Philippines : Credit for Better Health Care Project
Project Details
-
Project Officer
Servais, Gerard
Southeast Asia Department
Request for information -
Country/Economy
Philippines -
Modality
-
Sector
- Health
Project Name | Credit for Better Health Care Project | ||||||||
Project Number | 41664-013 | ||||||||
Country / Economy | Philippines |
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Project Status | Closed | ||||||||
Project Type / Modality of Assistance | Grant Loan |
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Source of Funding / Amount |
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Strategic Agendas | Inclusive economic growth |
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Drivers of Change | Gender Equity and Mainstreaming Private sector development |
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Sector / Subsector | Health / Health sector development and reform |
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Gender | Gender equity theme | ||||||||
Description | |||||||||
Project Rationale and Linkage to Country/Regional Strategy | |||||||||
Impact | Improved overall health status, especially in relation to Millennium Development Goal (MDG) 4 (reduce child mortality), and MDG 5 (improve maternal health) by 2015. |
Project Outcome | |
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Description of Outcome | Increased use of basic health care and referral services in the subproject sites. |
Progress Toward Outcome | The project closed in August 2015. Seven subprojects among 10 financed under the project have been fully disbursed. Progress towards outcome will be determined during the project completion review. |
Implementation Progress | |
Description of Project Outputs | 1. Upgraded LGU health services. 2. More efficient health care delivery systems through PPP and innovative strategies. 3. Improved access to small-scale private providers. 4. Enhanced institutional capacity for health sector lending. |
Status of Implementation Progress (Outputs, Activities, and Issues) | Output 1: No LGU health facility has been financed under CBHC Project Output 2: No LGU health facility has been financed under CBHC Project Output 2: CBHCP did not finance public hospitals. Output 2: No subproject has achieved PPP arrangement Output 2: All private hospitals outsource ancillary services (laundry, food) Output 2: Information on innovative strategies not yet available. Output 3: 179 midwives and birthing homes have submitted PHIC accreditation, among 310 assisted (58%). Data as of June 30, 2013. Output 3: By June 2013, 153 midwives prepared lending application, among 208 assisted (74%). and 58 birthing homes among 102 consulted credit lending agencies for credit application. Output 3: All private hospitals financed under CBHCP are PHIC certified. Private hospitals offer maternal and child care, provide treatment of communicable diseases and have isolation rooms. Output 3: No drug stores availed of funds under the facility Output 3: 153 midwives were given post-graduate training, among 208 midwives assisted in the 3 provinces. Data as of June 30, 2013. Output 4: DBP's Management Committee Resolution No. 0283 dated November 26, 2007 established DBP's health relending investment policy and monitoring guidelines Output 4: Continuing monitoring of the sub-projects provided by the RMCs. Project Information is published on EA website. Sub-projects are announced on EA website. 'Project monitoring briefings refers to the 'regular meetings conducted between EA and sub-borrowers |
Geographical Location | Nation-wide |
Safeguard Categories | |
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Environment | FI |
Involuntary Resettlement | C |
Indigenous Peoples | A |
Summary of Environmental and Social Aspects | |
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Environmental Aspects | An environmental management assessment was carried out on DBP's environmental management system (EMS) and on the environmental assessment procedures and guidelines as applied to the Project. DBP has a satisfactory EMS with appropriate staff capacity, and its environmental policy and environmental assessment procedures are of the same standard as ADB's Environment Policy (2002). No additional measures are necessary to ensure compliance. As DBP's account officers' experience with environmental assessment is uneven, DBP will prepare an upgraded training program to ensure performance of uniform quality. ADB will validate DBP's capacity to ensure full compliance with ADB's Environment Policy by reviewing the initial environmental examination for the first two category B subprojects prior to DBP approval. Eligible investments under the Project will be category B or C. No category A subproject is anticipated, and category A proposals will be screened out. Impacts of category B subprojects can be mitigated by properly implementing the EMS of the financial intermediary and the government, and additional procedures developed for the specific subproject, and agreed with ADB to ensure environmental assessments are equivalent to ADB requirements. DBP will submit a report on the environmental status of the subprojects every 6 months with information about environmental categories, details, and potential or resolved issues for subprojects under assessment, approved, and under implementation. |
