1.Maternity care services of midwives in Mongolia
Tsetsegsuren Kh ; Megumi Ikemoto ; ; Munkhtsetseg D ; Enkhtuya D ; Nyamdavaa N ; Burmaa Ch ; Ulambayar D ; Narantsetseg U ; Dondogmaa D ; Kazuki Miyazaki ; Oyungoo B
Mongolian Journal of Health Sciences 2026;96(6):66-71
Background:
Midwives provide essential maternal, neonatal, reproductive and sexual health care and save lives. In our country, in 2017, the job description of midwives was revised and approved by the Minister of Health in accordance with the core competencies established by the International Federation of Midwives by Order A/216. Therefore, it is necessary to study the extent to which midwives are performing the duties included in the revised job description.
Aim:
To assess of the professional role and performance of midwives in Mongolia five years after the updated midwifery job description was declared.
Materials and Methods:
There were 1119 midwives working at all levels of the facilities national wide, and 589 respondents were analyzed. Data were collected using a questionnaire, which was developed with input from an obstetrics and midwifery care advisory group, and was distributed online through Google Forms. We developed a questionnaire on the daily professional roles and performances of midwifery services and skills that were part of the job description of midwives in Mongolia. The questionnaire consisted of three parts and were scored based on a Likert scale. This study was approved by the research ethics committee of the School of Nursing (protocol №22/07-b), Mongolian National University of Medical Sciences (MNUMS), and Ministry of Health.
Result:
62.3% of the participants had a bachelor’s degree, 34.3% had a professional degree, 93.5% worked as midwives at all levels of health care, 73.4% worked according to their job description, but 21.9% were unable to work according to their main duties; 56% considered that they faced some difficulties in performing their duties at work. Within the scope of maternity care services mentioned in the job description, 71.4% of them often provide monitoring and counseling to normal, low-risk pregnant women according to guidelines (mean 3.07± 0.96); childbirth and postpartum care are occasionally (mean 2.70±1.10) or not regularly provided; and the average ratings of reproductive health, family planning services, and emergency obstetric care interventions are 2.32±1.120 and 2.40±0.040, respectively. According to self-assessment of professional skills, the average score for the ability to provide care during pregnancy was 3.10±0.038, which is sufficient; the ability to provide care during childbirth and postpartum was 2.83±0.037, which is above average; and the ability to provide emergency obstetric care and reproductive health and family planning care was 2.77±0.84 and 2.57±0.890, which is moderate, respectively.
Conclusion
The education and professional level of midwives working at all levels of the health sector has improved. While midwives frequently provide the pregnancy care outlined in their job descriptions, they only occasionally perform duties related to childbirth, postpartum and reproductive health, family planning, and obstetric emergency care. According to their self-assessments, midwives demonstrate sufficient competence in teamwork and pregnancy care; above-average competence in childbirth and postpartum care; and moderate competence in obstetric emergency care, reproductive health, and family planning services.There is a need to improve the involvement of midwives in certain professional activities.
2. Phytochemical composition and biological activity of Aconitum naviculare (brϋhl) stapf
Lkhaasuren R ; Enkhbold G ; Sodgerel D ; Tsedensodnom Ch ; Oyunkhuyag S ; Burmaa D ; Khurelbaatar L
Mongolian Medical Sciences 2023;205(4):59-66
Aconitum navicular (Brϋhl) Stapf, a Himalayan endemic, is an endangered medicinal herb of the alpine
region. A search was made under the Latin Name Aconitum navicular (Brϋhl) Stapf. to summarize the
use of phytochemical and biological information on the use of ethnomedicine available for the species.
The keyword “Aconitum navicular (brϋhl) Stapf.” was collected and compiled from the rankings of
PubMed, Web of Science, Google Scholar and other scientific websites. Phytochemical analysis done
so far has led to the isolation of 14 alkaloids, 3 flavonoid glycosides, and 4 phenolglycosides. Most
commonly, aqueous extract of this plant has been used against various kinds of fever, bitter tonic
and intoxicating liquors. In addition, Aconitum species contain the most diterpenoid alkaloids, and
this compound is bioactive and somewhat toxic. Many studies have shown that diterpenoid alkaloids
exhibit cytotoxic, antioxidant, antimicrobial, analgesic, and anti-inflammatory biological activities. We
hope this information will be useful in future research and development of this valuable medicinal plant.
3.Result of epidemiological surveillance of anthrax which registered in Khentii province
Gantsetseg G ; Erdenechimeg CH ; Battsetseg J ; Burmaa KH
Mongolian Medical Sciences 2010;153(3):85-87
Background: Last years increased the human and animal cases of anthrax. During 2000-2009 infected 197 livestock of them 73 cattles, 7 horses, 13 goats and 104 sheep and 10 human cases of anthrax at Khentii province. Goal: We are aimed to evaluate human and animal cases of anthrax which registered at Khentii province last 10 years.Materials and methods: Used for registration of veterinary report of 2000-2009, last 10 years report of human cases of CIDNF Khentii province. Analyzed the data, compared and evaluated the result of human and animal anthrax cases. Results: The Khentii province included at zone of middle risk, active foci by classification of anthrax risk foci (Tserendorj and et all, 2006). Totally 1148 livestock infected by anthrax during 2000-2009 in national level and of them 17.1% registered at Khentii province. Infected 10 patient during 2000-2009 occurred 12.7 % than national level. Most of patients 95.2% (16) infected by used the skin, meat with died from anthrax. The 4.8% (1) of all patients infected from soil which work at soil. All patients infected by bubonic form. Last 2007, 2008,2009 disinfected at soil and decreased the detection of cultures or positive results from soil.Conclusion: The high risk of human anthrax depends on most likely from animals and soils. Herders take more risks due to their job specialization. Male workers of working age groups are generally infected by anthrax in particular. Especially assistant workers in agriculture and mining sectors are extra vulnerable in anthrax. The new areas have been infected by the virus of human and animal anthraxes because of increases of animal movement from place to place. The reasons of animal movement are number of people working in commercial and hand operated gold mining, herders movement to another area for looking pasture (otor) and growing number of celebration activities (Batshireet, Norovlin soum in 2007).
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