ADB is helping Pakistan improve health care services in Punjab province. Subprogram 2 will continue to focus on the implementation of minimum service delivery standards, especially in maternal, neonatal, and child health. It will improve health services delivery, enhance efficiency and accountability in the use of public resources, and develop a sustainable pro-poor health financing system.
|Project Name||Punjab Millenium Development Goals Program - Subprogram 2|
|Project Type / Modality of Assistance||Loan
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Governance and capacity development
|Sector / Subsector||
Health - Health care finance - Health insurance and subsidized health programs - Health system development
Public sector management - Public expenditure and fiscal management
|Gender Equity and Mainstreaming||Gender equity|
|Description||Subprogram 2 continues to focus on MSDS implementation, particularly related to MNCH. Also, it seeks to improve day-to-day management of health services by addressing (i) capacity constraints in the health sector, (ii) challenges in recruiting and posting motivated doctors and other professionals in rural and remote areas, (iii) rigid administrative procedures, (iv) inefficient and lengthy procurement processes for drugs and medical supplies, and (v) lack of performance monitoring. To foster efficiency and accountability in the use of scarce public resources, subprogram 2 supports the establishment of provincial and district internal audit functions, and strengthening of internal controls. It also focuses on developing options for a sustainable pro-poor health financing system for Punjab.|
|Project Rationale and Linkage to Country/Regional Strategy|
|Impact||To help GOP attain health MDGs 4 and 5.|
|Description of Outcome||Improved access to equitable quality health services.|
|Progress Toward Outcome|
|Description of Project Outputs||(i) Improved availability and quality of primary and secondary health care; (ii) Better management of health service delivery; and (iii) Sustainable pro-poor health financing.|
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Geographical Location||Punjab, Pakistan|
Summary of Environmental and Social Aspects
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|Consulting Services||not applicable|
|Procurement||The loan proceeds will be used to finance the full foreign exchange costs (excluding duties and taxes) of items produced and procured in ADB member countries excluding the items specified in a negative list of ineligible items. The proceeds of the program loan will be disbursed in accordance with the provisions of ADB's Simplification of Disbursement Procedures and Related Requirements for Program Loans. Loan proceeds will be disbursed for a broad range of imports on the basis of a certificate provided by the government stipulating that the value of the total imports of Pakistan, minus its imports from nonmember countries, ineligible imports, and imports financed under other official development assistance, is equal to or greater than the amount of the loan expected to be disbursed during a particular year. ADB reserves the right to audit the use of the loan proceeds and verify the accuracy of the government's certification.|
|Responsible ADB Officer||Arthur, Linda|
|Responsible ADB Department||Central and West Asia Department|
|Responsible ADB Division||Public Management, Financial Sector and Trade Division, CWRD|
Department of Health, Punjab
Department of Health
|Concept Clearance||11 Sep 2007|
|Fact Finding||01 Mar 2010 to 05 Mar 2010|
|MRM||19 Apr 2010|
|Approval||24 Jun 2010|
|Last Review Mission||-|
|PDS Creation Date||30 Apr 2010|
|Last PDS Update||30 Jul 2010|
|Approval||Signing Date||Effectivity Date||Closing|
|24 Jun 2010||24 Jun 2010||30 Jun 2010||31 Dec 2010||-||30 Jun 2010|
|Financing Plan||Loan Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||150.00||Cumulative Contract Awards|
|ADB||150.00||24 Jun 2010||150.97||0.00||100%|
|Cofinancing||0.00||24 Jun 2010||150.97||0.00||100%|
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.
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|Title||Document Type||Document Date|
|Punjab Millennium Development Goals Program - Subprograms 1 and 2: Program Completion Report||Project/Program Completion Reports||Feb 2015|
|Punjab Millennium Development Goals Program (Subprogram 2)||Reports and Recommendations of the President||Jun 2010|
|Punjab Millennium Development Goals Program (Subprogram 2)||Summary Poverty Reduction and Social Strategies||Jun 2010|
|Punjab Millennium Development Goals Program (Subprogram 2)||Gender Action Plans||Jun 2010|
|Program Agreement for Punjab Millennium Development Goals Program - Subprogram 2 between Asian Development Bank and Province of Punjab dated 24 June 2010||Project/Program Agreements||Jun 2010|
|Loan Agreement for Punjab Millennium Development Goals Program - Subprogram 2 between the Islamic Republic of Pakistan and Asian Development Bank dated 24 June 2010||Loan Agreement (Special Operations)||Jun 2010|
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
|Title||Document Type||Document Date|
|Pakistan: Punjab Millennium Development Goals Program||Validations of Project Completion Reports||Oct 2015|
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.