(As per the requirements of UNDP/UNFPA Executive Board decision 2006/9)

Annex 8: Country Programme Performance Summary

Environmental Scanning and Planning Branch Programme Division

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Country Programme Performance Summary

(As per the requirements of Executive Board decision 2006/9)
A. Country information Country name: Mongolia Category per decision 2005/13: B Current programme period: 2007-2011 Cycle of assistance: Fourth

B. County Programme Outputs Achievement (please complete for all your CP outputs) Output 1.1: Increased availability of and accessibility to high -quality, gender-sensitive reproductive health services in selected disadvantaged areas Indicators
Percentage of SDPs offering at least 3 types of modern contraceptives Percentage of pregnant women, who enrolled in ANC in the first trimester Percentage of pregnant women attending ANC whose blood has been tested for syphilis Percentage of pregnant women attending ANC who took HIV test and counselling

Baseline
Available 81.5 60.9 36.5

Target
N/A N/A N/A N/A

End-line data
93.7 83.2 90.2 64.5

Key Achievements
In order to increase availability and accessibility of sexual reproductive health services, in addition to focused integrated programme support in five most disadvantaged western provinces, the interventions were scaled up to other regions through the use of telemedicine, made possible by the mobilization of additional resources. As a result of a holistic approach including policy dialogue, supply of essential equipments, life-saving medicines and skills building of health staff, there is a marked improvement in the access to basic and comprehensive Sexual and Reproductive health (SRH) services including Emergency Obstetric and Newborn care (EmONC) in target rural areas. One stop RH units function in provincial general hospitals and provide comprehensive SRH services. Trained mobile teams regularly reach-out to nomadic populations and provide SRH services. A total of 8 out of 21 provinces are included in the Telemedicine initiative to support maternal and newborn care. More than 800 clients from rural areas received clinical decision-making tele-consultations from specialized centres. Adolescent sexual reproductive health services were scaled up and a total of 12 youthfriendly centres function regularly with youth involvement. Eleven rural health facilities in remote areas are involved in a Model RH Soum Hospital (primary health center) initiative and made progress in integrating SRH services into primary health care in rural areas. Modern contraceptive methods became widely available throughout the country with a minimal of three choices at any given point. With leadership of government and joint UN assistance, three one-stop service centres for GBV victims and six VCT centres were newly established. Counterparts appreciated UNFPAs assistance during emergencies, as it was the most relevant and fastest to reach affected families, especially pregnant mothers. These interventions greatly contributed to progress towards achievement of MDG 5. MMR is reduced from 89.6 in 2007 to 45.5 per 100,000 LB in 2010 against the 2015 target MMR of 50/100,000.

Main Constraints
Frequent natural disasters, underdeveloped infrastructure, remoteness, increased rural to urban migration and high government staff turn over are major challenges to access quality health care especially for disadvantaged populations. Although the coverage of sexual reproductive health services such as antenatal care and skilled birth attendance is high, the quality of care remains not adequate. The Government budget mostly covers administrative costs and curative services, and the funding for preventive services remains very limited. An implementation of vertical programmes requires better coordination and holistic approach.

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Output 1.2: Behaviour change communication promoted for improved knowledge of and positive attitudes towards reproductive health and gender issues, particularly among vulnerable groups Indicators Baseline Target End-line data
Number of effective, innovative, culturally appropriate and targeted behaviour change communication materials developed and interventions implemented

N/A

N/A

Non-formal reproductive health and life skills education strengthened for out-of-school young people

N/A

N/A

Number of clients who received STI diagnosis, treatment and counselling at the Future Threshold Adolescent Health Centres

N/A

N/A

20 kinds of posters, 7 booklets, 19 leaflets and handouts, 18 TV programmes and 10 radio programmes were developed and disseminated Non-formal education curriculum is developed and introduced, teachers are trained, and health education centres are established. 25, 000

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Key Achievements
UNFPA and the Government of Mongolia implemented projects on Behaviour Change Communication promotion to induce positive health behaviours among men and women of reproductive age, youth and adolescents. The capacity of specialists of governmental and non-governmental organizations working in BCC was strengthened at a central level, and the trainings to introduce COMBI principle and effective BCC planning were organized with the support of highly qualified foreign experts. BCC strategy employing innovative ACADAE approach was developed and implemented by a team of sexual and reproductive health promotion experts. With support from governmental and non-governmental organizations and international partners, UNFPA provided BCC at national and sub-national levels on sexual and reproductive health, especially on safe motherhood, family planning, abortion, adolescent sexual and RH, and STI and HIV prevention. Within the framework of the Country Programme, new innovative and effective BCC interventions including 18 TV programmes, 10 radio programmes and 7 booklets and handouts on the ARH topics were introduced to target groups to meet their needs and interests. Aimed at promoting BCC through outreach activities for remote populations, 500 RH information bags with packaged BCC materials and VCDs were made and distributed to all bagh feldshers in five focus aimags. 19 types of leaflets, 14 different posters on RH were produced and distributed. A safe motherhood booklet and 6 different leaflets about contraceptives were translated into and printed in Kazakh language, and were distributed to the target groups. 20 kinds of posters, two health education manuals were developed and are being used for formal health education nationwide. Under the UNFPA Country Programme, UyerkhelLOVE quarterly newspaper for adolescents and Reproductive Health newspaper for a gener al population have been published and distributed to youth and communities free of charge. In non-formal education, Health Training Curriculum was revised, national trainers were trained, and 4 training modules were printed and distributed. The second revised edition of the Life Skill manual 10 series was published in cooperation with the US Peace Corps, which is being extensively used in non-formal educational trainings. Health education centres were established and equipped in 15 dormitories of secondary schools in 5 selected aimags, thus creating opportunities for students to spend their leisure time in a productive manner: obtaining health information and working in teams. The adolescent health education booklet was produced for school doctors and adolescent health doctors. These centres have been highly appreciated by both teachers and students. Under the Fourth Country Programme, four new Future Threshold Adolescent Health Centres (FTAHC) were established in 2009 and the number of FTAHCs reached 1 8. FTAHCs have proven themselves being capable for continuous and effective provision of integrated health services to adolescents and youth including vulnerable groups. The centres are providing RH and STI /HIV prevention services to adolescents and youth. A wide range of FTAHC activities on RTI/STI management and prevention, peer education, and effective communication skills resulted in improved knowledge and skills of adolescents on sexuality and reproductive health, increased client usage of FTAHC services at and strengthened capacity of service providers. On average 25,000-35,000 adolescents and youth benefited from services of 18 adolescent health centres per year during the CP.

Main Constraints
Despite progress made in advancing sexuality education in and out of schools, there remains a challenge on the quality of programmes and youth-friendly services, especially in rural areas. A focus needs to be given to building capacity of health education teachers and strengthening continuing education programmes. Nearly half of the provinces and districts do not have specialized centres yet. The major constraining factor is lack of trained specialists. In addition, due to an increased cost of printing, a funding gap is more evident.

