Role of family health centres in prevention, screening and addressing risk factors of cardiovascular diseases, cancer and diabetes, methodological support / Монголын Анагаах Ухаан

ABSTRACT

IntroductionProvide evidence necessary for effective implementation of the National Programme on Prevention and Control of NCDs by studying the services delivered by family health centers for prevention, screening and reduction of risk factors of cardiovascular diseases, cancer and diabetes, problems encountered and professional support.GoalStudy the role of family health centers in prevention, screening and reduction of risk factors of cardiovascular diseases, cancer and diabetes and the methodological and professional support they are receiving.Materials and MethodsThe study covered 30.7% of family health centres of UB city and 18.9% of family health centres in rural areas, which are together 19.7% of all family health centres.Results and conclusions18 family health centres from Central, Dornogobi, Orkhon aimags and 25 family health centres from Bayanzurkh, Sukhbaatar, Nalaikh districts of Ulaanbaatar city as well 258 doctors and 18 managers who provide with qualified methodology were involved in the survey. Informal training activities such as lecture, discussions, memo printed on the reverse side of the check-up numbers, e-mails, SMS messages and advice during visits need to be used to promote healthy behaviour and healthy lifestyle. There are no incentives for promoting health, and preventing non-contagious diseases, the budget for these activities is really minimal around 60,000-200,000 tugrugs per annum. Cooperation with international organizations can be enhanced in order to receive financial support for these activities. The staffs of family health centres consists in average of 11-15 personnel, they are overloaded with the treatment of patients and less time is available for them to work for prevention, screening, and addressing risk factors. The instructing and counselling skills of medical staff are low.