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Luxembourg Cooperation Annual Report 2019
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Mongolia

Project country

Introduction

Since 2001, Luxembourg has been working in the health sector in Mongolia. This work has been gradually expanded to take in projects in the area of telemedicine in order to combat cardiovascular disease, which is currently the leading cause of death in the country. One specific component of the bilateral project currently in progress is the provision of in-service training by the Luxembourg cardiac surgery team from the National Institute for Interventional Cardiac Surgery and Cardiology (INCCI). Thus, in 2019, a symposium on cardiac imaging, for example, was successfully held for the first time in Ulaanbaatar, with 110 participants from 21 provinces in Mongolia. In parallel with thetelemedicine project in the cardiovascular sector, up to the end of September 2019 Luxembourg’s Development Cooperation also financed a telemedicine project for maternal and child health care services in cooperation with the United Nations Population Fund (UNFPA) and the progress made there will continue to be implemented by the government and the treating hospitals.

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In line with this phi­los­o­phy of nation­al own­er­ship, an emer­gency con­sul­ta­tion sys­tem has been set up in the country’s 21 provin­cial hos­pi­tals that will enable provin­cial doc­tors and patients to dis­pense and obtain med­ical advice, in real time, remote­ly. Under the project, train­ing mate­ri­als and equip­ment were also deliv­ered in 2019, so that the hos­pi­tals tar­get­ed may ben­e­fit from an envi­ron­ment and instru­ments that are in line with the ped­a­gog­i­cal meth­ods and new sim­u­la­tion tech­nolo­gies in the hos­pi­tal envi­ron­ment, in order to boost the prac­ti­cal skills of their staff. Final­ly, the end-of-project eval­u­a­tion con­duct­ed con­clud­ed that the actions it sup­port­ed were very rel­e­vant in con­tribut­ing to a reduc­tion in mater­nal and child mor­tal­i­ty and had also effec­tive­ly con­tributed to capac­i­ty-build­ing among nation­al operators. 

In addi­tion to these health projects, Luxembourg’s Devel­op­ment Coop­er­a­tion con­tin­ued its sup­port in the finan­cial and bank­ing area, through a train­ing and capac­i­ty-build­ing project in finance, and bank­ing train­ing pro­grammes in col­lab­o­ra­tion with the ATTF/​House of Training.

Highlighted project

Telemed­i­cine project for mater­nal and neona­tal health (2007- 2019)

With the aim of improv­ing mater­nal and neona­tal health through tech­no­log­i­cal inno­va­tion in health in Mon­go­lia, the UNF­PA coun­try office in Mon­go­lia has set up a tele­con­sul­ta­tion sys­tem. Tele­con­sul­ta­tion cam­eras link togeth­er 21 provin­cial hos­pi­tals and the cap­i­tal, Ulaan­baatar, facil­i­tat­ing direct inter­ac­tion between spe­cial­ists at the nation­al cen­tre for mater­nal and child health care and patients in remote regions. Through these new tech­nolo­gies experts are able to pro­vide spe­cial­ist con­sul­ta­tions and advice remote­ly, help­ing patients liv­ing in rur­al areas. Since the sys­tem was set up a total of 1,923 con­sul­ta­tions have been car­ried out using telemed­i­cine. The estab­lish­ment of a telemed­i­cine net­work cov­er­ing almost all of Mon­go­lia has made more accu­rate diag­no­sis pos­si­ble, even in the most remote provinces of the country. 

In addi­tion, this new tech­nol­o­gy is also used as a resource for train­ing and teach­ing sim­u­la­tions. The pho­to shows trainee mid­wives being taught. Through a clin­i­cal skills lab­o­ra­to­ry with var­i­ous mid­wife skills sim­u­la­tors, they can devel­op their skills in obstet­rics and care for new-born infants through prac­ti­cal ses­sions dur­ing their training. 

Priority areas of intervention

  • Good health and well-being

Reference data

  • Population: 3,225,167
  • GNI (per resident): USD 3,780
  • Human Development Index (HDI): 92/189
  • Life expectancy: 70
  • Indicative Cooperation Programme: project country

Key achievements 2019

  • Estab­lish­ment of a tele­con­sul­ta­tion sys­tem link­ing togeth­er 21 provin­cial hos­pi­tals and the cap­i­tal, Ulaan­baatar, enabling doc­tors in the provinces and patients to obtain med­ical advice remote­ly in real time from experts at the nation­al cen­tre for mater­nal and child health care: in 2019, 1,923 tele­con­sul­ta­tions were deliv­ered and 24 drilling units and emer­gency obstet­ric care (EmOC) sim­u­la­tion lab­o­ra­to­ries were ful­ly oper­a­tional (UNF­PA project).
  • Upgrad­ing of facil­i­ties using new tech­nolo­gies (neona­tal incu­ba­tors, approx­i­mate­ly 30% of sur­geons now use non-inva­sive tech­niques) and new train­ing meth­ods (prac­ti­cal train­ing in sur­gi­cal skills, train­ing sim­u­la­tion, e‑learning remote edu­ca­tion platform).
  • The project on the con­sol­i­da­tion of car­dio­vas­cu­lar ser­vices and the Nation­al Car­diac Cen­tre in Mon­go­lia has played a major role in the devel­op­ment of the nation­al pro­gramme for pre­vent­ing car­dio­vas­cu­lar dis­ease; the mor­tal­i­ty rate from car­dio­vas­cu­lar dis­ease has fall­en to 18 per 10,000 res­i­dents in 2019, com­pared with 24.3 in 2003.
  • The car­diac surgery team at Shastin hos­pi­tal per­formed 215 open-heart sur­gi­cal pro­ce­dures and 12 major vas­cu­lar oper­a­tions. 80% of these inter­ven­tions were per­formed by Mon­gol surgeons.
  • The MnCar­dio sys­tem, a telemed­i­cine tool which is used to improve the man­age­ment of car­dio­vas­cu­lar dis­ease, record­ed 54,595 vis­its and reg­is­tered 2,876 new patients. 843 admis­sions to hos­pi­tal were mon­i­tored by the soft­ware, 192 cath lab pro­ce­dures were record­ed and 223 patient files were exam­ined by the tele­con­sul­ta­tion section.

Sector breakdown

2019