Output 1.3: Increased capacity of government, private and civil society organizations to provide high -quality reproductive health services Indicators
RHCS in place at the national level to meet the RHCS needs consistently and reliably

Baseline
Not in place

Target
N/A

End-line data
National strategy on RHCS is approved by the Government in 2009. 3

National standards and guidelines that reflect internationally accepted practices in reproductive health

N/A

N/A

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Key Achievements
Since 2007, the capacity of governmental organizations and civil society partners particularly in selected areas has been strengthened to provide integrated sexual reproductive health services. Skills of health care staff including midwifes at all levels have improved through regular trainings and workshops on different thematic areas including EmONC, antenatal care, family planning, VCT and adolescent sexual reproductive health. The field specialists were trained in using a tale consultation network and a tale pathology package. A number of national guidelines on sexual reproductive health have been developed/updated in line with international and national standards. More advanced and effective approaches such as ultrasound diagnosis of fetal abnormalities, early detection of cervical cancer and management of pre-cancer pathology were newly introduced to rural areas. With financial and technical support from the Global Programme, RHCS has been integrated into national policies and a budget. In 2008, for the first time, the government allocated US$50,000 in the national budget for RH commodities and it has increased to US$120,000 in 2011. The National Strategy on RHCS was endorsed by the Government in 2009. Capacity of national logistics system has been strengthened in a partnership with a private sector. A long-term strategic agreement between the government and the largest private company Mongol Em Impex Concern (MEIC) was established in 2010. Capacity of the Government staff and MEIC in forecasting, procurement and e-LMIS has been improved through regular trainings and technical support from PSB and in partnership with Health Science University of Mongolia. South to south exchange in areas of RHCS, telemedicine, GBV took place with Bangkok, BN, Indonesia and other countries in the region as well as with professional associations from other regions.

Main Constraints
Limited human and financial resources in rural areas and a high turnover of trained health staff are major challenges in ensuring sustainability of capacity building efforts and scaling up effective approaches.

Output 1.4: Increased opportunities for the participation of local government, civil society and beneficiaries in planning, implementing, monitoring, evaluating and providing services Indicators Baseline Target End-line data
Capacity of at least 10 NGOs in selected areas strengthened to participate in population and reproductive health programmes Community outreach activities to deliver SRH and HIV prevention services conducted

10 N/A N/A

12 11

Key Achievements
Capacity of Public Health Sub-Committees of focus aimags has been strengthened through local and regional capacity building trainings, consultative regional events, regular follow up, and technical support through UNFPA Regional Office. All five provincial government offices established a Maternal Health Support Fund. A regional NGO network to promote sexual and reproductive health has established and they actively involved in outreach and community education. A technical working group (TWG) of organizations working with FSWs is established and has been functioning successfully. Meetings of TWG were organized on a quarterly basis to share information and improve coordination of interventions, conducted by member organizations. Therefore, the TWG serves as an important mechanism to strengthen collaboration, cooperation and cost effectiveness of organizations working with FSWs and avoid duplication of interventions in the same geographical area.

Main Constraints
Limited human and financial resources in rural areas and are major challenges in ensuring sustainability of capacity building efforts and scaling up effective approaches.

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Output 2.1: Improved understanding and commitment to address socio -economic disparities and gender equality issues among parliamentarians, government officials, community leaders, CSOs and the media Indicators Baseline Target End-line data
Number of policy actions taken to address gender-based violence and discrimination

Law Against Domestic Violence approved, but not implemented

N/A

Capacity of National Committee on Gender Equality and focal points at Government institutions improved

% of those who have correct knowledge and understanding of gender issues - 60.6

N/A

The Gender Equality Law developed, advocated for, submitted to the Parliament in July, 2009, and passed in Feb 2011. Increased awareness on Domestic Violence Law and draft amendments on related Laws. Increased awareness at highest levels of Government and among MPs. Gender Equality Law passed in Feb 2011 after two years of its submission to Parliament.

Key Achievements:
Advocacy for the Gender Equality Law (GEL) through discussions with and dissemination of information among the public, the Parliament, the Cabinet and media has been successful in bringing gender issues and the need for the adoption of GEL into focus. UNFPA support has helped to both broaden and diversify participation of policymakers in gender-related discussions and raising awareness of gender issues. This effort becomes a basis for gender mainstreaming in the future. Gender Equality Law passed in Feb 2011 after two years of its submission to Parliament.

Main Constraints
Although GEL was drafted based on key principles of CEDAW, which are substantive equality, non-discrimination and state obligation, advocacy and awareness raising for GEL has not used the CEDAW framework fully. Hence, understanding of policy-makers on substantive equality and a structural and intersecting nature of inequalities and discrimination is still inadequate. At the same time, in an effort to make gender and GEL more acceptable to male policy -makers, advocates have sought to highlight how gender equality would benefit men, given mens lower education, poor health, alcoholism and short life expectancy. While these are al l legitimate and important concerns, raising mens issues in isolation from a deeper analysis of the root causes (primarily those s temming from a patriarchal culture) has potentially harmful effects that may further obscure realities of gender-based discrimination against women and reinforce unjust gender norms that privilege male experiences and voices.

Output 2.2: Improved capacity of the government and civil society organizations, including NGOs, in dealing with GBV, discrimination, trafficking and commercial sex work Indicators Baseline Target End-line data
Increased number of shelters and SDPs with trained service providers/social workers for GBV victims

National 5 UB level -2

N/A

National 5 UB level - 5

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 Formal reporting mechanism of GBV incidence established

No reporting mechanism

N/A

Reporting is set up with the Police Department

Key Achievements
UNFPA support contributed to a significant increase in policy- and decision-makers attention to combating GBV and providing services to victims to improvements in multi-stakeholder and intersectoral cooperation and coordination including vertical coordination between different levels of government and administration, to increased awareness among the police at national and sub-national levels (down to the smallest administrative units) on DV and the anti-DV law, increased awareness among health service providers and secondary school teachers, and to a greater availability of data and analyses. The One-Stop Service Centres, in particular, are build on accumulated NGO expertise and scale up the government services to reach more people and take greater responsibility for safety of its citizens. With more actors and coordinated actions involved, Mongolia is better positioned to change social norms leading to GBV and to create an atmosphere of zero tolerance, particularly should the RH modules be taught effectively throughout the country. In addition, GBV data is integrated into official statistics of the General Police Department maintained and disseminated.

Main Constraints
Weak strategies to support for capacity building in developing gender-sensitive policies and programmes using the human rights-based approach and taking into account socio-economic disparities. Hence, there is still a need to build the capacity of the government, service-providers, NGOs and other stakeholders to apply the principles of gender equality, non-discrimination, human rights and democratic governance, including accountability, transparency and participation, in a practical implementation of their policies and programmes. Utilization of GBV data by different players in this area is lacking.

