Birth cohort study in Mongolia: challenge for understanding the global health issue among women and their children.

我们的目标是开发一种名为MORBAS（蒙古快速婴儿量表）的工具，以筛查蒙古早期儿童发育迟缓的风险，并根据国际公认的金标准工具对其进行验证。我们在蒙古国布尔干省的出生队列中进行了随访研究，以描述蒙古国出生后3年的孕产妇和儿童健康中的优先健康问题，以及需要进一步制定卫生政策的关键领域。与金标准相比，该方法具有良好的敏感性（81.8%）和中等的特异性（52.3%），相关系数为0.86-0.97。这项研究的结果表明，蒙古需要进一步制定卫生政策，以应对母亲肥胖、IPV和尿失禁等重大健康挑战，并预防儿童烧伤和ARI（急性呼吸道感染）。

We aimed to develop a tool named MORBAS (Mongolian Rapid Baby Scale) to screen risk of early child developmental delay in Mongolia and validated it against internationally recognized gold-standard instrument. We conducted follow up study in birth cohort of Bulgan province, Mongolia to describe priority health issues in maternal and child health in Mongolia 3 years after childbirth, and key areas requiring further health policy development.In development and validation study of MORBAS, good concurrent validity (r = 0.86-0.97), good sensitivity (81.8%) and moderate specificity (52.3%) were shown compared to gold standard.In a population-based study, data was obtained from 1,019 women and 1,013 children. The findings of this study showed that further development in health policy is required in Mongolia to target the significant health challenges of obesity, IPV, and urinary incontinence in mothers, and to prevent burns and ARI (acute respiratory infection) in children.