Type of support members members/organization
Both Both
Both sexes Male Female Male Female Male Female
sexes sexes
Older population 5,161,168 2,099,398 3,061,770
With any kind of 27.8 26.5 28.7 18.2 17.2 18.9 9.6 9.3 9.8
support
Financial 24.7 23.4 25.5 16.2 15.3 16.9 8.4 8.1 8.7
Assistance on daily 1.7 1.4 1.9 1.5 1.2 1.8 0.2 0.2 0.2
activities inside the
house
Home care 0.5 0.4 0.5 0.3 0.3 0.4 0.1 0.1 0.1
Meal 8.2 7.9 8.4 5.7 5.5 5.9 2.5 2.4 2.5
Other 0.2 0.1 0.2 0.1 0.1 0.1 0.1 0.1 0.1
The types of housing units included in the survey are condominium, apartment/ flat, bungalow/ brick
house, semi-pucca house, wooden house, bamboo house, 2 to 3-year-old hut, and 1-year old hut.
Table 10.1 shows that the predominant housing unit type in Myanmar is the wooden house which
made up the highest proportion of households (40%) living in it, followed by a bamboo house (26.6%)
and semi-pucca house (13.1%). The popularity of the wooden house among the households in the
country is seen both in urban and in rural areas. However, relatively, the proportion is higher in rural
areas (42.8%) than in urban areas (32.7%). It is worth noting that 3 in 10 households in rural areas live
in houses made from bamboo which is the second most common housing unit type in rural areas.
Table 10.1: Percentage of households by type of housing unit, urban and rural areas
The information on the tenure status of the households is presented in Table 10.2. About 90 percent
of households in Myanmar were owners of the dwellings they were living in. This proportion is 74.6
percent in urban areas and 96.5 percent in rural areas. Only about 6 percent were tenants in private
housing units with higher proportion observed in urban areas (17.4%) than in rural areas (1.7%).
The 2019 Inter-censal Survey
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Table 10.2: Percentage of households by tenure status, urban and rural areas
The construction materials of housing units are important characteristics that indicate the
socio-economic status of the household. In this report, this was assessed based on three indicators,
namely, construction materials of walls, roofs, and floors.
Table 10.3 shows that, at the national level, 37.8 percent of households were living in housing units
with walls made of bamboo while 27.8 percent in housing units with walls made of tile/brick/concrete
and 24.2 percent in wooden walls. Significant urban-rural differences are found in the two types of
walls. The most popular construction material for walls in urban areas was tile, brick, or concrete
whereas it was bamboo for the rural areas. About half of the households in urban areas (49.4%) used
tile, brick, or concrete as materials for the walls while the proportion for rural areas was only about
19 percent.
The most common roofing material used by households in Myanmar was corrugated sheet (84%). The
urban-rural difference in using this type of roofing materials was small (89.6 percent for urban versus
81.8 percent for rural). However, about 13 percent of the households were still using “Dani/Theke/
Palm/ In leaf” as their roofing materials; with higher proportion observed in rural areas (16.6%) than
in urban areas (3.4%). Only about 2 percent of the households used tile, brick, or concrete as the
materials for their roof.
Survey results show that about half of the households in Myanmar used wood as the flooring material.
“Tile/ brick/ concrete” was the second most used material. However, 8.2 percent of the households in
Myanmar were still using “Earth” as the flooring material. That proportion was two-fold higher in rural
areas (9.4%) than in urban areas (5.2%).
Table 10.3: Percentage of households by type of construction materials of walls, roofs and floors of
the housing units, urban and rural areas
The results presented in Table 10.4 show that more than two-thirds of the households (68.7%) had
their cooking facilities located inside their houses. Only 22 percent of the households cooked in
a separate building and about 10 percent, outdoors. For these two most common locations,
the urban-rural difference is large. The proportion of households that had cooking facilities inside
their houses was higher in urban areas (80.3%) by 16.2 percentage points as compared to rural areas
(64.1%). However, the proportion of households that had a separate building for cooking was higher in
rural areas (25.6%) by 14.5 percentage points as compared to their urban counterparts (11.1%).
