6 Combat HIV/AIDS, malaria and other diseases

Where we are

TARGET 11. Limit and prevent the spread of Human Immunodeficiency Virus (HIV)/
Acquired Immune Deficiency Syndrome (AIDS) by 2015

Difficult to achieve
Achievable with more effort
On-track
* Fully achieved

Mongolia is a low HIV-incidence country. Less than 0.1 percent of the adult population is infected and in 2012, there were 127 registered persons infected with HIV. About 98 percent of the HIV cases in Mongolia are transmitted through sexual intercourse. Men constitute 81 percent of the total number of HIV cases, most of whom are of men having sex with men (MSM). Nearly half of the women with HIV infection are sex workers.

However, reported numbers of HIV infections are on the rise, particularly among the risky groups, namely among men having sex with men. Moreover, spread of STIs, especially syphilis has increased among female sex workers and the general population. High level of HIV/AIDS related stigma and discrimination is still observed.

Of the people infected with HIV/AIDS in 2012, 75 percent comprise persons aged between 25 and 44 years old, and one-fifth are belong to the age group of 15-24 years old. The reported numbers of persons with HIV infection varies by aimags. In 2012, out of total HIV positive people 74 percent were in Ulaanbaatar while the other 26 percent were from rural areas. The majority of rural cases are from Darkhan-Uul, Dornod, Khuvsgul, Selenge and Uvs aimags.

Mining and infrastructure sector workers and people in the surrounding communities are vulnerable to getting infected and potentially transmitting HIV, yet these communities have limited access to appropriate prevention activities, opportunities for timely testing, counseling, or access to treatment.

Mongolia has achieved the target (<0.1 percent) of HIV prevalence among pregnant women and youth population aged 15-24 for all the years for which records are available. The Government of Mongolia follows the principle of ‘Three Ones’ and places an important focus on coordinating interventions to prevent and surveillance the STIs, HIV/AIDS, and mainstreaming the actions against the STIs, HIV/AIDS into the multi-sectoral polices and joint programs with the civil society organizations.

TARGET 12. Reverse the spread of tuberculosis by 2015

Difficult to achieve
*Achievable with more effort
On-track
Fully achieved

Good progress has been observed in reducing the prevalence of tuberculosis (TB), which fell rapidly from 435 cases per 100,000 population in 1990 to 68 in 1997. Since 1997, the prevalence of TB is lower than the target of 82 cases per 1000,000 population, except in 2004-06. TB prevalence has declined in all aimags in 2012 as compared to 1990.

The share of people aged 16-44 constitute 69 percent of the total number of people with TB, and it is high for men (56 percent) than women (44 percent). Half of the people with TB are unemployed and 70 percent are poor or extremely poor people.

The highest incidence of TB was in 2006 with 186 cases per 100,000 population. Since then it has declined continuously reaching 139 cases in 2012. Despite this overall positive trend in reducing TB prevalence, progress is mixed among aimags in terms of TB incidence TB incidence increased in 19 aimags in 2012 as compared to 1990, while it reduced only in two aimags. TB incidence is higher than the national average in Darkhan-Uul, Umnugovi, Khentii, Dornod, Govisumber, Sukhbaatar aimags and Ulaanbaatar city in 2012.

Mongolia’s National Tuberculosis Control Program has made significant progress in detecting and treating drug susceptible and drug resistant TB. Nevertheless, increasing incidence of TB is an indication of deficiencies in TB detection and treatment approaches. Disease relapse in previously treated TB patients, delays in seeking healthcare, and high default rates leading to the development of multi-drug resistant TB result in disease prevalence in the country.

While the target of TB prevalence of 82 cases per 100,000 populations has already been achieved, it is unlikely that the target of TB incidence of 100 cases per 100,000 populations will be achieved by 2015. The target of 100 percent of the proportion of TB cases detected and cured under DOTs will also not be achieved by 2015.

Treatment failure and default rates of multidrug-resistant tuberculosis (MDR-TB) patients have increased due to insufficient treatment monitoring at the soum level. This maybe because of significant shortage and high turn-over of staff at TB-related institutions. There is an urgent need to improve the capacity of family practitioners and expand public health services.

There is often only a limited supply of first and second-line TB drugs, and drugs for the management of adverse effects in TB treatment. It is vital to allocate funding from the state budget for the procurement of MDR-TB drugs. In addition, political commitment to TB control is weak among decision-makers due to the lack of provision of TB-related information.

Source: MDG Database, NSC

TARGET 13. Reverse the spread of caries among children

* Difficult to achieve
Achievable with more effort
On-track
Fully achieved

Fully achievedUnavailability of data constrains the assessment of achievement of the target of 75 percent spread of caries among children by 2015.

For more information: Full report

 

1.37 years
remaining
until 2015

1990 2015
Targets for MDG6
  1. Target 11: Limit and prevent the spread of human Immunodeficiency Virus (HIV) Acquired Immune Deficiency Syndrome (AIDS) 2015
  2. Target 12: Reverse the spread of tuberculosis by 2015
  3. Target 13: Reverse the spread of dental caries among children