A study on socio-economic condition of health care workers
- VernacularTitle:Эрүүл мэндийн ажилтнуудын нийгэм эдийн засгийн байдлын судалгаа
- Author:
Nadmidtseren G
1
,
2
;
Zoljargalan G
1
;
Yerkebulan M
1
;
Jargalsaikhan T
1
;
Avirmed D
1
;
Unurtsetseg Ch
1
;
Munkh-Uchral D
1
;
Munkhnasan Ts
1
;
Erkhes E
1
;
Baigal D
2
;
Sugarmaa M
1
Author Information
1. School of Public Health
2. School of Management, National Academy of Governance
- Publication Type:Journal Article
- Keywords:
household income;
income sufficiency;
primary needs;
living standard;
challenge
- From:Mongolian Medical Sciences
2023;205(4):16-27
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:It is stated in the Government Programme of 2016-2020 that public servants, including health care workers, shall be given a gradually increased salary based on their skill, dexterity, workload, and productivity, and such increase started from 2018 as planned. In the health sector of our country, regarding demand and regulation of the programme, the change shall be made that the system for median salary of physicians and overall staff employed at hospitals gets even constructive, and the required human resource for the sector shall be prepared. Thus, inferring from these claims, median salary, real wage, and socioeconomic condition are in critical need for further evaluation.
Objective:To examine the current socio-economic condition of health care workers, and to study the influencing
factors at play.
Methods:In this study, we used quantitative and qualitative methods. In the survey, we involved 655 health
care workers from 6 family health centers, 2 district hospitals, 3 health centers (district-based) in
Songinokhairkhan, Sukhbaatar, and Baganuur districts; and Provincial hospital, regional diagnosis and
health center, 16 soum health centers from Khovd, Uvs, Arkhangai, Bulgan, Khentii, Dornod, Umnugovi, and Dornogovi provinces, along with 3 National specialized health centers and 1 National central hospital. As for data gathering for the qualitative analysis, 30 focus group interviews and 47 key informant interviews were conducted for the purpose of examining socioeconomic condition, real wage sufficiency of health care workers.
Results:Average household income of study participants was 1,880,269 tugrik, the real wage was 1,073,065
tugrik, and the overall household is seen to be composed of 2 different sources on average, namely,
self-wage and the income coming from family members or supplement of Child Money Programme. It
has come to notice that 19.5% of the participants have lower than average living standard, 89.2% have
2 different loans (mortgage, auto loan or mobile application based loans). Material deprivation index is
seen to be 2.73, hence deemed as insufficient. In order to increase the real wage of those workers, it
shall be taken into consideration that the basic salary is low, and some financial supplements need to
be given. Furthermore, the performance based funding system of health sector is seen to be in need of
improvement.
Conclusion:Real wage of the health care workers is, thus, insufficient. The fact that one in every five workers in this sector have lower than average living standard, and the material deprivation index is 2.73 implying that the financial lives of health care workers are immensely fragile.
- Full text:2025060517451146862MMS-2023-205(4)-16-27.pdf
