| Project Name |
Preparing the Health System Enhancement Project |
| Project Number |
51107-001 |
| Country / Economy |
Sri Lanka
|
| Project Status |
Closed |
| Project Type / Modality of Assistance |
Technical Assistance
|
| Source of Funding / Amount |
| TA 9399-SRI: Preparing the Health System Enhancement Project |
| Technical Assistance Special Fund |
US$ 500,000.00 |
| TA 9399-SRI: Preparing the Health System Enhancement Project (Supplementary) |
| Technical Assistance Special Fund |
US$ 225,000.00 |
|
| Strategic Agendas |
Inclusive economic growth Regional integration
|
| Drivers of Change |
Gender Equity and Mainstreaming Governance and capacity development Partnerships
|
| Sector / Subsector |
Health /
Disease control of communicable disease
-
Health sector development and reform |
| Gender |
Effective gender mainstreaming |
| Description |
The transaction technical assistance (TA) is required for designing the ensuing project and enhancing its readiness through appropriate advance actions. |
| Project Rationale and Linkage to Country/Regional Strategy |
Sri Lanka''s current health system is facing challenges to sustain its performance due to rapidly changing demographics and epidemiological transitions. In particular, the cost of health care has been increasing due to the sharp rise in non-communicable diseases linked to lifestyles and rapidly aging population. The national health system also needs to expand services to vulnerable populations with lagging health indicators. In addition, there is increased threat of emerging and resurging infectious diseases linked to environmental factors and increased cross-border migration. The status quo of the health system is inadequately prepared to deal with these evolving challenges without significant reorientation and further improvements. The proposed assistance will enhance the Sri Lanka health system to adapt to emerging challenges and deal with shifting disease burdens. The project is included in Asian Development Bank''s Sri Lanka country partnership strategy, 2018 -2022. |
| Impact |
|
| Summary of Environmental and Social Aspects |
| Environmental Aspects |
|
| Involuntary Resettlement |
|
| Indigenous Peoples |
|
| Stakeholder Communication, Participation, and Consultation |
| During Project Design |
The primary stakeholders are the Ministry of Health, Nutrition, and Indigenous Medicine; provincial health departments of Uva, Sabaragamuwa, Central, and North Central provinces; Ministry of Provincial Councils and Local Government and estate management of regional plantation companies, health workers, and project beneficiaries. During project preparation, stakeholder consultations were held. Their views and recommendations were incorporated in the project documents. The team organized consultations and workshops with communities, non-government organizations, and other relevant stakeholders. |
| During Project Implementation |
A total of four individual consultants and one consulting firm have been engaged to enhance readiness of the ensuing project. The inception, interim, and draft final reports have been completed. The following major outputs have also been completed: (i) review of health and disease surveillance system enhancement requirements; (ii) review of key health security gaps and measure to strengthen them; (iii) review of human resources for PHC; (iv) primary health infrastructure and equipment gap; (v) medical equipment gap; (vi) review of essential service delivery gaps at primary health level; (vii) review of community mobilization and information, education, communication requirements; (viii) procurement and governance due diligence; (ix) safeguards; (x) economic and financial analysis; (xi) gender, social and poverty analysis; and (xii) procurement plan and detailed cost estimates. At present, all consultants are working towards completion of procurement actions. |