|Title||Human Resources For Health Promotion And Ncd Prevention In Mongolian Health Care Facilities: Staff, Training And Level Of Knowledge|
|Keywords||Millennium Challenge Account-Mongolia, NCD, FBIS, health promotion|
|Abstract||Objective: The goal of the Millennium Challenge Account-Mongolia (MCA-Mongolia) Health Project is to reduce morbidity due to Non-Communicable Diseases (NCD) through capacity building interventions on the level of health facilities. This Facility-Based Impact Study (FBIS) focuses on assessing the current situation in the facilities, including the human, material and other resources, and the facilities’ preparedness for the provision of NCD related preventive and follow-up services. |
Methods: Based on multi-stage stratified (urban and rural) sampling 194 primary and 18 secondary health care facilities 938 primary and 208 secondary health care facility staff members were selected. Quantitative structured questionnaires were applied for the data collection evaluating the capacity, participation in trainings, management, and coordination. Additionally a multiple choice questionnaire was used to evaluate the NCD related knowledge of the staff.
Results: More than half of doctors from the primary health facilities assessed the number of staff in their institutions (59.9%), skills of staff (53.5%), knowledge (51%), management (60.4%) and coordination (65.4%) as “fair” or “poor”. Less than half (44.6%) of secondary health facilities’ managers, and coordinators rated the NCD prevention skills in their departments as sufficient. Additionally around half of all health professionals stated a shortage of staff, and limitations in terms of time to be allocated for NCD prevention. About half of the primary health care doctors and nurses, and one third of managers had not participated in any NCD related training in the past year. Results from the assessment of the knowledge questionnaires showed that most of the professionals reached only 50-60% of the maximum score, illustrating a significant lack of NCD knowledge.
Conclusions: Quantity and quality of staff is a critical factor for successful NCD prevention and health promotion, and particular emphasis should be put on staff job descriptions, management, coordination, and continuous training.
|Last name||First name||Organization||Country|
|Ochir||Chimedsuren||School of Public Health||MN||suren_och [ätt] yahoo.com|
|Nanjid||Khuderchuluun||School of Public Health||MN||nhuderchuluun [ätt] yahoo.com|
|Adiya||Munkhtaivan||MCC. Health project||MN||monkhtaivan [ätt] mca.mn|
|Graeser||Silke||EPOS Health Management||DE||silke.graeser [ätt] ncdi-epos.mn|
|Maximenco||Elena||EPOS Health Management||AM||elena.maximenco [ätt] ncdi-epos.mn|
|Jousilahti||Pekka||National Institute of Health and Welfare, THL,||FI||pekka.jousilahti [ätt] thl.fi|
|Shagdarsuren||Oyunbileg||MCA-Mongolia Health Project||MN||oyunbileg.shagdarsuren [ätt] ncdi-epos.mn|
|Luvsandugar||Gerelmaa||MCA-Mongolia Health Project||MN||gerelmaa [ätt] .mca.mn|