In July 2014, FIRE began working with the Canadian Society for International Health (CSIH) to provide consultants services to the Mongolian Ministry of Health (MoH) for the Asian Development Bank funded Fifth Health Sector Development Project (FiHSDP), to improve the health safety in hospitals across Mongolia. This project has significant environmental, health, and safety benefits, and will improve patient and health care worker safety.

This project will improve patient and health worker safety in the hospitals Mongolia by:

• Improving the safety of blood transfusions

• Strengthening medical waste management

• Improving infection prevention control in hospitals

FIRE and CSIH, with global expertise in areas of blood safety, health care waste management, and infection prevention and control, assist this project with technical support for policy development, facility planning, and capacity building. Healthcare workers will be trained, upgraded equipment will be provided to hospitals, and precise technical guidelines will be developed. The advancements established through this project will ensure that educational resources, medical equipment, and waste management procedures meet internationally accepted standards.

Medical Waste Management Supply Distribution and Capacity Building

To prevent the risk of disease transmission to health care workers, and eventually to the general public, FIRE has developed a systematic training program for healthcare workers. Since 2009, in accordance with the National Strategy for Improving Health Care Waste Management in Mongolia, FIRE has supported every state health care facility in 10 out of 21 provinces of Mongolia to improve their medical waste management and health safety practices. These improvements include training health care workers and providing on-site technical support and supply distribution. Training materials and supplies include instructional videos, posters, pamphlets, and necessary medical waste management supplies including biohazard waste bags, sharp boxes and medical waste containers.

    Three months after completing the training and distributing supplies, FIRE conducts a monitoring and evaluation trip. FIRE visits each hospital and provides further training and technical support as needed. These supplies and training allow health care workers and administrators to upgrade their medical waste management practices, which will protect themselves and their patients from disease.

Dental Infection Prevention and Control (IPC)

The healthcare environment is one of the leading forms of transmission of infections including blood-borne viruses such as hepatitis. FIRE has been addressing this issue in Mongolia since 2009 through medical waste management education and supply development. FIRE’s partnership with the Canadian Society of International Health (CSIH) and the Mongolian Ministry of Health (MoH) on the Asian Development Bank funded Fifth Health Sector Development Project is addressing infection prevention and control on a national level.

However, there is currently no one addressing the issue at dental clinics. According to the General Agency for Specialized Inspection, 63% of private dental clinics in Mongolia are at moderate to high risk of spreading infection.  An estimated 95% of all dental clinics in Mongolia are private.

FIRE is working with local and international infection, prevention, and control experts to develop a comprehensive intervention program to make dental clinics safe for all of Mongolia.

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