| Tackling the RH Challenges
in Mongolia
On 13th December, during a training course at JOICFP,
Enkhmaa Ulziikhutag, Officer in charge of RH, Health Promotion
Department, National Center for Health Development, Mongolia,
was interviewed for JOICFP eNews.
Highlights of the interview follow.
Reproductive health problems in Mongolia include STIs, which
have been increasing over the last years. The country is very
big and many people are nomadic, so distributing contraceptives
is difficult, even though supplies are sufficient.
In Mongolia, the rate of HIV/AIDS is increasing, but there
is no screening available in rural areas. Furthermore, although
knowledge and awareness of STIs and HIV/AIDS is high, attitudes
and behavior allow the infection to spread. Therefore, we
are planning more behavior change communication (BCC) interventions.

Ulziikhutag (center) with JOICFP staff
during BCC training
We have plenty of information, education and communication
(IEC) materials, but getting them to people in such a large
country is a big job. We distribute IEC materials to doctors
at health centers on how to use contraceptives, and we train
doctors to distribute them, especially to reach vulnerable
groups.
Over the last five years, maternal and infant mortality rates
(MMR/IMR) have been decreasing, but they are still very high
compared to many other countries. For the first half of 2006,
MMR was 93 per 100,000 live births, and IMR 65 per 1,000 live
births.

At the project site, even in an urban environment,
many people still live in traditional felt tents
with limited utilities
The successes of the male involvement project, which started
in two suburban districts (Bayanzurkh and Songinokhairkhan
districts) in 2004 with JOICFP's assistance, can be seen in
that more men are accompanying their wives to the health center
for ante-natal care. This was one of the objectives of the
project.
In the project areas, we are also working with local government
agencies in charge of social and welfare related issues such
as registering migrants in order to reach more men by jointly
organizing training sessions for the community men with male
peer educators who deliver RH information.
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