HEALTH SITUATION HEALTH SITUATION IN MONGOLIAIN MONGOLIA

N.Sumberzul M.D., Ph.D.N.Sumberzul M.D., Ph.D.U.Ganchimeg M.D., MPHU.Ganchimeg M.D., MPH School of Public Health, School of Public Health, Health Sciences University of MongoliaHealth Sciences University of Mongolia

Country profile (2004)Country profile (2004)

Territory Territory 1.56 million sq. km 1.56 million sq. km Population Population 2 533 1202 533 120Population in urban areas (%)Population in urban areas (%) 5757Growth rate per 1000 populationGrowth rate per 1000 population 11.6311.63GDP per capita (thousands tugrics)GDP per capita (thousands tugrics) 717.7717.7Poverty rate (%)Poverty rate (%) 31.631.6Adult literacy rate (%)Adult literacy rate (%) 98.9 98.9

Source: MoH (2005) Health indicators 2004. p 104 Enkhtuya.B.and others(2005) Current situation of Mongolian macro economy. Capital Market No.6 (90) 2005., p 5UNFPA (2005) World population 2005. p 102

-200 -100 0 100 200 -200 -100 0 100 200

Age groups

70<

65-69

60-64

55-59

50-54

45-49

40-44

35-39

30-34

25-29

20-24

15-19

10-14

5-9

0-4

+

1989 2000

male malefemale female

Demographic pyramid by age group and sexDemographic pyramid by age group and sex

Source: NSO (2000) Population and household census-2000Source: NSO (2000) Population and household census-2000

Life expectancy at birthLife expectancy at birth 6464

Infant mortality rate per 1000 live birthsInfant mortality rate per 1000 live births 22.8222.82

Under 5 mortality rate per 1000 live births Under 5 mortality rate per 1000 live births 29.1129.11

Maternal mortality rate per 100 000 live birthsMaternal mortality rate per 100 000 live births 98.698.6

Health indicators in 2004Health indicators in 2004

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

The life expectancy at births,in years, both sexes, 1989-2002

56

58

60

62

64

66

68

70

72

741989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

years

Kazakhstan Kyrgyzstan Tajikistan

Turkmenistan Uzbekistan Mongolia

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

The life expectancy at birth,in years, both sexes, 1989, 1996 and 2002

58

60

62

64

66

68

70

72

1989

1996

2002

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

Infant deaths per 1000 life births, 1985-2002

0

10

20

30

40

50

60

70

80

1985 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002

Kazakhstan Kyrgyzstan Tajikistan

Turkmenistan Uzbekistan Mongolia

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

Infant deaths per 1000 live births 1990, 1996 and 2002

26.6930.19

40.41

45.15

34.28

63.42

16.91

21.07

16.57

30.42

0

10

20

30

40

50

60

70

Kazakhstan Kyrgyzstan Tajikistan Turkmenistan Uzbekistan Mongolia

1990

1996

2002

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

Maternal deaths per 100000 live births, 1985-2002

0

50

100

150

200

250

300

1985

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

Kazakhstan Kyrgyzstan Tajikistan

Turkmenistan Uzbekistan Mongolia

Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia 

Maternal deaths per 100000 live births, 1990, 1996 and 2002

54.7762.88

41.79 42.2834.12

118

51.9458.41

44.9932.68

124

0

20

40

60

80

100

120

140

160

180

200

1990

1996

2002

Structure of maternal death by level of Structure of maternal death by level of health care service, 2004 health care service, 2004

Soum andintersoum hospital

General hospital ofaimag (province)

Ulaanbaatar

At home

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

38 %

25 %

30 %

7 %

MGNMGN KYRZKYRZ KAZKAZ TURKTURK TAJ TAJ UZBUZB

11

22

33

44

55

MGNMGN KYRZKYRZ KAZKAZ TURKTURK TAJ TAJ UZBUZB

11 2-12-1

22 3-23-2 3-23-2

33 5-35-3 2-32-3

44 +4+4 +4+4 5-45-4

55 1-51-5 4-54-5

Sources: WHO. Health for All Database, European Region; Health Indicators, MoH and National Center for Health Development, 2001 and Health Statistics, National Center for Health Development, 1990-2000

