Healthcare facilities in Mongolia, 2007 Specialized hospitals 15 Regional diagnostic and treatment centers 3 “aimag” general hospitals 18 9 District general hospitals Rural general hospitals 4 35 “intersoum” hospitals 288 “soum” hospitals Family group practices 229 857 Private clinics (Source NCHD)
Healthcare figures, 2009 Per capita health expenditure (PPP int. $) 167 4.7 Health expenditure as % of GDP Life expectancy at birth 69 27.6 Physicians per 10,000 population Nurses & midwives per 10,000 population 35 Health financing comes from state and regional budget after some decentralization reforms took place in the early 1990s, international grants and loans and out-of-pocket payments. In 1994 a health insurance system was added to integrate funding for healthcare but in 2005 it covered only 77.6% of the population. Expanding coverage is difficult due to bureaucracy, wide informal sector, high levels of internal migration and poor quality of health services undermining people’s willingness to get insured. Compulsory universal coverage was introduced by the 2002 revision of the Health Insurance Law and since 2006 a package of essential services is provided to all citizens, whether or not they are insured, through state financing, including public health, prevention and primary care services, as well as treatment in “soum” hospitals, infectious disease control structures and ambulance services.
According to the above mentioned report, the current situation of the health system resembles that of other developing countries as most resources are directed towards inpatient care and hospital services due to funding mechanisms based on bed capacity and traditional managing habits. In an interview appeared in the online magazine AsiaOne, Mongolia’s Vice-Minister for Health, Dr Tsolmon, stated that the most pressing challenges for the country’s health system is the poor status of transportation infrastructure that makes timely diagnosis difficult, and lack of quality equipment in hospitals.
Infodent International 3/2012
Other health services, referred to as complementary package, are covered under social health insurance, higher co-payments and user fees and donor funds; these services are mainly delivered at the secondary and tertiary level of care.
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