46490-001: Greater Mekong Subregion Capacity Building for HIV/AIDs Prevention | Asian Development Bank

Myanmar: Greater Mekong Subregion Capacity Building for HIV/AIDs Prevention

Sovereign (Public) Project | 46490-001 Status: Active

The grant development objective is to contribute towards achieving the Millennium Development Goal (MDG) targets by reversing/managing the spread of HIV/AIDS in Myanmar. The project will increase the coverage and quality of information and services (prevention, treatment, and care) for targeted populations along and near the economic corridors.

The development objective will be achieved by: (i) strengthened planning and management capacity at national, state or regional, and township levels; (ii) enhanced capacity to provide quality and accessible services; (iii) improved access to community outreach among target populations; and (iv) monitoring and project management.

Project Details

Project Officer
Thomas, Elaine C. Southeast Asia Department Request for information
Country
  • Myanmar
Modality
  • Grant
Sector
  • Health
 
Project Name Greater Mekong Subregion Capacity Building for HIV/AIDs Prevention
Project Number 46490-001
Country Myanmar
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 9176-MYA: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention
Japan Fund for Poverty Reduction US$ 10.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Partnerships
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Description

The grant development objective is to contribute towards achieving the Millennium Development Goal (MDG) targets by reversing/managing the spread of HIV/AIDS in Myanmar. The project will increase the coverage and quality of information and services (prevention, treatment, and care) for targeted populations along and near the economic corridors.

The development objective will be achieved by: (i) strengthened planning and management capacity at national, state or regional, and township levels; (ii) enhanced capacity to provide quality and accessible services; (iii) improved access to community outreach among target populations; and (iv) monitoring and project management.

Project Rationale and Linkage to Country/Regional Strategy

Myanmar remains one of the poorest countries in the Asia and Pacific region, with a per capita GDP of $857 and a Human Development Index rank of 149 out of 187 countries; 26% of

its population was living in poverty in 2010.13 Poverty is highest in the rural and remote border regions, which are the target areas for this development assistance. Myanmar''s health sector has long been underfunded and had very low levels of spending. Out-of-pocket spending comprised the majority of health spending, followed by government and donor assistance.

Project funds are designed to address urgent needs for improved health planning and delivery of HIV services in the most vulnerable areas. The project is ADB's first grant assistance for health in Myanmar since its recent re-engagement and will facilitate mutual learning for working together and developing a better understanding of the needs and priorities for future assistance programs.

Impact Contribute towards achieving the Millennium Development Goal targets by reversing/managing the spread of HIV/AIDS in Myanmar
Project Outcome
Description of Outcome

Increased coverage and quality of information and services (prevention, treatment, and care) for targeted

populations along and near the economic corridors

Progress Toward Outcome After almost a 2-year delay in project start-up and implementation, activities started to move in late 2015/early 2016. Since then, UNAIDS started to implement the activities under Output 1, NAP recruited five Project Management Unit consultants, and the project awarded a few shopping packages. However, there is limited progress towards achieving the project's results. In Q3 2017, IOM was awarded a contract to implement Outputs 2 and 3 and is beginning work. The civil works package is still under negotiation, and several goods packages are being prepared for bidding. The government has requested a 2-year extension to complete project activities.
Implementation Progress
Description of Project Outputs

Strengthened planning and management capacity at national, state or regional, and township levels

Enhanced capacity to provide quality and accessible services

Improved access to community outreach among target populations

Monitoring and project management

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

To be implemented by IOM

To be implemented by IOM

To be implemented by IOM

Concept note completed and approved by NAP; implementation began on February 2017.

Concept note completed and approved by NAP; implementation began on February 2017.

Institutional capacity assessment conducted in the 5 townships. Institutional capacity development

operational plan (ICD-OP) completed and includes needs based training plan supportive of project management and

planning initiatives. Needs based training plan approved for implementation in November 2016.

Needs based training plan complete for all townships. An overall ICD-OP was also

developed and approved by the NAP. First needs based training completed in November 2016 with 42

NAP and TB programme staff trained on geographic information systems.

To be implemented by IOM

To be implemented by IOM

To be implemented by IOM

To be implemented by IOM

PMU to conduct baseline survey in Q4 2017.

PMU to conduct baseline survey, including risk and vulnerability assessment, in Q4 2017.

Ongoing.

