Rural Mongolia Research Articles

Life Satisfaction among Older Adults in Rural and Urban Mongolia: A Cross-Sectional Survey Study

Introduction: Life satisfaction is a strong indicator of well-being for older adults. In this study, we aimed to assess the level and correlates of life satisfaction among older adults in urban and rural Mongolia. Methods: We recruited 304 community-dwelling older adults in urban and rural regions of Mongolia. We compared levels of life satisfaction for the two groups, and then used hierarchical regression to examine the association of sociodemographic, health, psychosocial factors, and urban/rural status with life satisfaction. Results: Older adults in urban areas reported higher levels of life satisfaction than their rural counterparts. In the final step of the hierarchical regression model, more grandchildren in the household, better self-rated health, and reporting more positive than negative affect were associated with better life satisfaction at p < 0.05 as were engaging in paid work and lower levels of loneliness at p < 0.10. Net the effects of all other variables in the analysis, older adults in rural areas reported lower levels of life satisfaction. Conclusion: Our findings indicate that living in rural areas of Mongolia leads to lower levels of life satisfaction. We identify potential points to intervene through policies, programs, and practices that target the strengths and needs of older adults in rural areas by addressing inequities in socioeconomics, health, mental health, and opportunities for social integration.

Sociodemographic predictors of flourishing among older adults in rural and urban Mongolia

Flourishing is an eudaimonic dimension of psychological well-being associated with positive social and health outcomes. Determining correlates of health and well-being is critical for the development of evidence-based best practices, policies, and action plans that target older adults, especially in low- and middle-income countries where research on ageing, health and well-being is still scarce. The study aimed to determine the level of flourishing among older adults in Mongolia and to explore demographic and social factors that contribute to their flourishing in urban and rural areas of Mongolia. We used proportional quota sampling to select a non-probability sample of 304 community-dwelling older adults that reflected the national distribution of older age groups and rural/urban residency. We adapted and administered a widely used standardized questionnaire on flourishing and used multiple regression to establish correlates of flourishing. Study participants reported “very high” levels of flourishing; differences in median scores 53 for urban and 50 for rural older adults were significant. Sex (beta =-,2.09, p=0.080), level of education(beta =0.98, p=0.009) and receive help with ADLs (beta =-,2.29, p=0.013) were associated with flourishing in rural areas, as were self-rated health (beta =1.14, p=0.028), number of social activities (beta =0.050, p=0.019),and friends network (beta =0.22, p=0.035) in urban areas. Despite facing many challenges to well-being, older adults in Mongolia reported high levels of flourishing. Those in urban areas had higher scores than those in rural areas and predictors of flourishing differed for these groups.

A pilot cost-benefit analysis of a children's spectacle reimbursement scheme: Evidence for Including children's spectacles in Mongolia's Social Health Insurance.

Globally, 12.8 million children have vision impairment due to uncorrected refractive error (URE). In Mongolia, one in five children needs but do not have access to spectacles. This pilot cost-benefit analysis aims to estimate the net benefits of a children's spectacles reimbursement scheme in Mongolia. A willingness-to-pay (WTP) survey using the contingent valuation method was administered to rural and urban Mongolia respondents. The survey assessed WTP in additional annual taxes for any child with refractive error to be provided government-subsidised spectacles. Net benefits were then calculated based on mean WTP (i.e. benefit) and cost of spectacles. The survey recruited 50 respondents (mean age 40.2 ± 9.86 years; 78.0% women; 100% response rate) from rural and urban Mongolia. Mean WTP was US$24.00 ± 5.15 (95% CI US$22.55 to 25.35). The average cost of a pair of spectacles in Mongolia is US$15.00. Subtracting the average cost of spectacles from mean WTP yielded a mean positive net benefit of US$9.00. A spectacle reimbursement scheme is potentially a cost-effective intervention to address childhood vision impairment due to URE in Mongolia. These preliminary findings support the proposal of the inclusion of children's spectacles into existing Social Health Insurance. A much larger random sample could be employed in future research to increase the precision and generalisability of findings.