Table 10.4: Percentage of households by location of cooking facility, urban and rural areas
The number of rooms household members occupy is one of the indicators used to evaluate the
condition of overcrowding in the household. Crowding is calculated as the number of persons living in
the household per number of rooms or bedrooms available in the house. Overcrowding is defined as
being above a specific threshold (1.5 persons per room and 2 persons per bedroom).19 In this report,
overcrowding is defined as above 1.5 persons per room because the information on the number of
bedrooms was not collected in the survey. The rooms included in the survey were altar room,
bedroom, dining room, and living room. Kitchen, toilet or bathroom, balcony or terrace and rooms
used for business purposes were excluded.
Households that lived in one-roomed and two-roomed dwelling units made up about half of the total
households in Myanmar. Overall, the proportion of households decreases as the number of rooms
increases (Table 10.5).
19
Measuring Overcrowding in Housing, 2007, US Department of Housing and Urban Development
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Table 10.5: Percentage of households by number of rooms in the dwelling units, urban and rural
areas
Table 10.6 shows that almost half of the total households in Myanmar were living in overcrowded
housing units. The same proportion (about slightly less than 50%) of households in both urban and
rural areas can be considered to be living in overcrowded homes. However, overcrowding seems to
be more severe in urban areas than in rural areas. For example, 29 percent of households in urban
areas were living with more than 2 persons per room while this proportion in rural areas was about
26 percent.
All regions and states had overcrowded issues (living more than 1.5 persons in a room) with variation
in the degree of severity. Overcrowding rates were relatively higher in Tanintharyi (69.5%), Yangon
(61.7%), Mon (60.2%), Kayin (54.1%) and Chin (53.9%). Kachin, Nay Pyi Taw, Shan and Rakhine had
relatively lower proportion of about 40 percent.
Table 10.6: Average number of persons per room by State/ Region, urban and rural areas
Table 10.7 shows the level of overcrowding according to type of housing unit and tenure status of
households. The percentage of households that stayed in overcrowded housing units was relatively
low for households living in condominium (27.7%) when compared to households living in huts (over
60%).
Overcrowding was most common among households that were privately renting their housing units,
with 67 percent of households compared to 46 percent among those that owned their housing units.
Households living in government rented housing units or government quarters which were provided
free seem to be better off in terms of crowding (37% and 35%, respectively, were considered
“crowded” households) as compared with households in non-government owned or provided housing
units.
A large proportion of households in Myanmar used grid electricity as the main source of energy for
lighting. Table 10.8 reveals that, at the national level, slightly more than half (53%) of the households
used grid electricity, while about 29 percent used solar powered electricity. However, there were
substantial urban-rural differences; 9 out of 10 households in urban areas used grid electricity whereas
it was only about 4 out of 10 households in rural areas. That may be the reason why more households
in rural areas relied on the solar system (39.3%) than in urban areas (only 2.8%).
Table 10.9 suggests that a sizeable proportion of households in Myanmar were still using firewood
for cooking (53.3%), while 37.6 percent used grid electricity. The urban-rural difference for these two
types was quite large. About 73 percent of households in urban areas used grid electricity for cooking,
while it was only about 24 percent in rural areas. About 70 percent of the households in rural areas
used firewood for cooking while it was only about 13 percent in urban areas. It is interesting to note
that about 6 percent of the households in Myanmar used charcoal; this proportion was higher in urban
areas (about 10%) than in rural areas (about 5%).
Table 10.9: Percentage of households by type of cooking fuel, urban and rural areas
About 86 percent of households in Myanmar owned at least one mobile phone, 59.3 percent
television set, and 19.1 percent radio. As expected, there were some differences between urban and
rural areas in terms of the presence of such devices in the households. Presence of mobile phones in
the urban areas was 94.9 percent while 82.2 percent in rural areas. Presence of television sets in urban
areas was 83.3 percent against 50 percent in rural areas. Regarding internet access, at the national
level, 56 percent of households reported that they had access to the internet at home. This proportion
was 74.7 percent in the urban areas and 48.8 percent in rural areas. About 9 percent of the households
in Myanmar reported that they did not have any of the devices while only 0.3 percent reported that
they had all the devices listed. The proportion of households not having any of the items was higher in
rural areas (12%) than in urban areas (2.6%) (Table 10.10).
