Viet Nam : GMS: Regional Communicable Diseases Control Project

Sovereign Project | 38017-012

Project impact:

(i)Contained spread of epidemic diseases at local level and

(ii)reduced burden of common endemic diseases in CLV countries.

Project outcomes:

(i)Timely and adequate control of epidemics likely to have a major impact on public health and the economy in the region;

(ii)Improved coverage of prevention and care of communicable diseases in vulnerable populations, in particular poor women and children living in border areas; and

(iii)Improved know-how, policies, standards, and coordination among countries to improve CDC, including for HIV/AIDS, through intergovernmental cooperation.

Project outputs:

(i)Comprehensive national surveillance and response systems, including institutional structures; preparedness, surveillance, and response; laboratory services; and human resource development (HRD);

Project Details

  • Project Officer
    de Wit, Vincent P.
    Southeast Asia Department
    Request for information
  • Country/Economy
    Viet Nam
  • Modality
  • Sector
    • Health
Project Name GMS: Regional Communicable Diseases Control Project
Project Number 38017-012
Country / Economy Viet Nam
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0027-VIE: GMS: Regional Communicable Diseases Control Project
Asian Development Fund US$ 15.00 million
Strategic Agendas Regional integration
Drivers of Change Gender Equity and Mainstreaming
Sector / Subsector

Health / Disease control of communicable disease

Gender Gender equity theme
Description

Project impact:

(i)Contained spread of epidemic diseases at local level and

(ii)reduced burden of common endemic diseases in CLV countries.

Project outcomes:

(i)Timely and adequate control of epidemics likely to have a major impact on public health and the economy in the region;

(ii)Improved coverage of prevention and care of communicable diseases in vulnerable populations, in particular poor women and children living in border areas; and

(iii)Improved know-how, policies, standards, and coordination among countries to improve CDC, including for HIV/AIDS, through intergovernmental cooperation.

Project outputs:

(i)Comprehensive national surveillance and response systems, including institutional structures; preparedness, surveillance, and response; laboratory services; and human resource development (HRD);

(ii)Expanded and integrated CDC for vulnerable groups in 26 provinces (5 in Cambodia, 6 in Lao PDR, and 15 in Viet Nam) along borders or transport corridors; and

(iii)Productive regional coordination for CDC through capacity building of MOH, regional policy dialogue, support for regional institutions in operations research, and project management.

Project Rationale and Linkage to Country/Regional Strategy

Project rationale:

(i) CLV countries need to make more effort to achieve health-related MDGs, in particular by providing PHC to remote populations suffering from a high burden of infectious and reproductive diseases, and improving the affordability and quality of health care;

(ii) CLV countries need community action to contain emerging diseases like avian influenza (AI), severe acute respiratory syndrome (SARS), Dengue, and HIV/AIDS, facilitated by increased regional integration;

(iii) At the GMS summit, leaders proposed stronger regional collaboration in CDC in view of emerging and other diseases of regional relevance, as part of national health systems development;

(iv) Regional cooperation in CDC is justified as its benefits exceed what countries acting on their own can achieve in terms of (a) control of communicable diseases, (b) know-how for disease control; (c) economies of scale and greater leverage, and (d) regional public goods for health;

(v) In recent years, globalization has transformed borders from barriers to bridges, and this transformation has shifted attention to cross-border matters that localities have in common;

(vi) SARS and AI have had high economic impact through declining tourism, reduced foreign investment, and export restrictions on products.

Link to Global and Regional Strategies:

(i) The International Health Regulations (IHR) and the Asia Pacific Strategy for Emerging Diseases (APSED) approved in 2005 serve as the strategic framework to contain diseases internationally. Countries will be expected to report public health threats and maintain core capacities;

(ii) Regional CDC is a priority of the GMS HRD Working Group; and

(iii) The Project is aligned to the Regional Country Partner Strategy.

Impact

Contain the spread of epidemic diseases at local level, and reduce the burden of common endemic diseases by about 15% in the targeted

provinces, and more for certain specific infections, in the CLV countries. This will help these countries progress toward their health-related MDGs for 2015 of reducing the child mortality rate and containing the spread of HIV/AIDS and other infections.

Project Outcome
Description of Outcome

Project outcomes:

(i)Timely and adequate control of epidemics likely to have a major impact on public health and the economy in the region;

(ii)Improved coverage of prevention and care of communicable diseases in vulnerable populations, in particular poor women and children living in border areas; and

(iii)Improved know-how, policies, standards, and coordination among countries to improve CDC, including for HIV/AIDS, through intergovernmental cooperation.

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

Comprehensive national surveillance and response systems, including institutional structures; preparedness; surveillance and response; laboratory services; and HRDin all three countries nationwide.

Expanded and integrated CDC for vulnerable groups in 26 provinces (five in Cambodia, six in Lao PDR, and 15 in Viet Nam).

Productive regional coordination for CDC through capacity building of MOH, regional policy dialogue, support for regional institutions in operations research for HIV/AIDS control and other fields in support of this dialogue, and project management.

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
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; 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.
Responsible ADB Officer de Wit, Vincent P.
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
Timetable
Concept Clearance 15 Mar 2005
Fact Finding 12 May 2005 to 21 May 2005
MRM 08 Jun 2005
Approval 21 Nov 2005
Last Review Mission -
PDS Creation Date 28 Feb 2006
Last PDS Update 28 Sep 2012

Grant 0027-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
21 Nov 2005 07 Apr 2006 07 Jul 2006 30 Jun 2010 - 17 Oct 2012
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 15.45 Cumulative Contract Awards
ADB 15.00 17 Jun 2022 14.78 0.00 99%
Counterpart 0.45 Cumulative Disbursements
Cofinancing 0.00 17 Jun 2022 14.78 0.00 99%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Satisfactory Satisfactory Satisfactory Satisfactory - Satisfactory

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

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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

Related Publications


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Tenders

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Contracts Awarded

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Procurement Plan

None currently available.