ABSTRACT:
TB is most challenging public health issue in Mongolia and one of the 30 HBCs of the Global level. As per national TB prevalence survey conducted in 2015, the TB prevalence is 757, and incidence is 437 per 100,000 population. Mongolia among the 30 countries with the highest MDR TB burden. The MDR-TB infection is ongoing in the transmission, and latest drug-resistance survey showing 5.3% among new, and 16.5% among previously treated cases. Also, majority of TB patients, as 74% having the catastrophic cost. MAF-TB assessment questions integrated into thematic areas of Joint Program Review, notably on social protection and private sector engagement and findings from the program review was included into the development of the National TB strategic plan. The joint program review highlighted that the challenges identified were not limited to the management of TB care, but rather, critical public health issues that require more focused attention including financing of health services, under-resourced and poor coordination of public health systems, procurement of essential medicines, human resources and policies and funding mechanisms for public health program which require the coordinated multi-sectoral response of health and other sectors and partners at all level of health care services. Despite of main achievement are within MAF-TB, the intensified case finding in private health care facilities will be strengthened by engaging additional 5 private big hospitals in Ulaanbaatar city of Mongolia in the TB case detection and effective referral to continue and complement the case-finding efforts initiated under the GC7 grant of GF project. Also, community support groups will be strengthened for TB treatment among key population (such as homeless, alcohol addicted) through CBOs and 2 care homes running by the Government (in 2 districts) by provision of food, fuel and hygiene support along with psychological support by trained social workers.