Table 10.10 highlights that 59.4 percent of total households in Myanmar owned a motorcycle/moped/
tuk-tuk while 36.7 percent owned a bicycle. However, only 7.8 percent of households owned a motor
vehicle such as car/pickup/truck/van. A large proportion of households in Myanmar were still using
bullock or horse cart (16.2%). This proportion was more pronounced in rural areas (21.9%) than in
urban areas (1.6%).
The 2019 ICS included a question on average annual income (in Lakhs) of all household members from
all sources. Responses showed that, at the national level, about 27 percent of the households reported
that their annual average household income was between 1.5 million and 3.0 million Kyats while about
26 percent between 0.5 million and 1.5 million Kyats. On the other hand, more than one-third of the
households had an annual income of at least 3.0 million Kyats. Only a little less than 10 percent of the
households belonged to the lowest income group (500,000 Kyats and below).
As expected, households in urban areas earned more than those in rural areas. Most of the
households in urban areas (37.1%) earned between 3.0 million and 6.0 million Kyats while those in
rural areas had only between 0.5 million and 1.5 million Kyats (31.4%).
At the regional level, although the average annual income of households varies widely, there were
some noticeable similarities among some states and regions. For example, the highest proportion of
Table 10.11: Percent distribution of household’s annual average earnings (Kyats), State/Region,
urban and rural areas
11.1.1 Accessibility
Drinking water may be contaminated with human or animal faeces containing pathogens, or with
chemical and physical contaminants with harmful effects on people’s health especially on child’s
health and development. While improving water quality is critical to prevent disease, improving the
accessibility and availability of drinking water is equally important, particularly for women and girls
who usually bear the primary responsibility for carrying water, often for long distances.
The distribution of households by main source of drinking water is shown in Table 11.1. Households
using improved sources of drinking water are those using any of the following types of supply: piped
water (into dwelling, compound, yard or plot, to neighbour, public tap/standpipe), tube well/borehole,
protected dug well, protected spring, rainwater collection, and packaged or bottled water or home
water purifier.
Improved drinking water source (%) Unimproved drinking water source (%)
Protected well/ spring
Borehole or tube well
Public tap/ standpipe
dwelling/compound/
Tanker-tanker/ Cart
with tank/ drum &
Unprotected well/
Piped water Into
plot/ neighbour
Total no. of
water purifier
Surface water
Area
Rainwater
households
Others
spring
Total
Total
UNION 11,162,510 10.9 6.0 27.3 14.1 2.0 21.7 82.1 3.2 2.3 12.4 17.9
Urban 3,120,314 11.1 2.2 14.9 6.1 1.1 57.1 92.4 0.8 3.1 3.7 7.6
Rural 8,042,196 10.9 7.5 32.1 17.2 2.4 8.0 78.1 4.1 2.0 15.8 21.9
In Myanmar, 82.1 percent of households had access to an improved drinking water source. The
proportion of households in the urban areas with access to an improved drinking water source was
The 2019 Inter-censal Survey
The Union Report 127
higher (92.4%) than in the rural areas (78.1%). Only 10.9 percent of households have access to piped
water. The most common source was borehole or tubewell (27.3%) with 32.1 percent of households
in the rural areas having this type of water source. On the other hand, the most common source in
the urban areas was packed or bottled water or home water purifier (57.1%). Among the unimproved
water sources, surface water (river, stream, dam, lake, pond, canal and irrigation) was the common
among the households (12.4%) especially in the rural areas (15.8%).
Drinking water
Service ladder Progressive realization
services
SDG 6.1 At least basic Drinking water from an improved source
Safely managed drinking which is located inside the user’s dwelling,
water plot or yard, available when needed and free
drinking water
services of faecal & priority chemical contamination,
services refers to such as arsenic & fluoride. Only faecal
either safely coliforms test was conducted for this survey.
managed or
Improved water basic drinking Drinking water from an improved source and
water collection time is not more than 30 minutes
sources: Piped Basic service
services for a roundtrip including queuing
water into dwelling/
yard/compound, Drinking water from an improved source and
Limited
public taps or collection time is over 30 minutes for a roundtrip
service
standpipes, tube including queuing
The distribution of households by drinking water services is shown in Figure 11.1. It is found that 81.7
percent of households in Myanmar have access to at-least basic drinking water services20 with 41.4
percent of the households using a safely managed drinking water service; that is, one located on
premises, available when needed and free from E-Coli contamination21 and 40.3 percent using only
a basic drinking water which is accessing an improved water source only within 30 minutes of water
collection time. Some 63.8 percent and 32.7 percent of households that used safely managed
drinking water services lived in urban and rural areas, respectively. Only 0.4 percent of households in
Myanmar spent over 30 minutes per round trip to collect water from an improved source (constituting
20
At least basic drinking water services refers to either safely managed or basic drinking water service
21
Only E-Coli test was conducted for drinking water at point of use in this 2019 Inter-censal Survey.
