As most states in the Asiatic and Pacific part. modern-day Mongolia is undergoing mobility passages. Mongolia is in the thick of its demographic passages and has pursued theoretical account of economic growing that has been more focussed on import-substitution. In other manus. Mongolia is in demographic passage. witnessing a moderate. but diminishing. population growing. sustained diminution in birthrate and a steep addition in the figure of immature grownups come ining the labour market.
Population growing reached a extremum in the late sixtiess and has started to worsen since so. chiefly because of crisp lessening in fertilityratesfrom7. in 1975to 2. 8 in 1995. In 2000. entire birthrate rate was 2. 2 births per adult female. but it has dropped to the below-replacement degree ( 2. 1 births per adult female ) by 2004 ( 2. 0 births per adult female ) . Population growing reached to 1. 2 per centum in 2004. Since the passage began ( 1990 ) . Mongolia has seen a rapid rise in labour migration abroad every bit good as within the state. There has been a immense motion from rural to urban countries since 1990. The largest escape during 1991-2000 was from the Western part to other parts. chiefly to Ulaanbaatar and Aimagsin the Central part. which received the most figure of migrators.
It is common for countries of high immigration besides to enter high emigration. Some aimags in the North near the Russia boundary line and aimags in the South near the China boundary line besides witnessed an addition in immigration Mongolia has placed a high precedence on childhood immunisation and achieved noteworthy successes in commanding vaccinum preventable diseases. The EPI in Mongolia began in 1962. Everyday immunisation coverage over 90 % nation-wide of all EPI vaccinums has been achieved in kids less than one twelvemonth of age since 1998.
However. a late conducted Impact Assessment of Hepatitis-B inoculation coder in Mongolia ( 2004 } study informations indicates a high prevalence of Hepatitis B infection among immunized kids. peculiarly in rural countries. Data Quality Self Assessment besides indicates the considerable disagreement between the rubeolas vaccine official coverage study figure ( 97. 5 % ) and the existent coverage figure ( 77 % ) in selected rural countries in 2005. These study informations indicate the demand to better the information quality of the EPI coder. every bit good as immunisation services quality.
The tendency for neonatal mortality rates in Mongolia is the same as in developed states. From 2001 to 2003 the neonatal mortality rate was 14 deceases per 1. 000 births. The major causes for neonatal mortality are asphyxia. respiratory hurt and inborn defects. which require high tech third degree attention and improved referral system. The Infant and Under-Five Mortality Rates declined bit by bit in the last 5 old ages. Infant Mortality Rate per 1. 000 unrecorded births was 31. 2 in 2000 and declined to 22. 8 in 2004.
If this diminution continues. it will be possible to accomplish the MDG end of a decrease of IMR by 60 % . However. the peri-natal mortality rate of 28 per 1. 000 unrecorded births poses a important challenge to IMR decrease. The IMR per 1. 000 unrecorded births was 42. 4 in 2000 and declined to 29. 1 in 2004 There are some positive alterations in the mortality and morbidity form among kids. The Under Five Mortality caused by pneumonia per 1. 000 kids was 3. 9 in 2000 and decreased to 1. 9 in 2003. The chief causes of the U5MR are still acute respiratory infections ( ARI ) . diarrhoeal diseases. and hurts.
The entire figure of deceases between 0 and 1 twelvemonth has decreased from 1. 390 deceases in 2002 to 1. 016 deceases ( 26 % lessening ) in 2004. In last few old ages accidents and hurts among kids and stripling have become one of the public wellness jobs in Mongolia. About 14 % of all deceases in the age group from 15-44 consequence from accidents and hurts. taking 3rd topographic point in the list of the five most common causes of mortality after circulatory system upsets and malignant neoplastic disease. 22. 6 % of the deceases from accidents and hurts in the capital metropolis of Ulaanbaatar affected kids under 16.