Lao People's Democratic Republic: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41507-012 Status: Approved


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Project Name Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Project Number 41507-012
Country Lao People's Democratic Republic
Project Status Approved
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0232-LAO: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Asian Development Fund US$ 12.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Governance and capacity development
Sector / Subsector

Health - Disease control of communicable disease - Health system development

Gender Equity and Mainstreaming Effective gender mainstreaming
Project Rationale and Linkage to Country/Regional Strategy
Impact Improved health of the population in the Greater Mekong Subregion (GMS).
Project Outcome
Description of Outcome Timely and adequate control of communicable diseases of regional relevance
Progress Toward Outcome

1.1 Proportion of suspected infectious disease outbreaks reported within 24 hours increased from 50% to 80%

- Since project commencement, 354 disease outbreaks reported. 83% within 24 hours and 69% investigated within 24-48 hours (Source: NCLE Monthly Surveillance Reports)

- Outbreak Manual made available in NCLE and SOPs for rapid response (along with Checklist) in place

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

- September 2014 ADB Mission identified the need to clarify this indicator and to compile data.

- Underway as part of DMF updating

1.3 Proportion of population in targeted villages that conduct proper CDC prevention and care increased from 40% to 60%

- HH survey data and analysis shows 45.1% conduct core CDC prevention and care activities

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: Functional MOH focal points and capacity for regional cooperation in CDC

- Focal point and incident room established in MoH to deal with outbreaks, epidemics, surveillance etc

- Major policy documents under development: Surveillance and Response Policy; Dengue Policy: CDC Strategy

- Focal point activities reporting format developed

1.2 Joint implementation of regional strategies for emerging diseases and NTDs including specific measures to address gender and ethnic group issues

-Need to review against WHO/Regional Strategies plans

- In particular, NTDs, Labs and CDC generally

- Field assessment conducted and recommendations made to improve effectiveness targeting women and IPs.

1.3 MOH makes at least quarterly contributions to knowledge management for CDC

- With consolidation of RCU and RC, aim is to increase Knowledge Management and contributions to the project website and regional forums.

- KM meetings identified feasible road map. Inventory of KM products and experts being compiled.

- KM product on comparisons of HH surveys in Lao and Cambodia developed for project website (Feb 2015)

1.4 MOH exchange information on disease outbreaks as per International Health Regulations (IHR), including gender disaggregated data

- In Outbreak Reporting, gender is disaggregated

- Focal point reporting will identity existing channels for info exchange

- S&R data is disaggregated by gender and DP

1.5 Targeted provinces in full compliance with IHR/APSED

- All target provinces implementing APSED/IHR e.g. human and zoonoses checks at border crossings; etc

- Indicator is: Compliance of targeted provinces with IHR/APSED 2005 increased by 20 ?????

- IHR compliance assessed 2012: - 28.6% compliance. 2013: - 55.6% compliance.

2014: -61.3% compliance

1.6 Gender content reflected in CDC training curriculum, human resources development (HRD) plans, and cross border activities

- PIA trainers and senior management trained in GAP and IPDP.

- All province AOPs have gender targets and training is planned with women's participation.

- All training disaggregated by gender

- Gender issues/awareness included in MHV training curriculum.

2. Improved CDC along borders and economic corridors

2.1 Two new healthy villages per district per year are supported in border districts

- 283 new MHVs to date under the project : 81% of target

2.2 Joint cross-border activities per district per year increased from below 1 to 2 or more per district per year

- Team to suggest to how to report this

- Information being compiled

2.3 At least 50% of newly selected village health workers are female

- Surveys conducted to provide more sensitive information. Result: 47% of new VHWs since 2012 are female (503/1071)

2.4 All village health workers in border districts are trained in the last 5 years

- Surveys conducted to provide more sensitive information

- 77% trained since 2012

2.5 Trained village health workers in targeted districts achieve 80% of basic competencies

- Surveys being conducted to provide more sensitive information

- 69.3% assessed as competent in key areas

2.6 All women of reproductive age and children aged 1 5 years receive micronutrients and deworming

- HH survey provided updated deworming info

- Percent of female population (15-49) dewormed - 35.5%

- Percent of 1-5 population dewormed - 45.9%

2.7 At least 60% of CDC staff is trained

- Surveys conducted to provide more sensitive information

- 52% of trained staff is female

2.8 At least 50% of trained staff is female

- Surveys conducted to provide more sensitive information

- 52% of trained staff is female

2.9 Trained CDC staff in provinces achieve 70% of basic competencies

- Surveys conducted to provide more sensitive information

- 73.6% assessed as competent in key areas (% available for each CDC staff group)

3. Integrated project management

3.1 Provincial staff are competent in results based planning

- Results based planning undertaken potential for further training being reviewed Oct 2014

3.2 Baseline and outcome surveys are conducted as planned

- Project HH survey carried out in March 2014 and conducted by local staff

3.3 Provincial AOPs include CDC targets with special attention to border villages, cross-border collaboration, gender and ethnic groups, and in-service training

- Being done/covered already but needs further elaboration and clarification and Ethnic Groups plans are in place under the project and guide the activities of the international and local Gender Consultants.

- The international

3.4 Gender action plan and ethnic groups plan are fully implemented and reported on

- Gender Consultant has conducted field trips and identified immediate priority activities for the project. Training for provincial staff on gender issues and implementation of the Gender plan has been organised

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.
Business Opportunities
Consulting Services All consultants will be recruited according to ADB's Guidelines on the Use of Consultants. Nine positions of individual consultants and one consulting firm are 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). International Competitive Bidding procedures will be applied for any packages valuing more than $0.5 million. Any bid packages of goods and civil works valuing less than $ 0.5 million will be procured through national competitive bidding. Smaller goods and civil works packages costing less than $0.1 million may be procured through shopping procedures.
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
Simuang Road
Concept Clearance 30 Mar 2010
Fact Finding 06 Apr 2010 to 23 Apr 2010
MRM 06 Sep 2010
Approval 22 Nov 2010
Last Review Mission -
PDS Creation Date 15 Apr 2010
Last PDS Update 22 Sep 2015

Grant 0232-LAO

Approval Signing Date Effectivity Date Closing
Original Revised Actual
22 Nov 2010 08 Dec 2010 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 13.00 Cumulative Contract Awards
ADB 12.00 22 Nov 2010 10.99 0.00 92%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 10.71 0.00 89%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Safeguard Documents

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