Lao People's Democratic Republic: Health Sector Development

Sovereign Project | 32313-012 Status: Closed

Summary

The TA will help (i) assess issues and opportunities for health system development (ii) conduct a participatory planning process to set priorities in policy reform, capacity building and investment and (iii) prepare a program proposal and implementation memorandum for possible ADB assistance.

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Project Name Health Sector Development
Project Number 32313-012
Country Lao People's Democratic Republic
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 4608-LAO: Health Sector Development
Japan Special Fund US$ 700,000.00
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 Gender equity
Description The TA will help (i) assess issues and opportunities for health system development (ii) conduct a participatory planning process to set priorities in policy reform, capacity building and investment and (iii) prepare a program proposal and implementation memorandum for possible ADB assistance.
Project Rationale and Linkage to Country/Regional Strategy Lao PDR s key health indicators such as maternal and infant mortality rates are among the worst in Asia. To achieve the goal of health for all, the Government of Lao PDR has adopted the Millennium Development Goals and primary health care (PHC) strategy, in particular targeting rural poor, ethnic minorities, and women and children. With its ongoing project, ADB s Loan 1749 supports expansion of PHC in 8 northern provinces and strengthening institutional capacity for PHC management nationwide. A network of health facilities is being put in place to improve access. Managers, paramedics and villagers are being trained, many of them from ethnic minorities. This expanded PHC system provides the basis for improving sector impact. However, the health system faces reform challenges of chronic underfunding, fragmentation of management and funding over many vertical programs, management capacity constraints, lack of qualified staff for rural locations, and lack of public education. A two pronged assistance strategy is proposed. ADB will first assist operationalizing the PHC system that has has been put in place, including addressing underlying problems of PHC systems. ADB will then continue to assist macro health sector reforms, with a new ADTA proposed for 2007.
Impact

Project Outcome

Description of Outcome
Progress Toward Outcome
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location

Safeguard Categories

Environment C
Involuntary Resettlement C
Indigenous Peoples A

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 About 24 person months of international consulting services will be required in the fields of health policy and planning, health system, human resource development, economics health insurance, nutrition, and health education. About 28 person months domestic consulting services will be required in the fields of project management, public health, training, finance, health education, and sociology.
Procurement TBD

Responsible Staff

Responsible ADB Officer Vincent De Wit
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
Dr. Prasongsidh Boupha, Director General, Dept of Planning and International Cooperation
Simuang Road Viantiane LAO PDR

Timetable

Concept Clearance 10 Mar 1999
Fact Finding 17 Jan 2005 to 21 Jan 2005
MRM -
Approval -
Last Review Mission -
PDS Creation Date 28 Feb 2006
Last PDS Update 31 Jul 2008

TA 4608-LAO

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
05 Jul 2005 14 Sep 2005 14 Sep 2005 31 Mar 2006 30 Dec 2006 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
700,000.00 0.00 0.00 0.00 0.00 0.00 700,000.00 05 Jul 2005 668,158.52

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

Title Document Type Document Date
Lao People’s Democratic Republic: Health System Development Project Validations of Project Completion Reports Aug 2014

Related Publications

None currently available.


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