The 1st phase of PMT completed in April 2011 with identification of and creation a database of 4,271households (HHs) in 1 district and 4 aimags.
Second phase of PMT identified 2334 poor HHs by the end of April 2012. The third phase completed in October 2012 with identification of another 5312 poor HHs as eligible for the Medicard program.
The 4th phase of PMT completed by November 2012. By the end of 2012 the Medicard program reached nationwide coverage and became accessible for 15262 poor HHs or 952822 people in 21 aimags and 9 districts of UB city.
Besides poor HHs identified through PMT, there are 2719 homeless people receive services from the Medicard program in 2010-2013.
The guidelines for implementing the Program Enhancing accessibility to health services for citizens eligible for social welfare benefits was approved by the Joint order No. 358/135 of the Minister of Health and the Minister of Social Welfare and Labor on 11 October 2010. The regulation was revised jointly by MOH and MPDSP in Nov 2012 (364/A60) in order to expand benefit package and improve access for eligible poor. According to revised regulation the Medicard project will cover cost of transportation from soum to aimag general hospital, full reimbursement of drugs prescribed by primary level medical doctors, and re-imbursement of co-payments paid by beneficiaries for laboratory tests, diagnostic procedures, medical consultations and hospitalization at the secondary level hospitals.
As of the end of December 2013, the Medicard program served a total 127,832 beneficiaries. Use of the Medicard benefits by the poor accelerated from last quarter of 2012 when the identification of the poor was completed and when Government revised the Medicard benefit package (November 2012).
Under this component on the request of MOH to support the Enerel Hospital, the only hospital that serves homeless in UB, the project provided with medical equipment for $434,000, and supported in post-graduate training for number of staff of the Enerel hospital.
The project first procurement of micronutrients (sprinkles) has been conducted in June 2011. In total 3.2 million sachets of micronutrients for children aged 6-23 months and 3.3 million micronutrient tablets for PLW were procured. The sprinkles for children were distributed to 8 project aimags and 4 project districts, while the tablets for women were distributed in 12 aimags and 6 districts (including 4 non-project aimags and 2 non-project districts, approved by ADB). The second procurement of micronutrients was organized in October 2012. In total 1.2 million of sachets of micronutrients for children and 1.9 million tablets for PLW were procured within allocated budget.
The coverage of sprinkles for children aged 6-23 month in distributed project aimags and districts is estimated at 45%, 69% and 80% in 2011, 2012 and 2013 respectively. The consumption of micronutrients by children reached 83% and 60.1% in 2012 and 2013 compared to 18% in the baseline year of 2010.
The MOH has established the micronutrient coordination committee chaired by Vice-Minister. The Committee met twice in 2013, organized a multi stakeholder round table meeting and developed a draft ministerial order on (i) general guiding principles on procurement and usage of micronutrients, (ii) guidelines on administration of micronutrients to children and PLW, (iii) information collection and reporting, and (iv) information, education and communication strategy on micronutrient usage among the population. The project has supported the MOH and MOH has approved a Plan to supply micronutrients, including the cost for 2013-2016 and funding sources. According to the plan, in 2013 MOH funded MNT83 million which shared 26% of total required for 2013. With support of the project MOH has adopted in May 2013 the Mid-term strategy on micronutrients, including regulation on procurement, distribution, reporting.
The project conducted trainings for 867 FHCs' medical doctors and nurses on Integrated Management of Childhood Illness (IMCI) in project 8 aimags and 7 districts. There were 850 copies of manual for participants on IMCI and 100 copies of manual for trainers were re-published and distributed during the training. 5000 copies of poster, 18000 copies of brochure and 28000 leaflets usage on micronutrients for pregnant and lactating women and children were published and distributed to FHCs.
Project procured 100 pieces of weight scale and 245 pieces of height scale for children and distributed to project FHCs and SHCs.