The Project aims to improve the health of rural women, girls, and infants. Its specific objectives are to (i) expand basic women's health interventions in underserved populations; (ii) develop woman-friendly district health systems providing quality women's health care from community to first referral level; and (iii) strengthen the capacity of institutional and human resources to improve women's health in the long term.
|Project Name||Women's Health|
|Project Type / Modality of Assistance||Loan
|Source of Funding / Amount|
|Drivers of Change|
|Sector / Subsector||
Health / Health insurance and subsidized health programs
|Gender Equity and Mainstreaming|
|Description||The Project aims to improve the health of rural women, girls, and infants. Its specific objectives are to (i) expand basic women's health interventions in underserved populations; (ii) develop woman-friendly district health systems providing quality women's health care from community to first referral level; and (iii) strengthen the capacity of institutional and human resources to improve women's health in the long term.|
|Project Rationale and Linkage to Country/Regional Strategy||The health status of women in Pakistan is poor compared with other countries in Asia. Some 30,000 women die each year due to complications of pregnancy, and ten times more women develop life-long, pregnancy-related disability. Four key issues need to be addressed to improve the health status of women and girls, namely (i) lack of awareness of women's health needs; (ii) neglect of women's health needs; (iii) lack of quality reproductive health care, and (iv) weak management and institutional support of maternal and child health and family planning.|
|Description of Outcome|
|Progress Toward Outcome|
|Description of Project Outputs|
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Geographical Location||Islamabad Capital Territory (ICT), and the provinces of Punjab, Sindh, NWFP, and Balochistan|
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|Consulting Services||A total of 54 person-months of international consultants and 212 person-months of domestic consultants will be required. All consultants will be recruited according to the Bank's Guidelines on the Use of Consultants.|
|Procurement||Civil works contracts costing more than $1 million will be by international competitive bidding (ICB). As most civil works contracts will be small in value, geographically scattered, and unlikely to attract the interest of international contractors, they will be arranged under one or more package per district, and awarded on the basis of local competitive bidding according to procedures acceptable to the Bank. Civil works contracts, each costing less than $50,000 may be awarded by force account procedures of the respective executing agency, and in the case of each similar civil works contract at the district level costing less than $5,000, the contract may be awarded by the district health management team (DHMT) according to Government procedures acceptable to the Bank. The medical officer in charge and a community representative of a health facility in the target districts will be authorized to spend up to PRs 15,000 per job for minor rehabilitation work. Equipment and materials costing more than $500,000 equivalent will be procured by ICB. Supply contracts at $500,000 equivalent or less will be procured through international shopping. Some contracts for equipment and supplies such as hostel beds, furniture, and other items that are manufactured locally and unlikely to attract foreign suppliers will be procured through local competitive bidding in accordance with Government procedures acceptable to the Bank. Packages of less than $50,000 may be procured on a direct purchase basis. Equipment and materials required at district level and costing less than $5,000 per item may be procured by the DHMT according to Government procedures acceptable to the Bank.|
|Responsible ADB Officer||ADB Disclosure|
|Responsible ADB Department||Central and West Asia Department|
|Responsible ADB Division||Regional Cooperation and Operations Coordination Div, CWRD|
Department of Health Services at Hyderabad
Health Care Development Project
Hyderabad, Pakistan Department of Health, Balochistan
Sariab Link Road (Near QDA Office)
Balochistan, Pakistan Department of Health, NWFP
House No. 154, New Shami Road
Peshawar, Pakistan Directorate of Health, Lahore
Executive Director, Special Projects
Block 7-B, LDA Flats, Allam Iqbal Town
Lahore, Pakistan Ministry of Health
* Ms. Shaheen Masud
Feroz Center, Blue Area, Islamabad
|Concept Clearance||30 Apr 1997|
|Fact Finding||19 Nov 1997 to 10 Dec 1997|
|MRM||26 May 1998|
|Approval||16 Mar 1999|
|Last Review Mission||-|
|PDS Creation Date||13 Feb 2007|
|Last PDS Update||18 Oct 2007|
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