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Addressing Non-Communicable Diseases in Mongolia: Challenges, Achievements, and Future Steps

Explore the prevalence of NCDs in Mongolia, organizational structures, key achievements like the NCD Prevention Program, and challenges faced. Learn about lessons learned and future steps towards NCD prevention and control.

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Addressing Non-Communicable Diseases in Mongolia: Challenges, Achievements, and Future Steps

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  1. NCD SITUATION IN MONGOLIA J.BATJARGAL. PhD DIRECTOR, NUTRITION RESEARCH CENTER, PUBLIC HEALTH INSTITUTE

  2. 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.

  3. Structure of organizations involved in NCD prevention services

  4. 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%

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. 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)

  10. THANK YOU FOR YOUR ATTENTION batjar_j@hotmail.com

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