Background: It is widely recognized that expenditures for medical treatment, rehabilitation services, and assistive devices for families with children with disabilities place a significant financial burden on household budgets, often making it difficult to meet basic daily needs. In recent years, extensive research has been conducted in countries with well-developed economic and social service systems to examine how disability affects family financial stability. Additionally, there is growing evidence on the relationship between financial burden and quality of life among families raising children with disabilities. Aim: To determine the correlation between financial strain and family quality of life (FQOL) among families raising children with disabilities. Materials and Methods: A cross-sectional study was conducted between 2024 and 2025, involving 735 caregivers from both urban (Ulaanbaatar) and rural areas, recruited through governmental and non-governmental organizations. Data were collected using measures of average household income, the proportion of household income spent on disability-related expenses, self-reported financial burden, and the standardized Family Quality of Life questionnaire developed by Hoffman (2006), which includes five domains. Descriptive statistics and linear regression analyses were performed. Result: The average household income of participants was 2,905,277.16±2,141,515.84 MNT. Families with children diagnosed with epilepsy, intellectual disabilities, cerebral palsy, and autism spectrum disorders spent a higher proportion of their annual income on related expenses. Each unit increase in the frequency of financial burden was associated with a 0.22-point decrease in overall family quality of life (p<0.001). Furthermore, a one-unit increase in the proportion of household income spent on child-related treatment and services was associated with a decrease in physical and material well-being by 0.007 points (p<0.001) and overall family quality of life by 0.003 points (p=0.037). Conversely, a 100,000 MNT increase in household income was associated with an increase in family quality of life scores (B=0.00249; p<0.001). Conclusion Household income and the proportion of income spent on disability-related expenses are significant factors influencing quality of life. Financial stress experienced by families with children with disabilities negatively affects family quality of life.

Justification: Researchers highlighted an importance of health professionals’ participation (1), (2), a role on behavior change in primary health care services (3)evidence based health policy and program (4)(5) байгааг and health promotion to reduce a prevalence of both communicable and non-communicable diseases in Mongolia. Mongolian National University of Medical Sciences trains public health researchers and health social workers in the last ten years. It has been developed a guideline of required compulsory professional competence in which, students of SPH should acquire knowledge, skills including behavior change strategy and implement interventions, behavior change assessment at individual, family, group and community levels. Purpose: Aim of this research is to identify key words and content of "health Behavior" and "health Promotion" in undergraduate courses of School of public health (SPH) and compare with a content of compulsory professional competence requirements. Methodology and Materials: We used a summative content analysis [6] to identify key words and content of ‘’health behavior’’ and ‘’health promotion’’ in 140 courses between 2009 and 2016 and compared with 17 required compulsory professional competence in blue print guideline [7]. Results: Planned academic hours of ‘’health behavior and promotion’’ in courses of health social work was insufficient and they covered several theories with no content of implementation, application, evidence based practices and examples. For students of public health researchers, there are required compulsory 8 skills of health behavior, however skills and knowledge were slightly covered in courses of ”food safety”, “health of kids and adolescent” and “occupational health”. Conclusion Undergraduate courses for health social workers and public health researchers were based solely on “individual health behavior theories’’. The included content of the theory, application of organization and community behaviors was insufficient in the existing “health behavior” course.