Countries Abortion Profile

Mongolia

1. Law related to Abortion

Brief history of the law:

Induced abortions by medical indication have been performed since 1940, mainly to preserve the mother’s health. In 1989, amendments to the Health Protection Law were “A woman has the right to decide on her motherhood”. 

Short summary of conditions within the law:

Legal context of abortion: Article 36, Health Law of Mongolia (1998):

36.1. Abortion should be performed only in the facilities that meet the requirements and be performed by medical doctors who have been certified. 

36.2. The regulations related to abortion in article 36.1 should be approved by the central government administrative body in charge of health issues.   

Analysis of it being restrictive if at all:

Second trimester abortion is restricted and performed only by decision of Medical Committee. Late abortion is only legally allowed next criteria:

  • If it is determined that the pregnancy threatens the life and/or health of the mother and/or fetus.
  • At the requests of women if she is aged less than 16  and a woman over 45 years old
  • If the woman has a mental disorder
  • If it is determined that the pregnancy is the result of incest
  • If the pregnancy is due to rape

2. Policy

Government policy is expressed by the enabling for the law and legalization of abortion throughout the country.

3. Second Trimester Abortion

4. Practiсe

National standard on “Comprehensive abortion care” was developed in 2005 and training on this standard was conducted among obstetricians who work for public and private sector both.

5. Reproductive Health Perspective

Signatory to ICPA, CEDAW: No.

6. Abortion Statistics

Health statistics for 2007 demonstrate the abortion ratio was 283.6 abortions per 1000 live births and 20.2 abortions per 1000 women of reproductive age. Abortion in later pregnancy was 4.1%, which in comparison with last year increased by 0.4 points.

By age group, 6.2% of total abortions were among those aged between 20-34 years, and 25.1% among women aged 35 and over.

In comparison with last year the abortion rate increased all age groups. Almost half (46.0%) of all women who have undergone induced abortions have experienced abortions first time and 16% of them are students. 

7. Public sector

Abortion services available at 1st trimester, average cost 20USD and 2nd trimester, free, in some cases patients buy medicines (misoprostol and mifepriston).

8. Private sector

Abortion services available for hospitals with accreditations during 1st Trimester. Cost is variable for each clinic. 

9. Methods used

10. Provider level allowed for surgical and medical abortion

Only Ob Gyn.

11. Abortion related morbidity mortality statistics

12. Manufacture and/or availability through import of abortion equipment (MVA syringes, EVA equipment).

13. Manufacture/ import of Mifepristone, Misoprostol

14. Facility and provider certification norms in brief

15. Information available in national service delivery standards

16. Informal / illegal providers – if present who are they

Unsafe abortion providers exist.

17. Population urban/ rural: Demography of the country, with an analysis of availability of abortion services ratio to population

By the end of 2007, the population of Mongolia reached 2.35 million: an increase about 31.8 thousand people or 1.2 percent, compared to 2006. Of the total population, 61.0 percent is living in cities, and the remaining 39.0 percent resides in rural areas. Moreover, 1034.8 thousand people reside in Ulaanbaatar city. Male residents make up 48.7 percent of the total population, while females make up 51.3 percent. Around 28.9 percent of the population is under 15 years of age, 67.0 percent is between 15-64 years old, and 4.1 percent is 65 and over.

18. Role of government

Enabling, provides adequate funding to run training and service delivery program.

19. Role of religion/ religious leaders

Neutral.

20. Local Ob Gyn societies

Supportive, conscientious objectors.

21. Current status and potential of research

22. Awareness amongst community members

23. Role of member organization/ individual