Sexually transmitted infections (STIs) remain a major public health concern in Mongolia. STIs consistently make up one third of all reported communicable diseases in the last decade. According to the national statistical data there were 13,427 cases of commonly occurring STIs (syphilis, gonorrhea and trichomoniasis) which represented 31.3% of all registered infectious diseases. A survey in 2008, indicated that 25.5% of pregnant women had at least one STI. Syphilis among female sex workers was 18.3% and for men having sex with men was 5%, according to the latest second-generation sentinel surveillance (2009).
In Mongolia, STI services are provided at three levels of health care. At the primary care level STIs are diagnosed and treated based on syndromic case management. STI services in the secondary level provided by specialized STI clinics in the provinces and districts which could perform laboratory testing of STIs including diagnosis of gonorrhoea, trichomoniasis, syphilis and HIV. Each province or district has only one STI clinic. Tertiary level services are provided by AIDS/STI department of the National Center for Communicable Diseases (NCCD) where laboratory performs smear and culture of gonorrhoea, antibiotic resistance testing, detection and confirmatory testing of syphilis and HIV.
The National HIV/AIDS/STI strategy 2010-2015 and National STI guidelines have been revised and approved by the Health Minister in 2010.
