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.

IntroductionOver the last few years, the prevalence of aeroborn allergic disease is rising rapidly throughoutdeveloped and developing countries, and one of every four children in Western Europe has had allergy.In any country of the world over the last 10-20 years, studies on airopollinology and aeroallergenshowing increase of allergen rhinitis to pollen. This is catching many scientists and researchersattentions. These studies deemed that geological locations, climate and plant patterns changing as airpollution increases. Studies identified that pollen allergy in Europe is mainly produced by segmentedplants and in north Europe Betulacease type of allergy is dominating [2]. In our country, Mongolia,plant sturctures are relatively well studied geologically and climatically, and 203 species of plants,98 types and 31 families showed plants may cause allergies. Specifically recent years in Umnugoviprovince, with the expanding operations of many mining companies, increased air pollution leadingto a respiratory disease. With the uses of Compositae in medicine, cosmetics and food, sentization toplant of this family has been increasing in Europe as well as in Asia [3].Goal:To determine co sentization allergens to pollen of Taraxacum, columbine and weed, grass plants.Materials and МethodsThe Research has been done under the Biochemistry Department of Bio – Medical School, HSUMwith the help of “Effect” Allergy – Asthma Hospital. During the study of research, one period descriptiveresearch is done by studying the selected 432 patients who are diagnosed positive for the TaraxacumandAquilegia allergens by skin pricking test and these group is chosen from the airborne allergic patients“Effect” Allergy – Asthma Hospital in 2010 -2014 census.Tables and graphs showing study result were processed by using Excel-2013, SPSS-21.0 software.ResultIn this study, in 2010-2014, aeroallergens skin prick test was done on 5601 people and 18% or 1031people were aeroallergen sensitized.ConclusionsFindings from the skin prick tests for airborne allergens show that 8%, 5% of the patient is positive forTaraxacum, Aquilegia allergen. On SPTs taraxacum, aquilegia and mugwort 60% and grass pollen56,90% of population was cosensitized to all pollens.