Diseases of the circulatory system

Malignant neoplasm

Injury, poisoning and certain other consequences of external causes

Diseases of the digestive system

Diseases of the respiratory system

Infectious and Parasitic disease

The main causes of deathThe main causes of death

The main causes of mortality by age group, 2004The main causes of mortality by age group, 2004

NoNo Age groups Age groups (years)(years)

The main cause of mortalityThe main cause of mortality

11 0-4 0-4 Perinatal pathologyPerinatal pathology

Diseases of respiratory systemDiseases of respiratory system

22 5-195-19

20-4420-44

Injury, poisoning and certain other Injury, poisoning and certain other consequences of external causesconsequences of external causes

33 45-6445-64

65<65<

Diseases of circulatory systemDiseases of circulatory system

NeaplasmaNeaplasma

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

Causes of malignant neoplasma death, 2004Causes of malignant neoplasma death, 2004

CausesCauses Percentage Percentage Per 10 000 Per 10 000 populationpopulation

Per 10 000 Per 10 000 male male populationpopulation

Per 10 000 Per 10 000 female female populationpopulation

Liver cancerLiver cancer 44.044.0 4.74.7 5.65.6 3.93.9

Stomach cancer Stomach cancer 14.814.8 1.61.6 2.12.1 1.11.1

Lung cuncerLung cuncer 11.711.7 1.21.2 2.02.0 0.50.5

Cervix uteri cancerCervix uteri cancer 7.27.2 0.60.6 -- 0.60.6

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

Structure of death caused by accident, Structure of death caused by accident, injury and certain other consequences of External causesinjury and certain other consequences of External causes

Traffic accident

suicide

killed by others

Other

20.4 %20.4 %

17.1 %17.1 %

14.1 %14.1 %

44.9 %44.9 %

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

The main causes of morbidity, 2004The main causes of morbidity, 2004

NoNo DiseasesDiseases Per 10 000 Per 10 000 populationpopulation

11 Disease of the respiratory systemDisease of the respiratory system 859.48859.48

22 Diseases of the digestive systemDiseases of the digestive system 741.11741.11

33 Diseases of the genito-urinary systemDiseases of the genito-urinary system 684.73684.73

44 Diseases of the circulatory systemDiseases of the circulatory system 504.38504.38

55 Injury, poisoning and certain other Injury, poisoning and certain other consequences of external causesconsequences of external causes

369.69369.69

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

The main 5 causes of morbidityThe main 5 causes of morbidity (per 10 000 population), 1999-2004(per 10 000 population), 1999-2004

0

100200

300

400500

600

700

800900

1000

1999 2000 2001 2002 2003 2004

Diseases ofrespiratorysystem

Diseases ofgenito-urinarysystem

Injury

Diseases ofdigestive system

Diseases ofcirculatorysystem

The main causes of inpatient morbidity, 2004The main causes of inpatient morbidity, 2004

NoNo DiseasesDiseases Per 10 000 Per 10 000 populationpopulation

11 Diseases of the genito-urinary systemDiseases of the genito-urinary system 353.81353.81

22 Disease of the respiratory systemDisease of the respiratory system 338.10338.10

33 Diseases of the digestive systemDiseases of the digestive system 308.97308.97

44 Diseases of the circulatory systemDiseases of the circulatory system 286.06286.06

55 Diseases of nervous systemDiseases of nervous system 123.09123.09

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

The main registered infectious diseases, The main registered infectious diseases, per 10 000 population (1999-2004)per 10 000 population (1999-2004)

0

510

15

2025

30

35

4045

50

1999 2000 2001 2002 2003 2004

Trichomoniasis

Viral hepatitis

Gonococcal infection

Tuberculosis

Shigellosis

Source: MoH (2005) Health indicators-2004 Source: MoH (2005) Health indicators-2004

National programsNational programs

1. Health Education of Population 1998-20052. Oral Health of Population 2000-20053. Reproductive Health 2002-20064. Reduction of Infectious Diseases 2002-20105. Reduction of Malignant Neoplasm 1997-20056. Physical Strengthening of Population 2002-20087. Prevention from Accident and Injury 2002-20088. Prevention from Iodine Deficiency Disorders 2002-20069. Mental Health 2002-200710.Development of Natural Mineral Water Sanatorium 2003-201011.Soum Hospital Development 2002-200812.Development of Health Technology 2003-2008

Thank you Thank you for your attention.for your attention.