Developing Model Healthy Villages in Northern Lao People's Democratic Republic : Lao People's Dem Rep

Timetable | Financing Plan and Loan Utilization | Project Outcome | Implementation Progress | Status of Covenants

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
Thematic Classification	Social Development Gender Equity Capacity Development
Sector/Subsector	Health and Social Protection / Health Programs
Gender Mainstreaming Category	Gender equity theme
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.

Project Outcome
Outcome	Progress Toward Outcome
Target villages achieve model healthy village status.	- By 23 February 2013, a grant closing date, all 100 target villages achieved MHV status. The final workshop was on 30 Jan 2013, participated by health officials from the two target provinces, MOH, and the representative from Embassy of Japan to Lao PDR and ADB Lao PDR resident mission.
Implementation Progress
Outputs and Timeframe	Status of Implementation Progress (Outputs, Activities and Issues)
1. Strengthened Village Capacity for Participatory Planning and Management of Model Healthy Villages 2. Improved Village Infrastructure for Primary Health Care Delivery 3. Strengthened Capacity of Districts and Health Center teams to Support Model Healthy Villages 4. Project Management and Implementation Supported	1. Strengthened Village Capacity for Participatory Planning and Management of MHVs - Village health committee members and village health volunteers in 100 target villages were trained. - As targeted, a total of 679 village health committee (VHC) members (25% women; 13% non-Lao ethnic groups) and 192 village health volunteers (VHVs) (40% women ; 27% non-Lao ethnic groups) were trained on MHV concept, health education, participatory planning and monitoring of MHV activities 2. Improved Village Infrastructure for Primary Health Care Delivery - All 100 villages have developed and completed implementation of village health plans, which include construction/rehabilitation of 82 gravity water systems (60 were rehabilitated and 22 were newly constructed), 6,887 latrines, 47 village billboards, 50 drainages, and 2 incinerators. - Water user committee and operations and maintenance (O&M) funds were established in each village and operational. - 492 out of 1590 (31%) participants of village meetings were women. - 877 out of 1590 (55%) participants of village meetings were non-Lao ethnic groups 3. Strengthened Capacity of Districts and Health Centers to Support Model Healthy Villages - 16 multidisciplinary district teams established in 2010 and received training on implementation of MHV, health education, MNCH services in early 2011. - 41 out of 79 (51.8%) district mobile team members conducting outreach activities are women. - Medical equipment, audio-video equipment and supplies were provided to the trained district teams. 4. Project Management and Implementation Support - The PCU and PCCU teams were established in 2009 and supported by the implementation and procurement consultant - Annual operational plan developed and implemeted. - Monitoring tools and system is in place. - BCC strategy was developed and existing IEC materials have been identified and a package for MHV finalized.

Geographical Location

Lao PDR provinces of Houaphan and Xiangkhouang

Safeguard Categories

Environment

Resettlement

Indigenous People

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 Communication, Participation and Consultation

The proposed Project was designed following a participatory approach and involved consultations with provincial, district and village officials, residents in villages and key informants at the national, provincial and district levels. Activities included: (i) reconnaissance visits to pvillages to consult and inform district and village officials about the Project and conduct informal interviews with villagers; (ii) meetings to inform local officials and residents about the Project policies and procedures; (iii) meetings with representatives, Ministry of Health, and other donors and organizations involved in the health sector; and (iv) workshops with national and provincial stakeholders to review design issues.

Responsible ADB Officer

Phoxay Xayyavong

Responsible ADB Department

Southeast Asia Department

Responsible ADB Division

Concept Clearance

06 May 2008

Fact-finding

15 Mar 2008 to 20 Mar 2008

Appraisal

17 Feb 2009 to 25 Feb 2009

Board Approval

14 Aug 2009

				CLOSING
Grant No.	Approval	Signing	Effectivity	Original	Revised	Actual

	TOTAL ( Amount in US$ million)
Project Cost	3.00
ADB	0.00
Counterpart	0.00
Cofinancing	3.00

Date	ADB	OTHERS	Net Percentage
Cumulative Contract Awards

Cumulative Disbursements

Top Status of Covenants
Category	Sector	Social	Financial	Economic	Others	Safe
Rating						Satisfactory

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Developing Model Healthy Villages in Northern Lao People's Democratic Republic : Lao People's Dem Rep