Viet Nam: Rural Health

Sovereign Project | 30285-013 Status: Closed

Latest Project Documents

Title Date
Rural Health Project Dec 2011
Rural Health Project Oct 2000

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Project Name Rural Health
Project Number 30285-013
Country Viet Nam
Project Status Closed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 1777-VIE: Rural Health
Asian Development Fund US$ 68.30 million
Loan: Rural Health
United Nations Children's Fund US$ 1.00 million
World Health Organization US$ 300,000.00
United Nations Population Fund US$ 500,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Knowledge solutions
Sector / Subsector

Health - Health sector development and reform

Gender Equity and Mainstreaming Some gender elements
Description The objective of the proposed Project is to improve the health status of the rural population, especially the poor and disadvantaged, in 14 provinces. The objective will be achieved by: (i) promoting access to quality primary health care (PHC) services, with special emphasis on improving the quality of reproductive health services for women and children - especially for the poor and ethnic minorities - by upgrading preventive and curative health structures, basic equipment, and staff skills; (ii) strengthening overall financial management, facilitating government policy for providing health care to the poor and developing a pilot model for voluntary rural health insurance; (iii) improving MOH's management capacity to implement PHC programs; and (iv) strengthening communication support to services - especially those focused around reproductive health, HIV/AIDS, injury prevention, smoking, and nutrition - through community participation.
Project Rationale and Linkage to Country/Regional Strategy

Despite the impressive achievements in the health sector, health status and use of health services remains much poorer in rural areas as compared to urban areas. These inequities are even more stark for poor and remote rural areas and those inhabited by ethnic minorities. Poor health is both a cause and effect of poverty. Improving the health status of people in rural areas will make a substantial contribution to poverty reduction. It will require interventions that address both demand and supply side constraints. More appropriate and better quality services need to be provided in rural areas. Management and supervision of health services need to be improved. Financial barriers to aceess must also be addressed by supporting innovative health financing mechanisms. At the same time, there is an urgent need to pay greater attention to prevention activities, generating demand for services and ensuring greater community participation in the provision of services.

Government policies (including Law on Protection of People's Health 1989, Strategy Orientation for People's Health Care and Protection until 2020, and a number of recent policies on health care for children, women, the poor and ethnic minorities) support the provision of health for all, with special emphasis on the health needs of the poor and disadvantaged.

This project supports the Government's policy to improve the health status of the poor, and is in line with ADB's overarching strategic objective of poverty reduction as well as with ADB's operational strategy for Vietnam which emphasizes efficient economic growth with equity and poverty reduction.

Project Outcome
Description of Outcome
Progress Toward Outcome
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Hoa Binh, Phu Tho, Vinh Phuc, Quang Ninh, Ninh Binh, Quang Binh, Quang Ngai, Khanh Hoa, Binh Phuoc, Long An, Tien Giang, Ben Tre, Can Tho, and a new province of Hau Giang
Safeguard Categories
Environment C
Involuntary Resettlement
Indigenous Peoples
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Business Opportunities
Consulting Services One international (8 person-months) and 98 domestic consultants (522 person months) will be recruited in accordance with ADB's Guidelines on the Use of Consultants and other arrangements satisfactory to ADB on the engagement of domestic consultants.
Procurement Civil works under the Project are scattered throughout the country and not likely to attract the interest of international contractors. Thus, civil work contracts will be awarded on the basis of local competitive bidding (LCB) procedures acceptable to the Bank. Contracts for supply of materials, equipment and medical supplies in packages valued at $500,000 or more will be procured through international bidding; contracts valued less than $500,000 will be procured through international shopping. Some medical equipment (e.g. hospital beds, delivery beds and table) that is locally produced and is unlikely to attract foreign suppliers will be procured through LCB. Minor items or packages costing $100,000 or less will be procured under direct purchase procedures in accordance with the government rules acceptable to the ADB.
Responsible ADB Officer Vincent De Wit
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Viet Nam Resident Mission
Executing Agencies
Ministry of Health
Mr. Nguyen Doan Tu
138A Giang Vo St, Hanoi
Concept Clearance 08 Mar 1999
Fact Finding 14 Jan 2000 to 02 Feb 2000
MRM 31 Mar 2000
Approval 09 Nov 2000
Last Review Mission -
PDS Creation Date 01 Dec 2006
Last PDS Update 01 Jul 2009

Loan 1777-VIE

Approval Signing Date Effectivity Date Closing
Original Revised Actual
09 Nov 2000 01 Aug 2001 30 Oct 2001 31 Dec 2006 30 Jun 2008 18 Feb 2009
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 98.70 Cumulative Contract Awards
ADB 68.30 09 Nov 2000 68.25 0.00 98%
Counterpart 28.60 Cumulative Disbursements
Cofinancing 1.80 09 Nov 2000 69.74 0.00 100%
Title Document Type Document Date
Rural Health Project Project/Program Completion Reports Dec 2011
Rural Health Project Reports and Recommendations of the President Oct 2000

Safeguard Documents

See also: Safeguards

Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.

None currently available.

Evaluation Documents

See also: Independent Evaluation

None currently available.

Related Publications

None currently available.

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