Bayan Ulgii is Mongolia’s western-most province, set in the Altai mountains where Mongolia, China, and Russia converge. It is also the only province where Mongolians are not the majority: about 90 percent of the population is ethnically Kazakh.

The Islamic Kazakh community has a higher birthrate than its Mongolian neighbors, as well as one of the highest maternal mortality rates in the country. In 2008, Bayan Ulgii’s maternal mortality rate was 76.7 deaths per 100,000 live births, compared to the national average of 49 per 100,000 live births. And while infant mortality hovers near the national average, Mongolia as a whole has the 67th worst infant mortality rate in the world, according to the CIA’s 2009 estimate.

On a recent visit to Ulgii, I tried to learn more about the beginnings of life and premature death there.

Culture + ReligionPhoto Essay
 

About The Author

Andrew Cullen

Andrew Cullen is a freelance photographer from New England. He worked as a Peace Corps Volunteer in Bangladesh and Mongolia for four years, and currently documents environment, health, and development issues in Mongolia. He is also a Spring 2010 Glimpse Correspondent.

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  • http://www.farwestchina.com Josh

    Glad to hear that World Vision stepped up and contributed there…hope that’s just the first step. Nice photo journalism, Andrew. I hope you can go back in 5 years and find improvements.

    • http://www.andrewcullenphotography.com andrew cullen

      Hey Josh (and Nick), thanks. I hope that improvements are made in the region in the next few years too, although i have some reservations. Mongolia is set to develop quickly thanks to the growth of their mining sector, but the concentration of mining activity in the central and southern regions makes me think that places like Bayan Ulgii, on the edge of the country, will be at the end of a slow, trickle-down development process. But, like the article says, the people out here are tough as hell, and they’ve always been self-sufficient. They’ll get though it all.

  • http://www.deliciouschaos.com Nick

    Informative and moving story – thanks for sharing this. The third picture from the end is heartbreaking, but the final one seems to offer some hope for the future.

  • http://thesegoldenhours.blogspot.com/ maya

    thanks for this eye-opening piece and evocative photos.

  • http://maternova.net Meg Wirth

    What a great article. These photos are incredible! We are holding a photo contest in conjunction with the International Day of the Midwife and as part of an idea out of Australia/New Zealand to hold a 24 hour virtual day of the midwife! The winner will be announced at midnight May 5th!.

    http://www.flickr.com/groups/maternova/

    • http://www.andrewcullenphotography.com andrew cullen

      That’s a great idea, Meg! Wish i had heard about it earlier! MIdwives do play a very important role in Mongolia’s maternal health care, and the lengths that some of them go to to help rural mothers in childbirth and emergencies are impressive, and inspiring.

  • Luke Nye

    I visited Mongolia a few years ago, and a hospital in the central part of the country had the same problems with lack of equipment. They couldn’t use their oxygen tanks because they didn’t have a simple plastic mask. It seems crazy to think that healthcare can lack so much from the shortage of a few simple items or medicines.

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