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a limited22 drinking water service). However, 5.5 percent of households use unimproved water sources
and 12.4 percent of households (3.7% in urban and 15.8% in rural) still collected drinking water directly
from surface water.
Figure 11.1: Proportion of household by status of drinking water services, urban and rural areas
UNION
Figure 11.2 shows that 71.5 percent of households in Myanmar got drinking water from improved
sources and were available when needed. About 65.3 percent of households got water from (87.0%
in urban and 56.9% in rural) improved sources located on premises, while 4.6 percent of households
in Myanmar got water from unimproved sources located on premises. In addition, 56.3 percent of
households got drinking water from improved sources which were free from E-coli contamination.
22
Drinking water from an improved source and collection time is over 30 minutes for a round trip including
queuing
The 2019 Inter-censal Survey
The Union Report 129
Figure 11.2: Proportion of households with improved, basic and safely managed drinking water
In Myanmar, 30.1 percent of households got their drinking water outside of their premises. This
was more common among the households in the rural areas (37.9%) than in the urban areas (9.8%).
Among households without access to drinking water on premises, two in five households reported
that both the male and female member of the households collected water from the source. However,
in three out of ten households, it was the female member who collected water. About 83 percent
of households (90% in urban and 80% in rural) in Myanmar had drinking water available in sufficient
quantities.
The survey also revealed that about 65 percent of households in Myanmar were drinking water free
from E-Coli contamination. Area wise, E-coli was detected in drinking water of 39.5 percent of
households in rural areas compared to 24.7 percent of households in urban areas. By State/Region
level, Kachin State reported by far, the lowest proportion of households (42.3%) using water free from
E-Coli. Rakhine State followed with 44.0 percent, while Kayah, Magway and Sagaing reported the
highest proportion of at least 75 percent.
Nine in ten households (92.3%) in urban areas had access to basic drinking water services while only
eight in ten households (77.5%) in rural areas (Figure 11.3)
By State/Region level, Rakhine State reported by far the lowest proportion of households (44.3%)
using a basic service (71.2% in the urban areas and 39.2% in the rural areas). The second lowest State
was Ayeyawady Region with 65.3 percent (77.9% in urban and 63.4% in rural), while Nay Pyi Taw,
Mandalay, Sagaing, and Kachin reported the highest proportions with at least 90 percent. In addition,
one in two households in Rakhine State (23.8% in urban and 54.7% in rural) and three in ten
households in Ayeyawady Region (8.4% in urban and 32.4% in rural) drew water from surface water
such as river, stream, dam, lake, pond, canal and irrigation for drinking. The distribution of the households
by type of drinking water services is shown in Figure 11.3.
The 2019 Inter-censal Survey
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Figure 11.3: Proportion of households with access to at least basic drinking water services by
State/Region
UNION
11.2 Sanitation
11.2.1 Accessibility
Unsafe management of human excreta and poor personal hygiene are closely associated with
diarrhoea as well as parasitic infections, such as soil transmitted helminths (worms). Improved
sanitation and hygiene can reduce diarrhoeal disease by more than a third and can substantially
reduce the health impact of soil-transmitted helminth infection and a range of other neglected tropical
diseases which affect over 1 billion people worldwide.
An improved sanitation facility is defined as one that hygienically separates human excreta from
human contact. Improved sanitation facilities include flush or pour flush to piped sewer systems,
septic tanks or pit latrines, ventilated improved pit latrines, pit latrines with slabs and composting
toilets. Table 11.2 shows the proportion of households by type of toilet facilities and whether they are
classified as improved or unimproved.
