MONGOLIA

W.H.O. PROJECTS IN MONGOLIA
FOR 2004-2005 BIENNIUM

Expected results
1. Support provided for strengthened vaccine-preventable diseases control and response
2. Support provided to improve laboratory work in the control of vaccine-preventable diseases
Indicators
1. Implementation of vaccine-preventable diseases control plan by the National Centre for Communicable Diseases
2. Number of laboratory diagnostic tests conducted by the Ministry of Health

2. Stop Tuberculosis

Expected results
1. Support provided for strengthened TB control
Indicators
1. Number of active public campaigns on TB implemented

3. Sexually Transmitted Infections, including HIV/AIDS

Expected results
1. Support provided for strengthened STI and HIV/AIDS control and response
Indicators
1. National campaign on World AIDS Day conducted on 1 December 2004 and 2005

4. Communicable Disease Surveillance And Response

Expected results
1. Support provided for improved communicable disease surveillance
2. Support provided for strengthened communicable diseases control and response
3. Support provided for improved laboratory work on communicable diseases
Indicators
1. Surveillance training system fully functioning
2. Number of disease control plans that include active public campaigns and rapid diagnostic systems implemented by the National Centre for Communicable Diseases and the Centre of Infectious Diseases with Natural Foci
3. Number of diagnostic laboratory tests for vaccine-preventable diseases and zoonotic diseases conducted by the Ministry of Health

5. Healthy Settings And Environment

Expected results
1. Support provided for improved programmes for medical and health services for the elderly
2. Support provided for improved quality, accessibility of health care for the aged
3. Support provided for activities of government, NGOs and communities on health promotion and protection of the elderly
4. Support provided for expansion of Healthy Cities programme and health promoting activities
Indicators
1. Number of standards and guidelines on medical and health services for the elderly developed and distributed for implementation
2. Programme for health services for the elderly is promoted nationwide, with textbook and guidelines provided
3. Number of government health personnel trained on health promotion and protection of the elderly
4. Number of Health Cities programme implemented

6. Injury Prevention

Expected results
1. Support provided for implementation of the national programme on injury prevention
Indicators
1. Number of advertisements on injury prevention in mass media

7. Environmental Health

Expected results
1. Support provided for improved intersectoral collaboration and community participation in environmental health
Indicators
1. Intersectoral plan on environmental health developed

8. Child And Adolescent Health And Development

Expected results
1. Support provided to improve capacity health personnel on case management
2. Support provided to improve health system support on IMCI
3. Support provided for family and community practice related to IMCI
Indicators
1. Proportion of health workers in aimags implementing IMCI that have been trained in IMCI
2. Number of districts and aimags implementing IMCI that receive IMCI modules, chart booklets, wall-charts, and IMCI equipment and supplies
3. Proportion of districts that receive IMCI health education messages.

9. Child And Adolescent Health And Development

Expected results
1. Support provided to promote adolescent-friendly health services (AFHS)
2. Support and training provided to improve capacity of health personnel for adolescent health services at aimag and district levels
3. Support provided to develop and integrate adolescent health and development issues into education curricula
4. Support provided to improve cooperation and networks between health and social service providers.
Indicators
1. AFHS developed and implemented at aimag and district levels
2. Number of aimags provided with guidelines on adolescent health services
3. Adolescent health and development issues integrated into curricula of basic education
4. Master plan for collaboration between organizations providing health and social services developed and distributed for implementation

10. Reproductive Health

Expected results
1. Improved obstetric and perinatal care
2. Safe care for unavoidable terminations
3. Improved management of major causes of maternal morbidity
Indicators
1. Number of personnel working in obstetric and perinatal care in aimags trained on clinical management
2. A system on management of unavoidable termination using manual vacuum aspiration established
3. Number of provinces using guidelines on management of gynaecological disorders

11. Noncommunicable Diseases And Mental Health

Expected results
1. Support provided for improvement of NCD programme management and implementation capacity
2. Support provided for development of IEC materials and IEC activities in NCD programme strengthened
3. Support provided for intersectoral collaboration in prevention and control of NCDs
4. Support provided to improve the capacity of PHC workers in control of NCD risk factors.
5. Support provided to improve the quality of NCD services and rehabilitation
6. Support provided to establish a system on NCD risk factor surveillance
Indicators
1. Number of people trained in NCD programme management and implementation
2. Number of national trainers trained in IEC activities
3. Number of intersectoral meetings and workshops
4. Number of staff trained in early detection and control of NCD risk factors.
5. Number of specialists trained in NCD rehabilitation
6. Establishment of NCD monitoring and surveillance team with approved terms of reference and work planes

