1. Situation of Non-Communicable Diseases in Mongolia
Second WHO IUMSP International Seminar on the Public Health Aspects of Non Communicable Diseases
Professor Khasag Altaisaikhan
Lausanne Switzerland
August 10-18, 2010 La

2. Mongolia is a huge, landlocked country, 1. 566
Mongolia is a huge, landlocked country, sq km in area, about three times the size of France, almost as large as the Australian state, Queensland. Apart from the period of Mongol conquest under Chinggis khaan and Kublai khaan, Mongolia was until the 20th century about twice its present size. Population density 1.52 people per sq km.
Mongolia divided in to 4 regions such as Western region /Altai mountine’s area/, Southern region /Gobi/, Central region /Khangai Mountain/ , Eastern region /stepped area/.
Mongolia has a sharply continental climate, with temperatures ranging between -5 and -22 F (-15 and -30 C) in winter and +50 and +80 F (+10 and +30 C) in summer.

3. Population 2.767.000 Life expectancy : Male 63 Female 67 60 % urban
40 % rural

4. Leading Causes of Mortality in Mongolia
Epidemiologic transition

5. The comparing measurements between BMI and Serum Lipid levels in some ethnic groups of Asia /Mongolians, Koreans and Japanese/ Kh.Altaisaikhan et al., 2004
Serum Lipid levels
Total cholesterol (mg/dl)
Mongolians
185+ 3
P<0.001
Japanese
203+ 2
Koreans
199+ 2
LDL-C (mg/dl)
112+ 3
125+ 2
141+ 2
Triglyceride (mg/dl)
112+ 6
119+ 4
135+ 4

6. Main result of Step survey
Smoking %
Alcohol in moderate use 5%
Current use of alcohol %
Unhealthy diet %
Physical inactivity %
Hypertension %
Diabetes %
Obesity %

7. Main result of Step survey
9 in every 10 people (90.6% of the surveyed population) had at least one risk factors for developing NCDs.
One in every five people (20.7% of the surveyed population) had three and more risk factors or were at HIGH risk
One in every two males aged 45 years and above were at high risk in developing NCDs.

8. National Program & Policy
National program on NCD Prevention and control 2005
Subprogram on cancer prevention 2009
National strategy on diet and physical activity 2009
MCA Health Project 2009
Health Mongolian program 2005

9. Partnership
WHO MOH
MCC USA NGOs
IDF Local goverments

10. Main achievements of National program on NCD prevention and control
Awareness campaigns
Capacity building
WHO Local fellowships
Equipment supply
NCD labs in regional health centers
Screening DM, HT and cancer

11. Local fellowship training

12. Health system reform High risk approaches
Future plan
Health system reform High risk approaches