Individual problems in health care from unregistered and transient citizens in ulaanbaatar

Abstract

Introduction: The main goal of the health sector is involved to all people in health care. The way to achieve this goal is to increase sufÏciency of primary health care. About 800,000 transient and unregistered citizens live in Ulaanbaatar. According to the principle of "leave no one behind" in health care we aimed to study personal factors influencing to go to the hospitals. Objective: The aim of this study was to determine the sufÏciency of primary health care and barriers in health care from unregistered citizens. Methods: Transient and unregistered citizens 200 families, in Sukhbaatar district were enrolled in the cross-sectional study. Questionnaire was developed based on standard questionnaires related to individual barriers in Multiple Indicator Cluster Survey and Demographic Health Survey. Data was collected base on the mobile phone by causes covid19. Results developed to use STATA software. Results: 23% of participants of the study were unregistered, 77% were transient. 57% of participants of study serviced, 43% didn't service, 3 % although the participant went to serve, didn't provide any services them because they were unregistered. They had more common problems to go to the hospital, location of the hospital is unknown (11.05%), not possible to services from a family health center because of unregistered citizen (20%), not health insurance (27%). Conclusions: Primary health care for transient and unregistered citizens was insufÏcient. They had more common individual problems, not possible to services from a family health center because of unregistered citizen, not health insurance, problems of finance