Output 3.1: Enhanced analytical capacity at national and sub -national levels for utilization of data and research findings on population, RH and gender issues for planning and budgeting. Indicators Baseline Target End-line data
Availability of data disaggregated by population structure, regions and income levels increased

Results of studies on emerging population issues reflected in national development plans and poverty reduction strategies

Available data is not sufficiently disaggregated, which is a limitation to use at the policy development level. N/A

N/A

Improved availability of disaggregated data as a result of Population and Housing Census 2010 and of nation-wide and thematic surveys conducted during 2007-2011. Government key policy documents issued during20072011 used data from studies conducted on population issues.

N/A

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Key Achievements
Effective support to the National Statistics Office in carrying out and disseminating key national surveys namely: Population and Housing Census 2010, National RH Survey 2008, Family survey2010, Internal migration survey 2009, Social pension survey2008. MDG-based National Development Strategy 2008, Government Programme for 2008-2012, yearly socio-economic development guidelines (for the years of 2008- 2011), National Strategy on Ageing (2009) used population data to show changes in a population age structure of the country such as a large share of young people in the total population and future population dynamics - one fifth of people will be over 65 in 2025. A National Consultative meeting on the current Demographic Window period in Mongolia and its implications for development policies was organized which highlighted the importance of using data to inform policies and programmes in order to take advantage of the demographic dividend.

Main Constraints
There is no Planning Ministry in the Cabinet structure and the newly established National Development and Innovation Committee does not have proper authority and status to coordinate planning processes. This poses a special challenge for UNFPA to adequately provide technical assistance on overall population issues.

Output 3.2: An integrated statistical system linked to DevInfo established incorporating population, gender and RH data to support policy formulation and the monitoring of progress towards national MDGs Indicators Baseline Target End-line data
An intersectoral integrated information system established, linked to DevInfo

2010 round of Population census and 2008 round of RHS conducted, data analyzed and results disseminated

Users have low knowledge and understanding on the utilization of DevInfo. Preparation work has already started.

N/A

An integrated statistical database linked to DevInfo has been established at the National Statistical Office since 2009 RHS was conducted and results were disseminated; 2010 Population and Housing Census was conducted, results are being analyzed

N/A

Key Achievements
The capacity of the National Statistics Office has increased and the National RH Survey was conducted independently for the first time by local experts. The 2010 Population and Housing Census and Post enumeration survey was conducted successfully, using the latest advanced technologies, namely GIS in all stages of the Census and E-Enumeration for citizens abroad. Contributing factors to the success of the Census include: 1) An effective Communication and Advocacy; 2) senior Governing leadership involvement with a Census Steering Committee led by the Countrys Prime Minister, resulting in full Government funding for the entire exercise.

Main Constraints
The Law on State Secret limited a use of proper-sized maps for the Census. Capacity of local enumerators in using maps in the actual enumeration process still had some weaknesses.

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Output 4.1: Strengthened appropriate mechanisms for coordination, monitoring and evaluation of population, gender and RH policies and programmes, with support of central and local policy makers and civil society Indicators Baseline Target End-line data Since its re- N/A A recommendation to National Population, gender and development Committee fully functional
establishment in 2005, the Committee has met only once. upgrade the status of the Committee at the Prime Ministers Office is included in the National Strategy on Ageing, endorsed by the Cabinet in 2009. Evaluation of two programmes (i.e., Evaluation of National Programme on Elderly Health and Welfare; National Population Policy review).were conducted with support of UNFPA with involvement of Civil Society Organizations

Civil society, women groups and youth groups participate in consultations for and in the
monitoring of national development strategies, sub-national action programmes and community development plans

Only one out of more than 20 national programmes on population, development and public health, involved NGOs in its final evaluation.

N/A

Key Achievements
Due to on-going advocacy efforts there is a proposal to elevate the National Committee on Population and Development to a department under the Prime Ministers Office. There are signs of increased interest on population issues in Parliament. UNFPA has been asked to organize related briefings for Members of Parliament. In terms of strengthening the capacity of CSOs, Humanitarian University Faculty Team and Mongolian Association on Population and Development were involved in the mid-term evaluation of Population Policy and National Programme on Elderly. In addition to these, Association of Elderly was a part of participatory process to develop the National Strategy On Ageing.

Main Constraints
The current Committee on Population and Development is not functioning since it is under a Ministry with no clout to hold other line ministries accountable. The current agency in charge of planning (National Development and Innovation Committee) does not have proper authority and status to coordinate activities in the area of Population and Development.

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Output 4.2: Enhanced institutional capacity for integration of population, gender, and RH policies and programmes into development planni ng and budgeting in selected areas Indicators Baseline Target End-line data
Number of decision makers champions for advocating population, RH and gender issues.

Increased budgetary allocations for public programmes and policies.

Parliament - 2 Ministries and implementing agencies - 1 CSO - 3 Currently 90 million tugrugs are allocated for 11 National programmes in population and development under the Minister of Social Welfare and Labor

N/A

N/A

Parliament 6 Ministries and implementing agencies-4 CSO -6 220 million tugrugs are allocated for 11 National programmes in the field of population and development under the Minister of Social Welfare and Labor in 2010. Also, under RHCS 50 thousands tugrugs in 2009 and 80 thousands tugrugs in 2010 and 100,000 are allocated in 2011 state budget.

Key Achievements
Mongolian Parliamentarians Committee on Population and Development is functioning well and it has 6 active members advocating for PD, RH and Gender issues among MPs and actively participating in AFPPD conferences and events. With active involvement of this Committee and in partnership with Parliament Standing Committee on Social Policy, Education, Science and Culture, UNFPA successfully organized 6 th Conference of Asia Pacific Women Parliamentarians and Ministers on Financing Health and Gender MDGs in Ulaanbaatar, Mongolia. The Government is increasing the allocations for public programmes as well as for the operations of the national committees, such as Parliamentarians Committee.

Main Constraints
There is no link between socio-economic development priorities and the state budget. This issue is also criticized at the Parliaments sessions.

