Changing and improving primary health care’ organizations in rural areas / Монголын Анагаах Ухаан

ABSTRACT

Introduction: The WHO has been recommended to the member countries to develope a national health system based on PHC. Also the WONCA has given emphased on improvement of rural health. There have been limited research studies done in Mongolia on rural health needs and improvement of PHC’ organizations for rural areas. Goal To study on thinks of rural medical personnel and rural citizens about activity of PHC’ organization and it’s change in the nearest future. Objective: 1) To introduce with current situation of Soum and Inter-Soum hospitals; 2) To study on thinks of rural medical personnel about activity of Soum, Inter-Soum and Aimag hospitals and it’s further changing; 3) To study on satisfaction of rural citizens from activity of primary care organizations. Material and Method: This study was covered 205 rural medical personnel (physicians - 41, feldshers - 43, nurses - 65, laboratory technicians - 11, other personnel - 45) and 210 rural citizens (local government’ personnel – 86, workers of private entities – 41, herdesmen – 40, pensioners – 11, others – 32) from Arkhangai, Gobi-Altai, Dundgobi, Sukhbaatar, and Tuv aimags. Used a questionaire method (Questionaire for rural medical personnel was include 14 questions; for rural citizens – 13 questions). For analysis of collected materials were used biostatistic methods. Results: Among the rural medical personnel – respondents 77,6% were assess positively about current soum hospital activity, which shown that a soum hospital can been implemented own main functions – to delivery PHC to rural people. Also 67,3% of respondents have thinking positively about Bag’ feldsher unit and 74,6% of them have given a more attention to improve working condition for Bag’ feldshers. Most of respondents – rural citizens (62,9%-80,5%) has been satisfied with soum, inter-soum hospitals care and bag’ feldsher unit service. They have suggestions how to improve rural health facilities. Finally, most of respondents (as rural health personnel, as Conclusions: 1. Based on the results of our study (67,3-77,6% of respondents – rural medical personnel and 62,9-80,5% of rural citizens have a satisfaction with Soum and Inter-soum hospital services, and ctr.) we can conclude that rural health facilities in common have been functioned normally. 2. Most of rural health personnel (68,8% of respondents) has been supported to changing current Soum hospital and its improving as Soum health centre (by thinking 62,4% of respondents) in the nearest future. 3. Also most of rural citizens (77,7-83,3% of respondents) has thinking about changing and improving rural health facilities, especially about Soum health centre. It is very important for providing a health reform in Mongolian rural areas, successfull.