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Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

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Page 1: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy
Page 2: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Location: Between Russia and China

Population: 2. 867.7

Area: 1.500.000 sq.km

Density: 1.75 per sq. Km

Total Fertility Rate: 2,7

Population Growth: 2.0%

Life expectancy: 74.32 F; 64.9 M

GDP per capita: 5,400 USD

• Climate: sharp continental, 4 seasons (-30-35 January; + 28-32C in

July) Source: Health Statistics, DoH, 2012

Page 3: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy
Page 4: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

The commitment of the Government to reducing poverty and

improving the reproductive health and well-being of the

population is reflected in the Government Action Plan (2012-

2014),

the National MDGs,

the Health Sector Master Plan (2005-2015),

the Maternal Mortality Reduction Strategy (2000-2004,2005-2010),

the State Population Development Policy (2004-2015),

The third National Reproductive Health Programme (2007-2011),

and the Fourth National Reproductive Health Programme

(2012-2016).

Page 5: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Knowledge

Behavior

of people

Accessible

Quality of

Health care

Social factor:

Quality of life

Migration…

Extragenital diseases,

pre- eclampsia and

eclampsia, bleeding, sepsis

Page 6: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Established an essential medicines list (EML) including all

the modern contraceptives and the 10 priority reproductive

health medicines.

all service of RH are to provide distance learning on EmOC.

adolescent health centers in 21 aimags (province)

established the maternity rest room in each soum health center

and aimags

set up the referral mechanism

a regional sub-office in western Mongolia, the first UnitedNations organization in the country to do so

an extensive training and re-training programme on family

planning

Page 7: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

A care service package on RH in primary health care

All RH service delivery points (SDPs)

Participation of NGOs, religious groups, of local community leaders

and volunteers

Community based intervention

IEC/BCC activities using mass, interpersonal and social media

Page 8: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Service network

Ulaanbaatar

Regional Diagnostic &Treatment Center

Aimag General Hospital

Soum general Hospital

Intersoum Hospital

Soum Hospital

Page 9: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Products: reproductive health commodities and life-savingmaternal medicines, BCC - mobile communication systems,flour, rice, paunch, candle, match within bags and boxes

Price: by Governmment and NGO–free of charge and cost

Place: public place as governor’s ward of khoroo, bagh, bank,shopping center, water hole, soum (330) and family healthcenter (221) and NGOs are market appropriate place

Promotion: Medical devices/equipment and supplies, trainingand re-training, logistic management, health care servicepackage in primary care and plus behavior changecommunication based on different need of people should bescope of key messages to promote market segment.

Page 10: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

87.3% of all mothers had at least 6 times check-ups during

pregnancy.

0.3% of total births were home births.

The maternal mortality ratio from 199 maternal deaths per

100,000 live births in 1990 to 50.8 in 2012. (reduced 4

times since 1990).

In 2012, 54.4% of women used the modern methods of

contraception, and this is similar to the outcomes of

programme “Child development 2010”, which surveyed

married and living with partners women aged 15-49 years

on use of contraception (55%).

Page 11: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy
Page 12: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

62.759.8 57.446.8 44.6 40.4 40.2 35.4 38.1

31.2 30.2 30.423.5 22.8 20.8 19.8 17 17.8

19.7 19.3 16.3 15.3

93.887.8

82.7

67.862.3

56.3 55.648.8 47.8 49.03

40.8 39.331.3

29.5 26.1 24 22 23.423.5 24.5

20 18.7

0

20

40

60

80

100

120

140

160

180

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

U5MR IMR

Page 13: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

The government budgetary allocations of family planning,

RH related programmes increased year by year (by $, 2008-

2013 years).

$0

$20

$40

$60

$80

$100

$120

2008 он2009 он

2010 он2011 он

2012 он2013 он

$0

43.78158.33

94.436

57.9

112.000

Page 14: Between Russia and Chinaswachhtakipehel.com/images/knowledgehub/Khandarmaa... · the National MDGs, the Health Sector Master Plan (2005-2015), the Maternal Mortality Reduction Strategy

Challenges

Challenges during long winter