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C. Summary of Evaluation Findings

Summary UNFPA Mongolia Country Office is currently implementing the Fourth Country Programme, CP4 (2007-2011) which was built on the achievements and lessons from previous country programmes. An end-of-cycle evaluation of the fourth country programme was undertaken late 2009 and a United Nations Country Team (UNCT) led Common Country Assessment was carried out in 2010. The formulation of the United Nations Development Assistance Framework (UNDAF) for 2012-2016 was also completed in December 2010. These processes, most especially lessons learned and recommendations coming out of the CP evaluation, informed the development of the Fifth Country Programme, being submitted for review and approval by the Executive Board in its 2011 June session. The CP has three major focus areas: Population and Development (PD), Reproductive Health (RH) and Gender. Reproductive health (RH) and maternal clinical services are well established in the country; however, the quality of these services has been identified to be weak. Capacity building in providing timely and quality RH and maternity services has been one of the major outputs of the current programme. Despite ready availability of data, its disaggregation and utilization by policy makers and planners remains a challenge. The Country Programme addresses these issues and undertakes activities to build capacity in utilization of data and promote evidence based policy formulation and planning. The Gender component looks at building national capacity, especially the National Committee on Gender Equality and addressing gender-based violence. Behaviour Change Communication targets all components but targeted especially young people under the reproductive health component. The fourth country programme was implemented through and with government and non-government institutions, such as the Ministry of Health, Ministry of Education, Culture and Science, Ministry of Social Welfare and Labor, Parliament, National Statistical Office, National Development and Innovation Committee, National Committee on Gender Equality, RH and PD NGO Network among others. The Country Programme was mostly funded through UNFPA regular resources, with additional resources mobilized. At the end of 2010, a total of USD 10Million was expended on the Programme. Based on maternal mortality indicators the Country Programme was strategically focused on the five most western and most remote provinces, namely, Bayan-Ulgii, GobiAltai, Khovd, Khuvsgul and Uvs. A Regional Sub-Office, located in the Government premises of Khovd province, facilitated timely delivery of technical assistance and a smooth programme implementation. Selected interventions such as provision of life-saving drugs, contraceptives, equipment and health worker training were also targeted to the remaining provinces of the Country. Evaluation Objectives: The objectives of the CP evaluation are three-fold: first, to assess the achievement of the country programme; second, to understand factors that facilitated or hampered achievement of expected results; and, third, to compile lessons learned and recommendations to inform the development of the next country programme cycle. The results were expected to be measured against outputs using the CPAP Planning and Tracking Tool. Key results: Population and Development: - As a result of capacity building of key counterparts at the central level, data availability improved to support advocacy efforts focused on emerging population issues. However, both at national and sub-national levels, utilization of disaggregated data to inform policies, programmes and budgeting were not clearly observed. The expert group is playing a vital role in increasing the capacity of policy makers and planners by conducting trainings and advocacy at the national and subnational levels; - The use of findings from research studies has been insufficient, in part due to poor quality of some studies and limited dissemination of research reports. A monitoring tracking tool for MDGs progress is available through the integrated database established at NSO but it has not been updated since 2007. The quality of data is also a concern for decision and policy makers at the local level; - The first step was taken to set up a joint sub-council on PD and Public Health in order to improve coordination and harmonization of programmes at national and

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sub-national levels; some, albeit limited, progress was achieved in integrating population, gender and RH concerns into annual development planning and budgeting, collaborating with MOF, NDIC and other line ministries. Maintaining and regularizing discussions among key line ministries on priority human development issues has been very important in incorporating population, gender and RH concerns into annual socio-economic guidelines and budgeting.

Reproductive Health and Rights: - Improved availability and accessibility of high quality RH services integrated with STI/HIV prevention measures in the remote rural areas for especially disadvantaged groups of people, as a result of UNFPAs support for technical, logistical and s tructural assistance to ensure on-site screening methods in antenatal care clinics as well as to supplies for testing and One Point integrated RH services at the Regional Centres; - Development of a model RH services approach at selected soum hospitals demonstrates high quality RH services integrated into primary health care settings to reach disadvantaged groups of people in remote rural areas. - Improved Capacity of Government and NGOs at the national and local levels. The evaluation indicates satisfaction of beneficiaries with the quality of the BCC interventions as well innovative, effective, audience specific approaches. - The integration of the health education programme was successfully implemented nationwide. - development and revision of national standards and guidelines - Improved technical competency of service providers in delivering the high quality RH services especially in remote, rural areas due to ready availability of the clinical references and service guidelines. However, EmOC and ENC assessment disclosed that the clinical guidelines and standards were not fully complied with, including basic obstetric and neonatal procedures - Improved procurement capacity for medical supplies and equipment due to trainings facilitated by the UNFPA Copenhagen-based Global Procurement Services Branch. Gender: heightened awareness and momentum built on Gender issues; development and submission to Parliament of a Gender Equality Law; Gender Equality Law passed in Parliament Heightened awareness to gender-based violence in the Country. One-stop centres to address GBV in the capital city.

Main lessons learned Not all outcome level indicators were relevant to fully capture the proposed outcomes. Overall, compliance with the selected outcome indicators might have led to distorted analysis and interpretation of the outcome indicators. Because of these design challenges, the CPAP Planning and Tracking Tool was not effectively used throughout the Country Programme implementation. It was not helpful in the analysis since most of the data that should be tracked and reported on an annual basis were either missing or not useful for planning of UNFPA interventions since no performance targets were set. Overall, the reliability of the data collected through routine statistics is questionable. Special attention should be paid to reduce the discrepancy between the fertility rates reported through health statistics and the NRHS. Need to address preparedness and response in primary health care settings. training or other capacity building activities for policy makers and planners need to consider appropriate timing, such as for example just after the elections for new members of Parliament and soon after major Cabinet appointments. The high turn over of Government staff at medium and higher levels affect the results of

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capacity building activities. Due to high workloads and lack of human resources at MOSWL and NSO, some capacity building activities including central and local trainings were not systematically carried out or were postponed. Lack of technical capacity of CSOs in conducting independent monitoring and evaluation and research affects the quality of studies and reviews undertaken in the area of population and development. There is need to improve teaching aid materials including provision of internet in both urban and rural schools, in order to improve quality of classes on reproductive health and HIV/AIDS. There is need to improve quality of education on RH and HIV/STI prevention in non-formal training centres.

Factors that facilitated achievement of the country programme results: - Commitment of the Implementing Partners staff. - Commitment of Country Office staff and strong partnerships with implementing agencies; - Province and district-centered programmes that facilitated outreach to remote and disadvantaged groups. - The national execution modality which contributed to national ownership. - Coordination and collaboration with other United Nations agencies such as UNICEF and WHO. Factors that hindered achievement of the country programme results: - Flaws in choice of indicators during programme design (inconsistencies in the indicators in different documents) hampered proper monitoring of progress and assessment of programme achievements. Lack of a dedicated Monitoring and Evaluation staff. A junior focal point was appointed only late in the programme. Lack of an evaluability assessment at the planning/ proposal stage of the interventions and the absence of ex-ante evaluations made it difficult to effectively monitor the progress.

D. National Progress on Strategic Plan 2008-2011 Outcomes

Focus Area 1: Population & Development

Start value

Year

End value

Year

Comments

Outcome 1.1 Population dynamics and its inter-linkages with gender equality, sexual and reproductive health and HIV/AIDS incorporated in public policies, poverty reduction plans and expenditure frameworks. Minor 2004 Major 2010 Population Dynamic National development plans(NDPs) and poverty Moderate 2004 Major 2010 RH, including HIV/AID reduction strategies(PRSs) incorporate: Minor 2005 Minor 2010 Gender Equality N/A N/A by donors Resource mobilized for population activities (US $) N/A N/A by the country

Summary of Progress
Heightened attention to linkages between population trends, age structure and development goals. The National Development Strategy and the Government Programme 20082012 attempt to articulate these linkages. A National Strategy on Ageing is in place and a National Programme on Population and Family Development is under development.

