Mongolia is pursuing financial sustainability for its immunization services through expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Mongolia in June 2012.
Mongolia’s Progress to Date
Immunization Program Structure
Mongolia’s National Immunization Program (NIP) is located in the Ministry of Health (MOH).
Over the period 2006-2014, Mongolia’s Gross National Income rose from US$1,120 to $4,320 per capita, a 286% increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Mongolian government spent less than $1 on routine immunization per surviving infant in 2006. The government reported spending the same amount in 2014. The government share of total routine immunization expenditures dropped from 29% to 0% over the period. Since 2010, Mongolia has reported inconsistently on JRF financial indicators. The data suggest that Mongolia has not progressed towards country ownership of its immunization program. Among SIF countries, Mongolia ranked twenty-first in terms of routine immunization spending per surviving infant in 2014.
The Constitution of Mongolia (1992) guarantees certain rights and freedoms, including “the right to the protection of health and health care. The procedure and conditions of free medical aid shall be defined by law.” In Mongolia, legislation has to determine from time to time what health services should be free and to whom.
Mongolia’s Government passed the Law on Immunization in April 2000. The law regulates activities for the “prevention of the Mongolia population from and immunization against infectious diseases.” An Immunization Fund was later established under this law to mobilize and manage funds for immunization from various sources. The Immunization Law was amended in 2010.
Adopted in March 2001, Government Resolution 67 approved regulations establishing the Immunization Fund and its operations. The Fund was established as an independent legal entity governed by a Fund Council. The Immunization Fund manages finances for non-routine and emergency vaccines and organizes the transportation of routine and non-routine vaccines to local centers.
In May and November 2014, Mongolia’s Tax Department and National Department of Communicable Diseases (NCCD) visited two aimags (provinces), Hovd and Humnogobi, to brief the authorities on resource tracking. In May and September 2015, the NCCD went on to brief authorities in two other aimags, Huvsgul and Hentii.
- September 2015: MPs and officials from MOH, MOF, NITAG, Public Health Institute and Tax Department visit Hentii aimag in Sabin-sponsored briefing
- May 2015: MPs and officials from Tax, Finance and Health Departments visit authorities in Huvsgul aimag in Sabin-sponsored briefing
- November 2014: NCCD and Tax Department officials visit Humnogobi aimag in Sabin-sponsored briefing
- October 2014: Mongolian counterparts join Ugandan and Vietnamese delegates in Sabin-sponsored peer exchange workshop
- July 2014: Mongolian counterparts join Nepalese, Sri Lankan, Cambodian, Indonesian and Vietnamese delegates in Sabin-sponsored peer review workshop
- May 2014: NCCD and Tax Department officials visit Hovd aimag in Sabin-sponsored briefing
- November 2013: Mongolian counterparts join Mongolian and Indonesia delegates in Sabin-sponsored peer exchange workshop
- August 2013: Mongolian counterparts attend Sabin-sponsored colloquium
- January 2013: Senior Program Officer organizes parliamentary briefing
- June 2012: Senior Program Officer and Program Director introduce SIF program to Mongolian government