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Asia-Pacific Journal of Public Health
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Health Promotion Financing With Mongolia’s Social Health Insurance

Dorjsuren Bayarsaikhan, MPH

WHO Regional Office for the Western Pacific, Manila, Philippines, bayarsaikhand{at}wpro.who.int

Keiko Nakamura, PhD

Tokyo Medical and Dental University Graduate School, Tokyo, Japan

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, and preventive and medical checkups. Almost all (97.5%) the participants feel that access to reliable and systematically organized health-related information is important. About 60% of the participants said 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 the individual level, lack of funds, and limited incentives to promote health. This article examines 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.

Key Words: health promotion • Mongolia • social health insurance

This version was published on October 1, 2009

Asia-Pacific Journal of Public Health, Vol. 21, No. 4, 399-409 (2009)
DOI: 10.1177/1010539509344996
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