The long term objective of the project is (i) to improve health of rural populations (in particular, women and children, especially those who are young and from poor households as users of primary health care services, and vulnerable high risk population to HIV/AIDs such as young men and women, sex workers) in line with the health-related Millennium Development Goals (MDGs) (reduced maternal and child mortality; malnutrition; and communicable diseases such as HIV, tuberculosis, and malaria), and, (ii) to expand the coverage and quality of primary health care services in rural areas through the engagement of and collaboration with non-state health service providers (both for-profit and non-profit organizations).
|Project Name||Strengthening Rural Primary Health Services Delivery|
|Country||Papua New Guinea
|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 long term objective of the project is (i) to improve health of rural populations (in particular, women and children, especially those who are young and from poor households as users of primary health care services, and vulnerable high risk population to HIV/AIDs such as young men and women, sex workers) in line with the health-related Millennium Development Goals (MDGs) (reduced maternal and child mortality; malnutrition; and communicable diseases such as HIV, tuberculosis, and malaria), and, (ii) to expand the coverage and quality of primary health care services in rural areas through the engagement of and collaboration with non-state health service providers (both for-profit and non-profit organizations).|
|Project Rationale and Linkage to Country/Regional Strategy||The Government's Medium Term Development Strategy (MTDS) 2005-2010 recognizes primary health care as a fundamental requirement for both social and economic development. In line with this, the ADB County Partnership and Strategy (CPS) for PNG focused on health and HIV/AIDS as among its strategic areas for support to GoPNG. The proposed PPTA is aligned with ADB Strategy 2020 and its Operational Plan for Health, which stipulates support for improved health outcomes through better governance and expenditure management and with a focus on partnerships. The MTDS is reinforced by the National Health Plan 2001-2010 and the Strategic Directions for Health 2008-2011, which focuses on five public health priorities (malaria, immunization, maternal mortality, HIV/AIDS, and TB). Effectively addressing these public health priorities calls for improved leadership and management leading to greater organizational performance across all levels of the health sector. The NDoH Corporate Plan 2009-2013 places emphasis on its responsibilities for enabling improved service delivery at community and facility level. Each province is also expected to complete a corporate plan, which contains a health chapter that is consistent with this responsibility for improved service delivery at the lowest levels.|
The TA will help prepare and establish the feasibility of the Health Sector project. The ensuing project will improve the health of rural populations by providing quality health care through engaging and collaborating with private companies and civil societies.
The expected impacts of the projects are (i) equitable access to quality primary healthcare services (by geography, economic and social status and gender aspects), including HIV interventions, by rural communities in PNG and (ii) effective delivery of rural primary healthcare services.
|Description of Outcome||The expected outcome of the PPTA will be the design and feasibility study of a resulting "project" to achieve these objectives.|
|Progress Toward Outcome|
|Description of Project Outputs||
(i) Government is facilitated to develop and refine the concept of 'community health posts' to strengthen rural primary health services.
(ii) Government is facilitated with plan to roll-out the 'community health post' concept to strengthen rural primary health services.
(iii) Government is supported in seeking financing for roll-out the 'community health post' concept to strengthen rural primary health services.
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design||During the fact-finding mission, the PPTA concept was discussed and supported by the Government of Papua New Guinea (GoPNG) and donor partners including the Australian Agency for International Development (AusAID), New Zealand Agency for International Developmemt (NZAID), World Health Organization (WHO), Japanese Government, Japan International Cooperation Agency (JICA), and United Nations Children's Fund (UNICEF). The WHO expressed interest in providing advisory support for the PPTA and the resulting project. AusAID and NZAID also expressed their interest in providing financial support and further support for the resulting project.|
|During Project Implementation||During the PPTA, co-financing opportunities and mechanisms with relevant donor partners and the Government will be explored.|
|Consulting Services||The TA will require 31.5 person-months of consulting services (17 international and 14.5 national) over a period of 9 months. (These will cover the areas of health systems, health economics, health financing, public-private partnerships, GIS, medical anthropology, social and poverty assessment, environmental assessment and social safeguard, and communication advocacy.|
|Responsible ADB Officer||Tanaka, Sakiko|
|Responsible ADB Department||Pacific Department|
|Responsible ADB Division||Pacific Operations Division|
Department of Health
Ruta Place Gordons PO Box 353-Gordons, NCD
|Concept Clearance||08 May 2009|
|Fact Finding||08 Mar 2009 to 10 Mar 2009|
|Approval||04 May 2010|
|Last Review Mission||-|
|Last PDS Update||24 Feb 2011|
|Approval||Signing Date||Effectivity Date||Closing|
|04 Dec 2009||26 Jan 2010||26 Jan 2010||30 Nov 2010||31 Mar 2012||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|675,000.00||90,000.00||150,000.00||0.00||0.00||0.00||915,000.00||04 Dec 2009||712,041.72|
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|
|Strengthening Rural Primary Health Services Delivery||Initial Poverty and Social Analysis||Nov 2009|
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.
None currently available.
Evaluation Documents See also: Independent Evaluation
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