Cambodia: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41505-012 Status: Active


ADB is helping enhance communicable disease control systems in the Greater Mekong Subregion. The project, which includes Cambodia and the Lao People’s Democratic Republic, will expand surveillance and response systems, target the control of dengue and neglected tropical diseases, and include communicable disease control training for agencies and communities in border districts.

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Procurement Documents

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Project Name Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Project Number 41505-012
Country Cambodia
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0231-CAM: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Concessional ordinary capital resources / Asian Development Fund US$ 10.00 million
Grant 0448-CAM: Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Additional Cofinancing to Grant 231-CAM)
Regional Malaria and Other Communicable Disease Threats Trust Fund under the Health Financing Partnership Facility US$ 4.00 million
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 project follows Strategy 2020, which realigns ADB's role in the health sector with emphasis on regional, intersector, and interagency cooperation, as also detailed in the operational plan for health. It is in line with ADB s Regional Cooperation and Integration Strategy, the GMS regional cooperation strategy and the country partnership strategies and country operations business plans of Cambodia, Lao PDR, and Viet Nam. The project supports regional public goods and capacity towards regional health and economic security and the Millennium Development Goals (MDGs) for reducing child mortality and malnutrition, halting the spread of communicable diseases, and others. In partnership with WHO, the Mekong Basin Disease Surveillance Cooperation, the Kenan Institute Asia and other partners, it addresses critical funding gaps for the roll-out of the International Health Regulations (2005) and APSED, as well as regional strategies for the control of dengue and NTDs. Under the leadership of WHO, regional and national aid coordination mechanisms are in place including regular meetings, surveys and publications for aid coordination, technical forums, community of practice groups, and websites.
Project Rationale and Linkage to Country/Regional Strategy Emerging infectious diseases such as severe acute respiratory syndrome (SARS), avian influenza, and swine flu have had major economic impacts on productivity, trade, and tourism in the GMS, and continue to pose a major public health concern. New diseases, mostly of animal origin, also pose a constant threat. Dengue, chikungunya, cholera, typhoid, and HIV/AIDS fueled by better connectivity, urban development, and social and environment changes continue to spread in the GMS. Controlling these diseases requires strong surveillance systems, community prevention and preparedness, and quick system response capacities.
Impact Improved regional health security of the population in the Greater Mekong Subregion (GMS).

Project Outcome

Description of Outcome Timely and adequate control of communicable diseases likely to have a major impact on the region's public health and economy.
Progress Toward Outcome

- Timely Report of suspected disease outbreaks (24H): There were 12 outbreaks that occurred nationwide in Q2 2016 including suspected Zika, food poisoning, alcohol poisoning, water poisoning due to pesticide, rabies, flu cluster (H1N1). In total, 733 cases reported in the period including 436 females and 12 people died (11 in project provinces). All outbreaks were reported within 24 hours.

- No outbreak of international concern occurred since 2015. Information sharing template is used by project provinces who have already shared CD data in Q2, 2016, to neighboring provinces in Lao and Vietnam. However, not all outbreaks are reported across borders within 24 hours as it is not possible to confirm cases within this amount of time.

- In Q3 2014, a baseline survey was conducted under CDC 2, and 494 (27%) of 3,600 households in 180 remote villages were found to have applied 8 clean (Proper CDC) practices. Further, 4,371 (99%) of 4,412 children under five years old were reported to have slept under mosquito nets. The cumulative achievement will be determined from household endline survey (post-intervention survey).

Implementation Progress
Description of Project Outputs

1. Enhanced regional CDC systems

2. Improved CDC along borders and economic corridors

3. Integrated project management

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

Progress in Output 1:

- National MOH focal points work closely with WHO IHR Contact Points through regular workshops, meetings, informal meetings, as well as by electronic communication on behalf of MOH. Emergency meetings are also conducted with other development partners such as US CDC, UNICEF, etc. to address all disease outbreaks of national or regional concern and make investigations and timely response as well as informing the public, raising awareness and collecting response contributions.

- In Q2 2016, the CDC department announced several messages to the public through its website which included (i) a hotline number, 115, to promote public calling to report any CD event; (ii) alert information about dengue fever in Mondul Kiri, Preah Vihear, Kampong Thom, Siem Reap, Oddor Meanchey, Kampong Chhnang, Banteay Meanchey, Phnom Penh and Kandal province; and (ii) Reminding the public on sign/symptom and prevention measures for seasonal flu.

- Cambodia's project coordinating unit has regularly collaborated with the regional coordination unit (RCU) through exchanging/sharing project documents, providing inputs to develop cross-border information sharing templates, and arranging regional workshops/meetings.

- The project conducted simulation exercises on joint outbreak investigation in Stung Treng Province (December, 2014) with Champasack and Attapeu (Lao PDR). The SOP for joint outbreak investigation and response workshop will be conducted on 22-23 September 2016. An agenda and concept note for the workshop have been shared with Lao PDR, Vietnam, RCU, ADB and WHO.

- The CDC website is maintained and updated, and the project webpage is integrated with the MOH CDC website. Among the knowledge and communication products developed were project reports (quarterly, annual), project maps, survey and assessment (baseline survey for MHV, Sero-Prevalence survey EV71, demographic assessment), press releases (AI, SARS, SWD, swine flu, MERS, other diseases), monthly bulletins, IEC materials (posters, booklets, radio spots, TV spots, leaflets), CDC news, job announcements and procurement notices for CDC2 and CDC2 AF projects. CDC website links with other websites such as MoH, US-CDC, RCU, and WHO.

