Health Policy in Mongolia

ISPOR Chapter
Mongolia
GERELTUYA DORJ (BPHARM, MPHARM, PHD)
PROF. GANBAT BYAMBAA (MD, MPH, PHD)
General information

Territory: 1.564,116 km2

Population: 3million

Provinces: 21 ( 329 counties)

Capital city: Ulaanbaatar ( 9
districts)
Funding for health and
pharmaceuticals, bill MNT
600
14
566.2
520.5
506.5
12
500
12
11.2
10
400
333.7
8
300
250.4
6
5.4
205.9
200
4
2.9
2
100
66.4
1.2
25.2
34.9
60.4
65.4
2
41.1
0
0
2009
2010
Health expenditure
2011
2012
Pharmaceutical expenditure
2013
Reimbursement from HIF
2014
Principle Health Reforms
• Strengthening the health regulatory framework, setting
strategic objectives and sustaining previous reforms
• Slow speed of implementation, inconsistency and the
contradictory nature of processes
• Frequent changes of government or ministerial
leadership
Pharmaceutical sector in Mongolia

The First National Medicines Policy of Mongolia (NMPM) was
approved by the Parliament in 2002.

The Law on Drugs and Medical Devices (1998) was amended twice
and was revised by the Parliament in 2010 .

The EML was initially approved in 1991 with a revision of every four
years. The 7th EML was approved in 2014.

New NMPM was upgraded and approved by the Parliament in
2014.
National Medicines Policy of
Mongolia (NMPM)

The mission of the National Medicines Policy is to continuously,
equitably and adequately supply individuals, health facilities and
veterinary services with effective, safe, good quality and affordable
medicines and to ensure the rational use of medicines.
Implementation of NMPM
2010
2012
2014
NATIONAL
STRATEGY TO FIGHT
AGAINTS
COUNTERFEIT AND
SUBSTANDARD
MEDICINES
STRATEGY ON
PREVENTION OF
ANTIBIOTIC
RESISTANCE
STRATEGY ON
IMPROVING MEDICINES
SAFETY MONITORING
SYSTEM/
PHARMACOVIGILANCE/
/2010-2015/
/2013-2017/
/2014-2018/
National standards on pharmaceutical
activities upgraded
Manufacture
GMP of
pharmaceuticals
MNS 5524:2014
GMP
of bio-preparations
MNS 5524:2014-1
Supplying
“GSP/ GDP ”
MNS 5530:2014
Pharmacies
GPP, MNS5260:2011
In process
Prescription
Good prescribing
MNS 5376:2014
Recent accomplishments
Ministry of Health and
Sports
Department of health
policy implementation
Health
development
centre
Drug registration process has
improved
Pharmaceuticals and
medical devices division
Medicine’s regulatory unit has
been established
National GMP certification
ISPOR Chapter Mongolia –summary
of past and current activities
Main activities /
Summary
Accomplishments
Scientific / Educational
Activities
> 20 articles and about 10 presentations
Policy- Related
Development, improvement and approval of National Medicines Policy of
Mongolia
Strengthening rug regulatory functions including implementation of GMP in local
drug manufacturers of Mongolia.
Drug regulatory unit
Meetings and workshops
Activities
Conferences
and/or Chapter Meetings
Other
Health care cost, quality and outcomes- ISPOR book of terms
Vice president of the Chapter
ISPOR Book of Terms
ISPOR Chapter Mongolia- Future
plans
• A workshop – to introduce about and dissemination the ISPOR
book of terms, in addition ISPOR Chapter Mongolia related
activities
• Chapter meetings
• And more
Thank you