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MPHPA Annual Brief Report 2017

Strategic Goal 1: To participate and advocate in the development, implementation and evaluation of evidence-based public health policies and programs

1.1   Social Marketing Planning to Prevent Harmful Alcohol and Tobacco Usages and Road Traffic Injuries

Based on the request of World Health Organization in Mongolia, two social marketing plans were developed in June 2017.

Strategic Goal 2: To support knowledge, skills and capacity of health professionals

2.1   Open Medical Institute program implementation

In collaboration with American-Austrian Foundation (AAF), MPHPA continually administers Salzburg Medical Seminars and Observership programs in Mongolia since 2004.  The program aims to create mid-career level, doctors from countries in transition to Western medical knowledge and technology through participation in multiple short-term continuing medical educational programs, thereby building local capacity.

Up to 2017, more than 450 fellowships were awarded to young physicians, who have attended seminars, and 50 of them have also participated in one-month observership in Austrian and American hospitals, where they could observe new treatment protocols and technology and experience modern health care and hospital management.  For more information, please see the following link:

http://www.aaf-online.org/index.php/open-medical-institute.html

2.2   Training on Counselling and Prevention of Non-Communicable Diseases 

Five ‘two-day trainings’ have been organized on “Modern counselling services to patients” to over 160 health care workers in Khuvsgul and Gobisumber aimags (provinces) in February and August 2017.  

The health care workers including doctors, nurses and social workers have been trained and gained methodology on counselling services to patients, risk factors of non-communicable diseases, exercising, stress management, preventing from harmful alcohol and tobacco usage which they have been practiced during the trainings.

Knowledge of the participants evaluated before and after the training. Average score of the pre-training test approximately were 40% and post training tests score increased to up to 75% respectively. 95% of the trainees were satisfied with the training and 100% of the trainees responded that the most efficient part of the trainings was the practice section.

 

Strategic Goal 3: To develop collaboration between local and international organizations in order to protect and promote Mongolians’ health

3.1   Evaluation of “Better Health – Better City” (BHBC) Project in Mongolia

On December 1st 2017, an evaluation agreement was approved between MPHPA and National Foundation for the Centers for Diseases Control and Prevention (CDCF) for BHBC project.

The BHBC project aims to improve blood pressure control and reduce cardiovascular complications among at risk populations by addressing hypertension through interventions across the cascade of care – from prevention, screening, diagnosis, care and management – in an integrated and multidisciplinary approach.

Since December 2017, MPHPA has been implementing evaluation for BHBC project under the consultancy of CDC Foundation-Global evaluator of the BHBC project. CDC Foundation is responsible for overall global evaluation framework, and provides technical advice to local contractor and shares evaluation outcomes with other partner organizations either locally or internationally.

The purpose of the evaluation project is to assess the level of progress, achievement, effectiveness, impact and sustainability of the BHBC project in UB through appropriate methodology of evaluation; and to provide evidence-based feedback to the implementing partner and other related stakeholders.  

As the local contractor, MPHPA is responsible for evaluation process of the BHBC project including systematically collecting the local data, its process, analyzing and reporting the results to the CDC Foundation.

3.2   Social Accountability Project

“Leaving No One Behind in The Health Care Services project” in Govisumber aimag and "Participatory Health Services" project in Khuvsgul aimag were implemented by local non-governmental organizations under MPHPA consultation for ten months in 2017.  This was funded by World Bank and Swiss Agency for Development and Cooperation.

The project aim was to improve health care services in the both provinces through participation of civil society organizations and local citizens. 

The project has been implemented with active collaboration with stakeholders, including Governor’s Office, Aimag Health Department, Aimag General Hospital (AGH), Family Health Centers (FHCs), local community and other government and non-governmental organizations.

In Khuvsgul aimag:

According to respondents from the aimag, Khuvsgul has a constant influx of temporary residents who stay at the aimag center (particularly in Murum Soum) for over then ten months. Those temporary residents typically end up needing access to health services in the aimag center, instead of the soum health clinic where they are formally registered. Residents who are not registered in the aimag center are unable to obtain mandatory health care from the FHCs of Murum Soum since the bills they incur for medical services are supposed to be charged against the budget of the FHC/soums of their place of residency and not that of Murum’s FHC.

Totally 6782 temporary residents have been identified for registration who lived in Murun soum of the Khuvsgul province more than ten months. MPHPA helped them to be registered and receive health care and other governmental services. This was achieved after several times advocacy meetings to resolve the issue at aimag level. The outcome was that the Citizens’ Representative Khural approved Resolution No.138 “Implementing action for temporary residents” on October 11th 2017 and allocated additional seven million tugrik (MNT) for five FHCs to provide the above services to the temporary residents. 

In Gobisumber aimag:

Aimag General Hospital (AGH) and Family Health Center (FHC) were evaluated by community and civil society organizations through Citizens Score card (CSC) to improve healthcare services based on needs of the vulnerable group. Evaluation team assessed on the ethics and behavior of medical personnel, professional skills and capacity, access to information on health services and programs, and time spent for/during medical appointments of health services of the AGH. FHC was assessed for the ethical behavior and attitude of medical personnel, sufficiency of human resources, and the implementation of the referral system. 

The local evaluation team conducted face-to-face meetings among the related specialists of Governor Office, Head of Health Department, staff, doctors and head of AGH, 4 local NGOs and 5 citizens on 30th May 2017.  During the meeting, participants discussed a service improvement plan in accordance with results and recommendations of the CSC and collaborated with AGH and FHC after meeting.

The assessment was repeated between August and September 2017 for AGH and FHC. In terms of AGH, ethics and behavior of medical personnel were improved by 16.3 scores (from 41.4 up to 57.7 scores), professional skills were improved by 16.1 scores (from 41.6 up to 56.7 scores), access to information on health services and programs was improved by 22.1 scores (from 28.5 up to 50.6 scores) and time spent for/during medical appointments was improved by 17.3 scores (from 31.4 up to 48.7 scores). Regarding the FHC, ethical behavior and attitude of medical personnel were improved from 55 up to 66 scores and sufficiency of human resources were improved from 49 until 62 scores. (all scores are in percentage).

Moreover, MPHPA more focused on the improvement of ethics among the health workers of the AGH and FHC. “Ethics and leadership of the health service managers”, “Ethics, communications and behavior of the healthcare workers”, “Legal framework of the health care services” trainings were organized for the health care workers in cooperation with Ethics Committee of the Healthcare Workers, Ministry of Health.    Also in order to empower the Heads of the Branches of the Ethics Committee of the Healthcare Workers “Capacity building of the members of the branches of the Ethics Committee of the Healthcare workers” Consultation meeting has been held. Finally based on the recommendation of the Consultation meeting participants, “Regulation of the branches of the Ethics Committee of the Healthcare workers” has been approved on 30 June 2017.

 

 

 

 

 

2018-11-22 04:07:44 Уншсан 361 Хэвлэх

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