Papua New Guinea: Strengthening Rural Primary Health Services Delivery

Sovereign Project | 41509-012

Summary

The long term objective of the project is (i) to improve health of rural populations (in particular, women and children, especially those who are young and from poor households as users of primary health care services, and vulnerable high risk population to HIV/AIDs such as young men and women, sex workers) in line with the health-related Millennium Development Goals (MDGs) (reduced maternal and child mortality; malnutrition; and communicable diseases such as HIV, tuberculosis, and malaria), and, (ii) to expand the coverage and quality of primary health care services in rural areas through the engagement of and collaboration with non-state health service providers (both for-profit and non-profit organizations).

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Project Name Strengthening Rural Primary Health Services Delivery
Project Number 41509-012
Country Papua New Guinea
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 7400-PNG: Strengthening Rural Primary Health Services Delivery (2nd supplementary)
Japan Special Fund US$ 600,000.00
TA 7400-PNG: Strengthening Rural Primary Health Services Delivery (2nd supplementary)
ATF - New Zealand TA Grant US$ 90,000.00
TA 7400-PNG: Strengthening Rural Primary Health Services Delivery (2nd supplementary)
Technical Assistance Special Fund US$ 75,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Sector / Subsector Health - Health sector development and reform
Gender Equity and Mainstreaming Gender equity
Description The long term objective of the project is (i) to improve health of rural populations (in particular, women and children, especially those who are young and from poor households as users of primary health care services, and vulnerable high risk population to HIV/AIDs such as young men and women, sex workers) in line with the health-related Millennium Development Goals (MDGs) (reduced maternal and child mortality; malnutrition; and communicable diseases such as HIV, tuberculosis, and malaria), and, (ii) to expand the coverage and quality of primary health care services in rural areas through the engagement of and collaboration with non-state health service providers (both for-profit and non-profit organizations).
Project Rationale and Linkage to Country/Regional Strategy The Government's Medium Term Development Strategy (MTDS) 2005-2010 recognizes primary health care as a fundamental requirement for both social and economic development. In line with this, the ADB County Partnership and Strategy (CPS) for PNG focused on health and HIV/AIDS as among its strategic areas for support to GoPNG. The proposed PPTA is aligned with ADB Strategy 2020 and its Operational Plan for Health, which stipulates support for improved health outcomes through better governance and expenditure management and with a focus on partnerships. The MTDS is reinforced by the National Health Plan 2001-2010 and the Strategic Directions for Health 2008-2011, which focuses on five public health priorities (malaria, immunization, maternal mortality, HIV/AIDS, and TB). Effectively addressing these public health priorities calls for improved leadership and management leading to greater organizational performance across all levels of the health sector. The NDoH Corporate Plan 2009-2013 places emphasis on its responsibilities for enabling improved service delivery at community and facility level. Each province is also expected to complete a corporate plan, which contains a health chapter that is consistent with this responsibility for improved service delivery at the lowest levels.
Impact

The TA will help prepare and establish the feasibility of the Health Sector project. The ensuing project will improve the health of rural populations by providing quality health care through engaging and collaborating with private companies and civil societies.

The expected impacts of the projects are (i) equitable access to quality primary healthcare services (by geography, economic and social status and gender aspects), including HIV interventions, by rural communities in PNG and (ii) effective delivery of rural primary healthcare services.

Project Outcome
Description of Outcome The expected outcome of the PPTA will be the design and feasibility study of a resulting "project" to achieve these objectives.
Progress Toward Outcome
Implementation Progress
Description of Project Outputs

(i) Government is facilitated to develop and refine the concept of 'community health posts' to strengthen rural primary health services.

(ii) Government is facilitated with plan to roll-out the 'community health post' concept to strengthen rural primary health services.

(iii) Government is supported in seeking financing for roll-out the 'community health post' concept to strengthen rural primary health services.

Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Papua New Guinea
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design During the fact-finding mission, the PPTA concept was discussed and supported by the Government of Papua New Guinea (GoPNG) and donor partners including the Australian Agency for International Development (AusAID), New Zealand Agency for International Developmemt (NZAID), World Health Organization (WHO), Japanese Government, Japan International Cooperation Agency (JICA), and United Nations Children's Fund (UNICEF). The WHO expressed interest in providing advisory support for the PPTA and the resulting project. AusAID and NZAID also expressed their interest in providing financial support and further support for the resulting project.
During Project Implementation During the PPTA, co-financing opportunities and mechanisms with relevant donor partners and the Government will be explored.
Business Opportunities
Consulting Services The TA will require 31.5 person-months of consulting services (17 international and 14.5 national) over a period of 9 months. (These will cover the areas of health systems, health economics, health financing, public-private partnerships, GIS, medical anthropology, social and poverty assessment, environmental assessment and social safeguard, and communication advocacy.
Responsible ADB Officer Sakiko Tanaka
Responsible ADB Department Pacific Department
Responsible ADB Division Pacific Operations Division
Executing Agencies
Department of HealthADB Projects Office, P.O. Box 807,
Waigani, NCD,
Papua New Guinea
Timetable
Concept Clearance 08 May 2009
Fact Finding 08 Mar 2009 to 10 Mar 2009
MRM -
Approval 04 Dec 2009
Last Review Mission -
PDS Creation Date 20 May 2009
Last PDS Update 24 Feb 2011

TA 7400-PNG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
04 Dec 2009 26 Jan 2010 26 Jan 2010 30 Nov 2010 31 Mar 2012 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
675,000.00 90,000.00 150,000.00 0.00 0.00 0.00 915,000.00 04 Dec 2009 712,041.72
Title Document Type Document Date
Strengthening Rural Primary Health Services Delivery Initial Poverty and Social Analysis Nov 2009

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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