Involuntary Resettlement | An involuntary resettlement framework with detailedprocedures and involuntary resettlement checklist has been prepared by DBP to screen proposed subprojects for involuntary resettlement impact (Supplementary Appendix E). Every LGU and retail unit subloan proposal will be screened to ensure all subloan proposals in project sites with titles involving liens and encumbrances and informal settlement issues, including loss of shelter, livelihood, or access to resources, are identified and denied. A subloan proposal screening checklist for all public and private subloan proposals has been established based on ADB's Involuntary Resettlement Policy (1995) to flag potential involuntary resettlement mpacts. In addition to the screening checklist, DBP will physically verify that all subproject sites involved in the public and private subloan proposals submitted for credit approval are free from liens and encumbrances, that they have no informal settler impacts, and that no eviction of informal dwellers has been undertaken during the past 12 months prior to loan application. |
Indigenous Peoples | An indigenous peoples development framework (IPDF) has been prepared in accordance with ADB's Policy on Indigenous Peoples (1998) and the Philippine Republic Indigenous Peoples Rights Act of 1997. It states how compliance will be achieved, including the participation strategy, grievance procedures, and institutional implementation arrangements. For each type of eligible investment, the IPDF describes the DBP subloan approval process, how the proposals will be screened, persons responsible, documentation required, implementation monitoring arrangements, and reporting to ADB. The National Commission on Indigenous Peoples (NCIP) regional offices will provide DBP the locations of ancestral domains and ancestral lands that have been approved or are under consideration. For project sites that are in approved ancestral areas or those under consideration, the IPDF identifies the types of investments that may require free, prior, and informed consent (FPIC) or an indigenous people community action, as well as the actions to be undertaken by the proponent prior to DBP consideration for credit approval. Few subloans requiring FPIC or community action are anticipated, as most public investments are expected to restore or achieve the service levels expected for existing facilities. Most proponents of private sector investments are likely to be indigenous peoples or non-indigenous people residents rather than non-indigenous people migrants. |
Stakeholder Communication, Participation, and Consultation | |
During Project Design | During processing, the team will consult with a sample of potential borrowers of Development Bank of the Philippines, these include, HMO, for-profit and not-for-profit private hospitals, public hospitals, and some small to medium sized enterprises offering outsourcing of services. The team will also engage with mayors and governors of potential subproject sites, including the sector departments and the oversight agencies: Department of Health, Phil. Health Insurance Corporation, BFAD, DBM, Department of Finance, Municipal Development Fund Office. Some beneficiaries (patients) of the potential borrowers will also be interviewed to understand better their current perception of quality for and satisfaction with the providers. The team will also engage with the Associations (such as the Private Hospital Association of the Philippines, Pharmaceutical and Healthcare Association of the Philippines, Drugstores Association of the Philippines), and relevant academics and civil society. |
During Project Implementation |
Business Opportunities | |
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Consulting Services | Consulting services financed by Development Bank of the Philippines (DBP) will be engaged to implement output 4 (Enhanced Institutional Capacity for Health Sector Lending). Consulting services will require 84 person-months of national consultants in the areas of health systems, social marketing, and hospital environmental and medical waste management. ADB will assist in selecting the consultants. Under the Gender and Development Cooperation Fund, additional consulting services will be engaged to support implementing gender-relevant activities of output 3 (Improved Access to Small-Scale Private Providers. This component will require 90 person-months of consulting services, to be sourced through a national health Non Government Organization (NGO) in the areas of community health, training, and legal matters. The NGO will be chosen using quality- and cost-based selection in accordance with ADB's Guidelines on the Use of Consultants (2007, as amended from time to time). DBP will engage and administer the consultants. |
