39305-013: Urban Public and Environmental Health Sector Development Program (Program Loan)

Project Data Sheet (PDS): Details


Description

The overall impact of the Urban Public and Environmental Health Sector Development Program (UPEHSDP) is to improve the public and environmental health conditions in the urban areas of Bangladesh, particularly in the six city corporations (Barisal, Chittagong, Dhaka, Khulna, Rajshahi, and Sylhet). The successful implementation of the UPEHSDP will help reduce child mortality and morbidity by reducing the prevalence of waterborne and food-related diseases, increase productivity by reducing overall morbidity, and improve the quality of life of urban inhabitants. UPEHSDP will improve the health status of the poor in urban areas and assist Bangladesh to make progress on the Millennium Development Goals (MDGs) relating to child and maternal health care and communicable diseases (MDGs 4, 5, and 6), and improve urban sanitation (MDG 7). The program and project loans under the UPEHSDP are designed to complement each other in achieving progress towards these key goals.

Project Rationale and Linkage to Country/Regional Strategy

Rapidly urbanizing Bangladesh has one of the highest population densities in the world. Crowded and poor hygienic living conditions have increased the vulnerability of urban poor people to economic shocks from ill-health. A burgeoning urban population is only going to make the situation for public and environmental health more challenging. Urban local bodies that are mandated to provide public and environmental health-related services have limited institutional and financial capacities. Nationally, the Local Government Division (LGD) of the Ministry of Local Government, Rural Development and Cooperatives (MOLGRDC) needs to take a stronger stewardship role in urban public and environmental health (UPEH). The Government of Bangladesh needs to make use of various instruments at its disposal such as regulations, taxation, information, and investments to address the growing challenges of UPEH with the help of the private sector and civil society. A sector development program (SDP) will address a wide range of complex but interlinked UPEH challenges. The Asian Development Bank (ADB) in many ways is uniquely placed to help the Government address these daunting multidimensional challenges. The SDP builds on more than a decade of ADB's strong engagement in urban development in Bangladesh, and makes a concerted effort to mainstream valuable lessons learned and good practices which have evolved from ADB-supported projects, such as urban governance and infrastructure improvement projects and urban primary health care projects.

Impact

Improved public and environmental health of urban inhabitants

Project Outcome

Description of Outcome

Sustainable public and environmental health services established in the six city corporations

Progress Towards Outcome

For the Project, all three consulting packages were mobilized and are now fully supporting the Project Office: (i) Package A: Program Support Consultancy; (ii) Package B: Financial Management and Municipal Finance Consultant; and (iii) Package C: Design Supervision and Construction consultants. One civil works package on the Construction of Food Laboratories, Service Delivery and Supply of Equipment in Dhaka and Chittagong City Corporations; and Renovation of Food Laboratory Training Center in Dhaka City Corporation is already awarded. Other major works and goods packages were ongoing. The Urban Development Wing under the Local Government Division was created in June 2013 and positions are currently being filled-up. For the Program, all three tranches were already released to the Government.

Implementation Progress

Description of Project Outputs

1. Strengthened institutional arrangements for urban public and environmental health (UPEH) in place (policy reform area 1) 2. Improved financial sustainability of urban public and environmental health interventions are operational (policy reform area 2 and project component C) 3. Improved public and environmental health service delivery are operational (policy reform area 3 and project components A and B) 4. Strengthened UPEH governance and management (policy reform area 4 and project component C)

Status of Operation/Construction or Implementation Progress

(i) Strengthened institutional arrangements for urban public and environmental health (UPEH) in place. The Urban Public and Environmental Health Unit (UPEHU) was established while the National Urban Public and Environmental Health Committee (NUPEHC) was constituted and is meeting annually. The update on the assessment of holding taxes of CCs is also completed. The other core activities are ongoing including allocation of support to core civil servants of UPEHU from revenue budget; strengthening of city corporation health departments and city corporation conservancy departments; and increase in collection of 2008 level of holding tax arrears. (ii) Improved financial sustainability of urban public and environmental health interventions are operational. The activities to support this output are ongoing. Currently, the bidding documents for the procurement of IT software and hardware to support modernization and computerization of financial management systems for CCs were already prepared. IFB for this package is expected to be advertised in October 2013. National Waste Reduce, Reuse and Recycle (3R) Strategy were already approved while standards are still being reviewed. (iii) Improved public and environmental health service delivery are operational. Procurement for the secondary transfer stations for the CCs are on the advance stages. Bidding documents for construction of controlled landfill and medical waste facility in Barisal, Rajshahi and Sylhet CCs and construction of medical waste facility in Dhaka CC; as well as construction of integrated sanitary landfill and medical waste facility in Khulna CC are still being prepared. For the slaughterhouses, PPP approach will be adopted. Effective private sector participation for delivery of UPEH services as well as citizens participation in city corporation delivery of UPEH services were already achieved as part of tranche release conditions. Other activities are ongoing. (iv) Strengthened UPEH governance and management. Provision of entitlement cards to poor and very poor people in the city corporation area is ongoing. Maternal and child health care for poor and very poor people is introduced.

Safeguard Categories

Environment: B
Involuntary Resettlement: B
Indigenous Peoples: C

Summary of Environmental and Social Aspects

Environmental Aspect
Environmental assessments are being prepared as part of the detailed design of subprojects in accordance with the agreed Environmental Assessment and Review Framework (EARF). The EARF covers both ADB and government policy requirements.

Involuntary Resettlement
Involuntary resettlement assessments are being prepared as part of the detailed design of subprojects in accordance with the agreed Resettlement Framework (RF). The RF covers both ADB and government policy requirements.

Stakeholder Participation and Consultation

During Project Design
Stakeholder consultation is an ongoing process which is being undertaken during project planning and design stages.

During Project Implementation
Community consultation will be an ongoing process and will continue througout project implementation.

Status of Covenants

Category Rating
Loan 2554
Sector Satisfactory
Social Satisfactory
Financial Satisfactory
Economic
Others Satisfactory
Safe Satisfactory
Project Financial Statements
Loan 2555
Sector Satisfactory
Social Satisfactory
Financial Satisfactory
Economic
Others Satisfactory
Safe Satisfactory
Project Financial Statements



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.

Project Data Sheets (PDS)

Timetable

Concept Clearance
13 Apr 2009

Fact-finding
15 Apr 2009 to 27 Apr 2009

Management Review Meeting
17 Jun 2009

Board Approval
28 Sep 2009

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