Mongolia and WHO cooperation strategy 2017-2021
Introduction
According to Girum and Wasie (2017), maternal mortality is a significant public health issue in low middle income countries ( LMIC) because, 99% of maternal death is happening in those countries. One of them is Mongolia.
For definition, Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental for incidental causes ( WHO, 2012). According to WHO, (2010), Maternal Mortality Rate(MMR) is 89.6 in 100,000 live births in 2007 in Mongolia. While, this number is decreased twice which was 44 in 100,000 live births in 2015 ( Central Intelligence Agency, 2017). The main reason for maternal mortality is classified two groups which is direct and indirect reasons and those are registered as 52.5 % and 46.3% respectively in Mongolia(UNFPA, 2017). Also, this journal mentions that the main three direct causes for maternal mortality are septic condition (24.2%), hemorrhage (17.7%) and preeclampsia (17.7%) and other causes should be remaining remaining percentage. This essay will argue that what approach has been implementing to reduce MMR, what is strengths and weakness for this approach and several possible recommendation about how to improve this approach.
To compare, Taft et.al ( 2015) said that MMR in Australia is 8.4 per 100,000 live births and this rate can show huge gap between LMIC (Mongolia) and developed country (Australia) and also this is why MMR should be consider in this work.
Current approach for reducing maternal mortality in Mongolia.
At this moment, the most effective and international standardised strategy for implementing reducing maternal mortality rate is “Mongolia- WHO cooperation strategy 2017-2021”. This strategy supports work towards achievement of the goals of the Mongolia Sustainable Development Vision 2030 (MSDV) which target of 30 maternal mortality per 100,000 live births by 2021 and this MSDV also support towards achievement of the goals of the Sustainable Development Goal (SDG) global target of less than 70 maternal deaths per 100,000 live births globally by 2030. SDG global target 2030 is based on Millenium Development Goal (MDG) 5 which project was intended for implementation for a reduction of 75% in the MMR between 1990 and 2015 including 183 countries and one of them was Mongolia where has implemented this goal extremely successful. This is because, According to WHO, (2010), Maternal Mortality Rate(MMR) is 89.6 in 100,000 live births in 2007 in Mongolia. While, this number is decreased twice which was 44 in 100,000 live births in 2015 ( Central Intelligence Agency, 2017).
According to WHO (2017), to implement this strategy, WHO has provided some support and Ministry of Health Mongolia is implementing such as:
- Effective public health interventions and best practices are extremely important to reduce maternal death. Therefore, more focus on these public health interventions
- To maintain capacity-building at primary , secondary and tertiary levels of health service and prepare more complete and international standardised guidelines, protocols, standards of health services in order to increase the high quality of maternal care
- To maintain coordination and collaboration across priority programmes, in significantly for the preventable maternal mortality reasons.
In addition, Mongolia-WHO cooperation strategy has been continuously pursuing many important tasks, including the development of high qualified health care, the preparation of skilled medical practitioners and promotion and prevention diseases and these implementations will be bring extremely positive results for reducing MMR.
Strengths and Weaknesses for Mongolia-WHO cooperation strategy 2017-2021
