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| Grant Name | Developing Model Healthy Villages in Northern Lao People's Democratic Republic | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Country | Lao People's Dem Rep | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Grant Number | 9137 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Project Number | 42143- 01 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fund Source/Amount[Approved] |
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| Thematic Classification |
Social Development
Gender Equity Capacity Development |
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| Linkage to Country/Regional Strategy | ADB's strategy for its operations in the Lao PDR and in the Country Strategy and Program (CSP) for 2007-2011 is consistent with the Government's Sixth Five Year National Socio-Economic Development Plan, 2006-2010 (NSEDP). Health continues to be one of the priority sectors for the Government. As a component of its overall assistance program for health sector development, ADB will continue providing support for primary health care, health sector financing, and human resource development. This includes a series of sector interventions aimed at improving the institutional framework, financing, human resource development, and governance in the health sector. The pipeline of the Country Operations Business Plan (COBP) 2009- 2011 includes a health project that will build on outputs provided so far in the health sector. ADB has supported the expansion of Primary Health Care (PHC) in 8 Northern provinces and strengthening institutional capacity for PHC management nationwide. In order to further improve the quality and use of services, the health system development project (HSDP) strengthened this further with a focus on Human Resource Development, and introduced the results-based approach and the health equity fund. Based on this successful approach, a Health Sector Development Program is planned starting 2010. The proposed Project will complement this Program and contribute to the CSP's objectives.
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| Impact | Improved health status of the rural population in Xiengkhouang and Houaphan provinces. | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Outcome | Target villages have achieved model healthy village status. | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Outputs and Timeframe |
1. Strengthened Village Capacity for Participatory Planning and Management of Model Healthy Villages
1.1Undertake community mobilization, participatory workshops, meetings and inform stakeholders (Q2/2010 to Q2/2012) 1.2Reinforce and train VHC members in each village throughout the project implementation (Q2 2010 to Q2/2012). 1.3Develop list of tasks for VHCs (Q2/2010). 1.4Train VHVs and traditional birth attendants throughout project implementation (Q2 2010 to Q2/2012). 1.5Support VHCs to serve as peer educators in community training on family planning, disease control, nutrition, clean environment, support for vulnerable groups, and other aspects of model healthy village (Q3/2010 to Q2/2012). 1.6Support VHVs and VHCs to undertake information and health needs assessment and raise community awareness on health, sanitation and links with water use throughout project implementation (Q3/2010 to Q1/2012). 1.7Development of village health plans (Q3/ 2010 to Q3/2011). 1.8Undertake regular community-based monitoring and final evaluation of activities (Q2/2010 to Q3 2012). 1.9Undertake knowledge exchanges and tours (Q3/2010 to Q3/2012). 2. Improved village infrastructure for primary health care delivery. 2.1Prepare sub-project proposals, subproject designs and tender documents progressively throughout project implementation (Q3/2010 to Q4/2011). 2.2Create plans between the district and individual villages for O&M prior to commencing physical works in each village (Q4/2010 to Q4/2011). 2.3Improve household and village environments through small-scale health initiatives during project implementation (Q4/2010 to Q2/2012). 2.4Build and strengthen the capacities of VHCs to undertake O&M of project facilities and services (Q3/2010 to Q2/2012). 3.Strengthened Capacity of Districts and Health Centers to Support Model Healthy Villages 3.1Introduce project to district staff, district health center staff and other stakeholders (Q4/2009). 3.2Establish and train multi-disciplinary District Teams (Q1/ 2010 to Q3/ 2010). 3.3Train district teams and other district staff in planning and management of model healthy villages (Q1/2010 to Q1/2012). 3.4Procurement of equipment and supplies (Q4/2009 to Q2/2010) 3.5Develop district health plans (Q4 2010/Q3 2011). 3.6Implement district health plans through district funds (Q4/2010 to Q1/2012). 3.7 Build and strengthen the capacities of district teams to undertake O&M of project facilities and services (Q4/2010 to Q1/2012). 3.8Monitor and supervise village activities and DHPs (Q1/2010 to Q3/2012). 4.Project Management and Implementation Support 4.1Identify and train national and provincial project staff prior to project start (Q4 2009). 4.2Mobilize international and national consulting services (Q4/2009). 4.3Develop field guide and project implementation manual for the implementation of Project activities (Q4/2009 to Q1/ 2010). 4.4Develop annual work plans for the Project (Q4/2009). 4.5Establish and train primary health care coordination units and district teams prior to project start (Q4/ 2009 to Q1 2010). 4.6Provide project orientation to stakeholders and provide technical and management support to PHCCU throughout project implementation (Q1/2010 to Q3/2012). 4.7Undertake regular monitoring of project activities (Q1/2010 to Q3/2012). 4.8Undertake evaluation study (Q3/2012). 4.9Produce updated operation manual and field guide with revised approach and strategy for further replication and up-scaling (Q3/2012). |
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| Geographical Location | Lao PDR provinces of Houaphan and Xiangkhouang | ||||||||||||||||||||||||||||||||||||||||||||||||||||
