Health Promotion Financing With Mongolia’s Social Health Insurance

• Published in: Asia-Pacific journal of public health 2015-03, Vol.27 (2), p.NP887-NP896
• Main Authors: Bayarsaikhan, Dorjsuren, Nakamura, Keiko
• Format: Article
• Language: English
• Subjects: Counseling - organization & administration; Health Education - organization & administration; Health Promotion - economics; Health Promotion - organization & administration; Humans; Insurance, Health - economics; Insurance, Health - organization & administration; Mongolia; Patient Acceptance of Health Care; Preventive Health Services - organization & administration
• ISSN: 1010-5395; 1941-2479
• DOI: 10.1177/1010539509332449

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.