Regional: Regional Public Goods for Health: Combating Dengue in ASEAN

Sovereign Project | 42190-012

Summary

The regional technical assistance will identify and pilot strategies for alrval source reduction and control in Cambodia, Lao PDR, and the Philippines, and will additionally support regional dialogue that contributes to broader interaction regarding dengue control.

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Project Name Regional Public Goods for Health: Combating Dengue in ASEAN
Project Number 42190-012
Country Regional
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 7268-REG: Regional Public Goods for Health: Combating Dengue in ASEAN
Regional Cooperation and Integration Fund US$ 1.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Partnerships
Sector / Subsector Health - Disease control of communicable disease
Gender Equity and Mainstreaming No gender elements
Description The regional technical assistance will identify and pilot strategies for alrval source reduction and control in Cambodia, Lao PDR, and the Philippines, and will additionally support regional dialogue that contributes to broader interaction regarding dengue control.
Project Rationale and Linkage to Country/Regional Strategy Communicable disease prevention and control is (i) identified by ADB's long-term strategic framework 2008-2020 as a regional public good and (ii) included as one of the pillars of the Regional Cooperation Strategy and Program for the Greater Mekong Subregion.
Impact The expected impact of the regional TA is a reduction in the number of dengue fever and dengue hemorrhagic fever (DHF) cases in the project areas.
Project Outcome
Description of Outcome The outcome is reduced vector density of mosquito larvae in household water containers.
Progress Toward Outcome

At the end of the project, 88% and 76% of key containers in Cambodia and Lao PDR, respectively had at least 1 guppy fish.

In Cambodia, from the baseline survey in June 2010 to the last survey in September 2011, house index decreased from 60 to 5 (91% decrease) in the intervention area while Breteau index fell from 160 to 5 (97% decrease).

In Lao PDR, house index decreased from 27 to 1 (96% decrease) in the intervention area while Breteau index fall from 30 to 1 (97% decrease).

Implementation Progress
Description of Project Outputs

Strengthened communication for source reduction

Piloted Community-based strategies for vector source reduction

Status of Implementation Progress (Outputs, Activities, and Issues)

Inception missions were conducted in the Philippines, Lao PDR and Cambodia and study designs for the three pilot sites were developed. Inception report completed in February 2010.

Baseline knowledge, attitude and practice (KAP), entomology and water-quality surveys were undertaken between May-July 2010.

In July 2010, the Philippines pilot was cancelled due to lack of progress.

The midterm meeting/workshop was held in December 2010.

Three follow-up entomology surveys have subsequently been completed in Cambodia and in Lao PDR, and have been completed by a final survey in September 2011.

In Cambodia and Laos, the project, initially scheduled to close in September 2011, was extended until December 2011.

The TA was extended to 31 July 2012 to produce a document which summarizes the experiences and the lessons learned of the project in a format easy to read that can be disseminated among various stakeholders. The joint publication by ADB and WHO, entitled "Managing Regional Public Goods for Health - Community Based Dengue Vector Control", is due for release on April 2013.

The final meeting was held in Vientiane, Lao PDR on 13-14 December 2011.

The final evaluation phase for each country comprised primarily of post-implementation entomology and KAP surveys; focus groups and key informant interviews; an audit of community mobilisation activities; an operational cost analysis and an overall project evaluation. Preliminary results indicate a sustainable decrease in mosquito pupae in the water containers in the intervention area.

Draft final report of the consultant will be available by 6 January 2012.

The final report was submitted by the consulting firm, HLSP, in March 2012.

The project proved effective and successful in mobilizing the community to prevent and control dengue fever, as testified by villagers and district health staff in both countries. There was good community participation in maintaining the guppy fish and discarding containers.

The joint publication ADB-WPRO "Community-Based Dengue Vector Control" is available.

Geographical Location Cambodia. Laos and the Philippines
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design ASEAN, Mekong Basin Disease Surveillance Program, World Bank, Global Fund for Tuberculosis, AIDS and Malaria, UN agencies (WHO/WPRO, UNEP etc), private sector, universities and research institutions
During Project Implementation Several consultation meetings with local authorities and DOH were organized during the project.
Business Opportunities
Consulting Services A consulting firm will be engaged by ADB. TA implementation in the three countries will require approximately 16 person-months of international consultant services for TA coordination and social mobilization, and 10 person-months of national consultant services for financing and health economics. The WHO WPRO will provide technical support for the duration of the TA from its own malaria and other vector born and parasitic diseases (MVP) unit staff and from MVP staff of the WHO country offices in the three participating countries for 6 person-months each, on a part-time basis. The consultants will be engaged in accordance with ADB's Guidelines on the Use of Consultants (2007, as amended from time to time) and other arrangements satisfactory to ADB for the engagement of national consultants.
Responsible ADB Officer Gerard Servais
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Asian Development BankBarbara Lochmannblochmann@adb.org6 ADB Avenue Mandaluyong City Philippines
Timetable
Concept Clearance 06 Aug 2008
Fact Finding 28 Jul 2008 to 28 Sep 2008
MRM -
Approval 07 Apr 2009
Last Review Mission -
PDS Creation Date 03 Oct 2008
Last PDS Update 26 Mar 2013

TA 7268-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
07 Apr 2009 - 07 Apr 2009 30 Apr 2011 31 Jul 2012 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
1,000,000.00 0.00 50,000.00 0.00 0.00 0.00 1,050,000.00 07 Apr 2009 945,250.29

Safeguard Documents

See also: Safeguards

No documents found.

Evaluation Documents

See also: Independent Evaluation

No documents found.


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