UNFPAs Contributions
UNFPA contributed to improving the availability of age and gender disaggregated data by supporting Census and thematic research in Population and Development. In addition, UNFPA facilitated a consultative process to develop the National Strategy on Ageing, an organization of the Demographic Window Consultative meeting and education of relevant people including MPs and Cabinet members on an importance of effective use of the demographic window period and improvements in multisectoral collaboration in educational, employment and health policy development and implementation. Outcome 1.2 Young peoples rights and multisectoral needs incorporated into public policies, poverty reduction plans and expenditure frameworks, capitalizing on the demographic dividend.

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National development plans and poverty reduction strategies address young people's multisectoral needs

Minor

2007

Minor

2010

Incorporation of the young peoples sexual and reproductive health needs in national emergency preparedness plan/document

Minor

2007

C/A

2010

Emergency preparedness plan exists; however, access to the plan is not allowed to UN and other donors. Therefore it is not possible to comment whether the youth issues are incorporated in the plan

Summary of Progress
The UNFPA Youth Advisory Panel was expanded in 2008 to become the first UN Youth Advisory Panel involving all UN agencies in the Country, with a broad representation of public and non-governmental youth organizations. The purpose of the UN YAP is to promote and ensure youth participation and inputs in UN programme design, planning and implementation including monitoring and evaluation, and establish a mechanism for open dialogue and information exchange between the Government, UN agencies, youth organizations and youth groups.

UNFPAs Contribution
UNFPA was a lead agency of the UN YAP activities and initiated and supported both technically and financially several innovative initiatives including an organization of the Mini UN Forum, National Youth Consultation, establishment of UN Book Corner in the libraries, an UN YAP e- newsletter. The National Youth Consultation was an important and timely avenue where all participants actively and freely discussed and proposed specific recommendations on youth education, health, employment and youth policies to increase Youth understanding and involvement on matters of national development as embodied in the Millennium Development Goals Outcome 1.3 Data on population dynamics, gender equality, young people, sexual and reproductive health and HIV/AIDS available, analyzed and used at national and subnational levels to develop and monitor policies and programme implementation. 2010 round of population and housing censuses completion status National household/thematic surveys that include ICPD related issues Inclusion of time-bound indicators and targets from national/sub-national databases in national development plans
Preparation 2007 Completed, data compiling RHS completed, report disseminated Moderate 2010

RHS planned

2007

2010

Minor

2007

2010

Summary of Progress
2010 Population and Housing Census and National RH survey successfully completed and Census results will be announced in July 2011. A RH survey is undertaken every two years and data widely disseminated.

UNFPAs Contributions
UNFPA Provided technical and financial support in conducting and disseminating results 2010 Population and Housing Census and RH survey. Outcome 1.4 Emerging population issues especially migration, urbanization, changing age structures (transition to adulthood/ageing) and population and the environment -- incorporated in global, regional and national development agendas. National development plans and poverty reduction strategies address the challenges Partial 2007 Moderate 2010 of emerging population issues

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Summary of Progress
The MDG Based National Development Strategy addressed poverty reduction issues and focused on approaches aiming to reach the poor and vulnerable groups. A Policy of cash benefits for citizens of Mongolia is in place despite poor targeting to ensure inclusion of the Poor.

UNFPAs Contributions
UNFPA provided inputs on the development of National Development Strategy especially drawing attention to population dynamics and structure.

Focus Area 2: Reproductive Health and Reproductive Rights, including HIV/AIDS

Outcome 2.1 Reproductive rights and SRH demand promoted and the essential SRH package, including reproductive health commodities and human resources for health, integrated in public policies of development and humanitarian frameworks with strengthened implementation monitoring. 4.6 2003 14.5 2008 Unmet need for family planning RH Survey results Implementation of the minimum initial service package (MISP) during humanitarian Not Not implemented 2007 2010 implemented crisis and post-crisis situations

Summary of Progress
Reproductive rights and sexual reproductive health, particularly maternal and newborn health has been highly promoted and integrated into national policies and strategies such as the MDG-based National Development Policy (2009-2020), the Population Policy of Mongolia endorsed by the Parliament in 2004 and updated in 2008 and the Special Parliament Resolution on Mongolias MDGs (2005). The essential SRH package is included as an integral part of an ess ential health care package in the Health Sector Strategic Master Plan-HSSMP (2007-2015). The political commitment to promote MDGs is high and the government has taken several important policy decisions towards universal access to reproductive health services and enhancing RHCS. An MDG new target on universal access to reproductive health is reflected in revised national MDGs. In 2010, the government launched a new voucher initiative to provide free basic medical services for the poor, which includes oral contraception. Primary health care and maternal health facilities are well established with relatively well trained human resources. The overall health sector budget has dramatically increased in last three years, however, government funding for preventive services including sexual reproductive health remains not adequate. An existing human resource is unevenly distributed leading to a shortage of skilled health staff in rural areas. Natural disasters with harsh cold winters and outbreaks of new infections such as H1N1 created significant challenges to access maternal health services in affected areas.

UNFPAs Contributions
The RH component of CP4 contributed specifically to the implementation of HSSMP, third National Programme on RH (2007-2011) and National Strategy to Reduce Maternal Mortality (2005-2010). Advocacy events including third National Conference on RH, First Regional Meeting of Low HIV Prevalence Countries, sub-national high level Conference on Maternal and Newborn Health, high level meeting on RHCS and National Meeting on ICPD+15 contributed to an increase and maintenance of political commitment towards ICPD agenda and MDGs. With UNFPA support from GPRHCS, the National Strategy on RHCS was endorsed by the Government and the national budget line for RH commodities was established in 2008. Parliamentarians, ministers and other policy makers from central and provincial governments attended international meetings and were sensitized on reproductive health and rights, which contributed to create a supportive policy environment for sexual reproductive health. UNFPA was actively involved in national coordination mechanisms and made contribution to improve aid effectiveness of international assistance in health sector. Our technical assistance and policy dialogue have contributed to a development of national policies and strategies in new areas such as health sector response to GBV, national eHealth strategy including telemedicine, and a number of clinical guidelines, review and formulation of a new maternal mortality reduction strategy. Comprehensive EmONC assessment, national RH survey and other surveys contributed to the improvement of national policies on SRH. Outcome 2.2 Access and utilization of quality maternal health services increased in order to reduce maternal mortality and morbidity, including the prevention of unsafe abortion and management of its complications. 99.6% 2007 99.80% 2009 Proportion of births attended by skilled health personnel Source: Annual Health 25.0% 2006 28.16% 2009 Urban Indicators 2009 Caesarean sections as a proportion of all births 11.9% 2006 15.85% 2009 Rural

