Lao People's Democratic Republic: GMS: Regional Communicable Diseases Control Project

Sovereign Project | 37604-022 Status: Closed

Summary

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Project Name GMS: Regional Communicable Diseases Control Project
Project Number 37604-022
Country Lao People's Democratic Republic
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0026-LAO: GMS: Regional Communicable Diseases Control Project
Asian Development Fund US$ 6.00 million
Strategic Agendas Regional integration
Drivers of Change
Sector / Subsector

Health - Disease control of communicable disease

Gender Equity and Mainstreaming Gender equity
Description
Project Rationale and Linkage to Country/Regional Strategy
Impact

Project Outcome

Description of Outcome
Progress Toward Outcome

(i) Contributed to containment of outbreaks of AI, Cholera, Dengue and other infectious diseases of regional relevance.

(ii) Contributed to improved provincial capacity for CDC in targeted provinces, Dengue prevention and outbreak control, control of NTDs in high risks populations, and improved awareness of high risk groups about prevention of HIV/AIDS (Lao PDR and Viet Nam);

(iii) Contributed to modest improvement in MOH capacity for CDC and regional cooperation.

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

(i) Improved policy framework and guidelines, more field epidemiologists, better prepared provincial outbreak response teams and hospitals, provincial emergency funds, improved laboratory services, and better community preparedness. However, hospitals have limited surge capacity; hospital and laboratory staff need more training and operations support; community prevention, preparedness and reporting still insufficient in particular in border areas. Provincial emergency funds less sustainable and insufficiently covers outbreak reporting costs (e.g., sms, free phone).

(ii) Improved provincial annual operational plans (AOP) with more attention to targeting, CDC, and operations. Targeted support for the control of Dengue and neglected tropical diseases (NTDs). However, provincial planning and budgeting capacity varies considerably and needs clear purpose, formats, and reliable information. Due to a lack of sustainable funding, Dengue outbreaks are reoccurring. Strategies for community prevention of Dengue are less sustainable. Provinces need to make more effort to reach remote communities in border areas.

(iii) Regional cooperation in CDC has improved in terms of creating a conducive environment for dialogue and exchange of views. CLV institutions have completed several epidemiological studies. Cross-border cooperation is also increasing with support of partners. However, MOH capacity for regional cooperation remains limited. While there is an overall cooperation agreement, formal cooperation arrangements, institutional structures, and domestic resources budget need to be improved. Actual regional cooperation is slow to emerge, such as for implementation of regional strategies and KM products.

Geographical Location The Project will target 26 provinces (5 in Cambodia, 6 in Lao PDR, and 15 in Viet Nam).

Summary of Environmental and Social Aspects

Environmental Aspects No negative aspects
Involuntary Resettlement No resettlement
Indigenous Peoples Positive, but more efforts needs to be made to reach very poor communities
Stakeholder Communication, Participation, and Consultation
During Project Design

(i) Consultations of core ministries, health officials, partners, managers, staff, village leaders, potential beneficiaries; and

(ii) Three regional and three national workshops;

During Project Implementation

(i) Regional and national steering committees and workshops;

(ii) Consultations with targeted institutions, provinces and communities during implementation;

(iii) Regional public health forums and websites;

(iv) Participation in regional events of partners.

Business Opportunities

Consulting Services About 238 person-months international and 1,176 person-months domestic consulting services will be required. Of the international consultants, the regional project coordinator (36 person-months), the health system development expert (16 person-months), and the HIV/AIDS Chief Technical Adviser (16 person-months) will be directly engaged by ADB as individual consultants for a total of 68 person-months. International experts for surveillance and response, outbreak preparedness, virology, dengue control, control of endemic diseases, legislation, and health information system will be contracted as individual consultants for a total of 170 person-months by WHO as implementing agency according to WHO rules and regulations for administrative procedures and practices. ADB-funded experts to be engaged by WHO must have the prior approval of ADB and MOH. Each MOH will engage domestic consultants as individual consultants according to procedures acceptable to ADB.
Procurement Equipment will be procured by international competitive bidding for contracts valued at $1,000,000 or more; international shopping for contracts below $1,000,000, and local competitive bidding or direct purchase for items valued at less than $100,000. Civil works are scattered and limited to repair and upgrading of existing facilities and will be carried out through local competitive bidding. Procurement of equipment and supplies will be managed by the EA who may delegate this to the provinces for items valued at less than $20,000.

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
laocdcea@etllao.com
Ministry of Health, Vientiane, Lao PDR

Timetable

Concept Clearance 15 Mar 2005
Fact Finding 06 May 2005 to 11 May 2005
MRM 08 Jun 2005
Approval -
Last Review Mission -
PDS Creation Date 28 Feb 2006
Last PDS Update 28 Sep 2012

Grant 0026-LAO

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
21 Nov 2005 16 Dec 2005 07 Mar 2006 30 Jun 2010 - 17 Oct 2012
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 7.50 Cumulative Contract Awards
ADB 6.00 21 Nov 2005 5.92 0.00 99%
Counterpart 1.50 Cumulative Disbursements
Cofinancing 0.00 21 Nov 2005 5.92 0.00 99%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Satisfactory Satisfactory Satisfactory Satisfactory - Satisfactory

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
Regional: Greater Mekong Subregion Regional Communicable Diseases Control Project Project Performance Evaluation Reports Sep 2015

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