Viet Nam: Second Greater Mekong Subregion Regional Communicable Diseases Control Project

Sovereign Project | 41508-013 Status: Active

ADB is helping enhance communicable disease control systems in the Greater Mekong Subregion. The project, which includes Viet Nam, will expand surveillance and response systems and target the control of dengue and neglected tropical diseases. It will improve provincial capacity for communicable disease control, including training for agencies and communities in border districts.

Project Details

Project Officer
Sato, Azusa Southeast Asia Department Request for information
Country
  • Viet Nam
Modality
  • Loan
Sector
  • Health
 
Project Name Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Project Number 41508-013
Country Viet Nam
Project Status Active
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Grant 0450-VIE: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
Regional Malaria and Other Communicable Disease Threats Trust Fund under the Health Financing Partnership Facility US$ 2.50 million
Loan 2699-VIE: Second Greater Mekong Subregion Regional Communicable Diseases Control Project
concessional ordinary capital resources lending / Asian Development Fund US$ 27.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Governance and capacity development
Sector / Subsector

Health - Disease control of communicable disease - Health system development

Gender Equity and Mainstreaming Gender equity
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 health of the population in the Greater Mekong Subregion.

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

1. Proportion of disease outbreaks reported within 24 hours increased from 50% to 80%:

- As regulated in Circular No. 48/2010/TT-BYT dated 31 December 2010 by Minister of Health guiding the declaration of, information and reporting on infectious diseases, infectious diseases Class A must be monitored and reported immediately or within 24 when detecting suspected (Cholera, Influenza A/H5N1, polio, etc.)

- Total 06 outbreaks of influenza A (H5N1) have been recorded in 20 project provinces. 100% of the outbreak of influenza A (H5N1) were reported and handled promptly: A place has been identified as outbreak of influenza A (H5N1) when having 1 or more patients were diagnosed infected by the influenza virus A (H5N1), details as follows:

+ 2011: No outbreak of influenza A (H5N1) in Vietnam

+ 2012: 02 outbreaks in Kien Giang and Dak Lak (4 outbreaks nationwide)

+ 2013: 02 outbreaks in Long An and Dong Thap (2 outbreaks nationwide)

+ 2014: 02 outbreaks in Binh Phuoc and Dong Thap (4 outbreaks nationawide).

+ 2015: No outbreak of influenza A (H5N1) in Vietnam

2. Proportion of border outbreaks reported across borders within 24 hours increased from 20% to 50%:

- 100% outbreak of Influenza A (H5N1) were reported and handled promptly as regulated.

3. Proportion of population in targeted villages that conduct proper CDC prevention and care increased from 40% to 60%:

- Results achieved since the beginning of 2015: the project has conducted deworming for 2,864,728 people, including 2,323,225 women and 541,503 children (achieving 100% of the plan).

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)

- AOP for 2015 was approved by Director General of GDPM at Decision 30/QD-DP dated 30 March 2015

- Plan using balanced budget of 2013 was approved by Minister of Health at Decision 1670/QD-BYT dated 05 May 2015

- 100% PIUs develop AOP and implement as per plan

- Baseline survey implemented in 2012

- Recruiting firm under regulations: GDPM is reviewing the submission 1: Shortlist and proposed Request for Proposal

- Under PMU's instructions, 100% PPMUs develop provincial AOP and implement project activities appropriate with project objectives

- All targeted provinces include gender and ethnic group content in CDC training (20 provinces).

- 16 border provinces include gender and ethnic groups content in CDC activities in border areas

1. Sent ADB report on the implementation of GEGAP up to QIII/2015

2. Some results:

- All targeted provinces implement as guided in Decision No.75/QD-VIE2699 dated 28 July 2014 guiding the implementation of activities for EMG/GAP development.

- Each PIU appointed 1 staff to be focal point for GEGAP

- 20 working group meetings to prepare HR Plan with EMG/GAP were organized in 20 PPMUs

- PMU organized a workshop on EMG/GAP and planning skills to improve planning and reporting for gender focal point of the 20 project provinces on 14-15 December 2015 in HaNoi

1. Sharing with other countries:

- GDPM was appointed to be national focal unit for IHR 2005. Dr. Dang Quang Tan, Deputy Director General, GDPM acts as IHR focal point. National focal unit for IHR 2005 updates information on infectious diseases on daily basis by contacting with WHO IHR focal point, especially on Influenza A (H5N1), MERS-CoV, etc., and then provides the info to relevant agencies.

- GDPM exchanges information with IHR focal point in other countries regarding to case of Vietnamese citizen who had close contact/exposed to infectious disease on conveyance or in that country

- GDPM organizes and participates in annual IHR assumption exercise together with WHO and IHR Focal Point of the countries in the region (assumption exercise on Food-borne diseases in 2014 and : Mers-CoV in 2015)

- GDPM together with CDC2 project will organize regional workshop on International Health Regulation (IHR 2005) on 29-30 October 2015 in Danang

2. In Vietnam:

- GDPM assessed the IHR core capacities . Vietnam has reached the minimum core capacities. Besides, fields of APSED strategy such as surveillance and response, laboratory, preparedness respond to infectious disease outbreak have made improvements.

