The Government of Mongolia requested assistance from the Asian Development Bank (ADB) to strengthen public hospital autonomy. A fact-finding mission took place in Ulaanbaatar in August 2015, and ADB reached agreement with the government on the impact, outcome, outputs, cost and financing, implementation arrangements, and outline terms of reference for consulting services for the policy and advisory technical assistance (TA). Concept clearance was obtained on 22 October 2015.
The capacity of the Ministry of Health and Sports and other central and local government agencies to engage in a broad hospital reform process needs to be strengthened. This will require a phased approach to hospital autonomy with built-in mechanisms to learn from the implementation process and readjust implementation tools as required. Senior hospital management staff, board members, and selected community representatives will require substantial enhancements to their capacity to face their new responsibilities to manage autonomous facilities. The Ministry of Finance's capacity to oversee and monitor hospital financing reform will also need to be reinforced.
The government has requested ADB support to (i) further advance the regulatory framework for hospital autonomy, (ii) build capacity of the government and hospital staff to manage hospitals within the improved legal environment, and (iii) provide technical support in the gradual implementation of hospital autonomy.
Government US$ 0.1 million
Ministry of Health (formerly Ministry of Health and Sports)
1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar
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