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Rural Primary Health Services Delivery Project :  Papua New Guinea :Go to Project Summary

Rural Primary Health Services Delivery Project :  Papua New Guinea

Timetable  |  Project Outcome  |  Implementation Progress  |  Status of Covenants

Loan Name Rural Primary Health Services Delivery Project
Country Papua New Guinea
Loan Number 2785
Project Number 41509- 01
Source of Funding/Amount[Approved]
Australian Grant US$40.00  million
Asian Development Fund US$20.00  million
Thematic Classification Social Development
Gender Equity
Capacity Development
Sector/Subsector Health and Social Protection / Health Systems
Gender Mainstreaming Category Gender equity theme
Description The project will strengthen rural health systems in selected areas by expanding the coverage and improving the quality of primary health care in partnership with state and other service providers. It will build on Asian Development Bank experience in strengthening health service delivery in rural areas of PNG. The project will cover two districts in each of the following eight provinces: Eastern Highlands, East Sepik, Enga, Milne Bay, Western Highlands, West New Britain, Morobe, and the Autonomous Region of Bougainville.
Project Outcome
Outcome Progress Toward Outcome
Selected provinces in partnership with non-state service providers, efficiently deliver high quality PHC to rural residents, in particular to women and children
Implementation Progress
Outputs Status of Implementation Progress (Outputs, Activities and Issues)
1. National, and selected provincial and district governments implement policies and standards for community health posts
2. Sustainable partnership established between selected provincial governments and non-state actors for delivering PHC services
3. Community health workers in project areas have the capacity to provide quality PHC services
4. Selected provincial and district governments upgraded selected rural health facilities.
5. Local communities in project areas are aware of maternal and child health, HIV, sanitation and gender issues
6. Effective project monitoring, evaluation and management services rendered
The progress of the project outputs are as follows:
Outpu 1. Community Health Post Policy & Implementation Guidelines were already developed and officially launched by NDOH.
Outputs 2. Partnership Committees have been formed in all the provinces as direct advisory bodies to their respective Provincial Health Authority Boards of Governance or Provincial Administrators to provide advice on integrated health service planning and delivery, formalized activity reporting and future public/private partnerships for service delivery. Regular Partnership Committee meetings have commenced in all the project provinces.
Output 3. Human resource capacity mapping completed in six provinces to identify their training needs for skills upgrading and further personal development. Emergency Obstetric Care (EmOC) and/or Essential Obstetric Care (EOC) and Midwifery Preceptor training have been supported in three of the participating provinces to improve maternal health services. Partnership and collaboration with AusAID and other developing partners are being ensured.
Output 4. All provinces have been supported to identify their priority locations for health service enhancement and those facilities which require replacement or refurbishment works. All proposed sites have been visited for preliminary assessments of the extent of the renovations required of existing structures.
Output 5. The Project's health promotion agenda is progressing in conjunction with Officers of the Health Promotion Branch of the National Department of Health and in promoting the Project through publication of newsletters and managing the website. All of the provinces have conducted community consultations for their immediate priority sites.
Output 6. The Project Support Unit has been progressively established between April, 2012 and June, 2013 as the requirement for consultants has evolved. Each Province has an active Project Coordination Team to help implement the project at the provincial level. The formative evaluation team has already been engaged and commencing with baseline survey.
Safeguard Categories Safeguard Categories explained (Launches new browser window)
  Environment B
  Resettlement C
  Indigenous People C
Summary of Environmental and Social Aspects
Environmental Aspects The Project is classified as category B in accordance with ADB's Safeguard Policy Statement (2009). An environmental assessment and review framework is being prepared to guide the assessment and review process for project investments. These investments, which will be dispersed in 16 rural districts, are expected to be small-scale and replicable in nature. Once sites are selected, specific details on how to mitigate and monitor effects are provided in the Project's initial environmental assessment. The DOH and the Department of Environment and Conservation will clear the framework and examination in accordance with their rules and procedures.
Involuntary Resettlement The Project is not expected to involve land acquisition or involuntary resettlement. All civil works will be undertaken on land currently being used by existing health facilities. A land assessment framework has been prepared that provides detailed guidelines about assessing and confirming the land proposed for each health facility is state-owned or is owned by a health services partner organization (e.g. a church) with control over the operations of such existing facility.
Indigenous People Melanesians comprise the vast majority of the PNG population. The Project is not expected to have any negative impact on indigenous peoples. While a separate indigenous peoples plan is not needed, all project outputs will be delivered in a culturally appropriate and participatory manner to meet the needs of various people of the country.
Stakeholder Communication, Participation and Consultation
During Project Design The National Department of Health (NDOH) is the executing agency responsible for managing and supervising all project activities. NDOH will also coordinate with other Government departments at the national and provincial level, with donor partners and relevant stakeholders in implementing the project. The PMU was established under the NDOH and support the NDOH in project management including procurement of goods and services. Method of consultant recruitment for firms and individual will be the quality and cost-based selection and simplified technical proposals.
During Project Implementation NDOH will provide all critical and important information to various stakeholders in a manner easily understood by them. Special efforts will be made to provide information to the citizens and proper compliance will be ensured with national legislation on rights to information.

Provinces will be supported to conduct information campaigns on community health posts and strengthening the PNG rural health service delivery system to keep the public and staff engaged and informed. Public disclosure of all project documents will be made available through the development of a Project website attached to the NDOH website. The PSU manager under the signature of the DOH will produce a short newsletter every two months to inform stakeholders of the progress being made by the project. Formative evaluation reports will be disseminated widely, including to other provinces with an interest in health system strengthening. Annual PNG health sector national conferences will be used to keep the staff of the health service and the public fully informed of developments and progress.

Special efforts will be made to provide information to the citizens and proper compliance will be ensured with national legislation on rights to information.
Responsible ADB Officer Sakiko Tanaka
Ninebeth Carandang
Responsible ADB Department Pacific Department
Responsible ADB Division Urban, Social Development & Public Management Division, PARD
Concept Clearance 17 Nov 2011
Fact-finding 19 Nov 2010 to 28 Nov 2010
Board Approval 30 Sep 2011
Loan No. Approval Signing Effectivity Original Revised Actual
2785-PNG 30 Sep 11 - - 31 Oct 19 - -

Financing Plan Top Loan Utilization
  TOTAL ( Amount in US$ million)
Project Cost 20.00
ADB 20.00
Counterpart 0.00
Cofinancing 0.00
Date ADB OTHERS Net Percentage
Cumulative Contract Awards
31 Aug 2015 10.831 61%
Cumulative Disbursements
31 Aug 2015 6.338 35%
Top Status of Covenants
Category Sector Social Financial Economic Others Safe
Rating Satisfactory
2008 Asian Development Bank

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