Project Name Improving Nursing Quality and Capacity Project
Project Number 54032-001
Country / Economy Turkmenistan
Project Status Proposed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan: Improving Nursing Quality and Capacity Project
Ordinary capital resources US$ 75.00 million
Operational Priorities OP1: Addressing remaining poverty and reducing inequalities
OP2: Accelerating progress in gender equality
OP3: Tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability
OP6: Strengthening governance and institutional capacity
Sector / Subsector

Education / Technical and vocational education and training

Health / Health sector development and reform

Gender Gender equity theme
Description The proposed project impact is aligned with the Government's national Strategic Action Plan for HRH to provide effective health care focused on the needs of the population and ensuring equitable access to health services, and thereby assist the Government to achieve SDG3 (ensure healthy lives and promote well-being for all at all ages) by 2030. The Action Plan is comprehensive, addressing HRH planning, deployment, management and monitoring and research. Under the leadership of MOHMI and MOE, the project aims to help build up capacity in a phased manner by first upgrading the Ashgabat medical school to college as a center of excellence and leading nursing institution in the country, and to develop and strengthen the national nursing program, with as outcome quality and supply of nurse workforce improved. The project has 3 outputs.
Project Rationale and Linkage to Country/Regional Strategy

The Government of Turkmenistan has invited the Asian Development Bank (ADB) to support the health sector in the context of the Government's commitment to achieve Sustainable Development Goals (SDGs) by 2030. After a fast but less inclusive socioeconomic development, the country is facing an economic slowdown with fiscal constraints with likely impact on poverty and social development. This is aggravated by the recent COVID-19 Pandemic causing further economic hardships, including loss of employment and remittances from abroad.

At the time of independence as a former state of the former Soviet Union (FSU) in 1991, the Government inherited a large health work force and network of health facilities, an accumulation of the Semashko model, and the subsequent development of a hospital-based system dominated by specialists. The system was characterized by high hospital admission rates and long hospital stays, which was further reinforced by the high cost recovery for outpatient care.

In response to an increasing burden of NCDs linked to population aging and changing life style and nutrition, the Government has initiated the State Health Program, a multi-sectoral approach to improve the well-being of its citizens, emphasizing health promotion with public education, sports promotion, nutrition improvement and family health. The central pillars for the State Health Program are upgrading of physical infrastructure, prevention and control of communicable diseases, awareness raising for disease prevention, expanding health insurance, and upgrading human resources for health (HRH). ADB conducted a health sector assessment in Turkmenistan in 2019, and found the most pressing challenge to be improving the poor quality of care of health services.


To provide effective healthcare focused on the needs of the population and ensuring equitable access to health services


Quality and supply of nurses improved


Modern nursing educational institution established

Geographical Location Nation-wide
Safeguard Categories
Environment B
Involuntary Resettlement B
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
Responsible ADB Officer Ramesh, Kirthi
Responsible ADB Department Sectors Group
Responsible ADB Division Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Ministry of Health and Medical Industry
Concept Clearance 09 Dec 2020
Fact Finding 08 Aug 2023 to 15 Aug 2023
MRM 20 Dec 2023
Approval -
Last Review Mission -
Last PDS Update 09 Dec 2020
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