Mongolia - Health

Mongolia Health

Independent Performance Evaluation

ID Number DDI-MCC-MNG-IE-HEALTH-2014-v01

Topic	Vocabulary	URI
Health	MCC Sector
Gender

Name	Abbreviation	Role
Millennium Challenge Corporation	MCC	Review of Metadata

2014-05 Version 1 (May 2014)

DDI-MCC-MNG-IE-HEALTH-2014-v01Mongolia CompactThe MCC compact with Mongolia was a five-year investment (2007-2013) of $285 million in five projects: (i) the Energy and Environment Project, (ii) the Health Project, (iii) the North-South Road Project, (iv) the Property Rights Project, and (v) the Vocational Education Project. On April 27, 2009, the Government of Mongolia notified MCC that it intended to withdraw the rail project from the Compact. In January 2010, approximately $188 million from the rail project was reallocated for the expansion of the Health, Property Rights, and Vocational Education projects, and the addition of the new North-South Road and Energy and Environment projects. This reallocation led to the Health project budget increasing from $17 to $39 million. The Health Project included three components: strengthening the national capacity for the development and implementation of Non Communicable Diseases and Injuries (NCDI) policy and practice, strengthening of health care delivery, and stimulating the population for lifestyle change. The project sought to strengthen the national program for prevention, early diagnosis, and management on NCDI. The Health Project investments comprised of 15% of the total Compact investment. The $42.0 million allocated to the Health Project is the subject of both the results described here and an independent performance evaluation conducted by the Independent Evaluator and released by MCC in June 2014.Health (Health)Mongolia's weak institutions, including the health system, were identified as significant constraints to economic growth and development, particularly given the pressures of the country's abrupt transition to a market economy, the collapse of financial support from Russia, and the rapid urbanization of what traditionally has been a highly dispersed rural herding society. The Compact sought to release the potential of certain critical interlocking human, institutional, and physical resources central to Mongolia's efforts to broaden and deepen economic development. Within the Compact, the Health Project aimed to increase the adoption of behaviors that reduce NCDIs among target populations and improve medical treatment and control of NCDIs. The project sought to address the incidence of NCDIs with the goal of increasing productivity and incomes. After the Rail Project was cancelled in 2009, the Health Project was expanded in scope. The 2010 amendment expanded the project target population, added an additional intervention of HPV vaccination, and expanded the heart disease and stroke prevention and control programs. The overall expected result of these changes was an increase in productive years due to reduced incidence of NCDI and savings due to earlier identification of NCDI and thus a reduction in cost of treatment. According to the M&E Plan, there were several key assumptions underlying the program logic during the design of the investment: - Improved system for NCDI prevention will help hospitals and medical centers to detect and treat NCDI effectively. - Adoption of healthy lifestyles and preventive measures to avoid NCDI causes will reduce incidence and extend healthy life expectancy of the labor force. - Improvement on NCDI early detection activity will reduce the NCDI treatment cost and increase recovery rate. - The Government of Mongolia will continue funding the maintenance of key equipment and infrastructure as well as staffing and training of required health professionals.