Contextual Factors Impacting School and Pastoralist Family Communication in Rural Mongolia: A Partial Ecological Model

This study developed a partial ecological model of contextual factors impacting school and pastoralist family communication at the primary school level in rural Mongolia based on Bronfenbrenner’s ecological model. To develop the model, we interviewed 10 classroom teachers and 10 pastoralist parents from two remote county schools in eastern Mongolia. During our interpretative phenomenological analysis based on semi-structured interviews, we found eight contextual factors impacting rural school and pastoralist family communication located at the exosystem and the macrosystem levels. The partial ecological model can be used in teacher education programs providing a greater insight into the contexts of school-family communication for pre-service and in-service teachers and for teacher educators and policy makers. The model could also be a foundational model for communication training in teacher education courses. In this respect, the current study may help inform researchers and education policy makers not only in Mongolia but also in other settings.

Exploring the efficiency of primary health care provision in rural and sparsely populated areas: a case study from Mongolia.

Mongolia is facing serious challenges in the health sector and the macro-economic sphere that have important implications for health financing and the completion of universal health coverage. In this context, improving the efficiency of primary health care facilities is a critical issue. We study the efficiency of Soum Health Centres (SHCs) that provide primary care in rural Mongolia. Based on activity and resources data collected for all SHCs of Mongolia in 2017 and 2018 we estimate bias-adjusted efficiency scores. A double bootstrap truncated regression procedure is then used to study the factors associated with SHCs' efficiency. On average, SHCs could potentially engage in the same activity while reducing overall resource use by ∼23%. A comparatively higher population density and dependency ratio in the districts where they are located tend to favour SHCs' efficiency. Conversely, the higher the poverty rate in the soum, the lower the efficiency. We find a positive association between SHCs' efficiency and the proportion of doctors in the health workforce. The human resources allocation process and the capitation formula currently used to pay SHCs should be adjusted based on the size and socioeconomic/demographic characteristics of the population living in the catchment area of SHCs.

Shared secrecy: teasing, attachment, and children's emotional management in rural southern Mongolia

AbstractIn recent decades, anthropologists have scrutinized psychologists’ claim that humans process information about others by imputing mental states. The debate remains open whether cross‐cultural variability in how people conceive of minds and inner states reflects differences in their folk theories only, or whether it engenders deep‐grained psychological differences. In this article, I look at the very onset of children's apprenticeship in emotional management to examine its cognitive consequences. In the context of rural Mongolia in the late 2000s, questions about homesickness prompted by adults raised children's awareness of the existence of a private self and by the very same process discouraged verbalization or public display of personal feelings. I start by presenting interactions where children were routinely teased about homesickness, and invited to deny that they missed their family. I contextualize this teasing routine within local conceptions about emotional control and linguistic ideology to unveil how it introduced children to the performative power of words while also making them face moral dilemmas. The irreconcilable tension between behaving according to expectations of self‐control and experiencing separation induced children's discovery of the possibility of disconnecting intimate feelings from public self‐presentation, thus transforming the experience of separation into an experience of secret connection. I speculate that the secrecy that hallows homesickness contributed to making it all the more poignant. The way adults constantly checked on whether children were missing their home prompted children to actually identify some emotional state or aspect of their experience as ‘missing home’. It gave a name to a personal experience which thus became social and guaranteed that it became a shared feeling, albeit a secret one.

