41507-012: Second Greater Mekong Subregion Regional Communicable Diseases Control Project | Asian Development Bank

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

Sovereign (Public) Project | 41507-012 Status: Active

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.

Project Details

Project Officer
Sato, Azusa Southeast Asia Department Request for information
  • Lao People's Democratic Republic
  • Grant
  • Health
Project Name Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Project Number 41507-012
Country Lao People's Democratic Republic
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0232-LAO: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
concessional ordinary capital resources lending / 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 under the Health Financing Partnership Facility US$ 3.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
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

Since project commencement, 434 disease outbreaks reported. 84% within 24 hours and 69% investigated within 24-48 hours

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

Latest HH survey data (2016) and analysis shows around 61% conduct core CDC prevention and care activities (up from 45% since 2014). However, this is likely to be an underestimate

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)

Output 1: Enhanced regional CDC systems

- Focal point and incident room established in MoH to deal with outbreaks, epidemics, surveillance etc. Focal point activities reporting format developed

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

- 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). Project website being developed KM products identified to populate website

- In Outbreak Reporting, gender is disaggregated. Focal point reporting will identity existing channels for info exchange. S&R data is disaggregated by gender and IP

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

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

2014: -61.3% compliance. 2015 80% compliance

- New APSED III compliance format in place with JEE and self assessment. JEE conducted in first quarter 2017 shows 67% compliance

- Formal and informal information exchange occurring regularly and on an ad hoc basis. KM meeting (Dec 2013) identified feasible road map for exchanging info. Needs further Focal Point input.

- 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.

Output 2: Improved CDC along borders and economic corridors

- 304 new MHVs to date under the project 86.8% of target. Being reviewed as part of current Provincial and Competencies Surveys

- Surveys conducted to provide more sensitive information.

- Latest in 2017. Result: 49.5% of new VHWs since 2012 are female

- 100% VHW trained since 2012

- 72% WHW assessed as competent in key areas

- HH surveys provided updated deworming info

- Percent of female population (15-49) dewormed 44.6% - up from 35.5%

- Percent of 1-5 population dewormed - 52% - up from 45.9%

- 76.4% CDC staff assessed as trained

- 65.3% of trained staff is female

- 77.4% CDC staff assessed as competent in key areas (% available for each CDC staff group)

Output 3: Integrated project management

- Results based planning undertaken potential for further training being reviewed.

- Project HH survey carried out in March 2014 and conducted by local staff. Follow up survey done in April 2016 report available from July 2016

- Provincial AOPs are being prepared

- Gender and Ethnic Groups plans are in place under the project and guide the activities of the international and local Gender Consultants.

Geographical Location Nation-wide, Attapu, Bolikhamxai, Champasak, Houaphan, Khammouan, Khoueng Bokeo, Khoueng Oudomxai, Khoueng Phongsali, Khoueng Xekong, Louangnamtha, Salavan, Xiangkhouang
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples B
Summary of Environmental and Social Aspects
Environmental Aspects The project is assessed category C for environment.
Involuntary Resettlement The project is assessed category C for involuntary resettlement.
Indigenous Peoples Ethnic groups constitute 31% of the population in the targeted border districts, most of them in the Lao PDR. They suffer disproportionately from common communicable diseases, and have less access to health care because of physical, financial, language, and cultural barriers. The project is assessed category B for indigenous people and is expected to have positive impacts on ethnic groups. The accrual of benefits to ethnic groups is discussed in the ethnic groups plan, and included in the project design. Under the sub-output for community based CDC, the aim is that 50% of 1,160 targeted villages belong to ethnic groups. This includes training of village health workers and support for healthy village development. The project will also provide scholarships for ethnic group members to become health workers.
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 ADB Officer Sato, Azusa
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
[email protected]
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 25 Sep 2017

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 11.93 0.00 99%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 12.08 0.00 101%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Grant 0449-LAO

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 1.89 63%
Counterpart 0.15 Cumulative Disbursements
Cofinancing 3.00 26 Oct 2015 0.00 4.41 147%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

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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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Procurement Plan