Regional: Strengthening Evidence-Based Policy-Making in the Pacific: Support for Development of National Health Accounts

Sovereign Project | 41186-012

Summary

The proposed regional TA is directly aligned with the focus of the refined Pacific Strategy (2005-2009) to promote Good Governance and improved policy formulation.

Specifically, it will contribute to the key result areas under the Strategy for (i) "effective public, private, and development partner resource allocations for basic social services," and (ii) "improved availability and dissemination of quality data and information on development issues." Additionally, the TA is in line with the ADB Long-Term Strategic Framework (2008-2020) selective intervention in the health sector to focus on "public expenditure management for cost-effective delivery of health programs and services." It will also support ADB's broad strategic directions to promote "inclusive economic growth" by promoting more effective financing for equitable health services, and "regional cooperation and integration" by providing solutions to a common knowledge need at a regional level.

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Project Name Strengthening Evidence-Based Policy-Making in the Pacific: Support for Development of National Health Accounts
Project Number 41186-012
Country Regional
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 6495-REG: Strengthening Evidence-Based Policy-Making in the Pacific: Support for Development of National Health Accounts
Japan Special Fund US$ 1.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Sector / Subsector Public sector management - Economic affairs management
Gender Equity and Mainstreaming No gender elements
Description

The proposed regional TA is directly aligned with the focus of the refined Pacific Strategy (2005-2009) to promote Good Governance and improved policy formulation.

Specifically, it will contribute to the key result areas under the Strategy for (i) "effective public, private, and development partner resource allocations for basic social services," and (ii) "improved availability and dissemination of quality data and information on development issues." Additionally, the TA is in line with the ADB Long-Term Strategic Framework (2008-2020) selective intervention in the health sector to focus on "public expenditure management for cost-effective delivery of health programs and services." It will also support ADB's broad strategic directions to promote "inclusive economic growth" by promoting more effective financing for equitable health services, and "regional cooperation and integration" by providing solutions to a common knowledge need at a regional level.

The TA will be implemented over 18 monhts starting in January 2009. An agreement between WHO and ADB will follow the approval of the TA.

Project Rationale and Linkage to Country/Regional Strategy

Background: Evidence-based policy analysis is limited in the Pacific, and resource allocations are often pursued without necessary knowledge of choices. With many Pacific countries facing challenges to long-term fiscal sustainability, the need for reliable information to guide more effective use and allocation of public resources is increasingly paramount. As the health sector consumes a large share of public expenditure in the Pacific, there is a need to imprve national-level health expenditure information (including public, private, donor, and non-profit resources). Such information provided through national health accounts (NHA) will support evidence-based health financing decisions, both to achieve allocative efficiency within the sector, as well as to improve larger public financial management.

Strategic Linkage: The proposed regional TA is directly aligned with the focus of the refined Pacific Strategy (2005-2009) to promote Good Governance and improved policy formulation. Specifically, it will contribute to the key results areas under the Strategy for (i) "effective public, private, and development partner resource allocations for basic social services," and (ii) "improved availability and dissemination of quality data and information on development issues". Additionally, the TA is in line with ADB Long-Term Strategic Framework (2008-2020) selective intervention in the health sector to focus on "public expenditure management for cost-effective delivery of health programs and services." It will also support ADB's broad strategic directions to promote "inclusive economic growth" by promoting more effective financing for equitable health services, and "regional cooperation and integration" by providing solutions to a common knowledge need at a regional level.

Impact Public, private, and development partner resource allocations for health services are effective in participating Pacific countries
Project Outcome
Description of Outcome Decision makers routinely use NHAs for policy-making on health sector resource allocations
Progress Toward Outcome All TA activities have been completed.
Implementation Progress
Description of Project Outputs

Total health resources and expenditure data is available for participating Pacific countries

A Pacific subnetwork on NHAs is functional

An evidence-based approach to promote policy use of NHA data in the Pacific context is available

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

The contract for Curtin University of Technology was signed on 17 Jun 2009. PARD issued the Notice to Proceed to Curtin University of Technology on 22 Jun 2009 with date of commencement of services also on the same date.

