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

Sovereign Project | 41508-013 Status: Active

Summary

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.

Latest Project Documents

Consulting Notices See also: CMS

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Procurement Notices See also: Operational Procurement

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Procurement Documents


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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 / 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 The results of the proposed project closing assessment will include achievements made relative to project outcomes. The outcome indicators' status presented during the October 2015 mission remained the same.
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:

- Information on CDC was shared among the countries in the region through 19 regional workshops and meetings organized by the project between 2011 and 2015 totaling 1,725 delegates. During the last quarter of 2015, the project hosted additional workshops: (i) the Regional Workshop on Information and Experience Sharing on IHR/APSED Implementation in Cambodia, Lao PDR and Viet Nam (29-30 October Da Nang City) attended by 99 delegates from CLV; (ii) the Annual Regional CDC Project Workshop 2015 and 5th Steering Committee Meeting (10-11 December, Nha Trang) attended by 101 delegates from CLV, WHO, USDC and the ADB; (iii) Workshop on Information Sharing of CDC in Cross-Border Areas for the Central Cluster (6-7 October, Da Nang City) with 40 participants from Attapeu in Lao PDR, Rattanakiri in Cambodia, and Kon Tum, Gia Lai, Da Nang in Viet Nam; and (iv) Workshop on Information Sharing of CDC in Cross-Border Areas for the Northern Cluster (3-4 December, Thanh Hoa) with 100 participants from Luang Prabang, Hoaphan in Lao PDR, Son La, Thanh Hoa, Nghe An, Ha Tinh in Viet Nam.

- The project maintains a project website linked to the GDPM website: http://cdc2.org.vn/ and provides general project information, project progress and contact details in both English and Vietnamese. The website is targeted to be updated weekly. The Mission recommended that an assessment of hits and user profiles should be made to assess the site's effectiveness in disseminating project information and other relevant news.

- The project provided emergency outbreak support to 11 provinces for the control of rabies, measles, dengue, diphtheria and hepatitis A. The project also supported the provinces in reducing the risk of outbreak spread and raising people's awareness on communicable diseases. In 2015, the project conducted 65 trainings on outbreak S&R at all levels.

- There were 246 training sessions conducted on dengue diagnosis and treatment for staff at all levels from 2011 until end-2015 and 170 rounds of mosquito/larvae surveillance in 100 target communes. The PMU provided assistance in survey and communication on the prevention and control of liver fluke in 32 communes and worm infection in 23 communes.

Progress in Output-2:

- From 2011-2015, the project conducted 336 workshops on IHR/APSED with about 5,642 participants.

- From 2011 to 2015, the number of C4H increased by 95.5% from 110 at project start-up to 215 villages, averaging an increase of 21 villages annually. The EA reported about 2,936,082 people dewormed, including 2,363,163 women of child-bearing age and 572,919 preschool children. Likewise, about 12,521 first aid kits were distributed to village health workers.

- By end-2015, the project organized 1,499 staff capacity trainings focusing on four key areas: outbreak surveillance and response, dengue vector surveillance, communicable diseases report and surveillance and dengue control for high school teachers. A total of 34,478 participants attended the courses.

- The project has provided 466 scholarships for staff at the provincial preventive medicine centers, district health centers and commune health stations. At the central level, 34 officials from the GDPM and national institutes were provided scholarships.

Progress in Output-3:

- Guidelines for integrating gender issues in trainings, workshops, meetings and IEC were developed and implemented at various levels. By end-December 2015, 3,555 out of 8,055 participants (or about 44.1%) in trainings and workshops at the provincial level were women.

- The EGP has been integrated with the GAP, mainly because the guidelines and relevant technical guidance on ethnic issues were developed by the gender specialist engaged for CDC2.

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

Safeguard Categories

Environment
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 29 Sep 2016

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 0.14 6%
Counterpart 0.25 Cumulative Disbursements
Cofinancing 2.50 26 Oct 2015 0.00 3.31 132%

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 24.71 95%
Counterpart 3.00 Cumulative Disbursements
Cofinancing 0.00 22 Nov 2010 0.00 25.89 100%
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: 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.


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