Cambodia: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41505-012 Status: Approved

Summary

ADB is helping enhance communicable disease control systems in the Greater Mekong Subregion. The project, which includes Cambodia and the Lao People’s Democratic Republic, will expand surveillance and response systems, target the control of dengue and neglected tropical diseases, and include communicable disease control training for agencies and communities in border districts.

Latest Project Documents

Consulting Notices See also: CMS

No notices are currently available for this project.

Procurement Notices See also: Operational Procurement

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Procurement Documents

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Project Name Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Project Number 41505-012
Country Cambodia
Project Status Approved
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0231-CAM: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Asian Development Fund US$ 10.00 million
Grant 0448-CAM: Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Additional Cofinancing to Grant 231-CAM)
Regional Malaria and Other Communicable Disease Threats Trust Fund US$ 4.00 million
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 project follows Strategy 2020, which realigns ADB's role in the health sector with emphasis on regional, intersector, and interagency cooperation, as also detailed in the operational plan for health. It is in line with ADB s Regional Cooperation and Integration Strategy, the GMS regional cooperation strategy and the country partnership strategies and country operations business plans of Cambodia, Lao PDR, and Viet Nam. The project supports regional public goods and capacity towards regional health and economic security and the Millennium Development Goals (MDGs) for reducing child mortality and malnutrition, halting the spread of communicable diseases, and others. In partnership with WHO, the Mekong Basin Disease Surveillance Cooperation, the Kenan Institute Asia and other partners, it addresses critical funding gaps for the roll-out of the International Health Regulations (2005) and APSED, as well as regional strategies for the control of dengue and NTDs. Under the leadership of WHO, regional and national aid coordination mechanisms are in place including regular meetings, surveys and publications for aid coordination, technical forums, community of practice groups, and websites.
Project Rationale and Linkage to Country/Regional Strategy Emerging infectious diseases such as severe acute respiratory syndrome (SARS), avian influenza, and swine flu have had major economic impacts on productivity, trade, and tourism in the GMS, and continue to pose a major public health concern. New diseases, mostly of animal origin, also pose a constant threat. Dengue, chikungunya, cholera, typhoid, and HIV/AIDS fueled by better connectivity, urban development, and social and environment changes continue to spread in the GMS. Controlling these diseases requires strong surveillance systems, community prevention and preparedness, and quick system response capacities.
Impact

Project Outcome

Description of Outcome Timely and adequate control of communicable diseases likely to have a major impact on the region's public health and economy.
Progress Toward Outcome Project outcome indicators (behaviour change): The baseline survey data was collected from households in a total of 180 villages (two batches x 90 villages) anticipating all 180 villages will be covered by interventions under CDC2. However, due to the fund constraint, no intervention has been made to the second batch of 90 villages. This will make the final post-intervention complicated. The Mission suggested the EA to use the 2nd batch of 90 villages as a control with necessary statistical adjustments.
Implementation Progress
Description of Project Outputs

1. Enhanced regional CDC systems

2. Improved CDC along borders and economic corridors

3. Integrated project management

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

" Progress in Output-1: A knowledge management team has been established under the EA and a CDC2 webpage has been developed under the website of CDC Department of MOH. Regarding IHR and APSED, the project provinces have provided CDC information on a weekly basis (zero report) and its performance level was 84%. The EA has established the Emergency Operation Centre under MOH for outbreak response. CDC2 organized 5 cross border meetings in 2014 and 1 IHR/APSED-related cross border meeting in 2015.

" Progress in Output-2: Two quarterly workshops were organized for the 1st batch of 90 remote villages in 2015 to review the project implementation status, which was found satisfactory. The results of pre-and post-tests after the training of Model Healthy Villages members showed that 40% of trainees achieved satisfactory learning. Ten provincial laboratory technicians received the training on laboratory diagnosis for communicable diseases and laboratory SOP which was technically supported by the National Institute of Public Health in 2015.

" Progress in Output-3: Eleven national and provincial gender focal points (7 female) have been nominated and trained under CDC2. Also, 431 health personnel (148 female) have been trained on gender in health. The data on GAP and IPDP have been collected under CDC2. However, analysis and interpretation have been a challenge for PMU because its specialist for GAP and IPDP is no more available. The Mission and the EA agreed that a team of social development specialists (international and national) to be recruited under Additional Financing will support PMU in analysis and documentation of the implementation status of GAP and EAP.

Geographical Location

Safeguard Categories

Environment C
Involuntary Resettlement C
Indigenous Peoples B

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design Included: (i) group discussions with potential beneficiaries, village health workers, and community-based organizations; (ii) consultation of health staff, provincial and district health managers, provincial governments, central ministries and partners; and (iii) workshop with ministries, partners, and NGOs.
During Project Implementation Level of consultation and participation envisaged are information sharing, Consultation,Collaborative decision making and empowerment. Existing organizational structures down to the village level will be used, no need for a separate system. However, participation will be monitored.

Business Opportunities

Consulting Services All consultants will be recruited according to ADB's Guidelines on the Use of Consultants. Four consulting firms and 17 individual consultants will be provided for the duration of the project.
Procurement All procurement of goods and works will be undertaken in accordance with ADB's Procurement Guidelines (2010, as amended from time to time). Government international competitive bidding starts at $300,000 for goods, national competitive bidding starts at $100,000, and shopping is below $100,000.

Responsible Staff

Responsible ADB Officer Gerard Servais
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
No. 151-153, Avenue Kampuchea Krom
1537 Phnom Penh
Kingdom of Cambodia

Timetable

Concept Clearance 30 Mar 2010
Fact Finding 06 Apr 2010 to 23 Apr 2010
MRM 30 Apr 2010
Approval 22 Nov 2010
Last Review Mission -
PDS Creation Date 15 Apr 2010
Last PDS Update 30 Mar 2016

Grant 0231-CAM

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
22 Nov 2010 27 Jan 2011 22 Mar 2011 30 Jun 2016 31 Dec 2017 -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 11.00 Cumulative Contract Awards
ADB 10.00 22 Nov 2010 9.74 0.00 97%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 9.73 0.00 97%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Grant 0448-CAM

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
26 Oct 2015 10 Nov 2015 04 Jan 2016 31 Dec 2017 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 4.20 Cumulative Contract Awards
ADB 0.00 26 Oct 2015 0.00 0.19 5%
Counterpart 0.20 Cumulative Disbursements
Cofinancing 4.00 26 Oct 2015 0.00 1.30 33%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

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.

Title Document Type Document Date
Second Greater Mekong Subregion Regional Communicable Diseases Control Project: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Jul 2015
Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Cambodia) Indigenous Peoples Plans/Indigenous Peoples Development Plans Sep 2010

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


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