Implementation of the National Environmental Health Programme in Mongolia

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Implementation of the National Environmental
Health Programme in Mongolia
Ministerial Regional Forum on Environment and
Health, 8-9 August 2007, Bangkok, Thailand

• Dr. N.Saijaa, D.Sc., Director of Environmental
  Health Research Center, Public Health Institute
• Mr. G.Enkhee, Director, International Cooperation
  Department, Ministry of Nature and Environment
• Dr.Sh.Enkhtsetseg, PhD, Programme Officer, WHO/MOG

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MONGOLIA
Location Between Russia
and China Capital City Ulaanbaatar Language
Mongolian  
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Development of NEHP

• State Public Health Policy.
• Health and Environment High level Joint
  meetings
• held in Manila, 2004, 2005
• Technical working group to develop NEHP was
  established in 2005.
• The First National Forum on Health and
  Environment jointly organized by MOH and MNE in
  August 2005.
• Draft NEHP was discussed at the Health Ministers
  Counsil meetings in 2005
• The National Environmental Health Programme
  endorsed by the Government Resolution 245 in
  December 2005.

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• Objectives
• Advance the system of control, surveillance, and
  improve the legal environment with regard to
  environmental health
• Enhance effectiveness of activities to analyze,
  evaluate, and control negative effects from
  environment to human health
• Take sequential measures to ensure ecological
  balance by reducing environmental pollution and
  to reduce illnesses caused by environmental
  negative factors
• Improve health education by promoting appropriate
  awareness, attitude and behavior on environmental
  health among population.

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Duration and stages of implementation of NEHP

• The NEHP is planned to be implemented to 2015.
• Stages
• First stage 2006-2010
• Second stage 2010-2015

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Management of the Programme

• Ensure an overall coordination of NEHP
  implementation
• - Take necessary action to reflect resources in
  government budget of every year and focus donors
  aids for implementation of the NP

National level National Public Health Counsil,
chaired by the Prime Minister
Multisectoral working group for NEHP
implementation
-Develop subprogramme on EH and manage its
implementation - Report programme
implementation to the National Public Health
Council.
Local level Provincial Public Health Council led
by a Province or Capital City Governor
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Financial sources

• Government and local budgets
• Aids of donor countries, UN and international
  organizations
• Local and foreign investments, loans
• Aids and donations gathered by the initiatives of
  governmental and nongovernmental organizations,
  companies and citizens
• Other sources

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Achievements in implementation of NEHP

• Water, sanitation and waste management
• Water Supply Master Plan for Ulaanbaatar city,
  2006
• Waste Management Master plan project, Ulaanbaatar
  City Government and JICA.
• Revision of the national drinking water quality
  standard based on WHO DWQG III, 2005, MOH.
• Drinking water quality and water-borne disease
  survey, MOH, WHO, 2005.

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Achievements in implementation of NEHP

• Water, sanitation and waste management
• Led by the Ministry of Construction and Urban
  Development
• National programme on Improvement of Sanitation
  Facilities, Government decree 246 Oct 2006,
• Second project on Integrated development of basic
  urban services in provincial towns of Mongolia,
  MCUD and ADB.

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Achievements in implementation of NEHP

• Water and Sanitation
• New technology installed in 8 soums of Gobi
  desert region to reduce mineralization of water.
• Rural hospital Water, Sanination and Hygiene
  project (MOH, WHO, USAID, AGFUND)
• Piloting in 2 soums and expansion to other rural
  health facilities.

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Achievements in implementation of NEHP

• Air pollution
• - Parliament resolution of 2007 to decrease air
  pollution
• Development of the Master plan for reducing air
  pollution of Ulaanbaatar city is completed and
  will be submitted to the Parliament of Mongolia
  for approval.
• The law on Payment for polluting the air is under
  development.
• National Standard on Air quality is being updated
  based on WHO air quality guidelines.

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Achievements in implementation of NEHP
Air pollution

• Survey on Environmental lead pollution and its
  health impact, 2006, MOH WHO
• Risk reduction interventions for indoor air
  quality project, MOH WHO
• Inventory of sources of air pollution in the
  Capital city, MNE.

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HEALTH SECTOR MASTER PLAN and NEHP

• HSMP (2006-2015) was approved by a Government
  Resolution 72 in 2005.
• The HSMP Implementation Framework was endorsed in
  February 2007 by the resolution 43 of Health
  Minister.
• Implementation of NEHP is essential part.
• Improvement of medical waste management and
  disposal of expired drugs considered as an issue
  for high priority for resource allocation and
  international support.

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Achievements in implementation of NEHP

• National workshop on Strengthening of
  implementation NEHP, December 2006, MOH and MNE
• Mayors of provincial cities
• Expansion of healthy cities and healthy settings
  initiatives
• NEHP implementation report was discussed at the
  Government Cabinet meeting in May 2007.
• Recommended allocation of funds for NEHP from the
  annual state budget.

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Challenges

• Create a sustainable funding mechanism for
  implementation of NEHP, increase government
  funding
• Capacity building for health impact assessment of
  environmental hazards
• Strengthen chemical safety management and
  poisoning surveillance
• Adaptation to the global climate change.
• Monitoring evaluation, effective intersectoral
  collaboration and coordination.

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• Thank you