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Asia-Pacific Journal of Public Health
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Article

Health Promotion Financing With Mongolia's Social Health Insurance

Dorjsuren Bayarsaikhan, MPH1* and Keiko Nakamura, PhD2

1 Regional Adviser,Health Care Finance
2 International Health and Medicine, Graduate School of Tokyo Medical and Dental University

* To whom correspondence should be addressed. E-mail: bayarsaikhand{at}wpro.who.int.


   Abstract
Health promotion is receiving more attention in Mongolia. A survey is undertaken to examine health promotion in terms of health-related information, education, counseling, screening, preventive and medical checkups. Almost all (97.5%) of the subjects feel that access to reliable and systematically organized health-related information is important. About 60% of the subjects expressed that the amount of currently available information is inadequate. There are several factors that limit the implementation of public health programs. These include inadequate focus on promoting health at individual level, lack of funds, and limited incentives to promote health. This article examined social health insurance as an option to address these issues. Three hypothetical benefits package options expanded to health promotion were developed and simulated by a computerized tool. The simulations show that all 3 options are financially sustainable at the existing level of contribution if Mongolia will gain near universal health insurance coverage and improve revenue collection practices.

First published on February 17, 2009
Asia-Pacific Journal of Public Health 2009, doi:10.1177/1010539509332449


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