Mongolia: Access to Health Services for Disadvantaged Groups in Ulaanbaatar (formerly Improving Access to Health Services for Vulnerable Groups in Ulaanbaatar)

Sovereign Project | 41119-022

Summary

The Project will improve access to health services for vulnerable groups in Ulaanbaatar, through their full participation in the design and management of support programs for the provision of health services.

The project consists of three components:

Component 1: Assessment of the most vulnerable groups in Ulaanbaatar to determine their health seeking behavior and coping mechanisms to access health services. This will also include an assessment of the present welfare programs (e.g. health insurance) of the Government and support provided by the civil society.

Component 2: Design and provision of grant support for the piloting of schemes to increase accessibility of vulnerable groups to access health services based on the findings of Component 1.

Component 3: Policy development and capacity building to institutionalize the lessons learned in Component 2.

Latest Project Documents


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Project Name Access to Health Services for Disadvantaged Groups in Ulaanbaatar (formerly Improving Access to Health Services for Vulnerable Groups in Ulaanbaatar)
Project Number 41119-022
Country Mongolia
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 9115-MON: Access to Health Services for Disadvantaged Groups in Ulaanbaatar (formerly Improving Access to Health Services for Vulnerable Groups in Ulaanbaatar)
Japan Fund for Poverty Reduction US$ 2.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change
Sector / Subsector

Health - Health sector development and reform

Gender Equity and Mainstreaming
Description

The Project will improve access to health services for vulnerable groups in Ulaanbaatar, through their full participation in the design and management of support programs for the provision of health services.

The project consists of three components:

Component 1: Assessment of the most vulnerable groups in Ulaanbaatar to determine their health seeking behavior and coping mechanisms to access health services. This will also include an assessment of the present welfare programs (e.g. health insurance) of the Government and support provided by the civil society.

Component 2: Design and provision of grant support for the piloting of schemes to increase accessibility of vulnerable groups to access health services based on the findings of Component 1.

Component 3: Policy development and capacity building to institutionalize the lessons learned in Component 2.

Project Rationale and Linkage to Country/Regional Strategy Mongolia Country Strategy and Program Update 2007-2009
Impact Improved quality of life of vulnerable groups in Ulaanbaatar
Project Outcome
Description of Outcome

Vulnerable groups in 10 Project khoroos (sub-units of a district) benefit from increased access to health services.

Draft policy/policy amendments on increasing accessibility to health services submitted to the Government

Progress Toward Outcome Implementation is on track. Training of development social workers is compelted is completed and the is on-going. Upon completion of the training course DWS will consult district subunits and family group practices in initiating and implementing the pilot schemes, and will assist disadvantaged persons in facilitating their registration and securing entitlements to social benefits. Design and implementation of survey of disadvantaged groups are completed, and the methodology for the institutional assessment of family group practices (FGPs) is developed. Dissemination seminars will be conducted in May-June to finalize assessment outcomes and determine criteria for evaluation and award of pilot scheme grants.
Implementation Progress
Description of Project Outputs

Participatory identification of constraints and solutions to access health services for disadvantaged households

Eligibility criteria for FGP-local government pilot schemes agreed upon by main stakeholders

DSW pilot schemes implemented in khoroos government and FGPs

Pilot schemes on increasing accessibility awarded and implemented

Summary documentation of each of the pilot schemes prepared for policy-makers and operational level

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

The Project has achieved tangible results with completion of major field work and surveys on the household needs and institutional capacity of family group practices (FGP) and district hospitals. Eligibility criteria for FGP-local government pilot schemes were defined and agreed upon by main stakeholders during the consultation workshops in May-June 2010.

Training of DSW was completed in May 2010 and the pilot scheme on fielding DSWs to khoroos and FGPs is on-going.

Award of pilot schemes is delayed as the quality and scope of proposals varied, with some proposals failing to address basic issues on improving access to health services or to providing clear service models. As of 01-March 2011, first ten pilot schemes are awarded and are being implemented.

Geographical Location Ulaanbaatar
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects None
Involuntary Resettlement None
Indigenous Peoples None
Stakeholder Communication, Participation, and Consultation
During Project Design The project is designed through participatory processes, involving stakeholders from the various groups described as disadvantaged and existing community support groups in Ulaanbaatar.
During Project Implementation Organized support groups will be strengthened and involved in the implementation and monitoring of the project.
Business Opportunities
Consulting Services The Project will require 8 person-months of international and 12 person-months of national consulting services. The Project will also recruit (i) a national nongovernment organization (NGO) for community mobilization; (ii) a national organization for assessment, monitoring and evaluation; and (iii) a national training institute for the development social worker (DSW) program.
Procurement Goods, services, and works estimated to cost the equivalent of $100,000 or less will be procured using ADB's shopping procedure. Goods, services, and works with estimated value of $500,000 or less will be procured using national competitive bidding procedure. The PIU of THSDP will be responsible for procurement, with technical inputs from the project coordinator. To procure items costing $10,000 or below, the PIU of THSDP may purchase the items directly from the supplier. In such cases, ADB should be satisfied that the price paid is reasonable. International competitive bidding is not envisaged under this Project.
Responsible ADB Officer Tuul Badarch
Responsible ADB Department East Asia Department
Responsible ADB Division Mongolia Resident Mission
Executing Agencies
Ministry of Health_and SportsDr. P. AltankhuyagAltankhuyag@mongol.net1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar
Mongolia
Timetable
Concept Clearance 22 Aug 2007
Fact Finding 09 May 2007 to 18 May 2007
MRM 22 Jun 2007
Approval 19 Dec 2007
Last Review Mission -
PDS Creation Date 16 Jan 2008
Last PDS Update 21 Sep 2012

Grant 9115-MON

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
19 Dec 2007 25 Apr 2008 25 Apr 2008 24 Apr 2012 15 Nov 2012 30 Aug 2013
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 2.13 Cumulative Contract Awards
ADB 0.00 19 Dec 2007 0.00 1.83 92%
Counterpart 0.13 Cumulative Disbursements
Cofinancing 2.00 19 Dec 2007 0.00 1.83 92%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - Satisfactory - Satisfactory

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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