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The Tonle Sap supports one of the most productive fisheries in the world and supplies protein to a majority of Cambodians
Centuries ago, Cambodia’s inhabitants mastered the seasonal ebb and flow of Southeast Asia’s largest freshwater lake, maximizing rice production and making possible the wonder of the Angkor Kingdom. Today, many Cambodians rely on the Tonle Sap for fish to feed their families and on its monsoon-fed waters to irrigate their rice fields. Under its Tonle Sap Initiative, ADB is helping the Cambodian government put in place a plan to protect the rich natural resource that sustains so much of the nation. Central to the initiative is a phased sequence of core loans and grants that will put in place an integrated and basin-wide approach to dealing with its problems. The special characteristics of the Tonle Sap Basin derive from the 100- km long Tonle Sap River, which runs into the Mekong River farther south at the capital, Phnom Penh. During the rainy season, the heavy flow of the Mekong forces the Tonle Sap River to reverse flow and head north, filling the lake. This causes it to swell from around 2,500 square kilometers to as much as 16,000 square kilometers. Fish, birds, mammals, and plants thrive in this hydrological phenomenon. The Tonle Sap supports one of the most productive fisheries in the world and provides most Cambodians with their main source of protein. Its land, water, and biotic resources directly benefit 40% of the population of provinces adjoining the lake and shore up food security and employment elsewhere. The lake is also of global significance for biodiversity conservation. Overexploitation of fisheries and wildlife, conversion of the flooded forest to agriculture, and collection of wood for fuel are threats to this balance. Widespread deforestation in the watershed is destroying habitats, impairing water and soil quality, and increasing siltation rates. Cambodia designated the Tonle Sap a multiple-use protected area in 1993. The United Nations declared it a biosphere reserve in 1997. In 2003, ADB finalized the Tonle Sap Basin Strategy, giving geographical focus to its country strategy and program for 2005–2009 and its annual updates. The development objectives are to foster, promote, and facilitate pro-poor sustainable growth, access to assets, and management of natural resources and the environment.
Threats to the lake must be considered from the perspective of the basin as a whole, but everything cannot be tackled at the same time. Interventions work from core areas of the lake to its upper catchments over an 8-year period, repeating this cycle as may be needed to allow the accomplishments and lessons learned to be incorporated into long-term protection for the complex ecosystem. As part of the initiative, in 2005, ADB approved a grant for $18 million that will help provide safe drinking water to more than 1 million people living around the Tonle Sap River Basin. The grant will help fund a project that will provide rural water supply and sanitation facilities to about 1,760 villages in five provinces around the basin. It will also improve sanitation for about 720,000 rural people, train communities to take responsibility for the facilities, and conduct health and hygiene awareness outreach. |

Helped by an ADB investment of about $800 million in 2005, the Mekong countries continued to focus on speeding up social and economic development as well as reducing poverty in the subregion. Assistance to these countries focused on providing the infrastructure needed to boost economic growth and to reduce poverty, always in cooperation with member governments and development partners. Transport and energy-related projects accounted for over three quarters of lending.
Maternal care is improving and use of public services is rising in clinics run by NGOs
A relatively low life expectancy, coupled with high maternal mortality rate and greater vulnerability to contract HIV/AIDS, calls for extensive and innovative efforts to significantly improve the health status of the Cambodian people. The poor in Cambodia, when in need of medical attention, may selftreat, call traditional healers, and even flee before they ever seek advice from government-run clinics. “When I saw the health staff come to my village ... I took my little baby with me and hid in the bushes behind the village,” says one mother in the Memut district of Kampong Cham province.
salaries were raised to levels high enough to get staff to dedicate 100% of their time to the public system
A government program that contracts private organizations to run and upgrade public health services is changing that. Widespread success since the program was begun in 1996, under a loan now completed, has convinced officials to expand contracting from 5 to 10 of the country’s 76 districts. The second phase, ongoing in 2005, was funded with a $20 million ADB loan under the Health Sector Support project and is due for completion in 2007. Under the contracting system, use of public services has risen, particularly among the poor. Average out-of-pocket health costs have plunged by over $30 per person forthe bottom half of the population in some project districts. NGOs attract people in need of care with cleaner clinics; predictable, professional, and respectful service; and successful treatment. They use enforceable contracts, financial incentives, user fees, and achievable goals to motivate staff. Overall care has improved for numerous reasons, says HealthNet International, one of the contracted NGOs. Of critical importance was an end to private practice among public workers. Salaries were so low in the government clinics—$10–30 per month—that health workers had to seek other income. Many openly sold their services outside of the health centers and earned 10 times more than their official salaries. Salaries were raised to levels high enough to get staff to dedicate 100% of their time to the public system. Doctors and district managers settled for salaries between $120 and $180 per month. |

