The TA is to help prepare a regional project that will improve the health status of the targeted population, particularly the poor, women, children, and other vulnerable groups. The project will strengthen provincial health systems in seven provinces and one city in the south central coast region. The TA will produce a project design that has strong local ownership, is acceptable to all stakeholders, and is linked to national policy actions. Provincial governments will improve their understanding of health issues and priorities, while provincial health teams will develop stronger capacity for health sector planning and budgeting.
|Project Name||Health Care in the South Central Coast Region|
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|Sector / Subsector||
Health / Health sector development and reform
|Gender Equity and Mainstreaming||Gender equity|
|Description||The TA is to help prepare a regional project that will improve the health status of the targeted population, particularly the poor, women, children, and other vulnerable groups. The project will strengthen provincial health systems in seven provinces and one city in the south central coast region. The TA will produce a project design that has strong local ownership, is acceptable to all stakeholders, and is linked to national policy actions. Provincial governments will improve their understanding of health issues and priorities, while provincial health teams will develop stronger capacity for health sector planning and budgeting.|
|Project Rationale and Linkage to Country/Regional Strategy||Bureau resolution 46 (February 2005) calls for adaptation of the health system according to changing disease patterns and the market economy, and the need to address poor quality of services and reaching the poor. The Government's vision for health sector development up to 2020 and the Health Policy 2000 2010 has been detailed in the Master Plan for Viet Nam Health System Development and subsector plans.|
|Description of Outcome||(i) an agreed project design to improve health in the target population; (ii) strong local ownership of the project proposal; (iii) provincial governmetn's improved understanding of health issues and priorities; (iv) strengthened capacity of provincial health team for health sector planning and budgeting; (v) policy recommendations for consideration at the national level for further studies and support|
|Progress Toward Outcome||As a result of the TA work, MOH identified the development of the PHPS as essential to developing the sector approach, and in making provincial health services more pro-poor, results-based, and sustainable. MOH subsequently proposed to examine the planning and budgeting process in the provinces and between different levels of government, develop standard formats and guidelines for PHPS, and build capacity of provincial teams. MOH wants to lead this activity and work in collaboration with partners with interest in this field, notably the European Commission in Viet Nam, and the World Health Organization.|
|Description of Project Outputs||(i) analysis of the provincial health system and related policy, capacity and financing aspects; (ii) provincial health management staff trained in planning and budgeting, financial management and monitoring; (iii) consensus built through participatory planning to identify priorities for policy reform, capacity building and invesment; (iv) project proposal, MOH pre-feasibility and feasibility reports, draft project administration memorandum|
|Status of Implementation Progress (Outputs, Activities, and Issues)||The products (provincial health accounts, five-year plans and medium-term expenditure frameworks) were highly appreciated because these helped clarify sources and uses of provincial health funds, and identified funding gaps and imbalances. It was also recognized that these products will help move towards a results-based system using a bottom-up planning approach and performance monitoring, help provinces prioritize health sector investment and recurrent cost financing, and facilitate provincial aid coordination and mobilization of funds. MOH noted that a set of agreed formats and guidelines for provincial health planning and budgeting is needed provincial health planning standards (PHPS) and requested the Asian Development Bank to provide supplementary funding of $500,000 to help develop the PHPS and pilot this in 4 provinces, for further scaling up to all provinces at a later stage.|
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|Consulting Services||ADB will engage individual consulants consisting of 17 person months of international consulting services (person months are in parentheses), including a team leader and public health management expert (5), a health economist (4), a health care quality improvement expert (4), and a sociologist (4). ADB also will support 22 person months of national consulting services, including a public health expert and deputy team leader (10), a financial management expert (4), a community development expert (4), and a health infrastructure expert (4). ADB will engage the consultants individually in accordance with ADB's Guidelines on the Use of Consultants. International and national consultants will work together with counterparts to perform the services.|
|Responsible ADB Officer||de Wit, Vincent P.|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Human and Social Development Division, SERD|
Ministry of Health
Dr. Nguyen Doan Tu, Director
138A Giang Vo Str. Hanoi, Viet Nam
|Concept Clearance||22 Aug 2006|
|Fact Finding||17 Jul 2006 to 21 Jul 2006|
|Approval||24 Oct 2006|
|Last Review Mission||-|
|PDS Creation Date||03 May 2006|
|Last PDS Update||15 Feb 2011|
|Approval||Signing Date||Effectivity Date||Closing|
|24 Oct 2006||18 Jan 2007||18 Jan 2007||31 Oct 2007||31 Dec 2010||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|950,000.00||0.00||150,000.00||0.00||0.00||0.00||1,100,000.00||24 Oct 2006||789,975.58|
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.
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|Title||Document Type||Document Date|
|Preparing the Health Care in the South Central Coast Region Project||TA Change in Scope, Amount, and Implementation Arrangements||Nov 2008|
|Health Care in the South Central Coast Region||Consultants' Reports||Sep 2007|
|Preparing the Health Care in the South Central Coast Region Project||Technical Assistance Reports||Oct 2006|
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Evaluation Documents See also: Independent Evaluation
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