Cambodia: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41505-012

Summary

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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
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
Description
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 --
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)

IHR, Cross border and KM focal point already assigned at national level and is functioning (100%).

For 2014,

Q2: One MOH-WHO joint press release on Preventive Information about MERS-CoV

Q3: Three MOH-WHO joint press release on :

1-Questions and answers related to Ebola Virus Disease

2-Enhanced Precautionary Measures Against Ebola Virus Disease and MERS-CoV

3-World Rabies Day in Cambodia 2014: Rabies remain a public health issue

-CLV IHR focal point meeting on 10-September, 2014 at Siem Reap.

-One health approach 11-12 September, 2014 at Siem Reap.

-Cross border meeting between Cambodia and Viet Nam on 2-3 October, 2014 at An Giang.

- CDC2 project web page have been developed and published by integrated with CDC website.

- KM Team have been established under EA.

- KM inventory list and contact directory already made and updated. These documents also posted to CDC2 project web page.

- KM products (Reports, IEC, Poster, guideline,&etc.) have been uploaded to CDC website.

- Photos of project activities have been uploaded to ADB-CDC2 flickr as recommend by RCU.

Recommendation: Each MOH conducts regional technical forum at least once a year

4 joint press release have been shared through CDC website (Ebola, MERS-CoV, and Rabies) including sex disaggregation.

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

Delayed. 10 project provinces are applying 8 criteria of APSED. Their qualities and completeness are still limited and need to improve

Recommendation: National assessment was performed in 2012. Mission suggested to collect the data disaggregated by project province.

4 border provinces were selected (Takeo, Stung Treng, Rattanakiri and Svay Rieng) for piloting the information exchange at local level in Q4, 2014.

All training guideline and material including gender and IP focus, approved by MoH. Training report templates were designed with sex disaggregated and IP.

Recommendation: PCU need to list all the training materials used under project financing.

The project has identified 180 villages. Village Management Group in 90 villages trained on core CDC topics.

Simulation exercise between Stung Treng and Champasak planned to conduct in December 2014.

In 2014

Q2: 53 female among 195 newly selected VMGs

Q3: 71 female among 226 newly selected VMGs

Among VMG with 7 members, 1 male and 1 female are the 2 members of Village Health Support Group (VHSG).

180 VHSGs from 90 villages have been trained so far.

In 2014

Q2: 20%, 99 among 499 VMG trainees received over 80% of total score in each training.

Q3: 21%, 106 among 517 trainees got over 80% of total score in each training.

Recommendation: This indicator will be measured at the end of the project.

Proportion of VMG including VHSG in target villages achieved 80% of 11 competencies

(11competencies include vector control, environmental cleanliness, personal hygiene, use of safe water, use of clean pit latrine, vaccination, danger signs of childhood illnesses, danger signs of maternal complications, basic treatment of fever, diarrhea and worms, referral arrangements)

Children

Round 1: 93.94%

(Children & Women)

Round 2: Q4 2014

Recommendation:

2013:

Percent of women of child-bearing age who received Mebendazole

Percent of pre-school aged children 12 to 59 months received Mebendazole

1004 /1004 of RRT staff have been trained by the project.

WHO has financed 20 applied epidemiology training scholarships for rapid response team members nationwide (8 in 10 project provinces)

57.4% are female (Total RRT is 1004 from 10 project provinces)

Not measured

Recommendation: Proportion of RRT trained in target provinces achieved 70% of basic competencies in CDC

(Basic competencies depending on assignment include skills in lab, RRT, IEC, immunization, surveillance and other CDC related skill).

CDC department will develop a questionnaire to measure the competency level.

Provincial staff prepares result based planning in accordance with MoH planning guidelines.

Recommendation: Use the result of bi-annually evaluation of provincial planning conducted by MoH department of planning

Contract signed on 19-August, 2014.

AOP supports the role of MoH-Gender Mainstreaming Action Group (GMAG) and funds this work at the national level. Specific activities are budgeted at each level of AOP 2014.

Recommendation: Review provincial AOP focusing on (i). Border village, (ii). Cross border (iii). Gender (iv). Ethnic group (v). In-service training

Gender action plan implementation is documented.

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 HealthNo. 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 31 Mar 2015

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 - -
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 8.45 0.00 85%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 9.02 0.00 90%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Safeguard Documents

See also: Safeguards
Title Document Type Document Date
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

No documents found.


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