NONCOMMUNICABLE DISEASE PREVENTION AND CONTROL IN MONGOLIA- A POLICY ANALYSIS

Author(s)

Chimeddamba O1, Peeters A2, Walls H3, Joyce C1
1School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia, 2Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia, 3London School of Hygiene and Tropical Medicine, London, UK

OBJECTIVES: Noncommunicable diseases (NCDs) are the major global causes of morbidity and mortality. In Mongolia, a number of health policy documents have been developed targeting the prevention and control of noncommunicable diseases. This paper aimed to evaluate the extent to which NCD-related policies introduced in Mongolia align with the World Health Organisation 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of NCDs (Action Plan). METHODS: We conducted a qualitative review of policy documents introduced by the Government of Mongolia from 2000 to 2013.  A literature review, internet–based search, and expert consultation identified the policy documents. Information was extracted from the documents using a matrix, mapping each document against the six objectives of the Action Plan and five dimensions: data source, aim and objectives of document, coverage of conditions, coverage of risk factors and implementation plan. 40 NCD-related policies were identified. RESULTS: Prevention and control of the common NCDs and their major risk factors as described by WHO were widely addressed as were the objectives of the Action Plan. It appears that each objective of the WHO 2008-2013 NCD Action Plan was well addressed. Many documents included explicit implementation or monitoring frameworks. Areas less well or/and not addressed were chronic respiratory disease, physical activity guidelines and dietary standards. CONCLUSIONS: The Mongolian Government response to the emerging burden of NCDs is a population-based public health approach which includes a national multisectoral framework and integration of NCD prevention and control policies into national health policies. Our findings suggested gaps in addressing chronic respiratory disease, physical activity guidelines, specific food policy actions restricting sales advertising of food products, and a lack of funding specifically supporting NCD research. Future research should explore the effectiveness of national NCD policies and the extent to which the policies are implemented in practice.

Conference/Value in Health Info

2015-05, ISPOR 2015, Philadelphia, PA, USA

Value in Health, Vol. 18, No. 3 (May 2015)

Code

PHS157

Topic

Health Service Delivery & Process of Care

Topic Subcategory

Health Care Research

Disease

Multiple Diseases

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