A new bridge across the Mekong at Mukdahan to Khanthabuly will lessen dependence on ferries
During 2005, three loans/grants amounting to $43 million were approved for Cambodia, including two exclusive grant assistance projects for rural water supply and sanitation ($18 million) as well as sustainable livelihood in the Tonle Sap Basin ($15 million). The third project, amounting to $10 million in an ADF loan, was approved for a financial sector program for the development of a market-based financial system.
The Tonle Sap Initiative has made good progress toward reversing threats to Southeast Asia’s largest freshwater lake. Cambodians also continued to find better health care in efficient clinics run by NGOs under new funding in a long-running project.
The non-lending program (consisting of 14 technical assistance activities), based on resources from the Technical Assistance Special Fund, Japan Special Fund, and other sources, amounted to $7.62 million during 2005, which included technical assistance for project preparation as well as capacity building.
The 2005–2009 country strategy and program for Cambodia was endorsed by the Board. A notable feature of its preparation was the joint process undertaken with World Bank, United Kingdom’s Department for International Development, and United Nations agencies concerned.
In April 2005, ADB approved a $20 million public sector loan, a private sector loan of up to $50 million, and a political risk guarantee of up to $50 million for the Nam Theun 2 Hydroelectric Project. These were ADB’s first private sector loan and first such guarantee in the Lao PDR. It was also the second public-private partnership in the Lao PDR power sector. Approval of the project was a breakthrough in the Mekong subregion, making it a public-private partnership model. It is part of an international effort to supply 1,070 megawatts of power to the Thai and Lao PDR markets.
A worker in a factory in the Lao Bao commercial area in the Lao PDR
During 2005, ADB also approved a $10 million ADF grant for the Lao PDR to help provide safe and reliable water supplies. The quality and reliability of water supply services will be improved in about 12 small towns in the country’s northern and central regions by developing new water sources and constructing optimalsized water supply systems.
Complementing the loans and grants for the Lao PDR are seven technical assistance grants amounting to $3.0 million, which focused on project preparation and capacity development in priority areas.
ADB continued to monitor economic development in Myanmar during 2005. An operational strategy will be formulated when appropriate. The last loan and technical assistance projects for Myanmar were approved in 1986 and 1987, respectively.
Thailand’s economy and relationship with ADB are entering a new era
The opening of the Thailand Resident Mission in 2005 marked a new chapter in the country’s long-standing relationship with ADB. Discussions with the government on a partnership framework are ongoing to define areas of collaboration on national and regional programs.
ADB’s work in the Mekong countries focuses on laying the infrastructure needed to boost economic growth and to reduce poverty
As a middle-income country, Thailand recognizes the critical role of infrastructure for sustainable economic growth and increased competitiveness. ADB is prepared to work closely with the government to support its “megaprojects” infrastructure investment program.
Consistent with the government’s efforts to increase the size, depth, and liquidity of Thailand’s capital market, ADB issued a debut 4 billion baht ($102.5 million), 5-year bond in the country’s domestic bond market in May 2005.
Thailand has always been an integral partner of ADB in the GMS Program. Additionally, new opportunities are being explored for expanding Thailand’s role as a regional development partner. ADB and Thailand are involved in a number of initiatives to promote further development of Asian bond markets. Collaboration will strengthen cooperation and deepen economic integration across the region.
No new loans have been made to Thailand since 2000. However, seven technical assistance grants amounting to $3.35 million were approved in 2005. These included three tsunami-related technical assistance operations to assist in post-tsunami support activities. Another technical assistance—Infrastructure Investment Advisory Assistance to the Public Debt Management Office of Thailand—aims to assist the government in evaluating various mechanisms and options for integrating the urban mass rail transport system in Bangkok.
The Nam Theun 2 project illustrates the potential for tapping private sector strengths through partnership with public sector groups
Construction of the Nam Theun 2 hydroelectric dam, so far the largest foreign investment in the Lao PDR, has started. It is also one of the largest GMS projects and exemplifies the benefits not only of regional cooperation in the Mekong but also of the potential for tapping private sector strengths through partnership with public sector groups. Thailand will buy up to 95% of the 1,070 megawatts to be generated, and the Lao PDR government will use the dividends, taxes, and royalties for its development program. With funding from 27 international institutions—including public and private sector loans and a political risk guarantee from ADB— the Nam Theun 2 Power Company Limited will build the project, the total base cost of which is estimated at $1.25 billion. Consultations leading up to the project were broad, deep, and frequent. The people living near the project began providing inputs to planning in 1996, and were consulted in several hundred public meetings and information exchanges throughout the area. Planners also held consultations in Bangkok, Tokyo, Paris, Washington DC, and Vientiane with international groups concerned about the project, whose views were taken into account in the design. Environmental concerns were also clearly established. For example, with funding from the company, the project will help preserve the Nakai Nam Theun National Protected Area, one of Southeast Asia’s few remaining intact tropical rainforests. It also features a program for transparent monitoring and evaluation, including the publication of performance evaluations, progress reports, and data monitoring. Furthermore, the obligations of the company relating to social and environmental mitigation or compensatory measures are detailed in the safeguard documents and clearly set out in binding agreements. |

Demand for electricity in Viet Nam has grown by at least 15% per year in the last 10 years, but supply has not always kept pace
In 2005, ADB approved $577.7 million in loans, $26.5 million in grants, and $12.3 million in technical assistance, for a total of $616.5 million. A $95.0 million loan and grant package approved in November 2005 will improve 1,200 km of roads and help boost economic growth in the central provinces. It will rehabilitate roads and, in selected rural districts, raise them to all-weather condition. The improved roads will increase the efficiency with which people can move and goods can be traded, and the project will help improve access to markets, jobs, and social services.
Viet Nam will also be a beneficiary of a loan ($27.9 million) and grant package ($10.1 million) totaling $38.0 million to strengthen the country’s preventive health system. Specifically, the project will help combat communicable and emerging lifestyle diseases.
Non-lending assistance in Viet Nam, consisting of 20 technical assistance grants amounting to $12.3 million for 2005, constituted an important element toward project preparation as well as capacity building.
An OCR loan for $360 million, approved in December 2005, will construct and expand power transmission lines and substations in the northern part of the country. The project will improve reliability, remove transmission bottlenecks, reduce transmission losses, and promote more efficient use of power plants. Demand for electricity in Viet Nam has grown by about 15% per year in the last 10 years, but supply has not always kept pace.
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