|
Lao People's Dem Rep
|
LOAN: LAO 31348-01
|
Primary Health Care Expansion
|
|
Location
Bokeo, Luang Namtha, Phongsaly, Houaphan, Luang Prabang, Xiengkhouang, Oudomxay and Xayaboury.
|
Sector
Health, Nutrition, & Social Protection /Health Systems
|
Initial Listing
1 May 1998
|
Most Recent Update
7 December 2006
|
Executing Agency(ies)
Ministry of Health
|
- Missions
-
| TA Fact-Finding |
Loan Fact-Finding |
Pre-Appraisal |
Appraisal |
| 24-29 May 1998 |
19 Jan-5 Feb 2000 |
|
24 Apr-12 May 2000 |
|
|
Loan Approval Date
24 August 2000
|
Estimated Completion Date
December 2006
|
- Cost and Financing Plan (in US$ million)
-
| Source |
Foreign Cost |
Local Cost |
Total |
| Bank |
10.70 |
9.30 |
20.00 |
| Cofinancing |
0.00 |
0.00 |
0.00 |
| Borrower |
0.00 |
5.00 |
5.00 |
| Beneficiaries |
0.00 |
0.00 |
0.00 |
| Others |
0.00 |
0.00 |
0.00 |
| Project/Program Cost |
10.70 |
14.30 |
25.00 |
| |
OCR |
ADF |
Total |
| Loan Amount |
0.00 |
20.00 |
20.00 |
- Description
-
The Project will expand and improve primary health care (PHC), including preventive, promotive and curative care including basic referral care, in a population of 1.4 million people living in the seven northern provinces of Bokeo, Luang Namtha, Phongsaly, Houaphan, Luang Prabang, Xiengkhouang and Oudomxay. It will also strengthen the institutional capacity of the Ministry of Health (MOH) and all provinces in the country to plan, manage and finance PHC.
|
| Strategic Development Objectives |
- Primary
- Human Development
|
- Secondary
- Women in Development
|
-
-
|
|
-
-
|
- Rationale
-
The improvement of the health status of its population is a cornerstone of the social policy of the Government. The existing network of health services provides limited preventive, promotive, and curative services of inadequate quality; and leaves large parts of the rural poor without access to services. The northern regioin with its hilly terrain and large ethnic minority populatioin has the highest mortality and fertility figures in the country. PHC has been identified as the most cost-effective approach to address common health problems of the rural poor, in particular of women and children below the age of five years. The Government has recently approved a PHC policy and has restructured MOH in support of PHC. Further investment to improve PHC also needs strengthening of PHC planning and management and effective financing mechanisms.The Project will mostly benefit women and children, ethnic minorities and the rural poor in general.
- Objectives and Scope
-
The Project will contribute to the Government's goals of improving the health status and reduce poverty of the population of Lao PDR. The Project will improve primary health care (PHC) for the rural poor by (i) expanding and improving the quality of PHC in the northern region, and (ii) strengthening the institutional capacity for PHC.
- Policy Dialogue
-
Key policy issues discussed by ADB and MOH included (i) moving the health sector towards integrated PHC and improving planning, management and financing of the sector, (ii) targeting disadvantaged populations, including women and children, ethnic minorities and the poor in general; and (iii) ensuring quality of care, cost-effectiveness and sustainability of services in expanding the network of physical facilities.
- Environment Category:
C
- Environment Impact and Mitigation
-
None.
- Social Aspects and Remedies
-
Large proportion of target population are poor and/or ethnic minorities. Special efforts are made to ensure that health care is affordable for the poor, and that minorities are being reached.
- Benefits and Beneficiaries
-
The Project has been specifically designed to reduce poverty by meeting the health needs of the remote rural people and ethnic minorities. While the Project aims to provide preventive services to all segments of the popoulation in the Project provinces, the poor will receive a disproportionate benefit by being exempt from cost recovery fees. The PHC services supported by the Project will be targeted toward the poor as a result of the specific design features and thorugh self-selection. The Project will mostly benefit women and children.
- Public Consultation
- Arranged by TA Consultants
- Date for Consultation : March to December 1999
- Groups Consulted : c. Provincial and district health managers, health staff, villagers, institutions, associations, and donors
- Beneficiary Participation in Formulation
-
Discussions with potential beneficiaries to identify key issues in demand for services, and determine the most suitable location for the construction of new health facilities
- Beneficiary Participation in Implementation
-
- Consulting Services
-
A total of 72 person-months of international consulting services and about 492 person-months of domestic consulting services will be required. International consultants will include a chief technical adviser, education and training specialist, management specialist, health sector financing specialist, procurement specialist, and architect. Domestic individual consultants will include education and training specialist, management specialist, health sector financing specialist, procurement specialist, accountant, and monitoring and evaluation specialist.
- Procurement
-
The Project includes construction of small hospitals and health centers. The hospitals and health centers are located in remote and scattered locations and are unlikely to attract international bidders. Civil works contracts will be awarded according to local competitive bidding procedures acceptable to ADB. However, if any package is estimated to cost $1.0 million or more, international competitive bidding procedures will be followed. A domestic firm under supervision of an international architect consultant will prepare the plans for civil works. Procurement of equipment, drugs and supplies will be in accordance with ADB's Guidelines on Procurement. Equipment and supplies like hostel beds and furniture that are locally manufactured and unlikely to attract foreign suppliers will be procured through local competitive bidding in accordance with Government procedures acceptable to ADB.
- Contacts
- Bank
|
Vincent De Wit
|
|
Principal Health Specialist
|
|
SESS
|
|
Tel. No.:
|
(632) 632-5934
|
|
E-mail:
|
vdewit@adb.org
|
- Executing Agency
- Ministry of Health
|
Contact Person
|
:
|
Dr. Prasongsidh Boupha, Project Director
|
|
Tel. No.
|
:
|
856 20 518422
|
|
Fax. No.
|
:
|
856 21 223146
|
|
E-mail
|
:
|
|
|
Contact Person
|
:
|
|
|
Tel. No.
|
:
|
|
|
Fax. No.
|
:
|
|
|
E-mail
|
:
|
|
- Remarks
-
|
|
|
Projects 
Top of page