(Open Defecation)
Flush to pit latrine
Container based
slab/ Open pit
septic tank
pit latrine
Total no. of
Area
Total
Total
households
UNION 11,162,510 26.1 59.2 1.6 4.5 91.4 1.0 1.6 0.3 0.8 4.9 8.6
Urban 3,120,314 51.9 42.0 1.1 2.8 97.9 0.5 0.4 0.2 0.3 0.6 2.1
Rural 8,042,196 16.1 65.9 1.8 5.2 88.9 1.2 2.1 0.3 1.0 6.5 11.1
In Myanmar, 91.4 percent of households have access to an improved sanitation facility (97.9% of
urban households and 88.9% of rural households). However, only 26.1 percent of households have a
flush toilet linked to a sewer system or septic tank. On the other hand, 8.6 percent of households used
an unimproved sanitation facility (2.1% of urban households and 11.1% of rural households). About
5 percent of all households still practiced open defecation (dispose of faeces in fields, forests, bushes,
open bodies of water, beaches or other open spaces), with higher proportion in the rural areas (6.5%).
flush to: piped sewer Limited service Use of improved sanitation facilities which are shared with two or
more households
system; septic tank;
Use of pit latrines without a slab or platform and pits are not
pit latrine, ventilated
Unimproved covered properly to protect fly entering, hanging latrines and bucket
improved pit (VIP) latrines
Figure 11.4: Proportion of households by status of sanitation services, urban and rural areas
UNION
Only 2.4 percent of households (7.6% in urban and 0.3% in rural) used a service provider for emptying
and removal of excreta from septic tanks to treatment site while 16.8 percent of households never
emptied the septic tanks. Less than one percent of households used a service provider to empty and
remove excreta from other improved sanitation facilities (latrines and container based sanitation) and
about 17.8 percent buried in a covered pit. About 45 percent of households never emptied the on-site
sanitation facilities.
About 84 percent of households using improved on-site sanitation systems (including shared)
practiced safe disposal in situ of excreta and 4.1 percent of households removed excreta for treatment
off-site (Figure 11.5).
The distribution of the households by at-least basic sanitation services by State/Region is shown in
Figure 11.6. By State/Region level, Rakhine State reported by far the lowest proportion of households
(54.8%) that used a basic sanitation service (87.7% among urban households and 48.6% among rural
households). The second lowest State/Region were Mandalay (76.3%) and Yangon (77.7%). In
addition, Rakhine reported the highest proportion of households (31.7%) that practiced open
defecation. Kayin State followed with 9.7 percent of households.
UNION
11.3 Hygiene
11.3.1 Accessibility
Handwashing with water and soap is the most cost-effective health intervention to reduce both the
incidence of diarrhoea and pneumonia in children under five. It is most effective when done using
water and soap after visiting a toilet or cleaning a child, before eating or handling food and before
feeding a child. Direct observation of hand washing behaviour was not done during the ICS as it will
consume much time for interviewer to complete the interview. Instead, interviewers were asked to
see the place where people wash their hands and observe whether water and soap (or other local
cleansing materials) were available at this place.
Figure 11.7: Proportion of households by status of basic hygiene services, urban and rural areas
UNION
In Myanmar, 72.3 percent of households use a basic handwashing service with a handwashing facility
on premises with soap and water including 75.7 percent of urban households and 71.0 percent of rural
households while 22.3 percent of households use a limited service meaning a handwashing facility
is available (having a specific place for hand washing), but lacking water and/or soap. In addition, no
handwashing was observed in 4.9 percent of households (3.1% in urban and 5.6% in rural). The
distribution of the household by basic hygiene services by State/Region is shown in Figure 11.8.
UNION
By the State/Region level, Nay Pyi Taw reported the lowest proportion of households (67.2%) with
handwashing facility with soap and water followed by Ayeyawady (67.6%) and Bago (68.9%). On the
other hand, the highest proportion was recorded in Kayin (80.6%).
11.4.1 Accessibility
Only 17.5 percent of households had access to formal service provider for solid waste collection (53.1
percent in urban areas and 3.6 percent in rural areas) while 56.7 percent of households disposed their
solid waste in designated area or within household premises or buried/burned them.
Moreover, 22.3 percent of households disposed their solid waste elsewhere and other (6.9% of
urban households and 28.3% of rural households). The distribution of households by type of solid
waste disposal services and methods is shown in Table 11.3.
