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

Sovereign Project | 41507-012


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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

-Since project commencement, 284 disease outbreaks reported. 82% within 24 hours and 67% investigated within 24-48 hours.

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

- Essential laboratory equipment is being procured under tender and further procurement packages are being prepared: the Project intends to fast track the next procurements and will be working with NCLE, and other potential beneficiaries, to identify priority items and to ensure complementarity with laboratory strategic plans and provincial requirements.

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)

Component 1: Enhanced regional CDC Systems

- A range of regional cooperation activities have been identified by the Project and are currently being assessed and considered as a means to improve regional coordination and liaison.

- Cross border collaboration and coordination continues and a number of meetings between CLV provinces have taken place in the current quarter, with a high level meeting conducted immediately prior to the Regional Workshop in November between Luangprabang Province and Son La and Dien Bien Phu provinces in Vietnam.

- NCLE continues to refine the EWARN system and is reviewing the reporting format of outbreaks to clarify timeliness of communication from health facilities to NCLE. The latest outbreak data for the October - December 2014 quarter reflects outbreaks of new disease cases.

- There were 6 outbreaks with 408 people affected, and 3 persons dying in the current quarter. 100% of outbreaks were reported within 24 hours and 66% were investigated within 24 - 48 hours. Main symptoms/diagnoses diagnosed from specimens were Measles, with 15 suspected confirmed cases. Females accounted for around 45% of cases, with unusually, 71% of cases in December. The reasons for this preponderance of females then are unclear. Table 2 sets out summary outbreak data for the current quarter. Detailed data are attached as Appendix 5.

- From 2011 to the present, 328 outbreaks have been identified in Lao PDR, with 83% reported within 24 hours and 68% investigated within 24-48 hours. Appendix 6 sets out summary data on outbreaks to date since 2011.

- The Department of Communicable Disease Control of MOH has been working on an updated national policy on surveillance and with project support, presented the new document at a workshop in December 2014. The policy has now been officially adopted and has been circulated widely to all provinces for implementation. An English version is being developed and will be forwarded to all agencies shortly.

Component 2: Improved Communicable Diseases Control along borders and economic corridors

- In total, around 350 model healthy villages will be added during the course of the Project and priority considerations are: optimal targeting to ensure relevant villages are included in the program; coordination with the existing MHV program to ensure consistency and complementarity and use of agreed and accepted material and approaches.

- To date, 231 MHVs have been established under the Project (66% of overall target).

- The Project completed the Household Survey report in May 2014 and a draft was circulated informally to international agencies. The survey covered nearly 1500 households in 12 provinces, with 32 districts and 132 villages involved. The survey identified a range of useful information on heath behaviours, knowledge and practices and established a comparative baseline to evaluate project impact, outcomes and achievements on completion.

Component 3: Integrated Project Management

- In Lao, a Project Performance Monitoring and Evaluation System (PPMES) format based on the Project Design and Monitoring Framework (DMF) has been developed and is being continually reviewed and refined to facilitate an overall Project monitoring framework.

- Work is continuing on a range of Project system documentation and processes including: continuing development of a Project Performance Monitoring and Evaluation System to assess the performance of the Project by: Monitoring and evaluating delivery of planned activities to ensure timely implementation and steady progress towards milestones, outputs and outcomes; Measuring Project impacts; Measuring health and social benefits with a focus on the poor, women, and ethnic/disadvantaged groups; Monitoring achievement of Millennium Development Goals and other government targets; Enabling the Project to monitor the assumptions and risks in the DMF as an early indicator of action required to ensure that the Project can achieve overall aims; and Monitoring compliance with the terms and obligations in the signed grant documents (Covenants etc).

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 HealthBSOUANE@LAOTEL.COMSimuang 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 31 Mar 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 - -
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 10.08 0.00 84%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 10.57 0.00 88%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

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