To be implemented by IOM

Topics and timeline to be determined following baseline and RVA results

Timeline to be confirmed with NAP

To be evaluated at project closure (Jan-June 2018)

Geographical Location Nation-wide, Hpa-an, Kawkareik, Mawlamyine, Myawaddy District, Tachilek
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples B
Summary of Environmental and Social Aspects
Environmental Aspects The project will support the construction, rehabilitation, and operation of health facilities, including improved water, sanitation, and waste management systems. No significant impact on environment is expected.
Involuntary Resettlement The project will not involve any involuntary resettlement impacts. Health facilities will be constructed on government land that is unencumbered or free from any temporary users (not used for residential, business, or productive purposes).
Indigenous Peoples Myanmar is one of the most ethnically diverse countries in the world. The project sites are home to majority populations of Shan, Kayin, and Mon peoples. The project includes a significant proportion of ethnic groups among its beneficiaries in the targeted townships. Remoteness and language differences constrain effective STI/HIV and communicable disease programs in areas populated by minority groups. Furthermore, periods of internal conflict have aggravated health threats among some minority ethnic groups due to constraints on resources, displacement, and migration. These factors can lead to an increased prevalence of disease. Surveys near the Myanmar-Thai border show high levels of STIs and malaria. The ethnic groups' plan ensures analyses of ethnic peoples' needs and their participation in and access to benefits of the project. The project's design gives high priority to including ethnic minority peoples in training and community-based activities, as well as ensuring that HIV prevention services reach these populations and are culturally appropriate.
Stakeholder Communication, Participation, and Consultation
During Project Design Consultations were held in Myanmar with government agencies, development partners, NGOs, the Japan International Cooperation Agency (JICA), and the Embassy of Japan during project preparation and fact-finding and consultation missions in September 2012, and in January, March, and July 2013. Field visits were made to health centers in Mon and Kayin states in January 2013 and consultations were held with project stakeholders and beneficiaries, including women, villagers, health staff, local government officials, and NGOs and CBOs. At all levels project stakeholders were invited to provide suggestions on the project's design, scope, implementing arrangements, opportunities for partnerships, and lessons learned from similar interventions in the region and in the country. Opportunities to partner with the UN and NGOs or CBOs on key focus areas were also identified during project preparation. The views of stakeholders consulted have been incorporated into the project's design and implementation arrangements.
During Project Implementation

In August 2016, the project conducted a context awareness workshop to provide stakeholders a clear and updated understanding of the region and the issues that may affect project implementation in Kayin and Mon States. The JFPR 9176-MYA project team, including the project management unit, UNAIDS representatives, and National AIDS Programme officials and staff; relevant stakeholders from Kayin and Mon State; and interested ADB staff attended the workshop.

As part of its review mission, consultation and medical equipment/civil works needs assessment, the project team visited the five project townships: Mawlamyine (Mon State); Hpa-an, Kawkareik, and Myawaddy (Kayin State); and Tachilek (Shan State). The team gathered requests from health department officials and visited possible sites for upgrading civil works. It also met with civil society organizations working in the project townships, including those partnering with ethnic community based health organizations, as part of the needs assessment and to share information about the project.

Business Opportunities
Consulting Services A combination of individual consultants (among others, to staff the PMU); international and local NGOs; engineering firm; and others will be recruited in accordance with ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).
Procurement All goods and civil works will be procured in accordance with ADB's Procurement Guidelines (2013, as amended from time to time). Goods and civil works follow normal ADB threshold for Myanmar.
Responsible ADB Officer Thomas, Elaine C.
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health and Sports
Office No. 4, Naypyitaw, Myanmar
Timetable
Concept Clearance 20 Dec 2012
Fact Finding 21 Jan 2013 to 29 Jan 2013
MRM 23 Aug 2013
Approval 11 Dec 2013
Last Review Mission -
Last PDS Update 25 Sep 2017

Grant 9176-MYA

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
11 Dec 2013 04 Jun 2014 04 Jun 2014 30 Jun 2018 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 10.75 Cumulative Contract Awards
ADB 0.00 11 Dec 2013 0.00 2.76 28%
Counterpart 0.75 Cumulative Disbursements
Cofinancing 10.00 11 Dec 2013 0.00 1.80 18%

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 Public Communications Policy (PCP) 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.

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
GMS Capacity Building for HIV/AIDs Project: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Aug 2013

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


The Public Communications Policy (PCP) 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

Tender Title Type Status Posting Date Deadline
National Procurement Specialist Individual - Consulting Closed 01 Aug 2017 07 Aug 2017
National Financial Management Specialist -2 Individual - Consulting Closed 13 Jul 2017 26 Jul 2017

Contracts Awarded

Contract Title Approval Number Contract Date Contractor Contractor Address Executing Agency Contract Description Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
DAISY VALENCE (INTERNATIONAL FINANCIAL MANAGEMENT SPECIALIST) Grant 9176 01 Sep 2017 DAISY ALBAO VALENCE KH. CHAMKARMON PHNOM PENH CAMBODIA (CURRENT ADDRESS) PHILIPPINES Ministry of Health and Sports Consulting Services 201000
International Project Management And Procurement Specialist Grant 9176 07 Jun 2017 Development Project Support Services Pty Ltd 1 Manor Crescent Mount Barker South Australia 5251 Australia Ministry of Health and Sports 148948