Pakistan: Punjab Millenium Development Goals Program - Subprogram 2

Sovereign Project | 41641-023

Summary

Subprogram 2 continues to focus on MSDS implementation, particularly related to MNCH. Also, it seeks to improve day-to-day management of health services by addressing (i) capacity constraints in the health sector, (ii) challenges in recruiting and posting motivated doctors and other professionals in rural and remote areas, (iii) rigid administrative procedures, (iv) inefficient and lengthy procurement processes for drugs and medical supplies, and (v) lack of performance monitoring. To foster efficiency and accountability in the use of scarce public resources, subprogram 2 supports the establishment of provincial and district internal audit functions, and strengthening of internal controls. It also focuses on developing options for a sustainable pro-poor health financing system for Punjab.

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Project Name Punjab Millenium Development Goals Program - Subprogram 2
Project Number 41641-023
Country Pakistan
Project Status Closed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 2644-PAK: Punjab Millenium Development Goals Program - Subprogram 2
Asian Development Fund US$ 150.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change
Sector / Subsector Health - Health care finance - Health insurance and subsidized health programs - Health system development
Public sector management - Public expenditure and fiscal management
Gender Equity and Mainstreaming
Description Subprogram 2 continues to focus on MSDS implementation, particularly related to MNCH. Also, it seeks to improve day-to-day management of health services by addressing (i) capacity constraints in the health sector, (ii) challenges in recruiting and posting motivated doctors and other professionals in rural and remote areas, (iii) rigid administrative procedures, (iv) inefficient and lengthy procurement processes for drugs and medical supplies, and (v) lack of performance monitoring. To foster efficiency and accountability in the use of scarce public resources, subprogram 2 supports the establishment of provincial and district internal audit functions, and strengthening of internal controls. It also focuses on developing options for a sustainable pro-poor health financing system for Punjab.
Project Rationale and Linkage to Country/Regional Strategy
Impact To help GOP attain health MDGs 4 and 5.
Project Outcome
Description of Outcome Improved access to equitable quality health services.
Progress Toward Outcome
Implementation Progress
Description of Project Outputs (i) Improved availability and quality of primary and secondary health care; (ii) Better management of health service delivery; and (iii) Sustainable pro-poor health financing.
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Punjab, Pakistan
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Business Opportunities
Consulting Services not applicable
Procurement The loan proceeds will be used to finance the full foreign exchange costs (excluding duties and taxes) of items produced and procured in ADB member countries excluding the items specified in a negative list of ineligible items. The proceeds of the program loan will be disbursed in accordance with the provisions of ADB's Simplification of Disbursement Procedures and Related Requirements for Program Loans. Loan proceeds will be disbursed for a broad range of imports on the basis of a certificate provided by the government stipulating that the value of the total imports of Pakistan, minus its imports from nonmember countries, ineligible imports, and imports financed under other official development assistance, is equal to or greater than the amount of the loan expected to be disbursed during a particular year. ADB reserves the right to audit the use of the loan proceeds and verify the accuracy of the government's certification.
Responsible ADB Officer Linda Arthur
Responsible ADB Department Central and West Asia Department
Responsible ADB Division Public Management, Financial Sector and Trade Division, CWRD
Executing Agencies
Department of Health, PunjabDepartment of Health
Civil Secretariat
Lahore, Punjab
Timetable
Concept Clearance 11 Sep 2007
Fact Finding 01 Mar 2010 to 05 Mar 2010
MRM 19 Apr 2010
Approval 24 Jun 2010
Last Review Mission -
PDS Creation Date 30 Apr 2010
Last PDS Update 30 Jul 2010

Loan 2644-PAK

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
24 Jun 2010 24 Jun 2010 30 Jun 2010 31 Dec 2010 - 30 Jun 2010
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 150.00 Cumulative Contract Awards
ADB 150.00 24 Jun 2010 150.97 0.00 100%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 24 Jun 2010 150.97 0.00 100%

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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