Viet Nam: Preventive Health System Support

Sovereign Project | 34348-013

Summary

The Project is composed of four components: (i) Health Surveillance and Priority Health Issues, (ii) Strengthening the Preventive Health Service, (iii) Human Resource Development, and (iv) Project Management.

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Project Name Preventive Health System Support
Project Number 34348-013
Country Viet Nam
Project Status Closed
Project Type / Modality of Assistance Grant
Loan
Source of Funding / Amount
Grant 0015-VIE: Preventive Health System Support
Asian Development Fund US$ 10.14 million
Loan 2180-VIE: Preventive Health System Support
Asian Development Fund US$ 27.90 million
Strategic Agendas Inclusive economic growth
Drivers of Change
Sector / Subsector Health - Health system development
Gender Equity and Mainstreaming Gender equity
Description The Project is composed of four components: (i) Health Surveillance and Priority Health Issues, (ii) Strengthening the Preventive Health Service, (iii) Human Resource Development, and (iv) Project Management.
Project Rationale and Linkage to Country/Regional Strategy

Viet Nam's preventive health system was designed to meet the country's traditional epidemiological profile, dominated by communicable diseases. This profile is changing rapidly as a result of growing household income, urbanization, and better access to health care. The preventive health system needs to change to better address these changes.

The Project complements other ADB-funded health projects in Vietnam, which include Loan 2076-VIE: Health Care in the Central Highlands Project and Grant 0027-VIE: Communicable Disease Control Project.

Impact Improved health status of the population, in particular of women, children, the poor and ethnic groups.
Project Outcome
Description of Outcome

Increased use of services provided by the preventive medicine system at provincial, district and community levels, including the private sectors.

Comprehensive preventive medicine system up to commune level and linked to other sectors, integrating prevention of communicable and non-communicable diseases including food safety, occupational health, school health, environmental health.

Progress Toward Outcome All the major preventive medicine targets in the National Strategy for People's Health Care and Protection 2001-2010 have been met, with several significantly exceeded. The 2010 infant mortality rate fell to 15.8 against the target of 25.0. Under-5 child malnutirition fell to 17.5 in 2010 against the target of 20. Under-5 mortality rate fell to 23.8 against a target of 32. MMR had fallen to 69 deaths per 100,000 live births against the 2010 target of 70/100,000. The percentage of children under-1 who are fully immunized reached 94.5 in 2010 against a target of 90%.
Implementation Progress
Description of Project Outputs

Improved health surveillance and disease control: (i) integrated and well-functioning health surveillance system; (ii) improved quality of services; and (iii) improved control of priority diseases in 17 provinces.

Upgraded provincial preventive health system: (i) improved equipment for preventive health services in PPMCs; and (ii) improved equipment for 4 national institutions.

Enhanced staff capacity: (i) improve availability of staff with postgraduate training; (ii) improved technical skills of PPMC staff; and (iii) improved skills of district and commune staff.

Component project management: (i) improved capacity of MOH and provinces for project implementation; and (ii) enhanced technical support.

Status of Implementation Progress (Outputs, Activities, and Issues)

Output 1

- Based on the Report on the Results of the Piloting of Surveillance Software, e-CDS was rolled out to 63 provinces including training for 45 PPMCs and 505 district staff as well as the provision of computers for provincial and district surveillance units.

- The provision of training and equipment significantly contributed to improved capacity, particularly in the 17 priority provinces where staff were not adequately trained prior to the project. The project introduced in Vietnam the application of a quality management system for the PPMCs (see MOU paras. 13 14).

- A total of 4,925 village health workers (VHWs) participated in training, of which 53% were female and 78% from ethnic minority groups. Based on a survey in 2013, which assessed knowledge of communicable diseases, about 95% of VHWs had average to good knowledge of diseases including influenza, dengue, acute diarrhea, and malaria.

Output 2

- Support for the PPMCs focused on the provision of equipment for the detection of communicable diseases, new emerging communicable diseases and non-communicable diseases including environment and food safety.

Output 3

- During the field visit, it was noted that the short- and long-term training was one of the most significant contributions of the project. A total of 48 staff completed the masters training, of which 32 on public health and 16 on preventive medicine.

Geographical Location The Project covers 44 provinces of the country and 4 national institutes
Safeguard Categories
Environment B
Involuntary Resettlement
Indigenous Peoples
Summary of Environmental and Social Aspects
Environmental Aspects All 45 PPMCs have developed environmental monitoring plans, which comply with the relevant standards and regulations of the Government and ADB. Methods of solid waste disposal amongst the 45 PPMCs are as follows: (i) 20/45 have waste collected and treated by a private contractor; (ii) 24/45 PPMCs have waste collected and treated through the provincial hospital; and (iii) 6/45 PPMCs have an onsite disposal system.
Involuntary Resettlement The Project will not entail land acquisition or restrict access to lands, and no relocation of people is planned.
Indigenous Peoples

52.9% of the participants for the courses for district and CHC staff, as well as 5.0% of the participants for technical courses are EMGs, meeting the indicator targets.

Interation of EM cultural sensitivity/factors in IEC/BCC materials developed has been ensured.

Completed the report for rapid assessment on disease patterns of the ethnic minority groups and developed ethnicity distribution maps for priority provinces

Stakeholder Communication, Participation, and Consultation
During Project Design A stakeholder analysis was prepared to help identify key project stakeholders, their project-related interests, and the ways in which they affect project feasibility and success. MOH carried out initial consultations with different stakeholders and held a number of regional workshops.
During Project Implementation Participation is integrated into the overall project design. The involvement of stakeholders will continue during project implementation. Coordination with other agencies and mass organizations working with vulnerable communities will help deliver information about quality preventive health services.
Business Opportunities
Consulting Services The Project will require 66 person-months of services of international consultants (4 international consultants) and 170 person-months of services of domestic consultants (7 domestic consultants) using quality-and-cost-based selection. These consultants will be recruited in a single package from a consulting firm. International consultants will comprise a public health specialist, equipment and planning specialist, training specialist, and public health specialist in project implementation. Seven domestic consultants will also be contracted.
Procurement Civil works will not be required.
Responsible ADB Officer Barbara Lochmann
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of HealthDr. Nguyen Huy Ngalmanh2004@yahoo.comMOH, Giang Vo, Hanoi, Viet Nam
Timetable
Concept Clearance 05 May 2000
Fact Finding 13 Jan 2005 to 26 Jan 2005
MRM 11 Mar 2005
Approval 25 Aug 2005
Last Review Mission -
PDS Creation Date 28 Nov 2006
Last PDS Update 30 Mar 2015

Grant 0015-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Aug 2005 15 Sep 2005 07 Mar 2006 30 Jun 2012 30 Jun 2014 01 Mar 2015
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 10.14 Cumulative Contract Awards
ADB 10.14 25 Aug 2005 9.78 0.00 96%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 25 Aug 2005 9.78 0.00 96%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Satisfactory - - - - Satisfactory

Loan 2180-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
25 Aug 2005 15 Sep 2005 07 Mar 2006 30 Jun 2012 30 Jun 2014 30 Mar 2015
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 37.40 Cumulative Contract Awards
ADB 27.90 25 Aug 2005 29.29 0.00 100%
Counterpart 9.50 Cumulative Disbursements
Cofinancing 0.00 25 Aug 2005 29.29 0.00 100%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Satisfactory - - - - Satisfactory
Title Document Type Document Date
Preventive Health System Support Project: Project Completion Report Project/Program Completion Reports Jun 2015
Preventive Health System Support Project Reports and Recommendations of the President Aug 2005

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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