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 Name||Second Greater Mekong Subregion Regional Communicable Diseases Control Project|
|Project Type / Modality of Assistance||Loan
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
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.|
|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||
In 2011: No outbreaks recorded
In 2012: H5N1 outbreak in two provinces
In 2013: H5N1 outbreak in two provinces
In 2014: H5N1 outbreak in two provinces
In 2015: No outbreaks recorded
In 2016: Zika virus cases in 11 provinces
In 2017: Zika virus cases in 06 provinces
All H5N1 outbreaks were reported within 24 hours
All Zika virus cases were reported within 24 hours
In the period 2011-2016, there was no border outbreak in Vietnam. However, clustering of cases was reported in one of the CDC2 AF project provinces, all of which were reported within 24 hours.
The EA will evaluate proper CDC prevention and care through the project closing assessment. Data from the survey will be used to report end-of-project value for this indicator.
Based on the project baseline survey, overall score for proper CDC practice was 66.3. This was based on a 100 point scoring scale with following cut-offs: good: e70, fair: 50-69, poor: <50.
Supplementary information: the project purchased and distributed to (i) 16 border provinces 16 sets of communication equipment, (ii) 63 provinces 200,000 leaflets, 40,000 posters on Dengue fever and Zika virus, IEC materials, (iii) 182 mobile communication equipment for 182 communes in Dak Nong and Binh Phuoc.
Provinces have also organized communication campaigns to mobilize and raise awareness of communities on prevention of CDs such as HFMD, dengue fever; campaigns for hand washing with soap, environment cleanup, etc.
|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)||
Dr. Vu Ngoc Long is the national focal point for CDC. Dr. Tran Dac Phu acts as the IHR focal point. MOH has a TOR of national focal points on CDC with consensus from ADB. The TOR includes information sharing, coordinating with stakeholders regionally and domestically. The TORs have been fulfilled. The focal point reported public health events of International concerns to WHO, relevant Ministries (Zika in 2016, collaboration with MARD on zoonotic diseases).
The project supported the implementation of (i) the action plan for elimination of tetanus for newborn by vaccination for women of childbearing age or vaccination campaign such as Japanese Encephalistis for high risk areas with ethnic minority groups in mountainous provinces; (ii) support in deploying vaccination campaign for Diphtheria for ethnic minority groups in K'Bang, Gia Lai province in 2016 -2017, in Tay Giang district, Quang Nam province in 2016.
Vietnam also took part in joint implementation of regional strategies for emerging diseases and NTDs.
MOH support information sharing among CLV countries. 09 provinces including Dien Bien, Nghe An, Son La, Thanh Hoa, Ha Tinh, Quang Binh, An Giang, Long An and Tay Ninh have shared information on communicable diseases with pair provinces of Laos and Cambodia. The information sharing commenced from Quarter II/2016 which is also reported to GDPM
JEE was carried out to evaluate national compliance to IHR/APSED. Results showed that Vietnam scored 2 or 3 (limited and developing capacity) for 83% of the assessment indicators, and scored 4 (demonstrated capacity) for 17% of the assessment indicators.
Some project provinces (3 in 2016, 3 in 2017) have been sharing data on named CDs on a weekly basis, (6 in 2016 and 13 in 2017) sharing data on named CDs on monthly basis.
Gender content is reflected in CDC training and reported to ADB in quarterly and annual progress reports.
Output 2. Improved CDC along borders and economic corridors
In the 2011-2015 period, an average increase of 21 communities per year (2011-2012: 104 communities, 110 communities in 2013, 145 communities in 2014, 215 communities in 2015
No. of model health villages (MHV) per border district by year
In 2011 - 2012: 1.89
In 2013: 2
In 2014: 2.6
In 2015: 3.9
The project has actively implemented cross border activities with Laos and Cambodia, ensuring its targets and implementation of plans.
Monthly/ quarterly provincial Health Department hosted 30 cross border meetings with neighboring country to discuss about health cooperation between the two provinces. Data on district level will be extracted from the results of Project Closing Assessment.
From 2011 - 2015, 23.3% staff in charge of CDC works at local unit received training using project budget. Training topics include Surveillance and response, CDs (dengue, NTDs, etc.), use of lab equipment, BCC.
Some results are reported in PPMUs' separate surveys, which do not represent the whole project but these results will serve as reference for following surveys, especially for the project closing assessment.
The basic competencies of CDCs are defined as a list for the project. The project plan to have the firm to conduct the interview with the leaders of the working units on CDC staff performance. However, competencies are not measured at the individual level.
Output 3. Integrated project management
All targeted provinces develop and implement an annual plan. The approval for Annual Operation Plan was proceeded under regulations.
|Geographical Location||Nation-wide, An Giang, Dak Nong, Huyen Dien Bien, Long An, Tinh Binh Phuoc, Tinh Dak Lak, Tinh Dong Thap, Tinh Ha Tinh, Tinh Kien Giang, Tinh Lao Cai, Tinh Nghe An, Tinh Quang Binh, Tinh Quang Tri, Tinh Son La, Tinh Tay Ninh, Tinh Thanh Hoa|
|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.|
|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 $0.1 million may be procured through shopping procedures.|
|Responsible ADB Officer||Sato, Azusa|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Human and Social Development Division, SERD|
Ministry of Health
138A Giang Vo Str.
Hanoi, Viet Nam
|Concept Clearance||30 Mar 2010|
|Fact Finding||06 Apr 2010 to 23 Apr 2010|
|MRM||06 Sep 2010|
|Approval||22 Nov 2010|
|Last Review Mission||-|
|PDS Creation Date||15 Apr 2010|
|Last PDS Update||20 Sep 2018|
|Approval||Signing Date||Effectivity Date||Closing|
|22 Nov 2010||23 Feb 2011||20 May 2011||30 Jun 2016||31 Dec 2017||13 Jul 2018|
|Financing Plan||Loan Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||30.00||Cumulative Contract Awards|
|ADB||27.00||22 Nov 2010||25.77||0.00||100%|
|Cofinancing||0.00||22 Nov 2010||25.77||0.00||100%|
|Status of Covenants|
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 Access to Information Policy (AIP) 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
|Title||Document Type||Document Date|
|Regional: Second Greater Mekong Subregion Regional Communicable Diseases Control Project||Validations of Project Completion Reports||Oct 2020|
None currently available.
The Access to Information Policy (AIP) 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.
No tenders for this project were found.
|Contract Title||Approval Number||Contract Date||Contractor||Contractor Address||Executing Agency||Contract Description||Total Contract Amount (US$)||Contract Amount Financed by ADB (US$)|
|Project Closing Assessment||Loan 2699||21 Apr 2017||JV: Center for Environment and Health Studies||4th Floor, N8A8 Nguyen Thi Thap St. Ba Dinh District Ha Noi, Viet Nam||Ministry of Health||Consultancy||108,961.00||—|
|WA#0071||Loan 2699||28 Mar 2017||Various||Various Viet Nam||Ministry of Health||Others||123,692.76||123,692.76|
|Title||Document Type||Document Date|
|Second Greater Mekong Subregion Regional Communicable Diseases Control Project: Procurement Plan||Procurement Plans||May 2017|