Social Sustainability and Ulaanbaatar’s ‘Ger Districts’: Access and Mobility Issues and Opportunities

This paper explores the concept of social sustainability in Ulaanbaatar’s ger districts in relation to access and mobility. Although ger districts are well-established in Mongolian culture as ephemeral encampments with transient residents, contemporary ger districts have become large and permanent residential districts that are now home to an estimated one-third of the country’s population. The more recent growth of the ger districts has taken place in three decades since Mongolia embraced market-based liberal economics, coinciding with waves of socially and economically-motivated urbanisation. More recently, difficult environmental conditions in rural Mongolia have created new waves of migration. The unfolding situation means that the ger districts have grown with little of the forward planning present in other built areas of the city. In turn, this has led to significant imbalances in the provision of transport services into the ger districts and the problems of access and mobility that this paper has highlighted. This paper has identified community-based local transport and delivery services as one potential means for addressing existing access and mobility shortcomings. Such approaches could provide temporary or complementary services alongside other public policy approaches.

Social-Ecological Change on the Mongolian Steppe:\xa0Herder Perceptions of Causes, Impacts, and Adaptive Strategies

Pastoral people in rangelands worldwide are experiencing uncertainty due to a combination of climatic, economic, and political stressors. Our study seeks to create a full view of the drivers, impacts, and adaptations to change for livestock herders in rural Mongolia, making use of herder traditional knowledge and select instrumental data. Interview respondents described undesirable trends in livestock herds, pasture, wildlife, and their livelihoods in three sites in northern, central, and eastern Mongolia from 1995 to 2015, including decreased lake levels. There was more agreement for precipitation trends than for temperature. We developed a systems model based on herder descriptions of the sequence and prominence of interacting drivers of change. Finally, we describe measures herders are taking to adapt to these changes, such as more frequent livestock movement. We present a transdisciplinary view of social-ecological change and applications for more regionally focused governance in an era of climate uncertainty.

Relationship between socio-demographics, body composition, emotional state, and social support on metabolic syndrome risk among adults in rural Mongolia.

In Mongolia, where there is a large regional gap in the quality of healthcare services, metabolic syndrome (MetS) is steadily increasing. However, there are few studies on the risk level of MetS and affecting factors among adults living in rural Mongolia. This study aims to explore the relationship between socio-demographics, clinical characteristics, emotional state, and social support on the risk level of MetS prevalence among adults living in rural Mongolia. In this cross-sectional study, 143 adults living in the soum area of Dondgovi aimag in Mongolia were recruited. Data collection was conducted from July 2 to 3, 2019. The self-reported questionnaires including socio-demographic, clinical characteristics and emotional status, anthropometric tests using the InBody, and blood sampling tests were conducted. The number of individual diagnostic criteria met was scored as a MetS risk score and classified into 6 groups, from the lowest score of 0 to the highest score of 5. The ordinal logistic regression analysis was used to identify the factors affecting the risk of MetS. The prevalence of MetS among adults living in rural Mongolia was 58.0%, and the mean MetS risk score was 2.70±1.34 points. In the ordinal logistic regression analysis, age, regular exercise of moderate intensity or higher, InBody score reflecting obesity or sarcopenia, and depression level were statistically significantly associated with the risk score for MetS. Our study demonstrated that MetS risk levels among adults living in rural Mongolia with limited medical resources were strongly associated with demographic characteristics, body composition and emotional health condition, particularly depression.

Impact of livestock guardian dogs on livestock predation in rural Mongolia

AbstractMuch like subsistence farmers the world over, Mongolian herders depend directly on their herds for food, materials, and income. Consequently, any loss of livestock through predation from wild carnivores (including wolves, foxes, snow leopards, and birds of prey) is a major challenge. With a lack of non‐lethal mitigation methods currently available to them, herders in Mongolia frequently manage conflict with predators with retaliatory hunting, negatively impacting populations of wild predators. Livestock guardian dogs (LGDs) are an increasingly popular non‐lethal means worldwide for discouraging livestock predation. However, empirical evaluations of the efficacy of using LGDs in contemporary landscapes are rare throughout Asia. Evaluating these human–wildlife conflict prevention strategies are especially important in areas used to produce globally traded commodities, such as cashmere in the case of Mongolia. We implemented longitudinal structured interview‐based surveys to evaluate the use and effectiveness of LGDs as a conflict mitigation strategy for semi‐nomadic herders in three locations across Mongolia. Sixteen herders in Nomgon, Ömnögovi, Undur‐Ulaan, Arkhangai, Khustain Nuruu National Park area, and Gorkhi Terelj National Park area were surveyed between 2015 and 2019, throughout the process of receiving and training LGDs. Our analysis suggested herders experienced a significant reduction in the annual losses of livestock to predation after receiving LGDs (Wilcoxon signed‐rank test, Z = −3.329, p = .001, n = 16), including when accounting for background predation rates. Consequently, we consider LGDs likely to be a viable method for livestock protection alongside the conservation of predators in Mongolia, and potentially elsewhere in Asia. We finish by exploring important considerations should this approach be used more intensively throughout the country and beyond.

