Cambodia: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41505-012 Status: Approved


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.

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Consulting Notices

See also: CMS

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
Regional integration
Drivers of Change Governance and capacity development
Sector / Subsector

Health - Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Project Rationale and Linkage to Country/Regional Strategy
Impact Improved regional health security of the population in the Greater Mekong Subregion (GMS).
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

1.1 Proportion of suspected infectious disease outbreaks reported within 24 hours

Y2011: 100% (n=56)

Y2012: 100% (n=95)

Y2013: 97% (n=74)

Y2014: 100% (n=34)

Q1 2015: 100% (n=11)

Q2 2015: 100% (n=7)

1.2 Proportion of confirmed infectious diseases outbreaks in border provinces reported across borders within 24 hours increased from 20% to 50%

Q1/Q2 2015: No outbreak reported across border

1.3 Proportion of women (15-49 years) in targeted villages that conduct proper CDC prevention and care increased from 40% to 80%

Y2014: Only 494 (13.7%) among 3600 HHs in 180 villages complied

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)

1. Enhanced regional CDC systems

1.1: Improved capacity for regional cooperation in CDC

1.1.1 Number of National MOH focal points share information on CDC of regional relevance

- MOH-WHO joint press release:

Y2011: 7 (100%) on AI

Y2012: 3 (100%) on AI

Y2013: 18 on AI

Y2014, 12 (100%) on AI, Ebola, MERSK, Rabies and HIV in Roka village, Roka commune, Sangke district, Battambang province

Q1 2015: 1 information sharing on the recognition of measles elimination in Cambodia

Q2 2015: 2 information sharing (1. World Health Day 2015 from Farm to Plate: make Food Safe (7 April 2015); and 2. Preventive Information about MERS-COV (5 June 2015)

1.1.2 Number of joint outbreak investigation and response along the border including specific

- No joint outbreak investigation done but CAM and Lao had a joint simulation exercise in Stung Treng in late 2014.

Q1/Q2 2015: No outbreak information shared

1.1.3 Each MOH conducts regional technical forum at least once a year

- Regional Technical Forums:

Y2011: 4 meetings but not hosted by CAM

Y2012: 5 meeting, CAM hosted 1

Y2013: 7 meetings, CAM hosted 2

Y2014, 11 meetings, CAM hosted 3

1.1.4 Number of MOH exchange information on disease outbreaks as per International Health Regulations (IHR), including gender-disaggregated data

- All of 12 outbreaks information shared in 2014

- All of 11 outbreaks information shared in Q1 2015

- All of 7 outbreaks information shared in Q2 2015

1.2 Expanded surveillance and response systems

1.2.1 Proportion of targeted provinces in full compliance with IHR 2005/APSED 2011-2015

- Project provinces are currently applying but still limited and need to improve (will be evaluated at the end of project)

1.2.2 Proportion of border provinces exchange information on CDC across border on a monthly basis

- 4 provinces shared information exchange (Stung Treng, Ratanak Kiri, Svay Rieng and Takeo) using MBDS cross border information format

1.2.3 Number of joint cross-border activities per province per year at least 1 meeting

Y2014: CAM joint 6 Cross-border meetings conducted in Luang Prabang (Lao PDR); Danang, An Giang and Tay Ning (Viet Nam), and simulation exercise meeting in Stung Treng (Cambodia). Total: 24 provinces joint cross-border meeting (Luang Prabang: Stung Treng, Kandal, Svay Rieng), Danang (10 project provinces), An Giang (Takeo, Kandal), Tay Ninh (Svay Rieng 2 times, Thbaung Khmum 2 times, Stung Treng 1 time), Stung Treng (Stung Treng, Rattanakiri, Kampot, Takeo)

Q1/Q2 2015: No joint cross-border meetings conducted by CLV

1.2.4 Proportion of laboratory staff at provincial hospitals achieve 80% competencies in each CD

Y2013: 10 Lab Chief of 10 Project provinces Lab trained

Y2014: No Lab training in 2014

Q1 2015: No assessment conducted. Laboratory staff training will be conducted in Q2 2015: Lab Practical Training for Communicable Diseases (20-23 April 2015)

1.2.5 Gender content reflected in CDC training and cross-border activities

- All training and field activities encourage women attendance

1.3 Targeted support for emerging and neglected disease

1.3.1 Proportion of people received Praziquantel in endemic area (Kratie and Stung Treng province)

Y2011: 85.38% (Kratie: 86.04%, Stung Treng: 84.72%

Y2012: 86.49% (Kratie: 87.11%, Stung Treng: 85.88%)

Y2013: 87.27% (Kratie: 87.67%, Stung Treng: 86.87%)

Y2014: 87.22% (Kratie: 86.87%, Stung Treng: 88.10%)

Q1/Q2 2015: no activity done

1.3.2 Proportion of women of child-bearing age who received Mebendazole of 95%

Y2011 and 2012: Campaign conducted only one time a year

Y2013: R1: 89.84%, R2: 81.43%

Y2014: 77.00% (only one round)

