HEALTH SITUATION IN MONGOLIA
N.Sumberzul M.D., Ph.D. U.Ganchimeg M.D., MPH School of Public Health, Health Sciences University of Mongolia
Country profile (2004)
Territory Population Population in urban areas (%) Growth rate per 1000 population GDP per capita (thousands tugrics) Poverty rate (%) Adult literacy rate (%)
1.56 million sq. km 2 533 120 57 11.63 717.7 31.6 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 5 UNFPA (2005) World population 2005. p 102
Demographic pyramid by age group and sex
Age groups
70<
65-69 60-64 55-59 50-54
male
female
male
female
45-49
40-44 35-39 30-34 25-29
20-24
15-19 10-14 5-9 0-4
+
-200
-100
0
100
200
-200
-100
0
100
200
1989
2000
Source: NSO (2000) Population and household census-2000
Health indicators in 2004
Life expectancy at birth Infant mortality rate per 1000 live births Under 5 mortality rate per 1000 live births Maternal mortality rate per 100 000 live births
64 22.82 29.11 98.6
Source: MoH (2005) Health indicators-2004
The life expectancy at births,in years, both sexes, 1989-2002
74 72 70 68
years
66 64 62 60 58 56
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Kazakhstan Turkmenistan
Kyrgyzstan Uzbekistan
Tajikistan Mongolia
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
2002
The life expectancy at birth,in years, both sexes, 1989, 1996 and 2002 1989
72 70 68 66 64 62 60 58
1996 2002
az ak hs ta n
yr gy zs ta n
Ta jik is ta n
zb ek is ta n
en is ta n
rk m
K
K
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
Tu
U
M on
go lia
Infant deaths per 1000 life births, 1985-2002
80 70 60 50 40 30 20 10 0
1985 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Kazakhstan Turkmenistan Kyrgyzstan Uzbekistan Tajikistan Mongolia
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
Infant deaths per 1000 live births 1990, 1996 and 2002 1990
70 63.42 60
1996 2002
50 40.41 40 30.19 30 26.69 21.07 20 16.91
45.15
34.28 30.42
16.57
10
0 Kazakhstan Kyrgyzstan Tajikistan Turkm enistan Uzbekistan Mongolia
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
Maternal deaths per 100000 live births, 1985-2002
300
250
200
150
100
50
0
1985
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Kazakhstan Turkmenistan
Kyrgyzstan Uzbekistan
Tajikistan Mongolia
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
2002
Maternal deaths per 100000 live births, 1990, 1996 and 2002
200 180 160 140
118 124
1990 1996 2002
120 100 80 60 40 20 0
az ak hs ta n yr gy zs ta n Ta jik is ta n zb ek is ta n en is ta n M on go lia
54.77 51.94 62.88 58.41 41.79 44.99 42.28 34.12 32.68
rk m
K
K
Sources: WHO. Health for All Database, European Region; Health sector 2002, MoH, Mongolia
Tu
U
Structure of maternal death by level of health care service, 2004
7%
Soum and intersoum hospital General hospital of aimag (province) Ulaanbaatar At home
30 %
38 %
25 %
Source: MoH (2005) Health indicators-2004
The main causes of death
MGN KYRZ KAZ
TURK
TAJ
UZB
MGN
KYRZ
KAZ
TURK
TAJ
UZB
1 2 3 4
1 2 3
4
2-1 3-2 5-3 3-2 2-3
+4 +4 5-4
4-5
5
5
1-5
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
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
The main causes of mortality by age group, 2004
No Age groups (years) The main cause of mortality
1 2
3
0-4 5-19 20-44
45-64 65<
Perinatal pathology Diseases of respiratory system Injury, poisoning and certain other consequences of external causes
Diseases of circulatory system Neaplasma
Source: MoH (2005) Health indicators-2004
Causes of malignant neoplasma death, 2004
Causes
Percentage Per 10 000 population Per 10 000 male population Per 10 000 female population
Liver cancer
Stomach cancer
44.0
14.8
4.7
1.6
5.6
2.1
3.9
1.1
Lung cuncer
Cervix uteri cancer
11.7
7.2
1.2
0.6
2.0
-
0.5
0.6
Source: MoH (2005) Health indicators-2004
Structure of death caused by accident, injury and certain other consequences of External causes
20.4 % 44.9 %
17.1 %
Traffic accident suicide killed by others Other
14.1 %
Source: MoH (2005) Health indicators-2004
The main causes of morbidity, 2004
No
1 2
Diseases
Disease of the respiratory system Diseases of the digestive system
Per 10 000 population
859.48 741.11
3 4 5
Diseases of the genito-urinary system Diseases of the circulatory system Injury, poisoning and certain other consequences of external causes
684.73 504.38 369.69
Source: MoH (2005) Health indicators-2004
The main 5 causes of morbidity (per 10 000 population), 1999-2004
1000 900 800 700 600 500 400 300 200 100 0
1999 2000 2001 2002 2003 2004
Diseases of respiratory system Diseases of genito-urinary system Injury
Diseases of digestive system Diseases of circulatory system
The main causes of inpatient morbidity, 2004
No
1 2
Diseases
Diseases of the genito-urinary system Disease of the respiratory system
Per 10 000 population
353.81 338.10
3 4 5
Diseases of the digestive system Diseases of the circulatory system Diseases of nervous system
308.97 286.06 123.09
Source: MoH (2005) Health indicators-2004
The main registered infectious diseases, per 10 000 population (1999-2004)
50 45 40 35 30 25 20 15 10 5 0
1999 2000 2001 2002 2003 2004
Trichomoniasis Viral hepatitis Gonococcal infection Tuberculosis Shigellosis
Source: MoH (2005) Health indicators-2004
National programs
1. Health Education of Population 2. Oral Health of Population 3. Reproductive Health 4. Reduction of Infectious Diseases 5. Reduction of Malignant Neoplasm 6. Physical Strengthening of Population 7. Prevention from Accident and Injury 8. Prevention from Iodine Deficiency Disorders 9. Mental Health 10.Development of Natural Mineral Water Sanatorium 11.Soum Hospital Development 12.Development of Health Technology 1998-2005 2000-2005 2002-2006 2002-2010 1997-2005 2002-2008 2002-2008 2002-2006 2002-2007 2003-2010 2002-2008 2003-2008
Thank you for your attention.