Mongolia: Fourth Health Sector Development Project: Improving Sector Governance

Sovereign Project | 41243-022

Summary

The PPTA is needed to (i) reach consensus among stakeholders on a project to tackle sensitive issues such as hospital sector reform, (ii) gather and update available information on the situation of the hospital sector and in the area of food and drug safety, (iii) bring in international best practices to improve project design, and (iv) carry out generic analyses to prepare for the RRP.

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Project Name Fourth Health Sector Development Project: Improving Sector Governance
Project Number 41243-022
Country Mongolia
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 7309-MON: Fourth Health Sector Development Project: Improving Sector Governance
Technical Assistance Special Fund US$ 600,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Sector / Subsector Health - Health sector development and reform
Gender Equity and Mainstreaming Effective gender mainstreaming
Description The PPTA is needed to (i) reach consensus among stakeholders on a project to tackle sensitive issues such as hospital sector reform, (ii) gather and update available information on the situation of the hospital sector and in the area of food and drug safety, (iii) bring in international best practices to improve project design, and (iv) carry out generic analyses to prepare for the RRP.
Project Rationale and Linkage to Country/Regional Strategy The Project will build on previous health sector development initiatives to continue (i) reforming the Mongolian health sector in the line with the National Development Strategy and the Government's Health Sector Master Plan (2006 2015) and its Implementation Framework (2006 2010).
Impact Improved health sector efficiency and safety through optimization of the hospital sector and access to safer food and medicines.
Project Outcome
Description of Outcome An agreed upon project design of the Fourth Health Sector Development Project suitable for ADB financing.
Progress Toward Outcome Fourth Health Sector Development Project was approved by ADB Board in November 2010.
Implementation Progress
Description of Project Outputs 1. Detailed analysis of the hospital sector in Mongolia, especially focused in Ulaanbaatar, and a project component to rationalize and optimize service delivery and financing of secondary and tertiary care facilities, including hospital and investment plans. 2. Detailed analysis of the food and drug safety situation in Mongolia and a project component to address the weaknesses of the current legal, regulatory, institutional, human resources and funding of the sector. 3. Analysis of the constraints to provide safe water and sanitation, proper waste disposal, and efficient heating systems for health facilities in urban and rural settings, and a project component to propose innovative approaches, including an investment plan, to address the constraints. 4. Analysis to the constraints to public sector finance management and allocation, transparency and accountability of health sector operations, improved aid coordination, and a project component to improve governance of the health sector by addressing these constraints. 5. A project design (including rationale, components, financing and investment plan implementation arrangements a description of benefits and impacts and economic and financial analysis detailed project costing a gender analysis and plan an environmental examination a poverty and social analysis and a financial management and procurement capacity assessment of the EA).
Status of Implementation Progress (Outputs, Activities, and Issues)

All the work under the PPTA has been completed. The Consultant's Final Statement of Eligible Costs has been submitted to COSO for processing and issuance of the final variation.

The FSEC has been approved. However, required documentation for withheld claim is still still pending from the consultant.

Geographical Location Mongolia
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design The Ministry of Finance and Ministry of Health were consulted extensively about the Project and these ministries are supportive of the PPTA and the ensuing Project. International development partners in the health sector (including NGOs) have confirmed their active participation in the PPTA in the form of technical inputs. The World Health Organization has committed the participation of a food safety specialist during PPTA implementation. NGOs, the private sector, and communities will be involved in project identification and conceptualization during project preparation.
During Project Implementation
Business Opportunities
Consulting Services The Project will require inputs of 13 person months of international consulting services and 15 person months of national consulting services. International Consultants: 1. Hospital planning specialist ( person months). 2. Health Economis (2 person months). 3. Drug safety specialist (2 person months) 4. Financial and economic analyst (2 person months). 5. Poverty and social safeguard specialist (1.5 person months). 6. Environmental specialist (1.5 person months). National consultants: 1. Hospital planning specialist (5 person months) 2. Drug safety specialist (4 person months) 3. Financial and economic analyst (2 person months) 4. Poverty and social safeguard specialist (2 person months) 5. Environmental specialist (2 person months)
Responsible ADB Officer Claude Bodart
Responsible ADB Department East Asia Department
Responsible ADB Division Urban and Social Sectors Division, EARD
Executing Agencies
Ministry of Health_and Sports1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar
Mongolia
Timetable
Concept Clearance 06 Jan 2009
Fact Finding 12 Jan 2009 to 23 Jan 2009
MRM -
Approval 14 Jul 2009
Last Review Mission -
PDS Creation Date 02 Feb 2009
Last PDS Update 09 Dec 2011

TA 7309-MON

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
14 Jul 2009 05 Aug 2009 05 Aug 2009 30 Mar 2010 30 Nov 2011 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
600,000.00 0.00 100,000.00 0.00 0.00 0.00 700,000.00 14 Jul 2009 491,717.35

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Safeguard Documents

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Evaluation Documents

See also: Independent Evaluation

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