W.H.O. PROJECTS IN MONGOLIA
FOR 2006-2007 BIENNIUM
1. Expanded Programme On Immunization and Vaccine development
Expected results
1. Support provided for strengthened surveillance system for measles, rubella, and acute flaccid paralysis (AFP)
Indicators
1. Number of laboratory-confirmed cases of measles, rubella, and AFP reported on regular bases.
2. Emergency preparedness and response
Expected results
1. Support provided for capacity building of senior health managers in selected aimags in health emergency preparedness and management.
Indicators
1. Proportion of health managers trained in health emergency management.
3. Epidemic alert and response (CSR)
Expected results
1. Support provided to establish active surveillance and response system in targeted areas.
2. Support provided to capacity-building of aimag and soum health workers on epidemic response.
Indicators
1. Number of sentinel sites with active surveillance system in place.
2. Proportion of health workers trained on epidemic response.
4. Violence, injuries and disabilities.
Expected results
1. Support provided to establish and strengthen a national surveillance system for injuries, violence, and disabilities.
2. Support provided to strengthen intersectoral collaboration on injury and violence prevention
Indicators
1. National surveillance system for reporting injuries, violence, and disabilities functional.
2. Number of agencies, other than health, involved in planning and implementing injury and violence prevention programmes.
5. Environmental Health
Expected results
1. Support provided to assess, plan, and implement a safe water and sanitation programme in selected soum health facilities.
2. Support provided to assess, plan, and implement safe care waste disposal in remote health care facilities.
3. Support provided for expansion of healthy cities/workplace/soums.
4. Support provided to strengthen occupational diseases and injury surveillance.
Indicators
1. Percentage of soum health facilities with improved water sanitation facilities.
2. Number of model health care waste disposal facilities established.
3. Number of cities/workplaces/soums implementing healthy sites initiatives according to national guidelines.
4. Functional surveillance system for occupational diseases.
6. Child And Adolescent Health
Expected results
1. Support provided to aimags and soums with high perinatal mortality in strengthening health workers and midwives capabilities in essential newborn care.
2. Support provided to introduce essential newborn care course into medical and nursing curriculum.
3. Support provided to integrate IMCI in remaining aimags and soums.
4. Support provided to expand community IMCI among aimags and soums.
5. Support provided to build capacity of health workers and expand ADFHS in targeted aimags.
Indicators
1. Percentage of priority districts and soums with at least 75% of health workers trained on essential newborn care course (ENCC).
2. Percentage of medical and nursing schools with curriculum incorporating essential newborn care course and teaching the student accordingly.
3. Proportion of trained health workers on IMCI in targeted aimags and soums.
4. Number of communities involved in IMCI activities.
5. Proportion of trained health workers on ADFHS.
7. Making pregnancy safer
Expected results
1. Support provided to build capacity of health workers, especially in remote areas, on maternal and neonatal health care.
2. Support provided to expand integrated Mother-and Baby-friendly Hospital Initiative.
3. Support provided to strengthening midwifery services in high MMR aimags and soums.
4. Support provided to strengthen supervisory systems for maternal and child health.
Indicators
1. Proportion of aimags and soums with health care workers trained on essential care practice guide (ECPG), managing complications in pregnancy and childbirth (MCPC), and pregnancy, childbirth, postpartum and newborn care (PCPNC).
2. Number of mother-and baby-friendly hospitals established according to national guidelines.
3. Proportion of high MMR aimags and soums with trained midwives.
4. Proportion of soums with regular supervisory visits based on supervision guidelines.
8. Surveillance, prevention and management of chronic non-communicable diseases
Expected results
1. Strengthened surveillance system for NCD risk factors.
2. Support provided for development of an integrated NCD prevention and control plan.
3. Support provided for capacity building of health and related staff on NCD prevention and management.
4. Support provided to build capacity of primary health care workers on visual and hearing prevention and management.
Indicators
1. NCD risk factor surveillance reports published at regular intervals.
2. National Plan for NCD and cancers approved.
3. Proportion of NCD staff trained on NCD prevention and management.
4. Proportion of primary health care workers trained on primary eye care.
9. Mental Health
Expected results
1. Support provided for the establishment of a surveillance system for mental health and substance abuse.
2. Community-based mental health programmes expanded.
3. Support provided for capacity building of health and other sector staff on alcohol and other substance abuse prevention and control.
Indicators
1. Functional surveillance system for mental health and substance abuse established.
2. Number of community-based mental and rehabilitation programmes in place.
3. Number of staff trained on alcohol and substance abuse prevention and control.
10. Health financing and social protection
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.