Times of debt: heterochrony and bank loans in rural Mongolia

AbstractRecent scholarship in economic anthropology examines how the intersection of multiple forms of temporality shapes the time of debt relations. This article builds on and refines these approaches by analysing debt as a social relation that ‘folds’ the time of other relations within itself. It does so through deploying the concept of the ‘fold’ drawn from continental philosophy and anthropological literature on personhood. This approach provides a novel way of illuminating and reflecting upon a temporal tension at the heart of debt relations, in which the timely performance of debtor‐creditor relations is contingent on the harnessing of temporalities formally outside their scope. This argument is made in relation to an ethnographic study of malchny zeel (the ‘herder's loan’) issued by commercial banks in a pastoral region of Mongolia.

Pastoral dairying in rural Mongolia

In this photo essay, I illustrate ethnographic encounters with dairying practices and dairy microbes in various regions of Mongolia. Drawing on fieldwork conducted during two consecutive summers this essay focuses on the sociocultural role of microbial starter cultures in producing diverse dairy products (such as fermented mare’s milk) and in cross-generational knowledge transfer. The Mongolian word for starter culture is khöröngö, which also means capital and heritage. In this context, a sociocultural anthropological approach sheds new light on starter cultures as mobile entities of value across space and time.

Teachers’ experiences in communicating with pastoralist parents in rural Mongolia: implications for teacher education and school policy

ABSTRACT One important group of people living a special lifestyle in Mongolia is mobile pastoralists. Requirements from the government of Mongolia push pastoralist parents to send their children to schools in settled areas far from their camps. This interpretative phenomenological study explored primary school classroom teachers’ experiences in communicating with pastoralist parents during the school year. In-depth interviews were conducted involving six classroom teachers from a rural primary school in eastern Mongolia. We applied Bronfenbrenner’s ecological model to organise our findings in our interpretative phenomenological analysis. The findings indicated that classroom teachers had difficulties in communicating with pastoralist parents. The school and teachers heavily relied on a very few traditional forms of communication which was not appropriate given the pastoralist parents’ unique situation. This suggested the need for preparing pre-service teachers better for partnering with pastoralist families and their extended family members, and the need for further professional development on this topic for both teachers and school leaders. Our findings were also related to some contextual factors impacting teacher communication with pastoralist parents besides teacher education. This study highlighted the implications for teacher education and school policy. Potential directions for future research were recommended.

Knowledge and practices surrounding zoonotic disease among Mongolian herding households

The strong bond between herder and livestock was forged centuries ago in rural Mongolia and remains an element of national pride and a cornerstone to the economy. However, semi-nomadic herders frequently live at the edge of human health care, veterinary services, and municipal infrastructure like water and sanitation. This study examined zoonotic risk factors and disease perceptions among 150 rural herding households. Less than half of the participating households used an improved drinking water source (43.3%), and the majority of herding families did not use an improved sanitation service (68.5%). Almost half of the study population practise open defaecation (49.7%). Hand washing occurs after animal contact (78%) but not after defaecation/urination (76.6%). Domestic animal ownership and/or presence was reported at every household, and exposure risks varied by the gender of the household member. Most households had knowledge about zoonotic disease transmission (74%) but far less recognized the risk of reverse zoonoses, or human-to-animal disease transmission (53.3%). Few survey respondents believed that animal contact is a risk factor for diarrhoeal disease (8.7%). This study highlights zoonotic disease exposure risks from animal husbandry practices and inadequate water, sanitation, and hygiene access and behaviours among rural herding households. Zoonotic disease prevention among Mongolian herders should be implemented using a One Health framework to simultaneously address human, animal, and environmental health concerns of rural herding households.

