The objective of the proposed Project is to improve the health status of the rural population, especially the poor and disadvantaged, in 14 provinces. The objective will be achieved by: (i) promoting access to quality primary health care (PHC) services, with special emphasis on improving the quality of reproductive health services for women and children - especially for the poor and ethnic minorities - by upgrading preventive and curative health structures, basic equipment, and staff skills; (ii) strengthening overall financial management, facilitating government policy for providing health care to the poor and developing a pilot model for voluntary rural health insurance; (iii) improving MOH's management capacity to implement PHC programs; and (iv) strengthening communication support to services - especially those focused around reproductive health, HIV/AIDS, injury prevention, smoking, and nutrition - through community participation.
|Project Name||Rural Health|
|Project Type / Modality of Assistance||Loan
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Governance and capacity development
|Sector / Subsector||
Health - Health sector development and reform
|Gender Equity and Mainstreaming||Effective gender mainstreaming|
|Description||The objective of the proposed Project is to improve the health status of the rural population, especially the poor and disadvantaged, in 14 provinces. The objective will be achieved by: (i) promoting access to quality primary health care (PHC) services, with special emphasis on improving the quality of reproductive health services for women and children - especially for the poor and ethnic minorities - by upgrading preventive and curative health structures, basic equipment, and staff skills; (ii) strengthening overall financial management, facilitating government policy for providing health care to the poor and developing a pilot model for voluntary rural health insurance; (iii) improving MOH's management capacity to implement PHC programs; and (iv) strengthening communication support to services - especially those focused around reproductive health, HIV/AIDS, injury prevention, smoking, and nutrition - through community participation.|
|Project Rationale and Linkage to Country/Regional Strategy||
Despite the impressive achievements in the health sector, health status and use of health services remains much poorer in rural areas as compared to urban areas. These inequities are even more stark for poor and remote rural areas and those inhabited by ethnic minorities. Poor health is both a cause and effect of poverty. Improving the health status of people in rural areas will make a substantial contribution to poverty reduction. It will require interventions that address both demand and supply side constraints. More appropriate and better quality services need to be provided in rural areas. Management and supervision of health services need to be improved. Financial barriers to aceess must also be addressed by supporting innovative health financing mechanisms. At the same time, there is an urgent need to pay greater attention to prevention activities, generating demand for services and ensuring greater community participation in the provision of services.
Government policies (including Law on Protection of People's Health 1989, Strategy Orientation for People's Health Care and Protection until 2020, and a number of recent policies on health care for children, women, the poor and ethnic minorities) support the provision of health for all, with special emphasis on the health needs of the poor and disadvantaged.
This project supports the Government's policy to improve the health status of the poor, and is in line with ADB's overarching strategic objective of poverty reduction as well as with ADB's operational strategy for Vietnam which emphasizes efficient economic growth with equity and poverty reduction.
|Description of Outcome|
|Progress Toward Outcome|
|Description of Project Outputs|
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Geographical Location||Hoa Binh, Phu Tho, Vinh Phuc, Quang Ninh, Ninh Binh, Quang Binh, Quang Ngai, Khanh Hoa, Binh Phuoc, Long An, Tien Giang, Ben Tre, Can Tho, and a new province of Hau Giang|
Summary of Environmental and Social Aspects
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|Consulting Services||One international (8 person-months) and 98 domestic consultants (522 person months) will be recruited in accordance with ADB's Guidelines on the Use of Consultants and other arrangements satisfactory to ADB on the engagement of domestic consultants.|
|Procurement||Civil works under the Project are scattered throughout the country and not likely to attract the interest of international contractors. Thus, civil work contracts will be awarded on the basis of local competitive bidding (LCB) procedures acceptable to the Bank. Contracts for supply of materials, equipment and medical supplies in packages valued at $500,000 or more will be procured through international bidding; contracts valued less than $500,000 will be procured through international shopping. Some medical equipment (e.g. hospital beds, delivery beds and table) that is locally produced and is unlikely to attract foreign suppliers will be procured through LCB. Minor items or packages costing $100,000 or less will be procured under direct purchase procedures in accordance with the government rules acceptable to the ADB.|
|Responsible ADB Officer||de Wit, Vincent P.|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Viet Nam Resident Mission|
Ministry of Health
Mr. Nguyen Doan Tu
138A Giang Vo St, Hanoi
|Concept Clearance||08 Mar 1999|
|Fact Finding||14 Jan 2000 to 02 Feb 2000|
|MRM||31 Mar 2000|
|Approval||09 Nov 2000|
|Last Review Mission||-|
|PDS Creation Date||01 Dec 2006|
|Last PDS Update||01 Jul 2009|
|Approval||Signing Date||Effectivity Date||Closing|
|09 Nov 2000||01 Aug 2001||30 Oct 2001||31 Dec 2006||30 Jun 2008||18 Feb 2009|
|Financing Plan||Loan Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||98.70||Cumulative Contract Awards|
|ADB||68.30||09 Nov 2000||68.25||0.00||98%|
|Cofinancing||1.80||09 Nov 2000||69.74||0.00||100%|
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