- Cambodia has accomplished key outputs in cross border activities: (i) Information sharing template is developed and agreed by the cross border country. The template is used by all project provinces. CD data in Q1 and Q2, 2016 has been shared with Lao PDR and Viet Nam; (ii) Cambodia, Viet Nam and Lao PDR agreed to pilot cross border collaboration meetings: Stung Treng & Ratanakiri (CAM) Champasak & Attapeu (LAO), Takeo & Kampot (CAM) - An Giang (VIE), and Svay Rieng & Tbong Khmum (CAM) Tay Ninh (VIE). Cambodia (Stung Treng, Ratanakiri, CDC department and PCU) participated in a cross-border collaboration meeting on 16-17 Aug 2016 in Pakse, Lao PDR.

- A National IHR/APSED review workshop was conducted in May 2016 and key core capacities 2014-16 were reported and EA also developed the national work plan of IHR for the next 5 years. An Emergency Operating Centre (EOC) exists at the CDC Meeting Room and resources for implementing IHR are available for 11 project provinces. The SOP for joint outbreak investigation and response workshop is scheduled on 22-23 September 2016 while a One Health workshop is planned in Q4 2016.

Progress in Output 2:

- In Q2, 2016, 11 targeted provinces have conducted refresher training, community meetings and also supportive supervision to build capacity of village management groups (VMGs) and increase engagement of village members in community-based activities. The CDC department also supervised field activities of VMG to monitor community health education and local participation with the project.

- Mid-year workshop to review the implementation of MHVs involved 36 key staff (F: 6) from 11 project provinces.

- In Q2 2016, refresher training on CDC core topics for the model health villages were conducted in five provinces of Kampot, Kandal, Svay Rieng, Prey Veng, and Kratie; there were 235 VMG participants in the training sessions (91 were female and 22 were IP).

- In Q2, 2016, three courses on integrated CDC and malaria surveillance and control were conducted to strengthen staff capacity in the 11 project provinces. On 13-17 May 2016, staff training on risk communication to deal with the media for emerging diseases and malaria was conducted. Other relevant trainings were: staff training on emerging diseases and malaria surveillance, conducted on 9-12 May 2016 with 56 staff participants; and another session on 16-19 May 2016 with 50 staff participants; refresher training for 10 diseases and malaria control in Mondul Kiri province on 30-31 May 2016.

Progress in Output-3:

- All national consultants were recontracted for the AF extension phase. Four consultants (international social development expert, national social development specialist and procurement expert and international QA/QC expert) are in the process of being hired and are expected to be on board October 2016.

Geographical Location

Safeguard Categories

Environment C
Involuntary Resettlement C
Indigenous Peoples B

Summary of Environmental and Social Aspects

Environmental Aspects The project is assessed category C for environment.
Involuntary Resettlement The project is assessed category C for involuntary resettlement.
Indigenous Peoples Ethnic groups constitute 31% of the population in the targeted border districts, most of them in the Lao PDR. They suffer disproportionately from common communicable diseases, and have less access to health care because of physical, financial, language, and cultural barriers. The project is assessed category B for indigenous people and is expected to have positive impacts on ethnic groups. The accrual of benefits to ethnic groups is discussed in the ethnic groups plan, and included in the project design. Under the sub-output for community based CDC, the aim is that 50% of 1,160 targeted villages belong to ethnic groups. This includes training of village health workers and support for healthy village development. The project will also provide scholarships for ethnic group members to become health workers.
Stakeholder Communication, Participation, and Consultation
During Project Design Included: (i) group discussions with potential beneficiaries, village health workers, and community-based organizations; (ii) consultation of health staff, provincial and district health managers, provincial governments, central ministries and partners; and (iii) workshop with ministries, partners, and NGOs.
During Project Implementation Level of consultation and participation envisaged are information sharing, Consultation,Collaborative decision making and empowerment. Existing organizational structures down to the village level will be used, no need for a separate system. However, participation will be monitored.

Business Opportunities

Consulting Services All consultants will be recruited according to ADB's Guidelines on the Use of Consultants. Four consulting firms and 17 individual consultants will be provided for the duration of the project.
Procurement All procurement of goods and works will be undertaken in accordance with ADB's Procurement Guidelines (2010, as amended from time to time). Government international competitive bidding starts at $300,000 for goods, national competitive bidding starts at $100,000, and shopping is below $100,000.

Responsible Staff

Responsible ADB Officer Sato, Azusa
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
No. 151-153, Avenue Kampuchea Krom
1537 Phnom Penh
Kingdom of Cambodia


Concept Clearance 30 Mar 2010
Fact Finding 06 Apr 2010 to 23 Apr 2010
MRM 30 Apr 2010
Approval 22 Nov 2010
Last Review Mission -
PDS Creation Date 15 Apr 2010
Last PDS Update 29 Sep 2016

Grant 0231-CAM

Approval Signing Date Effectivity Date Closing
Original Revised Actual
22 Nov 2010 27 Jan 2011 22 Mar 2011 30 Jun 2016 31 Dec 2017 -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 11.00 Cumulative Contract Awards
ADB 10.00 22 Nov 2010 9.81 0.00 98%
Counterpart 1.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 10.29 0.00 103%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

Grant 0448-CAM

Approval Signing Date Effectivity Date Closing
Original Revised Actual
26 Oct 2015 10 Nov 2015 04 Jan 2016 31 Dec 2017 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 4.20 Cumulative Contract Awards
ADB 0.00 26 Oct 2015 0.00 1.12 28%
Counterpart 0.20 Cumulative Disbursements
Cofinancing 4.00 26 Oct 2015 0.00 3.20 80%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

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
Second Greater Mekong Subregion Regional Communicable Diseases Control Project: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Jul 2015
Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Cambodia) Indigenous Peoples Plans/Indigenous Peoples Development Plans Sep 2010

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.

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