Safeguard Categories
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| Environment | C | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Resettlement | B/C | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Indigenous People | B | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Summary of Environmental and Social Issues | The proposed Project will pilot combining water supply and sanitation with primary health care activities to establish self-reliant and sustainable model healthy villages in the target area. To qualify for a model healthy village, a village should maintain a clean environment and practice basic hygiene principles- having safe water, eating well cooked food and maintaining clean housing. In addition, primary health care from immunization, safe motherhood practices, medicine, etc. should be available for the village. Establishing model health villages not only provides health benefits, it also encourages neighboring villages to join the project. The proposed Project will target villages in priority poor districts and focus on women, children, and ethnic groups. | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Stakeholder Participation and Consultation |
In Lao PDR, Government, development partners, and civil society meet regularly under the Health Sector Coordinating Mechanism set up to facilitate coordination and partnership among stakeholders. Government's plan to develop model healthy villages nationwide in order to aim to ensure poverty alleviation is regularly and widely discussed. In particular, the recent cholera outbreak in the southern province of Sekong raised the concern that the majority of Lao PDR people living in rural areas use unclean drinking water and eat uncooked food, while some do not have toilets, making it difficult to limit outbreaks such as cholera. As such, the Government has been urging all provinces to develop model healthy villages in order to prevent outbreaks such as cholera, or malaria, avian influenza as well as asking development partners to assist this initiative.
The proposed Project will be discussed with the members of the Health Coordination Mechanism group representing government, development partners and civil society. Furthermore, a variety of stakeholders will be consulted in the preparation of the proposed Project's design, including the relevant ministries (Ministry of Communication, Ministry of Education, Ministry of Agriculture and Forestry, and Ministry of Health), other national agencies, provincial and district health officials, managers and staff of hospitals and health centers, village health volunteers, and other stakeholders. Discussions are planned during fact-finding with development partners to ensure synergies and complementarities with ongoing initiatives in the health sector. The project preparatory work will include a stocktaking of development partner's activities in the water supply and sanitation and primary health care area. Focus group discussions and individual interviews with villagers are planned during the fact-finding period. The proposed Project itself will have a component focusing on increasing villagers' ownership and involvement in health activities carried out in villages, in particular with regard to health promotion and preventative health activities. As such the participation of the community the proposed Project will be essential at every step of the implementation process. |
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| Procurement | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Consulting Services | A total of 401 person-months of consulting services will be recruited, 6 person-months international and 395 person-months national, including 300 person-months for district facilitators and 48 person-months for provincial financial specialists. Due to the specific needs for these specialists to be local and field-based as well as the variety of specialists needed, all consultants will be recruited on an individual basis to ensure that the most appropriate candidates are selected in the most cost-efficient manner. ADB, in consultation with the Ministry of Health, will recruit the international consultants, and the Ministry of Health will recruit the national consultants in accordance with ADB's Guidelines on the Use of Consultants by Asian Development Bank and its Borrowers (2007, as amended from time to time). | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Civil Works/Goods | All goods and civil works will be procured in accordance with ADB's Procurement Guidelines (2007, as amended from time to time). National competitive bidding (NCB) and Shopping will be the procurement methods to be used. Goods and civil works equivalent to or below $100,000 will be procured using ADB's shopping procedure, and those above $100,000 will be procured using ADB's national competitive bidding procedure. No international competitive bidding is envisaged under the Project. The assets procured under this Project will be handed over to the Executing Agency upon project completion. | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Responsible ADB Officer |
Camilla R. Holmemo |
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| Responsible ADB Department |
Southeast Asia Department |
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| Responsible ADB Division |
Lao Resident Mission |
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| Executing Agencies |
Ministry of Health Dr. Founkham Rattanavong BSOUANE@LAOTEL.COM |
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| Timetable | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Concept Clearance | 06 May 2008 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Appraisal | 17 Feb 2009 to 25 Feb 2009 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Board Approval | 14 Aug 2009 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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