By State/Region level, Ayeyawady Region reported the lowest proportion of households (7.4%) that
had access to formal service provider for solid waste disposal followed by Chin State (8.0% of
households). The highest proportion were in Yangon and Mandalay (both had 27.8%) (Figure 11.9).
Figure 11.9: Proportion of households by type of solid waste disposal services and methods,
State/Region
UNION
Age: Number of years a person has lived at their last birthday in reference to the conducting date and
time of enumeration for 2019 ICS. When the age was not known, interviewers were trained to use
other ways of establishing the age of the respondent, including calendars of events, conversion tables,
etc. The interpretation of age information is given below: a) The 0 (less than 1) year olds are those
whose age is less than one year. b) The 1 year olds are those aged 1 year or more but less than 2 years.
c) The 0-4 year age group are those aged less than 5 years. d. The 5-9 year age group are those aged
5 years and more but less than 10 years. e. The group 90+ included those aged 90 years or older.
Ageing Index: refers to the number of elders per 100 persons younger than 15 years old in a specific
population.
Age-specific fertility rate (ASFR): measures the annual number of live births to women of a specified
age or age group per 1,000 women in that age group. An age-specific fertility rate is generally
computed as a ratio. The numerator is the number of live births to women in a particular age group
during a period of time, and the denominator is an estimate of the number of person-years lived by
women in that same age group during the same period of time. It is expressed as births per 1,000
women.
Child marriage: refers to any formal marriage or informal union between a child under the age of 18
and an adult or another child. It is measured as the percentage of women 20–24 years old who were
first married or in union before they reached the age of 18 years.
Conventional household: A conventional household includes one or more persons who are either
related or unrelated and share living quarters (single quarter or compound) and meals. The household
members would be eating food prepared from the same cooking pot. In most cases, there would be
one person acknowledged by the household members as the head of the household.
Crude birth rate (CBR): indicates the number of live births per 1,000 population in a given year.
Crude death rate (CDR): is simply the number of deaths occurring during the year per 1,000
population in a given period.
Dependency ratio: The total dependency ratio is the ratio of dependents (people younger than 15
years and older than 64) to the population of working-age (age 15-64).
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Disability: is a situation where a person is at a greater risk than the general population of experiencing
restrictions in performing routine activities (including activities of daily living) or participating in roles
(such as work) if no supportive measures are offered. The difficulties covered in the 2019 ICS included:
a. Seeing (vision difficulties or problems of any kind even when wearing glasses);
b. Hearing (hearing limitations or problems of any kind even when using a hearing aid);
c. Walking or climbing (limitations or problems of any kind getting around on foot or lifting
items by hand, problems of climbing steps or lifting objects or gripping);
d. Remembering or concentrating (difficulties in doing their daily activities, slow learning
development making it hard to compete with their counterparts at school or other mental
conditions);
e. Self-care (problems with taking care of themselves independently such as washing all over
or dressing);
f. Communication (problems with talking, listening or understanding speech such that it
contributes to difficulty in making themselves understood to others or understanding others).
Employee: A person who performs work for somebody else in return of payment in cash or in kind.
Included in this group are wage/salary-earners, paid apprentices, casual workers, persons who are
working on a piece rate, etc.
Employer (His/her own business with employees): Persons who run business on their own work or
with one or more partners, including a farm, etc. and who hire paid employees on regular basis while
doing so, are considered to be employers.
Employment: Persons in employment are defined as all those of working age who, during a reference
period of seven days, were engaged in any activity to produce goods or services for pay or profit at
least one hour.
General fertility rate (GFR): a refined measure of fertility, is defined as the number of live births per
1,000 women aged 15-49 in a given year.
Handwashing facilities: can consist of a sink with tap water but can also include other devices such
as buckets with taps, tippy-taps and portable basins that contain, transport or regulate the flow of
water. Water and soap such as bar soap, liquid soap, powder detergent and soapy water are available
at home.
Helping without pay in a household/family business: Persons who work without receiving a wage or a
salary in the market-oriented establishment/farm operated by a related person (usually a person living
in the same household). Such persons cannot be regarded as a business paretner.
Housing unit/Dwelling unit: A housing unit is a place of abode or a residence occupied by one or more
households. A housing unit must have a private entrance. As mentioned above, there can be one or
several housing units within a structure.
