Mongolia is pursuing financial sustainability for its immunization services primarily through expenditure tracking. Sabin’s Sustainable Immunization Financing (SIF) Program worked with officials in Mongolia from 2012 to 2016.
Immunization Program Structure
Mongolia’s National Immunization Program (NIP) is located in the National Center for Communicable Disease Control, 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 percent 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 percent to 0 percent 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 third in terms of routine immunization spending per surviving infant in 2016.
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 (Ministry of Finance), National Department of Communicable Diseases (NCCD) and two parliamentarians visited two aimags (provinces), Hovd and Umnogobi, to brief local authorities on federal immunization and health expenditures and to propose local expenditure tracking.
In May and September 2015, NCCD, MOF and parliamentarian counterparts carried out similar resource tracking activities in two additional aimags, Huvsgul and Hentii.
In February 2016, NCCD, MOF and a parliamentarian joined local officials in Hentii to examine sub-aimag (soum) health expenditure flows.
- July 2014, May 2016: Mongolian counterparts join Nepalese, Sri Lankan, Cambodian, Indonesian and Vietnamese peers in Sabin-sponsored peer review workshops
- May and November 2014, May and September 2015: Sabin Senior Program Officer joins Sabin-sponsored subnational resource tracking workshops
- February 2016: Resident Sabin Senior Program Officer convenes Mongolian counterparts to review, plan subnational immunization resource tracking activities
- January 2013, November 2015: Resident Sabin Senior Program Officer organizes parliamentary briefings
- October 2014: Mongolian counterparts host Ugandan and Vietnamese peers in Sabin-sponsored peer exchange
- November 2013: Mongolian counterparts join Mongolian and Indonesian delegates in Sabin-sponsored peer exchange workshop
- June 2012: Resident Sabin Senior Program Officer and SIF Program Director introduce SIF program to Mongolian government
Last Updated July 12, 2016