Q1/Q2 2015: no activity done

1.3.3 Proportion of pre-school aged children 1-5 years old (12 to 59 months) received Mebendazole is more than 95%

Y2011 and 2012: Campaign conducted only one time a year

Y2013: R1: 86.48%, R2: 94.50%

Y2014: R1: 93.94%, R2: 95.35%

Q1/Q2 2015: no activity done

1.3.4 Proportion of school aged children 6-14 years received Mebendazole is more than 95%

Y2011: Campaign conducted only one time a year

Y2012: R1: 88.4%, R2: 90.05%

Y2013: R1: 94.52%, R2: 95.05%

Y2014: R1: 96.00%, R2: 95.83%

Q1/Q2 2015: no activity done

2. Improved CDC along borders and economic corridors

2.1: Improved community-based CDC

2.1.1 Number of new model healthy village per border operational district

- 180 villages in 18 Operational Districts

2.1.2 Proportion of newly selected Village Health Support Group (VHSG) in target villages who are female is at least 50%

Y2012: 50% of VHSGs are female

Y2013: 39% of VHSG and VMGs are female

Y2014: 29% of VHSG and VMGs are female

Q1/Q2 2015: no member of VMG turned over

2.1.3 Proportion of Village Management Groups (VMG) including Village Health Support Group (VHSG) members in border operational districts trained in CDC

Y2014: 81% in average

Skill-based: 89%, Diarrhea: 89%, Fever and Flu: 86%, Dengue: 71%, Worm diseases: 71%

2.1.4 Competency rate of VMG including VHSG trained in target villages is more than 80% for 11 competency items

Q1/Q2 2015: 41% competency measured during the training session, no updated assessment was conducted

2.1.5 Proportion of training which covered MHV's concepts and approaches is


Y2013: 82

Y2014: 86

168 health center management groups joined the training on MHV concept and approaches

2.1.6 Proportion of village demographic assessment conducted by VMG in candidate MHV

Y2012: 23 villages among 180 assessed (12.77%)

Y2013: 90 villages among 180 assessed (50%)

Y2014: accumulated 158 villages assessed (88%)

2.1.7 Proprotion of Target Villages implementing a specific BCC plan in CDC

81% of MHV currently implementing BCC plan; the rest yet to be applied after completed demographic assessment and cascade training to VMGs.

2.1.8 Proportion of female participants in MHV community based-CDC activity and campaign

Y2013: Q1: 48.61% Q2: 48% Q3: 52% Q4: 53%

Y2014: 2094 volunteers (834 are female and 281 are IP) trained on new emerging diseases (AI, HFMD&), other CDC core topics and Dengue.

Q1 2015: 40%

Q2 2015: 80% - most of women participating in each session of community heal education

2.2 Improved staff capacity in CDC

2.2.1 Proportion of RRT in provinces and districts are trained/refresh trained in CDC under CDC2

Y2012: 3131 staff-times trained in 2012

Y2013: 57.6% among all 1004 RRT in 10 provinces trained

Y2014: 100% of RRT trained (among total 1004 RRT in 10 project provinces)

2.2.2 Proportion of trained staff under CDC2 Project are female

Y2012: 14% female RRT among 3131 staff-times trained

Y2013: 756 female of 2981 trinees (25%)

Y2014: 25% female RRT among 1004 RRT trained 60%

Q1/Q2 2015: 25%

2.2.3 Proportion of RRT in targeted provinces achieved 70% of basic competencies in CDC

Y2014: 70%

2.2.4 Number of provincial/district RRT trained in Applied Epidemiology and Biostatistics

Y2013: 5 AET trained in project province

Y2014: 5 AET trained in project province

Q1/Q2 2015: 8 RRT

2.2.5 Proportion of female NIA, PIA staff and PCU assigned

Y2012: 25% are female, PCU:(3/9), NIAs:(4/17), PIAs:(28/115)

Y2013: 22% are female (PCU: 37% NIAs: 20% PIAs: 17%)

Y2014: List of appointment endorsed by project director, 29 female staff among 132 in PMU, IA and PIU; 3 female staff among 7 in PCU.

Q1/Q2 2015: same with Y2014

3. Integrated project management

3.1 Number of provincial staff competent in results-based planning

Y2012: 3131 staff-times trained in 2012

Y2013: 57.6% among all 1004 RRT in 10 provinces trained

Y2014: 100% of RRT trained (among total 1004 RRT in 10 project provinces)

Q1/Q2 2015: Provincial staff prepared result based planning in accordance with MOH planning guidelines.

3.2 Project baseline and endline surveys in targeted border ODs conducted as planned

- fully completed for baseline

3.3 Number of provincial AOPs meet minimal standards

Each year, 14 UA/PIAs AOPs met minimal standard as planning guideline of MOH and approved by MOH and ADB

3.4 Quarterly reports are produced within one month

- timely done

3.5 Proportion of gender action plan( GAP) and Indigenous People Development Plan (IPDP) are implemented for at least 80%

GAP and IPDP are developed and endorsed by Project Director on 4th January 2013

Y2014: GAP and IPDP is documented, 17 vs. 34 key activities in GAP and IPDP are implemented.

3.6 Audit reports are completed and submitted within 9 months of the end of the fiscal year

- timely done

3.7 Proportion of the planned supervision conducted and reported under CDC2

Y2013: 1008 supervisions conducted vs.1359 planned (74%)

Y2014: 78.15% 1306 conducted vs.1671 planned supervision

Q1 2015: MHV supervision 4 times/4 planned, PCU supportive supervision 2 times/2 planned

Q2 2015: MHV supervision 7 times/7 planned, PCU supportive supervision 4 times/4 planned

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 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
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 22 Sep 2015

Grant 0231-CAM

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 9.79 0.00 98%
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

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 0.02 0%
Counterpart 0.20 Cumulative Disbursements
Cofinancing 4.00 26 Oct 2015 0.00 0.00 0%
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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