Improved sources of drinking water: include piped water into dwelling, piped water into compound/
yard or plot, public taps, standpipes, tube wells, boreholes, protected dug wells and springs, rainwater,
and packaged or bottled water/home water purifier.
Improved toilet facilities: include any toilet of the following types: flush/pour flush toilets to piped
sewer systems, septic tanks, and pit latrines; ventilated improved pit (VIP) latrines and pit latrines with
slabs.
Infant mortality rate (IMR): The number of deaths to infants before they reach one year of age, per
1,000 live births in the same period.
In-migrant (or immigrant): is a migrant who has moved into a migration defining area.
In-migrantion rate: is the number of in-migrants arriving at a destination per 1,000 population of that
destination in a given year.
Life expectancy at birth: shows the overall mortality level of a population. It summarizes the mortality
pattern that prevails across all age groups - children and adolescents, adults and the elderly.
Lifetime migrants: in this survey are defined as those persons who have moved between Townships at
any time since their birth (including those who returned to their Township of birth in the interval from
birth to the date of the Survey).
Literacy: The ability to read and write a simple sentence in any language with understanding.
Marital status: Status of the enumerated person in relation to the institution of marriage. The marital
status was described by four categories: Single/never married, married, widowed and divorced/separated.
Mean household size: Mean household size is the ratio of the total population in households to the
number of households in an area.
Median age: The age that divides a given population numerically in half. Fifty percent of the
population is younger than the median age and 50 percent of the population is older than the median age.
Net migration rate (net out-migration/In-migration rate): is for any place and time interval, the
in-migration rate minus the out-migration rate. A positive (negative) net migration rate signifies an
increase (decrease) in population as a result of migration. If a net migration rate is negative, its
absolute value (the number less the sign) is a net out-migration rate.
Numeracy: The ability to do simple addition and subtraction calculation without using calculator or phone.
Out-migrant (or emigrant): is a migrant who has moved out of a migration defining area.
Out-migrantion Rate: is the number of emigrants departing an area of origin per 1,000 population of
that area of origin in a given year.
Out of labour force: Persons outside the labour force are those of working age who were neither in
employment nor in unemployment in the short reference period.
Overcrowding: is defined as being above a specific threshold (1.5 persons per room and 2 persons
per bedroom). Crowding is calculated as the number of persons living in the household per number of
rooms or bedrooms available in the house.
The 2019 Inter-censal Survey
142
The Union Report
Own account worker: This refers to a self-employed person who does not hire paid employees on a
regular basis. Own account worker may work on their own, or with one or more partners, and engage
unpaid family workers to run a business or farm, etc. A person working for commission should also be
categorized as an own account worker.
Parent support ratio: is the number of persons aged 85 and over per 100 persons aged 50-64.
Place of birth: is the administrative township which was the usual place of residence of the mother at
the time of the person’s birth. In the case of person born outside Myanmar, the place of birth is the
country where the person was born.
Place of previous residence: is administrative township where a person usually lived before moving
to the current residence. In cases where a person has not moved, the place of current residence and
previous residence are the same.
Place of usual residence: is the administrative township where a person has lived for more than 6
months or she/he intends to live for more than 6 months.
Population density: is the number of persons per unit of land area, usually quoted per square
kilometer or square mile.
Potential support ratio: is the number of persons aged 15-59 per number of persons aged 60 and over.
Relationship to the head of household: Household members are defined by their relationship to the
head of household (e.g. spouse, child, sister, brother).
Rural area: Areas classified by the General Administration Department (GAD) as village tracts.
Generally these are areas with low population density and a land use which is predominantly
agricultural.
School attendance: is defined as regular attendance at any regular accredited educational institution
or programme, public or private, for organized learning at any level of education at the time of the
survey.
Sex ratio: The number of males for every 100 females in a population.
Singulate mean age at marriage (SMAM): is the average length of single life expressed in years among
those who marry before age 50.
The 2019 Inter-censal Survey
The Union Report 143
Structure: is a building used for the purposes of residential, business, religious or any other activity.
Only structures used for residential purposes were included in the 2019 Inter-censal Survey (2019 ICS).
A structure can contain one or several housing units.
Total fertility rate (TFR): in simple terms, refers to the total number of children born or likely to be
born to a woman in her lifetime if she were subject to the prevailing rate of age-specific fertility in the
population.