12. Noncommunicable Diseases And Mental Health

Expected results
1. Support provided to improve awareness of mental health issues
2. Support provided to improve training of health workers in community-based mental health care.
3. Support provided to review and update the training curriculum in psychiatry/mental health both at the Medical University and the Medical Colleges
Indicators
4. Number of teachers who have participated in training of mental health promotion
5. Number of PHC physicians, psychiatrists and nurses trained in community based mental health care.
6. Introduction of a revised curriculum at the Medical University and the Medical College

13. Health Systems Development And Financing

Expected results
1. Support provided to improve knowledge and skills on hospital planning and management.
2. Technical support provided to promote appropriate involvement of private providers in provision of hospital services and adequate management of service contracts.
3. Support provided to improve hospital registration and internal information database.
4. Support provided to improve capacity in health economics and financial management of health services.
5. Technical support provided to develop medical services quality assurance plans, procedures, standards and quality indicators.
6. Support provided to improve capacity of managers and specialists responsible for medical services quality.
7. Support provided for improved implementation of programme on medical services quality.
8. Support provided to improve procurement, supply, management and maintenance of medical equipment.
9. Support provided for better methods and tools for financial planning and monitoring. Indicators
1. Number of hospital managers and members of management boards trained in hospital management.
2. Contract performance evaluation results (number and type of services contracted, improved patient satisfaction).
3. Available and appropriate data for health insurance funding and output-based budgeting.
4. Number of financial managers and health insurance staff who have training in health economics and/or health financial management.
5. National standards and indicators on medical service quality developed.
6. Number of managers and specialists receiving annual training sessions on medical services quality.
7. A national conference on medical services quality organized.
8. A system of maintenance and repair of medical equipment.
9. Availability of proper planning, monitoring and costing guidelines and methodologies.

10. Health Technology And Pharmaceuticals

Expected results
1. Support provided for implementation of national drug policy.
2. Support provided for rational use of drugs.
3. Support provided to improve capacity of managers on drug policy development and implementation.
Indicators
1. Number of levels of health services reporting the implementation of activities based on the national drug policy.
2. Number of levels of the health service receiving guidelines on rational use of drugs and national essential drug list.
3. Number of managers and pharmacists trained on drug policy development and implementation.

4. Accessibility And Quality Of Health Services

Expected results
1. Support provided for local production of laboratory test kits.
2. Support provided for a national supply system for laboratory test kit.
3. Support provided for training of medical personnel from soum health centers in the use laboratory test kits produced in country.
4. Support provided for improved practice of laboratory services
Indicators
1. Number of test kits produced.
2. Number of test kits distributed.
3. Number of soum health centre staff trained to use laboratory test kits produced in country.
4. Guidelines on standard laboratory operating procedures developed.

5. Human Resources For Health

Expected results
1. Support provided to improve capacity of rural health personnel.
2. Support provided to improve health human resources allocation.
3. Support provided for improvement of health human resources management.
Indicators
1. Number of rural health personnel trained.
2. Documentation of job placement and job description for health workers developed.
3. Number of health managers at primary and secondary levels trained.

4. Health Information And Evidence For Policy

Expected results
1. Support provided to improve managerial capacity for health statistics.
2. Support provided for introduction of information technology.
3. Support provided to improve the capacity of researchers in statistical analysis.
4. Support provided to improve the capacity of researchers in research methodology.
5. Support provided to improve access to research findings.
6. Support provided to improve the capacity of health decision-makers and researchers in evidence-based decision-making.
Indicators
1. Percentage of part-time health statisticians.
2. Number of hospitals with local area networking in Ulaanbaatar and in aimags.
3. Proportion of all aimags sending monthly, quarterly and annual reports electronically.
4. Number of researchers trained in statistical analysis.
5. The average number of health research articles by Mongolian researchers published in internationally recognized journals.
6. Number of Mongolian health research materials accessed on the Internet.
7. Number of health researchers and decision-makers trained in evidence-based decision-making and evidence-based medicine.