- Information on the situation of infectious diseases in Vietnam and the world is provided for health quarantine / preventivwe medicine units (official dispatch, notifications)

- GDPM continues to work closely with focal points of other ministries and sectors and WHO for regular exchange, maintaining and strengthening IHR core capacities: Workshop on development of a draft mechanism on intersectoral collaboration to share information on the implementation of the IHR 2005 dated 04-05/9/2015 in Vinh Phuc.

- Health quarantine units at local share and exchange information with quarantine units of bordering countries; perform infectious disease surveillance at border gates, and regularly report to GDPM : organized 03 training course on Circular 15/2014/TT-BYT on reporting health quarantine information and Circular no. 46/2014/TT-BYT guiding the process of medical quarantine from August-October 2015; held 02 functional exercises on prevention of anthrax and influenza

Information sharing mechanism between piloted provinces has been agreed in principle by MOH. On 23 December 2015, GDPM sent official letter on infectious diseases information sharing with Laos and Cambodia to PDH in Dien Bien, Nghe An, Son La, Thanh Hoa, Ha Tinh, Quang Binh, An Giang, Long An, Tay Ninh. The information sharing took place since Q.2/2016.

- PPMUs are in full compliance with IHR/APSED.

2. The results since the beginning of 2015 are as follows:

- 67 meetings/workshops at 16 border provinces on such contents: (i) 20 inter sectoral meeting on coordination at border gates (ii) 24 quarterly/annual meetings sharing CDC information at border gates ; (iii) 04 meetings sharing information on CDC for provinces sharing common border; (iii) assessment on inter-sectoral CDC; (iv) 19 inter - sectoral meetings on operational plan for CDC along border and economic corridors

- 4 cluster meetings: (i) Workshop on sharing communicable diseases information in cross border for (i) southern cluster conducted by Pasteur Institute in Ho Chi Minh city, 31 July 1 August 2015 in Nha Trang (ii) central cluster among Ha Tinh, Quang Binh, Quang Tri and Bolikhamxay, Khammuon conducted by Pasteur Institute in Nha Trang, 17 18 September 2015 in Quang Binh. (iii) Workshop on sharing CD information in cross border areas for highland cluster among Kon Tum, Da Nang, Gia Lai, Dak Lak, Dak Nong and Attapeu (Laos), Ratanakiri (Cambodia) was held by IHE in Tay Nguyen in Da Nang on 6-7 October 2015. (iv) Workshop on sharing CD information in cross border areas among provinces of Vietnam and Laos was organized in 3-4 December 2015 by NIHE

- 67 meetings/worshops at 16 border provinces on such contents: (i) 20 inter sectoral meeting on coordination at border gates (ii) 24 quarterly/annual meetings sharing CDC information at border gates ; (iii) 04 meetings sharing information on CDC for provinces sharing common border; (iii) assessment on inter-sectoral CDC; (iv) 19 inter - sectoral meetings on operational plan for CDC along border and economic corridors

- 4 cluster meetings: (i) Workshop on sharing communicable diseases information in cross border for (i) southern cluster conducted by Pasteur Institute in Ho Chi Minh city, 31 July 1 August 2015 in Nha Trang (ii) central cluster among Ha Tinh, Quang Binh, Quang Tri and Bolikhamxay, Khammuon conducted by Pasteur Institute in Nha Trang, 17 18 September 2015 in Quang Binh. (iii) Workshop on sharing CD information in cross border areas for highland cluster among Kon Tum, Da Nang, Gia Lai, Dak Lak, Dak Nong and Attapeu (Laos), Ratanakiri (Cambodia) was held by IHE in Tay Nguyen in Da Nang on 6-7 October 2015. (iv) Workshop on sharing CD information in cross border areas among provinces of Vietnam and Laos was organized in 3-4 December 2015 by NIHE

-Gender content is reflected in CDC training and reported to ADB in Quarterly and annual PPR.

- All targeted provinces integrate gender in training activities as guided in Decision No. 75/QD-VIE2699 of Project Director dated 28 July 2014 guiding the implementation of activities for the development of gender and ethnic minority group

1. Established Office for Emergency outbreak response pursuant to Decision No. 1424/QD-BYT dated 02 May 2013. GDPM is the permanent unit to collect and share information on disease situation, advise and coordinate with other resources for CDC

2. Established Focal unit for CDC:

- Division of Communicable Diseases Control, GDPM, MOH, add: 135/1 Nui Truc, Ba Dinh District, Hanoi is the focal point to share information with CLV countries

- Dr. Dang Quang Tan, Deputy Director General, GDPM acts as IHR focal point

- Dr. Vu Ngoc Long, Vice chief of Division of CDC, GDPM acts as national focal point for CDC.

