Health and medical care sector is one of the areas, in which the great difference in accessibility and quality of services provided in rural and urban regions is evident in Mongolia. One of the consequences of different health-care standard is, for example, the yearly increase in cases of the five most frequent diseases responsible for mortality in rural areas. Another example is the fact that almost 41% of women in childbirth deaths were in rural areas in the observed period (2000-2003).
Factors, which contribute to relatively worse health care in „sums“ and „baghs“ (rural administrative units), are especially the following: poor sanitary conditions of „sum“ hospitals, worse technical equipment and availability of pharmaceuticals and also lower standards of staffing in health care service.
Therefore, in order to improve the quality of life of the population of shepherds in province Zavkhan through the support of primary medical services CCR in Mongolia implemented the project “Improving the quality and accessibility of primary health care in rural areas of the Zavkhan province” from 2011 to 2013 under the financial support of the Czech Development Agency. The specific objective of the project was to increase the quality and accessibility of primary health care services for 6600 inhabitants of remote rural and herder communities in the Zavkhan province.
Within the project, 5 mobile infirmaries were equipped and installed. These infirmaries were provided health services for neighbor herder communities and during the year they was changing their position according to agreed time schedule.
Mobile infirmaries were staffed by physicians – employees of respective “sum” hospitals. “Sum” hospitals were be, according to its area of responsibility, operating individual infirmaries and after the project finalization, they shall acquire the infirmaries as its property and in cooperation with the Ministry of health they shall guarantee and ensure its sustainability. Servicing staff of infirmaries were provided with trainings focused on proper using equipment and tools of infirmaries.
For the purpose of the mobility, infirmaries were installed in “gers”. They has equipped with basic medical tools and equipment for providing diagnostic and therapeutic services in scale slightly exceeding services provided by physicians for adults and juveniles.
The project was implemented in partnership with “Diocesan Caritas Litoměřice”, “Ministry of Health, Mongolia”, and “Health-care department of Zavkhan Aimag”.