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Summary of Progress
The government has taken several important actions to implement the National Strategy to Reduce Maternal Mortality (2005-2010) in line with HSSMP. In collaboration with national and international partners including UNFPA under the coordination of the Steering Committee on Maternal and Child Health. Important strategic actions including the increase of budget allocation for maternal health and introducing special incentives for doctors and midwives working in maternity wards and hospitals had positive impact on improving quality of maternal and newborn health care. For example, three new maternal hospitals in remote rural areas were newly built in the last 4 years. Now, public health facilities at all levels of medical care provide free maternal health services during pregnancy and childbirth, and in a postpartum period. Development update and utilization of national guidelines on maternal health in line with WHO and inter agency guidelines, capacity building of service providers and introduction of effective approaches and good practices were essential to reduce maternal mortality. For example, a nationwide introduction of an active management of the third stage of labor and a management of eclampsia with high dose of magnesium sulfate resulted in a reduction of maternal mortality caused by PPH and eclampsia. Key indicators of accessibility and utilization of maternal health services such as antenatal care coverage, skilled birth attendance have been achieved in the country, however, equity is still an issue and the quality of services needs much improvement. Abortion is legal in Mongolia and the National Standard on Abortion was approved and implemented to promote safe abortion practices. A minor decrease was observed in the abortion rates. If in 2006 one in every 5 pregnancies ended with abortion, in 2009, one in every 7 pregnancies end with abortion.

UNFPAs Contributions
A nationwide and focused support has been provided through CP4 to reduce maternal mortality in Mongolia. UNFPA assistance, especially support received from the Global Programme on RHCS contributed to availability and utilization of life-saving medicines nationwide. All maternal wards and hospitals at central and provincial levels are equipped with essential maternal health equipments and other supplies as shown in the EmONC needs assessment conducted with assistance of UNFPA, UNICEF and WHO. The service providers were involved in training workshops on various themes and use of new guidelines. Holistic support through UNFPA, Regional Sub-office and national experts including policy advocacy for local policy makers, training of service providers at all levels including community health centres in rural areas and demand creation and community mobilization activities greatly contributed to improving access to and quality of maternal health services, particularly, EmONC among disadvantaged rural populations in five remote western provinces. UNFPAs assistance in the western region with highest MMR was substantial contribution to redu cing maternal mortality at a national level. MMR in the western region is reduced from 195 (a 5 year average prior to UNFPAs pro gramme between 1998-2002) to 106 (a 10 year average in 2002-2010 since UNFPAs programme has been implemented) per 100,000 LB. In the last two years of the programme, a substantial con tribution made introducing the new approach to use telemedicine in improving maternal and newborn health in eight provinces with resource mobilization from the Luxemburg Government. All relevant professionals were involved in intensive specialized trainings and health facilities have been equipped with advanced techniques needed for maternal and newborn health telemedical support. More than 800 clients from rural areas received tale-consultation services from specialized centres in clinical decision making through two telemedicine networks. One stop RH nits function in provincial general hospitals and provide comprehensive SRH services. Trained mobile teams with equipped vans regularly reach out nomadic populations and provide SRH services. Eleven rural health facilities in remote areas were involved in a Model RH Soum Hospital (primary health center) initiative and made progress in integrating SRH services into primary health care in rural areas. UN FPAs assistance during emergencies was appreciated by counterparts as the most relevant and timely to reach affected families, especially pregnant women. Those achievements greatly contributed to achieve MDG 5: MMR is reduced from 89.6 in 2007 to 45.5 per 100,000 LB in 2010. Outcome 2.3 Access to and utilization of quality voluntary family planning services by individuals and couples increased according to reproductive intention. 52.8 2007 53.2 2009 Contraceptive prevalence rate-modern methods Proportion of service delivery points (NDPs) offering at least 3 modern methods of Source: RH Survey n/a 2007 93% 2008 contraception results

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Summary of Progress
The National Population Policy of Mongolia (2004, 2008) provides the basis for voluntary family planning and choice of modern contractive methods. Since 1990s, the country made substantive progress in introducing family planning services. As a result, the level of knowledge on family planning is very high among women and men (respectively 98%) according to the latest RH survey, 2008. However, the progress has slowed in recent four years due to other competing priorities and CPR for use of modern contraceptive methods was reduced from 45.3% in 2003 to 40.4% in 2008 (RH survey). Contraceptive supply has been donor dependent and mainly UNFPA has been the only supplier of contraceptives in the country. Social marketing programme has been implemented successfully mainly by Marie Stopes International Mongolia and currently male and female condoms, oral and emergency contraceptive pills and IUDs are distributed through social marketing in urban areas. According to a sample survey conducted by UNFPA, at least 3 modern contraceptive methods were widely available throughout the country (93%) including remote rural areas. Public health facilities provide free family planning services. However, involvement of private sector and NGOs in family planning remains limited. The Ministry of Health strengthened its collaboration with Mongol Em Impex Concern (MEIC) to use their service in logistics management of RH commodities based on the strategic long-term agreement in 2010.

UNFPAs Contributions
The inclusion of Mongolia in a special programme for accelerated reduction of maternal deaths Stream 1 Countries under the UNFPA Global Programme (GP) on RHCS has made a significant contribution to increasing access to family planning services as well as enhancing sustainability of contraceptive supplies. UNFPA was the main supplier of contraceptives, at the beginning of CP4. Following development of an exit strategy and signature of a cost-sharing agreement, the Government has endorsed and implemented the National Strategy on RHCS in 2008 which included the establishment of a national budget line for RH commodities including contraceptives. Governments share of contraceptive expenditure has increased from 50,000$ in 2008 to 120,000$ in 2010 which covers about 30% of contraceptive needs of the country. With GPRHCS support, RH programme managers and warehouse managers are trained and use CHANNEL software in national LMIS. In addition, capacity of programme and logistics managers in forecasting and procurement has strengthened through technical support from PSB and training workshops. RHCS trainings were institutionalized at the School of Pharmacy of HSUM during the last two years. With a purpose of intensifying family planning, , special re-fresher training on FP and ANC was designed in collaboration with Obstetrics/Gynaecology Department of HSUM and about 50 per cent PHC providers from urban and rural family health clinics and rural community health centres (soum hospitals) were involved in the training in the last two years. UNFPAs catalytic role in strengthening public and private sector partnership by establishing Tri-partite Agreement between Ministry of Health, UNFPA and MEIC played a key role in establishing a strategic partnership with them and solve logistics management challenges. Introduction of a market segmentation approach and collaboration with a private sector and NGOs will be focus of UNFPAs further assistance. Outcome 2.4 Demand, access to and utilization of quality HIV and STI prevention services, especially for women, young people, and other vulnerable groups, including populations of humanitarian concern increased. Percentage of young people with correct knowledge about HIV/AIDS preventive Male 23.4 Male 22.3 Source: Second 2007 2009 Female 25.7 Female 18.4 practices generation Sentinel Male 62.6 Male 60.9 2007 2009 Condom use at last high risk sex Surveillance Report, Female 51.8 Female 46.2 2009 60.1% 2007 74.0% 2009 Percentage of sex workers reached with HIV prevention programmes It is officially reported that there were only 3 Percentage of HIV positive pregnant women who received anti-retrovirals to reduce cases of HIV positive 100% 2008 100% 2008 the risk of mother-to-child transmission women giving birth and all 3 cases received ARV treatment.

