|Title||Health promotion and ncd prevention in mongolian health care facilities: experiences of the clients|
|Keywords||NCD services evaluation, Mongolia, clients|
|Abstract||Objective: The present Facility Based Impact Study (FBIS) aims to gather information on the current practice of health facilities in Mongolia in terms of NCD prevention and health promotion services, as well as to enable for the comparison of the results of this baseline study with a later follow-up study to evaluate the impact of the currently implemented NCD Prevention Project in Mongolia (MCA-Mongolia). As part of the comprehensive study a client survey was integrated to evaluate the NCD services from the clients’ perspective.|
Methods: Multi-stage stratified (urban and rural) sampling was used to select 194 primary and 18 secondary health care facilities. 1108 clients of these facilities were selected; including 861 clients from primary and 247 from secondary health care level. Structured face-to-face interviews were conducted applying a short standardized questionnaire to evaluate the provision of NCD services and the performance of health professionals and facilities based on the clients’ perceptions and experiences.
Results: Chronic conditions (41.8%) and preventive services (37.9%) were the major causes of clients’ visits to the facilities. The majority of them had received advices on healthy diet (94.6%) and hypertension (73.1%), half on physical activity and a quarter on breast and cervical cancers. During the past year measurements of blood pressure (74.4%), blood glucose (31.4%), and blood cholesterol (23.3%) were performed for the clients. PAP tests and breast examinations were conducted for around one quarter of women. Many clients participating in risk factor measurements and screening activities stated that they had not received proper information on the purpose of the activity and the results. Only about half of the clients (46.6%) received IEC material on healthy life-styles from the health facilities.
Conclusions: From the clients’ perspective the quality and coverage of NCD services provided in Mongolia is limited and lack the consequent information of clients.
|Last name||First name||Organization||Country|
|Nyamjav||Sumberzul||Health Science University of Mongolia||MN||nsumberzul [ätt] yahoo.com|
|Nanjid||Khuderchuluun||School of Public Health, HSUM||MN||nhuderchuluun [ätt] yahoo.com|
|Ochir||Chimedsuren||School of Public Health, HSUM||MN||suren_och [ätt] yahoo.com|
|Maximenco||Elena||EPOS Health Management||DE||elena.maximenco [ätt] ncdi-epos.mn|
|Jousilahti||Pekka||National Institute for Health and Welfare, THL||FI||pekka.jousilahti [ätt] thl.fi|
|Graeser||Silke||EPOS Health Management||DE||graeser [ätt] uni-bremen.de|
|Shagdarsuren||Oyunbileg||EPOS Health Managemtn||DE||oyunbileg.shagdarsuren [ätt] ncdi-epos.mn|
|Luvsandugar||Gerelmaa||MCA Mongolia Health Project||MN||gerelmaa [ätt] mca.mn|
|Mueller||Annefried||EPOS Health Management||DE||annefried.mueller [ätt] epos.de|