Like a Lullaby: Song as Herding Tool in Rural Mongolia

This paper examines the application of song as a herding tool. Based on participant-observation and twenty semi-structured interviews in pastoral encampments in the Gobi Desert over four months, I explore what the practice of singing to sheep can elucidate about interdependent human-animal relationships. The livestock birthing season in rural Mongolia in early spring is a crucial time for humans and animals alike. While pastoralists throughout the country have many different approaches for managing the challenges they face during this time, herders in rural Dundgovi province have a special set of tools for adopting orphaned livestock to new mothers: species-specific, semi-improvisational songs. The herders I work with in this province report that these songs are their primary method for instigating nursing and developing parental bonds between orphaned newborns and foster mothers. This musical practice is interwoven with other forms of traditional musical performance intended for human audiences. This paper contributes to a growing body of literature in ethnobiology that examines the musical capacities of non-humans. I take instances of livestock-singing in the Gobi as opportunities for the creation of mutual empathy between herder and animal. These performances implicate humans in the emotional worlds of sheep and give sheep the role of consumers of music—a position usually reserved for humans.

Songs, Settings, Sociality: Human and Ecological Well-Being in Western Mongolia

In rural Mongolia, local ecosystems support many of the daily life needs of both human and nonhuman populations. Kazakh pastoralists in the westernmost province of Bayan-Olgii, in Mongolia, have established complex relationships with the land. They not only rely on resources for their subsistence but, as ecosystem stewards, they maintain ecological knowledge that is tied to local and regional biodiversity. This study explores how Kazakh pastoralists use locally created songs to express both relationships with the land and a sense of well-being. The social settings for singing and the images in song lyrics that reinforce a sense of place and relationships with resources provide pathways for social transmission of knowledge. This is especially important during this period of ecological, economic, and social change in the region that has ruptured ecosystems and families. Kazakh pastoralists' musical practices linked to pasture resources and activities, resource diversity, and social-ecological resilience are also associated with social learning and coping with transformations that take place in social-ecological systems. The songs provide access to local ecological knowledge that may offer new approaches to understanding notions of more-than-human well-being for scholars working in collaboration with research partners in local and regional settings.

The New Mongolian State Herder: Examining Invocations and Improvisations of the State in Rural Mongolia

This article aims to advance understandings of contemporary state-making in rural Mongolia, contingent on historical processes rather than a taken-for-granted natural category. Writing on postsocialist Mongolia often emphasizes the “retreat of the state” in rural areas; this article offers a counterpoint to this discourse by illustrating the ways in which herder livelihoods and the idealization of herder labor are actively drawn into contemporary state-making practices. Based on ethnographic research in Bayanhongor province, this article examines the interactions between an active local government administration system and pastoralist households at the subdistrict level in rural Mongolia. The analysis focuses on the implementation of two government initiatives tailored for herder households: a State Herder diploma, medal, and stamp, as well as a government–herder communication notebook. Governmentality studies, performativity theory, and the concept of improvisation provide a conceptual framework to argue that the neoliberal retreat of the state in rural Mongolia does not adequately capture the types of state-making in the 2010s. Rather, it proposes that scholars should shift attention to how the rural governance works on the ground and focus on the ways in which the state is invoked and made visible in everyday practice with attention to historical legacies. Key Words: governmentality, improvisation, Mongolia, pastoralism, the state.