- Prof. Le Thi Song Huong national consultant assisting national focal point for CDC (contract terminated in December 2015)

3. MOH focal position was established to perform tasks assigned and enhance capacity for regional cooperation in CDC: Timely sharing information on disease situation especially information on new emerging diseases ; video conference with Laos and Cambodia on disease situation; Frequently having technique consultant with WHO representative office in Viet Nam on emerging diseases: Influenza type A H7N9, HFMD, MERS-CoV, dengue, rabies,

- MOH issued Decision No. 307/QD-BYT dated 28 January 2015 approving _Plan for the prevention and control of newly emerging infectious diseases and public health events, 2015-2017_. GDPM proposed WHO and international organizations to continue to support for Vietnam

- GDPM together with CDC2 project will organize Dissemination of Action plan for prevention and control of newly emerging communicable diseases and public health events in Vietnam, in 10-11 December 2015 in Nghe An

- Form to evaluate effectiveness of training was shared with RCU, and brief update of project activities sent regularly to RCU

- Sharing information on CDC on GDPM's and Project website under current regulation: (i) project website http://cdc2.org.vn was upgraded and put into operation. (ii) GDPM website http://vncdc.gov.vn: Regularly update info (writing and images) on CDC activities; Updated guidelines for technical and management of GDPM; Exchange and feedback on the situation of infectious diseases in Vietnam and in the world

- 1/ As 31 December 2015: 215 Community for health model was established

2/ Key results:

- 12,521 sets of first aid kit purchased and distributed

- 2,111,600 IEC materials

- 4,050 rounds of communication on CDC

- There is better coordination between health care projects and programs (communication campaign on vaccination with environmental sanitation and communication during deworming with hand hygiene in HFMD prevention...). PPMUs support mobile team to assess remote areas, support BBC/COMBI program at districts/communes; conduct quarterly meetings on situation of common infectious disease with Community engagement

- The project has actively implemented cross border activities with Laos and Cambodia, ensuring its targets and plan

- The results of activities implementation under approved AOP are as follows :

46 meetings were organized, achieving 100% 2015 plan on such contents: (i) sharing information on CD quarterly/yearly at border checkpoints (18 meetings), (ii) formation sharing on CDC for provinces sharing common border (24 meetings) held by 16 bordered PPMUs, (iii) Workshop on sharing communicable diseases information for clusters held by IHE/Pasteur Institutes (4 meetings)

According to 14 out of 20 targeted provinces, there were 65 females among total 95 newly selected VHWs (68.4%)

According to reports from 12/20 PPMUs: 3,773 VHWs trained /10,975 staff in 2015 (34.8%)

Trained village health workers in targeted districts achieve 80% of basic competencies

1. In 2015, the project has conducted deworming for 266,041 people (176,617 women and 89,424 children) in targeted provinces, achieving 100% AOP 2015.

2. From 2011-2015, 2,936,082 people dewormed (2,363,163 women and 572,919 children) achieving 100% plan

- According to 14 out of 20 targeted provinces, there were 53.4% of staff were trained (9,589/17,958 staff in 2015

- According to 14 out of 20 targeted provinces, there were 5,177 female /9,589 staff trained (54%)

- On 12 September 2014, PMU sent Letter No. 382/VIE2699 guiding on training effectiveness assessment. 10 PPMUs' reports showed that trained CDC staff achieved 80% of basic competencies.

- Some results are reported under PPMUs' separate surveys, which do not represent for the whole project but these results will serve as reference for following surveys, especially for the project closing assessment

Geographical Location Viet Nam, for output 2 focusing on border districts in three clusters in northern, central and southern Viet nam

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 During project preparation, consultation and participation 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. Three consulting firms and 19 individual consultants are 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). International Competitive Bidding procedures will be applied for any packages valuing equal or more than $ 1.0 million in case of goods. Any bid packages of goods valuing more than $ 0.1 million and less than $1 million will be procured through national competitive bidding. Smaller goods and civil works packages costing less than $0.1 million may be procured through shopping procedures.

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
138A Giang Vo Str.
Hanoi, Viet Nam

Timetable

Concept Clearance 30 Mar 2010
Fact Finding 06 Apr 2010 to 23 Apr 2010
MRM 06 Sep 2010
Approval 22 Nov 2010
Last Review Mission -
PDS Creation Date 15 Apr 2010
Last PDS Update 31 Mar 2017

Grant 0450-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
26 Oct 2015 19 Feb 2016 19 May 2016 31 Dec 2017 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 2.75 Cumulative Contract Awards
ADB 0.00 26 Oct 2015 0.00 0.68 27%
Counterpart 0.25 Cumulative Disbursements
Cofinancing 2.50 26 Oct 2015 0.00 3.61 144%

Loan 2699-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
22 Nov 2010 23 Feb 2011 20 May 2011 30 Jun 2016 31 Dec 2017 -
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 30.00 Cumulative Contract Awards
ADB 27.00 22 Nov 2010 0.00 24.95 96%
Counterpart 3.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 0.00 25.93 100%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - - - Satisfactory

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.

The Public Communications Policy (PCP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.

The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

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: Indigenous Peoples Plan: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Oct 2010
Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Lao PDR) Indigenous Peoples Plans/Indigenous Peoples Development Plans Sep 2010
Second Greater Mekong Subregion Regional Communicable Diseases Control Project (Viet Nam) Indigenous Peoples Plans/Indigenous Peoples Development Plans Sep 2010

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


The Public Communications Policy (PCP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.

Requests for information may also be directed to the InfoUnit.

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