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Summary of Progress/UNFPA Contribution

Nationwide introduction of ANC Pathways was an important initiative to improve quality and coverage of ANC for women in general and vulnerable women in particular. An integration of STI/HIV prevention services into ANC in selected areas was piloted jointly by UNFPA and GTZ was an innovative approach. UNFPA effectively combined technical and financial resources with GTZ. The support included a provision of essential laboratory equipment, supplies and STI drugs and capacity-building efforts undertaken at a local level. As a result of this joint effort, an integration of STI/HIV prevention into ANC Pathways was done, training curricula were developed for the Postgraduate Training Institute (PTI), and HSUM medical colleges and approximately 70 per cent of pregnant women in selected areas were provided with STI/HIV prevention services including counselling and laboratory tests1. An establishment of VCT centres in selected areas is another pilot initiative that contributes to achieving the target/indicator. Six VCT centres were established with UNFPA support and integrated into primary and secondary health services. VCT centres established in the Altai soum of the Gobi-Altai aimag, Zamiin Uud soum of Dornogobi aimag, Bulgan soum of Khovd aimag, Border Troop Post No 245 in Uvs aimag, and mobile VCT in the Khuvsgul aimag could serve as examples of integrating HIV prevention services into primary health care settings. An establishment of VCT centres in border areas could be effective, both in terms of integrating HIV prevention into primary health care or specifically targeting HIV risk groups such as sex workers and their clients. During the reporting period, 18 Adolescent Health centres were established. The centres are providing RH and STI /HIV prevention services to adolescents. With the establishment of these centres more adolescents and young people have been served by these centres, conditions and services of these centres have been improved; knowledge and skills of doctors to provide appropriate counselling services to adolescents and practical skills on management and laboratory diagnostics of STI and HIV/AIDS have been upgraded. Within this country programme a specific project to prevent STI, HIV transmission among sex workers and their clients, with a special emphasis at southern border areas was developed and implemented. Positive steps were taken in combining efforts of two countries to reduce risks and vulnerabilities associated with mobility and sex work in border areas. The project is implemented jointly by UNFPA Country Offices in China and Mongolia and Mongolian Red Cross Society; it targets sex workers and their clients in border areas. As a result, the capacity of MRCS to undertake interventions targeting female sex workers and members of mobile population has improved; and collaboration and communication of partner agencies has been strengthened. In border areas, peer educators and outreach workers were trained and the trainings were organized on a monthly basis on sexual life and reproductive health, STI/HIV prevention, communication skills, prevention from human trafficking, use of contraceptives including female condom and harmful effects of alcohol and tobacco use. Currently, a total of 17 outreach workers and 43 peer educators among the target groups are working sustainably delivering information to the target groups. Overall, during 2009-2010, the project reached out to 31,018 members of the mobile population and 250 sex workers, through various trainings, focus group discussions and public events. Outcome 2.5 Access of young people to SRH, HIV and gender-based violence prevention services, and gender-sensitive life skills-based SRH education improved as part of a holistic multisectoral approach to young peoples development. Proportion of secondary school curricula including gender sensitive, life skills based N/A 2007 100% 2010 SRH/HIV prevention

MOH, GTZ, Final Report of the Project on STI/HIV Prevention (2007-2009)

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Summary of Progress
In an area of non-formal education, Health Training Curriculum was revised, national trainers were trained, and four training modules on SRH were printed and distributed. The second edition of the 10 series Life Skills manuals that has been revised and p ublished in cooperation with the US Peace Corps is being extensively used in nonformal educational trainings. Health education centres were established and equipped in 15 dormitories of secondary schools in 5 selected aimags, thus creating opportunities for students to spend their leisure time in a productive manner, to obtain information on health issues, and to work in teams. These centres have been highly appreciated by both teachers and students.

UNFPAs Contributions
Under the Fourth Country Programme, 4 new Future Threshold Adolescent Health Centres (FTAHC) are established in 2009 and the number of FTAHCs reached 18 and FTAHCs proved themselves capable for continuous and effective provision of integrated health services to adolescents and youth including the vulnerable groups. The centres are providing RH and STI /HIV prevention services to adolescents and youth. A wide range of FTAHC activities on RTI/STI management and prevention, peer education, and effective communication skills resulted in improved knowledge and skills of adolescents on sexuality and reproductive health, increased client usage of services at FTAHCs, and the strengthened capacity of service providers. On average 25,000-35,000 adolescents and youth have been benefited from the services of 18 adolescent health centres per year during the CP.

Focus Area 3:Gender Equality

Outcome. 3.1 Gender equality and the human rights of women and adolescent girls, particularly their reproductive rights, integrated in national policies, development frameworks and laws. There was a natural disaster in 2010, but the country assessed that Policies and laws are implemented/enforced in line with the United Nations Security Moderate 2007 Minor 2010 there is a low Council Resolution 1325 on Women, Peace and Security in conflict and post conflict probability of any types of violence against women Mongolia has not Incorporation of reproductive rights into the convention on the elimination of all reported on the CEDAW Comprehensive 2007 Comprehensive 2008 forms of discrimination against women (CEDAW) reports implementation since 2008.

Summary of Progress
UN Theme group on gender discussed the implementation of the observations from the CEDAW Committee on the Government 2008 report. A clear division of labor among UN agencies is clearly captured on a Matrix developed to ensure effective follow up on observations to the CEDAW Report. A Gender Equality Law passed in Parliament on 02 February 2011 after its submission in 2009.

UNFPAs Contributions
UNFPA led the UN Theme Group on Gender during the 2008, 2009 and has continued to play an active role. UNFPA made financial and technical contributions to the National Committee on Gender Equality, including during the development of the Gender Equality Law and continued advocacy among senior government officials and members of Parliament. Outcome 3.2 Gender equality, reproductive rights and the empowerment of women and adolescent girls promoted through an enabling socio-cultural environment that is conducive to male participation and the elimination of harmful practices. It is not practiced in N/A 2007 N/A 2010 Female genital mutilation/cutting (FGM/C) prevalence rate Mongolia

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Percentage of women who decide alone or jointly with their husbands/partners/others about their own healthcare

C/A

2007

C/A

2010

Summary of Progress
A substantial progress has been made to build capacity of the Mongolian Mens Association through participation in study tours and regional trainings. T he association organized the first national mens forum in 2008 highlighting issues faced by men and raising awareness of male par ticipation in reproductive health as well as GBV prevention in the country.

