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| Grant Name | Health Sector Development Program (Project Grant) | |||
| Country | Lao People's Dem Rep | |||
| Grant Number | 173 | |||
| Project Number | 41376- 03 | |||
| Fund Source/Amount[Approved] |
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| Thematic Classification |
Social Development
Gender Equity Governance |
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| Project Rationale | The Government is committed to reducing poverty and achieving MDGs, and has identified the health sector as one of four priority sector. The 7th Health Sector Development Plan is to be supported by a results-based sector program approach and will focus on eight priority areas, including the model healthy village, safe motherhood, child survival, nutrition and emerging diseases, HRH, management, financing, and aid coordination.
In line with the Lao PDR country partnership strategy, the Program consolidates ADBs past investments in PHC in eight northern provinces and provincial health management countrywide, and responds to the Government's efforts and ADB's commitment to implement the Vientiane Declaration on Aid Effectiveness. |
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| Impact | The impact of the Health SDP will be reduced maternal and child mortality and malnutrition by 2015. | |||
| Outcome | The outcome will be improved use of health services, in particular for the poor, women and children, and ethnic groups. | |||
| Outputs | The proposed project outputs are closely aligned with program outputs and are: (i) strengthened planning and financing; (ii) increased access to MNCH care; and (iii) improved quality of human resources for health. | |||
Safeguard Categories
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| Environment | B | |||
| Summary of Environmental and Social Issues | ||||
| Social Aspects | A poverty and social assessment was completed during project preparation and the H-SDP has been designed to benefit the poor, women and ethnic groups in terms of better access to quality health care that is more affordable. A gender and ethnic group action plan has been prepared to highlight the particular needs of these groups and ensure that they are included in and benefit from all program activities. The civil works were reviewed and no resettlement issues have been identified. Civil works is limited to renovation and upgrading of health facilities on existing government land, while there is no knowledge of any squatters or other use of this government land. | |||
| Environmental Aspects | Category B. | |||
| Stakeholder Participation and Consultation | ||||
| During Project Design | Extensive consultations were held at national level (MOH departments, other ministries and partners; provincial level (governors, administrators); sub-provincial level (district officers and health staff); and potential beneficiaries (village health committees, volunteers, and clients). Several field studies have been conducted during the PPTA to appraise planning and budgeting, financial management, safe motherhood, quality of care, and civil works including public consultation on any resettlement or environmental issues. | |||
| During Project Implementation | The MOH Steering Committee will review program progress each quarter. The provincial health offices will participate in the annual review process. Beneficiaries will be consulted as part of the design process, and during implementation. | |||
| Procurement | ||||
| Consulting Services | The Project will require five international consultants for a total of 39 person-months, six national consultants for a total of 71 person-months, and two national firms for accounting and architecture. The international experts in program management (20 person months), MNCH (3 person-months), medical education development (7 person-months), gender (6 person-months), and health equity fund (3 person-months) will be hired as individual consultants, with advance action for engaging the planning and financing expert. Accounting and architecture firms will be hired using biodata technical proposal and consultant qualification selection. Other national consultants will be hired as individual consultants. All consultants will be recruited in accordance with ADB's Guidelines on the Use of Consultants (2007, as amended from time to time). | |||
| Civil Works/Goods | All ADB-financed procurement will be done in accordance to ADB's Procurement Guidelines (2007, as amended from time to time). Works, goods, and services $100,000 and above will be procured through national competitive bidding. Minor works, goods, and services costing less than $100,000 may be procured through shopping. Vehicles may be procured through the United Nations Office for Project Services, as its procurement procedures are acceptable to ADB. | |||
| Responsible ADB Officer |
Vincent De Wit |
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| Responsible ADB Department |
Southeast Asia Department |
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| Responsible ADB Division |
Social Sectors Division, SERD |
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| Executing Agencies |
Ministry of Health BSOUANE@LAOTEL.COM |
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| Timetable | ||||
| Concept Clearance | 21 Jul 2009 | |||
| Fact-finding | 01 Jun 2009 to 12 Jun 2009 | |||
| Appraisal | 03 Aug 2009 to 11 Aug 2009 | |||
| Board Approval | 10 Nov 2009 | |||
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