11. Health system policies and service delivery
Expected results
1. Support provided to build the capacity of aimag and soum health managers in PHC planning, management, and evaluation.
2. Support provided for evaluation of specific health care programmes on PHC at aimag and soum levels.
3. Support provided for effective donor coordination within the framework of sector-wide approach (SWA) and collaborate as a parallel funded activity with UNDP, World Bank.
Indicators
1. Proportion of aimag and soum health managers trained on PHC based on revised curriculum.
2. Number of PHC programmes reviewed using standard guidelines for programme evaluation.
3. Proposal for donor coordination mechanism based on SWAp developed and accepted by the Ministry of Health and donors in the health sector.
12. Human Resources For Health
Expected results
1. Support provided to expand nursing leadership and management training to selected aimags and soums.
2. Support provided to improve and strengthen human resources database to include aimag and soum level health workers for developing appropriate health workforce health plans.
3. Support provided to review the preservice curriculum of nursing and general physicians so that appropriate training is provided for effective implementation of the national health plan.
Indicators
1. Number of senior nurses trained on nursing leadership and management.
2. Up-to-date health workforce data from aimags and soums available for planning human resources for health.
3. Revised curriculum of nurses and general physicians training available.
13. Health information, evidence and research policy
Expected results
1. Support provided to develop and test specifications/regulations for both paper-based and electronic medical records for a national medical record system.
2. Support provided for capacity building of health workers in information management and use of information and evidence in decision-making.
3. Support provided for capacity-building of staff on health research, public information sharing, use of medical school library, and use of the Ministry of Health website for information sharing.
Indicators
1. Electronic medical record regulation approved.
2. Number of health statisticians and managers trained on information management and use in decision-making.
3. Number of researcher publications posted on the Ministry of Health website.
14. Tobacco
Expected results
1. Support provided to review tobacco legislation and regulation in line with FCTC.
2. Support provided for capacity building of staff of the Ministry of Health and other sectors on tobacco control and implementation of FCTC.
3. Support provided to develop a national plan of action for tobacco control.
Indicators
1. Draft revised law and regulation on tobacco control.
2. Number of trained staff available for FCTC implementation.
3. Draft national tobacco control plan.
15. Food Safety
Expected results
1. Support provided to develop a food contaminant and surveillance system.
2. Support provided to strengthen the intersectoral committee and team on WHO/FAO Codex Standards.
Indicators
1. Functional system for regular reporting of food borne diseases in place.
2. Functional national Codex committee and team.
16. Health Promotion
Expected results
1. Support provided for the establishment of national health promotion foundation.
2. Support provided for capacity building of the Ministry of Health and other sectors so that they can plan, implement, and evaluate health promotion programmes for better health.
3. Support provided for the development of appropriate IEC and behavior change materials for targeted populations.
Indicators
1. National Health Foundation established.
2. Proportion of health and other sector staff trained on health promotion.
3. Number of educational materials published and distributed.
17. Nutrition
Expected results
1. Strengthened capacity of health workers to prevent and manage micronutrient deficiencies (MNs) and protein-energy malnutrition (PEM) in women and children.
2. National dietary guidelines reviewed/revised and national policy on diet and physical activity developed and disseminated.
Indicators
1. Plan developed to more effectively address Ms and PEM in women and children.
2. National workshop held to develop national policy on diet and physical activity.
18. Essential health technologies
Expected results
1. Support provided to improve blood transfusion services in selected regional and aimag health facilities.
2. Support provided to develop and implement guidelines, standards, and policies to strengthen medical equipment management and maintenance systems.
3. Support provided to expand the essential emergency surgical care training programme to selected aimags and soums.
Indicators
1. Proportion of regional and aimag health facilities with good-quality blood transfusion services.
2. Number of guidelines and standards developed and approved for implementation.
3. Number of aimags and soums using WHO training materials and assessment criteria for essential emergency surgical care programme.
19. Essential Medicines
Expected results
1. Support provided to improve access to essential medicines, especially to rural health facilities.
2. Support provided to strengthen regulatory and quality assurance system for essential medicines.
3. Support provided to improve rational and cost-effective use of essential medicines by providers and consumers.
4. Support provided for the development of traditional medicine and practice.
Indicators
1. Proportion of rural health facilities (soum and bags) with adequate supply of essential medicines.
2. Number of essential drug regulations approved.
3. Proportion of health workers prescribing appropriate use of antibiotics.
4. Number and type of traditional medicines used in the country. |