ADB has formally informed WHO through a letter dated 1 Jul 2009 on the change in project responsibility from Ms. Hayman Win, Social Sector Specialist to Ms. Sally Pedersen, Principal Public Management and Human Capacity Development Specialist.

A Request for Minor Change in Implementation Arrangements was submitted and approved on 1 Jul 2009 for the revision on the number of advances WHO can make (from three to two installments) as per signed TA Agreement between ADB and WHO. On 1 Jul 2009, consulting firm Curtin submitted to ADB its draft Inception Report.

WHO sent its Request for Initial Advance amounting to US$ 187,407 to fund workshops (regional and country workshops, and Pacific representation in international conferences), and non-workshop activities.

On 30 July 2009, ADB approved Curtin's Contract Variation Request No. 1 with the following provisions: (i) increase in inputs of S. Hopkins to assume the post of E. Jimenez-Soto who withdrew from the project; and (ii) adjustment of staff inputs, per diem allowance, and international air travel costs in accordance with the needs of the project. Curtin revised its draft Inception Report based on ADB comments submitted its final Inception Report was submitted on 31 July 2009.

From 1-3 Sep 2009, the Project Officer attended the Consultation Workshop (First RETA Regional Workshop), organized by the WHO, in relation to the RETA held in Nadi, Fiji. The first day of the consultation included an opening presentation by the Regional Director, WHO; an overview of RETA 6495; and an overview by R. Rannan-Eliya, a consultant to the project, on the role of NHA estimation as evidence base for policy. The balance of the day was spent in presentations from the respective participants on the status of National Health Accounts in their respective countries.

On 22 Oct 2009, ADB approved Curtin's Contract Variation Request No. 2 which adjusted per diem allowances and international and national air travel routings following change in venue for the regional workshops in Fiji from Suva to Nadi.

The first and second in-country workshops in Vanuatu were held on 12-16 October 2009. Meanwhile, the first and second in-country workshops were held in Fiji Islands on 27 Oct 2009 (Suva) and 28-30 Oct 2009 (Nadi). In-country workshops in FSM were held on 30 Nov 2009 to 4 Dec 2009 after being rescheduled from the original date of 23-27 Nov 2009. Logistical preparations for the Second Regional Workshop to be held in Nadi, Fiji is being handled by the EA (WHO). Curtin will be presenting in the workshop. Curtin submitted on 11 Dec 2009 its Final Interim Report.

As of 5 Mar 2010, data scoping, data collection, estimation, and filing of data gaps by pilot countries NHA teams in the Fiji Islands, FSM, and Vanuatu were on-going.

The third and fourth in-country workshops (NHA technical team training on analysis and report preparation) have been set at the following dates: (i) 19-23 Apr 2010 for Fiji Islands; (ii) 29-30 Mar 2010 (3rd in-country workshop) and 31 Mar 2010 (4th in-country workshop) for FSM; and 19-23 Apr 2010 for Vanuatu.

All TA activities have been completed.

Geographical Location Pacific Regional (with Federated States of Micronesia, Fiji Islands, and Vanuatu as pilot countries)
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Business Opportunities
Consulting Services ADB financing will support a total of 25 person-months (pm) in international consultancies and 15 pm in national consultancies for the TA.
Responsible ADB Officer Sally Pedersen
Responsible ADB Department Pacific Department
Responsible ADB Division Urban, Social Development & Public Management Division, PARD
Executing Agencies
WHO Regional Office for the Western PacificBayarsaikhan Dorjsurenbayarsaikhand@@wpro.who.intWHO-WPRO, Manila, Philippines
Timetable
Concept Clearance 26 May 2008
Fact Finding 02 Jun 2008 to 06 Jun 2008
MRM -
Approval 23 Oct 2008
Last Review Mission -
PDS Creation Date 16 Jun 2008
Last PDS Update 24 Feb 2011

TA 6495-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
23 Oct 2008 - 23 Oct 2008 30 Jun 2010 31 Oct 2010 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
1,000,000.00 0.00 0.00 0.00 0.00 100,000.00 1,100,000.00 23 Oct 2008 801,197.07

Safeguard Documents

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Evaluation Documents

See also: Independent Evaluation

No documents found.


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