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

Sovereign Project | 41507-012 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 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
Grant 0449-LAO: Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Additional Cofinancing to Grant 232-LAO)
Regional Malaria and Other Communicable Disease Threats Trust Fund US$ 3.00 million
Strategic Agendas Inclusive economic growth
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
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 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 Project outcome indicators (behaviour change): Findings from the baseline survey conducted in 2014 with 1,497 households in 132 villages in 31 districts, showed different levels of knowledge and behaviour towards prevention and care. The behaviour composite indicator shows 45.1% attainment. The post-intervention survey is planned in March 2016.
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: It was well noted that since 2013, and most intensively in 2015, CDC2 Lao PDR have organized 59 cross border meetings with 4 adjacent countries, producing 25 MOU for cross border collaboration. However, the content and quality of MOUs need to be carefully assessed. CDC2 will further need to strengthen cross border activities in 4 southern provinces which AF will focus on, incorporating malaria control aspects. In the 3rd quarter of 2015, 100% of the 12 outbreaks were reported in 24 hours. National IHR compliance has significantly improved; however, its application for assessing provincial IHR compliance is not possible at present. ADB will discuss necessary modification of IHR compliance assessment method with WHO.

" Progress in Output-2: Up to now, 304 Model Healthy Villages (MHVs) (the target: 350) have been established in 2,376 villages in 35 project districts. CDC2 will continue to expand MHV to more villages in 2016 and 2017. However, it was noted that the overall coverage of MHVs is 15% only, perhaps in a very scattered manner, which may not provide much protection to many villages from communicable diseases and outbreaks. It was recommended to consider a cost effective strategy to expand MHV with the use of a large number of Village Health Volunteers (VHVs) trained under CDC2 (6,991), involving local NGOs and CBOs. The result of an assessment made by CDC2 on CDC staff competency after training showed about 70% of attainment.

" Progress in Output-3 (including GAP and EAP aspects): It was noted a high proportion of the selected VHVs in project villages are male (66%) due to one of the 5 selection criteria (literacy). The Mission and the EA discussed some adjustment to take up more literate young female community members as VHVs in the future, by teaming them up with the existing male VHVs. Furthermore, it was noted that only 35% of VHVs are with ethnic background while a majority of the 35 project districts are predominantly of ethnic population. It was recommended to conduct a quick assessment of the number of VHVs with ethnic minority background and comparison with ethnic composition of respective village to which they belong to.

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. 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 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
BSOUANE@LAOTEL.COM
Simuang Road
Viantiane
LAO PDR

Timetable

Concept Clearance -
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 30 Mar 2016

Grant 0232-LAO

Milestones
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 11.69 0.00 97%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 11.58 0.00 97%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Grant 0449-LAO

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
26 Oct 2015 17 Nov 2015 04 Jan 2016 31 Dec 2017 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 3.15 Cumulative Contract Awards
ADB 0.00 26 Oct 2015 0.00 0.43 14%
Counterpart 0.15 Cumulative Disbursements
Cofinancing 3.00 26 Oct 2015 0.00 1.60 53%
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

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


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