Fifth Health Sector Development Project (FiHSDP)
Through the Fifth Health Sector Development Project (FiHSDP), FIRE aims to improve the safety of individuals working in and receiving care through the Mongolian health care system. Several system and equipment modifications will be made through the year 2017. By making these vital reforms, FIRE, the Mongolian Ministry of Health, the Canadian Society of Health, and the Asian Development Bank are helping to correct deficiencies in health care facilities across Mongolia.
Health Care Safety Deficiencies
Hospitals in Mongolia do not currently have the resources necessary to implement reforms for improving patient and health care worker safety and quality of care. Patient and health care worker safety is being compromised mainly due to improper blood transfusion and waste management practices. Some factors contributing to these unsafe practices include:
• inadequate facilities,
• inadequate equipment and testing materials,
• inadequate health care worker knowledge about proper waste management procedures,
• lack of confidentiality,
• poor registration and reporting of adverse reactions,
• lack of readiness for emergencies, and
• lack of measures to reduce inappropriate blood transfusions which can result in unintentional transmission of HIV, syphilis, and hepatitis B and C.
Health Care Safety Project Solutions
The Asian Development Bank (ADB) is the largest financier of the health sector in Mongolia, and plays a key role in assisting the Mongolian government to formulate and implement health sector reforms. By implementing the health care safety project, ADB and the Mongolian government seek to not only strengthen day-to-day blood safety and waste management practices for hospitals, but also to improve preparedness for emergencies in case of natural disasters. The project plan addresses three aspects of health care safety, including blood transfusions, medical waste management, and hospital-acquired infection prevention and control. Through this plan, the following measures will be taken to increase safety in health care facilities:
• Safe Blood Transfusions
o An internationally accredited transfusiology center will be established in Ulaanbaatar
o Capacity building activities will be implemented for health care workers to increase their knowledge of safe blood transfusion practices.
• Medical Waste Management
o The central medical waste management facility will be expanded and upgraded to meet international standards.
o The national medical waste management system used by hospitals will be upgraded to meet national standards.
• Infection Prevention and Control
o Microbiology laboratories in hospitals will be upgraded to meet national standards.
o An effective surveillance system will be put into place for hospital-acquired infections.
o Capacity building activities will be implemented for health care workers, health care authorities, and administrative staff to increase their knowledge of infection control procedures.
The World Health Organization and the German Federal Ministry of Health are supporting the health safety project by providing consulting, advising, monitoring, evaluating, and training services and activities in Mongolia. Working together with these partners, ADB and the Mongolian government will continue to improve the safety of health care workers and patients in Mongolian health care facilities.