Total marital fertility rate (TMFR): is defined as five times the sum of the age-specific marital fertility
rates. It is interpreted as the mean number of children that a woman would eventually have if she got
married at age 15, survived to the end of the childbearing period.
Under-five mortality rate (U5MR): The number of children who died before reaching five years of age,
per 1,000 live births in the same time period.
Unemployment: Persons in unemployment are defined as all those of working age who were not in
employment, carried out activities to seek employment during a specified recent period and were
currently available to take up employment given a job opportunity.
Urban area: Areas classified by the General Administration Department (GAD) as wards. Generally
these areas have an increased density of building structures, population and better infrastructural
development.
Whipple’s index
Whipple’s index is calculated by adding the number of all persons in the age range 23-62, who have
reported their age as ending in 0 and 5, and dividing this sum by the total population aged 23-62,
and multiplying this result by 5. The result is expressed as a percentage which ranges between 100
(indicating no preference for age reporting ending in 0 and 5) and 500 (all persons report their age
ending in 0 and 5). If the Whipple’s Index score is less than 105, the data are described as being very
accurate; between 105 and 110, fairly accurate; between 110 and 125, approximate; between 125 and
175, rough; and over 175, very rough.23
The Myer's Blended Index is similar to the Whipple’s Index, except that it considers preference (or
avoidance) for ages ending in any number from 0 to 9. The theoretical range of the index is from 0 to
90, where 0 indicates no age heaping and 90 indicates every age reported ending in the same digit.24
United Nations (1955). Manual II: Methods of appraisal of quality of basic data for population estimates.
23 & 24
The United Natons Age-Sex Accuracy Index is to evaluate the quality of reported age-sex
distribution in five-year age groups. This index is calculated as three times the average of sex-ratio
differences plus the average of the deviations from 100 of male and female ageratios. Census
age-sex data are described by the United Nations as “accurate,” “inaccurate,” or “highly inaccurate”
depending on whether the UN index is under 20, 20 to 40, or over 40.25
The Methods and Materials of Demography (Second edition) Edited by Jacob S. Siegel David A. Swanson
25
Table SE3: Estimated total number of life-time migrants and its standard errors by State/Region
Table SE5: Estimated total fertility rate and its standard errors by State/Region
Table SE7: Estimated crude death rate and its standard errors by State/Region
According to the United Nations Age-Sex Accuracy Index, the accuracy of 2019 ICS age data was 11.2
which can be considered as “accurate”. The Whipple’s Index shows that 2019 ICS can be defined as
“very accurate”(102.1). Again, Myer’s index indicated that the Age-Sex accuracy of 2019 ICS was 0.87
for the Union, in which 0.88 for males and 0.94 for females. Those indices indicate that the age
heaping and accuracy of age data collected for 2019 ICS was within the standardized limit.
Government Coordination
U Win Zaw Aung Director General, Department Overall administration and
of Population (DOP) coordination
U Htein Win Deputy Director General, Overall administration and
Department of Population coordination
(DOP)
Dr. Khaing Khaing Soe Director, DOP Administration, coordination and
quality control
UNFPA Coordination
Authors
Dr. Nyi Nyi UNFPA Consultant Lead Author
Daw Khin Myo Khine Deputy Director, DOP Assisting Author, Population and
Housing sessions
Daw Myo Pa Pa Than Staff Officer, DOP Assisting Author, Population and
Housing sessions
Daw Tin Tin Lay Staff Officer, DOP Assisting Author, Population and
Housing sessions
U Ye` Lin Naing Assistant Immigration Officer, Assisting Author, Population and
DOP Housing sessions
U Zaw Min Latt Deputy Director, DOP Assisting Author, Migration
session
Daw Hlaing Phwe Thu Staff Officer, DOP Assisting Author, Migration
session
Daw May Thu Nyo Deputy Director, DOP Assisting Author, Education and
Labour Force sessions
Daw Aye Theingi Win Staff Officer, DOP Assisting Author, Education and
Labour Force sessions
Mr. Juste Nitiema Consultant, World Bank Data editing and programming
Daw Wai Wai Hlaing Zin Assistant Immigraion Officer Generation of tables
Sampling
Daw Thi Thi Nwe Assistant Director, DOP Assiting in weighting and
sampling error calculation
Designer