Comparison of seasonal serum 25-hydroxyvitamin D concentrations among pregnant women in Mongolia and Boston

Adequate vitamin D status during pregnancy is important for developing fetal bone strength and density and may play a role in preventing a range of skeletal and non-skeletal diseases in both mothers and children. We previously identified Mongolian women of reproductive age to have the lowest vitamin D levels yet observed in any population globally, which renders this population uniquely important in vitamin D research. In this study, we measured the seasonal distribution of 25-hydroxyvitamin D (25(OH)D) concentration in 390 healthy third trimester pregnant women living in urban and rural Mongolia using DiaSorin LIAISON and compared this distribution to that of 206 third trimester women living in Boston, USA. Also, we analyzed seasonally-independent associations between (25(OH)D) levels and selected predictors in both groups using quantile regression. Mean 25(OH)D levels were significantly higher and less seasonal in Boston (seasonal range: 27.1 ± 7.0–31.5 ± 7.7 ng/ml) than in Mongolia (seasonal range: 11.2 ± 3.9–19.2 ± 6.7 ng/ml). Adjusting for month of blood draw, higher 25(OH)D levels were significantly associated with older age, lower gravidity, lower BMI, and lack of a college or university degree among Boston participants, however, only gravidity was robust to multivariable adjustment. No assessed characteristics were independently predictive in Mongolia, likely due to universally low 25(OH)D levels and a resulting lack of between-person variation. In conclusion, vitamin D status among pregnant Mongolians is severely depressed throughout the year and should be addressed through fortification and supplementation, while in the U.S., deficiency is associated with specific characteristics targetable through supplementation.

Awareness and Attitudes Regarding Industrial Food Fortification in Mongolia and Harbin.

This study assessed awareness and attitudes regarding industrial food fortification among adults in urban and rural Mongolia, and the city of Harbin, China. Between 2014 and 2017, surveys were collected from healthy men and women aged ≥18 years (182 Harbin residents and 129 urban and rural Mongolians participating in a nationwide nutrition survey in Mongolia). Survey reproducibility was assessed among 69 Mongolian participants to whom it was administered twice (summer and winter). Findings revealed that only 19% of rural and 30% of urban Mongolians, and 48% of Harbin residents were aware that industrial fortification is practiced in their countries. For most food groups evaluated, at least half of Mongolians and less than half of Harbin residents thought fortification was government-mandated (only the addition of iodine with salt is actually mandated in both countries). Fifty-five percent of rural and urban Mongolians favored mandatory fortification of foods, 14% disapproved of it, and 31% were uncertain (compared with 25%, 38%, and 37% respectively in Harbin). Upon learning that the primary purpose of adding vitamin D to milk is to prevent rickets, 75% of Mongolians but only 18% of Harbin residents favored mandatory fortification, while 42% of Harbin residents favored voluntary fortification (compared with <10% of Mongolians). In conclusion, in Mongolia and Harbin, awareness and understanding of food fortification is low, as is receptivity toward mandatory fortification. Health promotion and social marketing should be designed to create an enabling environment for increasing supply and demand of fortified foods, in support of upcoming program implementation in Mongolia and potential future legislation in northeern China.

Winters without women: social change, split households and gendered labour in rural Mongolia

In this article, I use absence as a lens to explore social change and masculinity in rural Mongolia, with a focus on household splitting during winter months. Since the breakdown in state-sponsored dormitory systems, many mobile pastoralists split their households to accommodate children during the school year. This results in women moving to settled centres while men remain in pastures to care for livestock. In critical reflections on rural work, both male and female herders have underscored concerns around the absence of women in rural homes. In Mongolia, absence has different implications for men and women, gendered division of labour and social roles, which are tied to household economies and pastoralist work practices. Drawing from ethnographic field research, the cases contribute to understandings of the co-constitutive nature of space and society, and attempts to dislodge ideas about the fixed nature of households in rural Mongolia.