Procurement | Procurement of goods and services financed under the loan will be in accordance with ADB's Procurement Guidelines (2007, as amended from time to time). Except where stated otherwise in the procurement plan, procurement undertaken by beneficiaries under the loan will be in accordance with the procedures for loans to financial intermediaries that allows for procurement in accordance with established private sector or commercial practices. For other cases identified in the procurement plan, however, national competitive bidding or international competitive bidding may be the specified form of procurement. The procedures followed for national competitive bidding will be those set forth in the Government Procurement Reform Act (Republic Act No. 9184) with clarifications and modifications. Civil Works in excess of $5,000,000 equivalent and contracts for goods (in particular large single items or where large quantities of like goods can be grouped together and procured centrally) estimated to cost in excess of $1,000,000 equivalent will be procured based on international competitive bidding. |
Responsible ADB Officer | Servais, Gerard |
Responsible ADB Department | Southeast Asia Department |
Responsible ADB Division | Human and Social Development Division, SERD |
Executing Agencies |
Development Bank of the Philippines |
Timetable | |
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Concept Clearance | 28 Sep 2007 |
Fact Finding | 19 Nov 2007 to 10 Dec 2007 |
MRM | 02 Sep 2008 |
Approval | 25 Mar 2009 |
Last Review Mission | - |
PDS Creation Date | 29 Jan 2008 |
Last PDS Update | 22 Sep 2015 |
Grant 0148-PHI
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
25 Mar 2009 | 27 Nov 2009 | 27 Nov 2009 | 31 Jul 2011 | 30 Jun 2013 | 13 Nov 2013 |
Financing Plan | Grant Utilization | ||||
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Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
Project Cost | 0.40 | Cumulative Contract Awards | |||
ADB | 0.00 | 17 Jun 2022 | 0.00 | 0.39 | 98% |
Counterpart | 0.00 | Cumulative Disbursements | |||
Cofinancing | 0.40 | 17 Jun 2022 | 0.00 | 0.39 | 98% |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | - | Satisfactory | Satisfactory | Satisfactory | - | Satisfactory |
Loan 2515-PHI
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
25 Mar 2009 | 27 Apr 2009 | 19 Aug 2009 | 19 Aug 2015 | - | 19 Aug 2015 |
Financing Plan | Loan Utilization | ||||
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Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
Project Cost | 39.64 | Cumulative Contract Awards | |||
ADB | 37.70 | 17 Jun 2022 | 19.97 | 0.00 | 100% |
Counterpart | 1.94 | Cumulative Disbursements | |||
Cofinancing | 0.00 | 17 Jun 2022 | 19.97 | 0.00 | 100% |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | - | Satisfactory | Satisfactory | Satisfactory | - | 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.
The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
Title | Document Type | Document Date |
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Credit for Better Health Care Project: Project Completion Report | Project/Program Completion Reports | Jun 2017 |
Credit for Better Health Care Project: Project Procurement-Related Review | Proactive Integrity Reviews (PIR) | Jul 2015 |
Credit for Better Health Care Project | Project/Program Administration Manual | Nov 2009 |
Guarantee Agreement for Credit for Better Health Care Project between Republic of the Philippines and Asian Development Bank Dated 27 April 2009 | Guarantee Agreements | Apr 2009 |
Loan Agreement for Credit for Better Health Care Project between Asian Development Bank and Development Bank of the Philippines dated 27 April 2009 | Loan Agreement (Ordinary Resources) | Apr 2009 |
Credit for Better Health Care Project | Reports and Recommendations of the President | Feb 2009 |
Credit for Better Health Care Project | Procurement Plans | Aug 2008 |
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 |
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Support for the Sustainable Health Care Investment Project | Resettlement Planning Documents | Aug 2008 |
Support for the Sustainable Health Care Project | Indigenous Peoples Plans/Indigenous Peoples Development Plans | Aug 2008 |
Evaluation Documents See also: Independent Evaluation
Title | Document Type | Document Date |
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Philippines: Credit for Better Health Care Project | Validations of Project Completion Reports | Nov 2017 |
Related Publications
None currently available.
The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.
Requests for information may also be directed to the InfoUnit.
Tenders
Contracts Awarded
Procurement Plan
Title | Document Type | Document Date |
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Credit for Better Health Care Project | Procurement Plans | Aug 2008 |