UNFPAs Contributions
UNFPA contributed to male participation in gender-related discussions. With UNFPA support and guidance, the model soum (district) hospital in Mankhan, Khovd aimag (province) has been making conscious efforts to encourage male participation in choosing appropriate contraceptives, caring for pregnant women and attending childbirth. Outcome 3.3 Human rights protection systems (including national human rights councils, ombudspersons, and conflict-resolution mechanisms) and participatory mechanisms are strengthened to protect reproductive rights of women and adolescent girls, including the right to be free from violence. Major 2007 Major 2010 Incorporation of reproductive rights in national human rights protection system

Summary of Progress UNFPAs Contributions

UNFPA is an active member of the UN Human Rights Theme Group. Through advocacy from this group and other actors, the Country has put a moratorium on the death penalty since 2010. Outcome 3.4 Responses to gender-based violence, particularly domestic and sexual violence, expanded through improved policies, protection systems, legal enforcement and sexual and reproductive health and HIV-prevention services, including in emergency and post-emergency situations. None 2007 Yes 2010 Mechanisms in place to monitor and reduce gender-based violence Inclusion of gender-based violence in pre- and in-service training of health service None 2007 Comprehensive 2010 providers

Summary of Progress
A health response to gender-based violence is being piloted through the establishment of One point service centres in three major health facilities of the capital city: the Trauma Hospital, the Forensic clinic and District Health Alliance. Service providers in these centres have been trained on to serving victims of violence. GBV crime related data are included in official statistics of General Police since 2007 and GBV public disorder data is included in official statistics of General Police since 2009. These records are maintained regularly, disseminated monthly by the NSO monthly statistics bulletin.

UNFPAs Contributions
UNFPA provided technical and financial assistance for the inclusion of GBV data into Official Statistics of General Police. UNFPA provided technical and financial support to establish a functional One point service center at the District Health Alliance.

D. National Progress on Strategic Plan 2008-2011 Goal Indicators

Start value

Year

End value

Year

Comments

Goal 1. Systematic use of population dynamics analyses to guide increased investments in gender equality, youth development, reproductive health and HIV/AIDS for improved quality of life and sustainable development and poverty reduction. 1.9 2006 2.7 2009 Statistical yearbook Total fertility rate 2009, NSO 1.2 2006 1.9 2009 Statistical yearbook Population growth rate 2009, NSO

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48.55

2006

46.35

2009

Dependency ratio
Male 62.59 Female 69.38 97.7 2006 2000 Male 64.33 Female 71.79 95 2009 2008

Life expectancy at birth

Youth literacy rate Goal 2. Universal access to reproductive health by 2015 and universal access to comprehensive HIV prevention by 2010 for improved quality of life.

Calculated by CO based on statistical yearbook of 2009 by NSO Statistical yearbook, 2009, NSO Data is obtained from World Bank and UN Statistical Division websites

Health indicators 2009 by Department of Health 89.7 2006 81.4 2009 Health indicators Maternal mortality ratio 2009 by Department of Health Goal 3. Gender equality advanced and women and adolescent girls empowered to exercise their human rights, particularly their reproductive rights, and live free of discrimination and violence. 106 2006 104 2008 Data is obtained Ratio of girls to boys in primary and secondary education from World Bank website 19.3% 2006 19.9% 2009 This data shows only percentage of women aged 18-24 who registered marriage officially on the given year. Percentage of women aged 2024 who were married or in union before age 18 This data does not show whether these women were in union before age 18. Taken from Statistical yearbook 2009 by NSO Adolescent birth rate

5.6

2006

6.1

2009

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F. Strategic Plan 2008-2011 Management Output Indicators (Country offices may like to use the summary data for these reported in the COAR)
Results Output 1. Increased results-based management effectiveness and efficiency. Indicators Number (%) of country programme years when annual country programme review was conducted (5 in total). Baseline 0 End-line Comments Mid-term review was conducted 2009 and CP evaluation in 2010. According to AWP Monitoring tools OMP 2010 COAR 2010 1 5 COAR 2010 2 50-74% 6.0 mln for regular 2.5 mln for other 1 65% 121.67% (7.3 mln) for regular 144% (3.6 mln) for other 93.2% for regular 69.6% for other 100% CO M+E Plan ATLAS reports

Output 2. Ensured results-oriented highquality UNFPA programme delivery at the country, regional, and global levels Output 3. UNFPA maintains motivated and capable staff Output 4. Effective partnerships that protect and advance the ICPD agenda to be maintained and expanded Output 5.Ensured leadership role of UNFPA and active participation in the United Nations reform. Output 6.Improved accountability for achieving results at all levels Output 7.Ensured sustainable resources for UNFPA

Proportion of country programme outputs with at least 75% of targets achieved by the end of the CP Local recruitment time from advertisement of post to provisional offer Number of South-South initiatives providing knowledge, learning and training for building national capacity for ICPD implementation Number of active joint programmes with other United Nations agencies Proportion of field visit findings that follow-up actions have been taken by the country office Percentage of country programme funding target achieved by the end of the country programme Average programme implementation rate for core and other resources during the programme cycle (total implementation rate/years in the programme cycle) Proportion of field visit monitoring plan activities implemented

N/A 3-4 months

87% 3 months

Output 8.Improved stewardship of resources under UNFPA management Output 9.UNFPA will have become a stronger field-focused organization

ATLAS reports

91.5% 75-99%

CO M+E Plan

G. Country Programme resources (in USD) Regular Resource (Planned and Final Expenditure) 5,056,675.63 4,682,452.10 1,849,845.17 1,579,528.75 317,590 295,268.64 924,820.40 754,613.15 8,145,931.20 7,311,862.64 Others (Planned and Final Expenditure) 3,664,076.79 2,785,782.28 792,847.69 689,265.39 Total (Planned and Final Expenditure) 8,720,752.42 7,468,234.38 2,642,692.86 2,268,794.14 317,590 295,268.64 924,820.40 754,613.15 12,605,855.68 10,786,910.31

Reproductive health and rights Population and development Gender equality Programme Coordination and assistance Total

4,456,924.48

3,475,047.67

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Data Sources/Key Reference Documents

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Annual Statistical Report 2009, National Statistical Office Annual Health Indicators 2009, Government Implementing Agency Department of Health Second generation Sentinel Surveillance Report, 2009, WHO, Global Fund project on HIV/AIDS and TB Reproductive Health Survey 2008, National Statistical Office and UNFPA Evaluation report of the UNFPA Fourth Country Programme of Assistance to Mongolia (2007-2011), conducted by Padma Karunaratne et al, 2010 CO Annual Reports 2007 and 2010 World Bank website: http://data.worldbank.org/indicator/SE.ADT.1524.LT.ZS/countries/MN?page=1&display=default UN Statistical Division: http://unstats.un.org/unsd/demographic/products/socind/literacy.htm AWP Monitoring tools CO Monitoring and Evaluation Calendar ATLAS reports

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