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NCD SITUATION IN MONGOLIA. J.BATJARGAL. PhD DIRECTOR, NUTRITION RESEARCH CENTER, PUBLIC HEALTH INSTITUTE. Demographics. Mongolia is the fifth largest country in Asia. A total area of 1.6 million square kilometres Population - 2.78 million
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NCD SITUATION IN MONGOLIA J.BATJARGAL. PhD DIRECTOR, NUTRITION RESEARCH CENTER, PUBLIC HEALTH INSTITUTE
Demographics • Mongolia is the fifth largest country in Asia. • A total area of 1.6 million square kilometres • Population - 2.78 million • Population density – 1.7 persons per square kilometre • In 2010, 36.7% of the population were residing in rural areas.
Structure of organizations involved in NCD prevention services
Prevalence of NCDs and their risk factors in Mongolia and trends • Diseases of the circulatory system,neoplasms and injuries have remained the leading causes of mortality since 1995. • In 2010, the leading causes of mortality per 10 000 population; • circulatory system diseases 23.61 • neoplasms 13.02 • injuries and poisonings 10.11 • The health statistics for 2010 • CVD 37.7% • Cancer 20.8% • Injuries & poisonings 16.1%
STEPS (2009), 1 in 4 (26.4%) Mongolian adults and I in 2(53.8%) adults above 45 years of age have high risk of NCDs. • High blood pressure 62.7% • Overweight & obese 53.6% • High cholesterol level 40.5% • Current smoking 27.5% • Diabetes 6.3% • (STEPS 2005vs2009); Smoking, physical inactivity, hypertension, diabetes and hypercholesterolemia remained stable, while fruit and vegetable consumption decreased and prevalence of overweight increased over the years.
MAIN ACHIEVEMENTS • * National NCD Prevention and Control Programm, 2006 -2013 ( it’s implementation stage-) • * Evidence making on NCD risk factors • STEPS survey 2005 • STEPS survey 2009 • NCD KAP survey 2011 • GSHS survey 2010 • TC survey 2009 • * Local capacity building, research team • (NCD Steering Committee, intersectoral research team) • * Taxation of tabacco and alhocol ( 2% ) • * MCA Mongolia HEALTH PROJECT (2008-2013) (USA government funded) • (a) NCDI Capacity Building Activity • (b) NCDI Prevention Activity • (c) NCDI Early Detection Activity.
CHALLENGES that have been faced • # Inter-sectoral partnership • (at the ministerial or policy level) • # Integrated NCD prevention and Control activities (at the programm implementation level) • # Human resource • (policy implementation, monitoring & evaluation, implementation level) • # Data application and effective policy implementation
LESSONS LEARNED • ^ Structure ??? • (programm implementation, execution, M&E) • ^ Shortness in capacity and human resources • (at all related level) • ^ Inspection and effective monitoring of policy actions and program implementation
NEXT STEPS TO BE DONE • > Fostering appropriate structure on NCD prevention and control activities • > Capacity building (with MCA) • > Nationwide community based NCD prevention and control activities (sustainable)
THANK YOU FOR YOUR ATTENTION batjar_j@hotmail.com