1. HWTS and WSP policy landscape for Mongolia
Dr Sh. Urantsetseg, MOH
Dr Ts. Unurjargal, Umnugobi HD
Dr E.Erdenechimeg, MNUMS
Dr V.Delgermaa, WHO CO

2. Introduction
Total population: 2.8 Million, urban vs rural: 67.2% and 32.8% (2012)
Drinking water source: 82% underground water; 18% surface water (spring water; snow, ice; river seasonally)
Access to improved drinking water supply 85% and sanitation facilities 53% (JMP, UNICEF/WHO 2012)
But in rural areas: access to improved drinking water supply 56% and sanitation facilities 29% (JMP, UNICEF/WHO 2012)
For health care facilities, centralized water supply 14.1%, non-centralized water supply 85.9% (MoH, NCPH, 2012)
WSP has been implementing since 2012 (WHO/AUSAID)

3. Water supply system Centralized and non centralized system
Underground well
Water reservoir
Pipe
Pipe
582,633 residents

4. Rural area: Nomadic people
Dig well
Underground well
Surface water

5. Water transporting and storage containers
To get water from water kiosks 2-4 time a week
The average quantity is L
Volume of water container is L
63% Plastic container
35.9% container made by iron and aluminum

6. Implementation Non-centralized water supply consumers:
People living in Ger districts
Nomadic people/herding households
Vulnerable group:
Young children, particularly non-breastfed children
Elderly
Pregnant women

7. Problem
AT GLANCE…
21.4% of all infectious diseases at the national level ;
53.3% of intestinal infectious diseases in Ulaanbaatar
6 different INTESTINAL infections:
Dysentery; Salmonella; Diarrhea; viral hepatitis A and food poisoning

8. Improved Water Quality For Mongolia
Mongolian data on E.coli and/or total coliform present in drinking-water
According to microbiological monitoring data conducted in 830 water resource of 300 soums, 227 or 25.6% of them were determined higher contamination of total bacteria.
E.Coli was determined in 66 (7.4%) wells.

9. Rapid test of microbial contamination
Indicators
Үр дүн, % UB
Khovd DO DU AR SB
Total
At catchment
E.Coli (-)
57.1
73.5 75
55.6 -
100
76.1
E. Coli (+)
42.8
26.5 25
44.4
23.9
Water transporting containers
7.5
61.8 50 4
25.6
92.5
38.2 96
74.4
Water storage containers
1.9
58.8
37.1
19.2
15.4
16.3
98.1
41.2
62.9
80.8
84.6
83.7

10. Current policy/national support for HWTS and WSP
Law on Water
Law on utilization of urban settlement’s water supply and sewage
National Water program ( )
City Civil Council Resolution: Work Plan and Investment of Water Safety Program of UB city
Joint order of the Minister of Health and Minister of Construction and Urban Development: Guidance for WSP development and Implementation in provinces and soums with centralized water supply
Proposed Law on Hygiene: 2 statements for Water Safety issues
Revision of Drinking Water Quality standard: Drinking Water Quality Management
Review of water related policy documents

11. National targets No specific target for HWTS
Safe drinking water supply:
In urban and rural area: more 70% and 60%, respectively
Water Safety:
In UB more 30,000 household should be connected to centralized water supply
MDGs Goal 7; Target 16: Reduce, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation

12. Key stakeholders Government of Mongolia MOH NCPH MOE
Activities: Revise
DW quality
standard
Health Impact
Assessment
MOE
National Water Committee
Activities: Policy and
institutional
framework
strengthening
GASI
Municipal/Provincial
Inspection Agency
Activities: Water
Quality
Monitoring
Municipal
Government
Water Supply and
Sewage Authority
Activities: Capacity
building

13. WSP (2 urban; 6 rural)
Health Care Facility: Model
Songino khairhan (ger district)
Unmugobi (one of gobi area with water scarcity)

14. Household water treatment
Sedimentation
Boiling (92.6%)
Using filters (bio-sand; ceramic)

15. Monitoring and evaluation
Quality of drinking water
General agency for specialized agency
Water Supply Institutions: Internal Auditing Unit
Water borne diseases/Surveillance
City and Province Health Department
National Center for Public Health

16. Partnerships and responsibility
WSP:
Leading agency: MOH; USUG
Supporting: WHO/AusAid
HWTS
The Asian foundation; ACF Mongolia NGO; Cross Red

17. Resource mobilisation
Local and international donors
WHO
UNICEF
World Vision
ACF
The Asian Foundation
World bank
Asian Development Bank
??? Commercial Filter Distribution companies

18. Summary
Hygienic requirements for water transporting and storage container
Promoting community participation
Expand public and private partnerships
Public awareness raising and behavior change campaign (safe storage; water container cleaning)
To provide health education in relation to household water treatment in emergency cases

19. Thank you
Bayarlalaa
Khor khobchai