ADB is supporting a project in Bangladesh that expands and improves the delivery of urban primary health care services through public-private partnerships. The project will focus on increasing access of the poor, women, and children to health services. It will help local governments strengthen their policies on health issues and develop guidelines for managing private-public partnership contracts.
| Project Name | Urban Primary Health Care Services Delivery Project | ||||||||||||||||||||
| Project Number | 42177-013 | ||||||||||||||||||||
| Country | Bangladesh |
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| Project Status | Active | ||||||||||||||||||||
| Project Type / Modality of Assistance | Grant Loan Technical Assistance |
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| Source of Funding / Amount |
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| Strategic Agendas | Inclusive economic growth |
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| Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Partnerships Private sector development |
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| Sector / Subsector | Health / Health sector development and reform - Health system development |
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| Gender Equity and Mainstreaming | Gender equity | ||||||||||||||||||||
| Description | The Asian Development Bank (ADB) supported Urban Primary Health Care Project (UPHCP) is one of the largest public-private partnerships (PPP) in the delivery of primary health care (PHC) in South Asia. The Government of Bangladesh with the assistance of ADB implemented the Urban Primary Health Care Project (UPHCP) from March 1998 to June 2005. The Second Urban Primary Health Care Project (UPHCP-II), supported by ADB and the Governments of the United Kingdom and Sweden, commenced in July 2005 and was completed in December 2012. A provision of $50 million has been made for the Bangladesh Urban Primary Health Care Services Delivery Project (UPHCSDP) in ADB's lending pipeline for 2012 in addition to $400,000 grant support for Supporting the Urban Primary Health Care Services Delivery Project in 2012. The UPHCSDP and the grant continue the provision of urban PHC, among others, through successful PPPs pioneered by UPHCP and UPHCP-II. With a density of 2,756 people per square kilometer (km2) in urban areas and 843 people per km2 overall, Bangladesh is the most densely populated country in the world (excluding a few city-states). Bangladesh is urbanizing at a rapid pace and the country's urban population is expected to reach 89.5 million (from 39.5 million in 2005) by 2030. According to one estimate, by 2020 the urban poor figure could be as high as 40%-60% of the urban population. Notwithstanding higher economic growth in urban areas, the absolute number of poor households is increasing in urban Bangladesh due to migration of rural poor into urban areas. Studies have shown that the health indicators of the urban poor are as worse as those of the rural poor because of poorer living conditions, and limited urban PHC. Failure to provide urban PHC can have serious negative externalities, e.g., spread of communicable diseases, debilitating epidemics, reduction in economic productivity, among others. |
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| Project Rationale and Linkage to Country/Regional Strategy | The Project builds on the gains of UPHCP-II by strengthening the pro-poor focus, nutrition provision aspects, reproductive health services, and project implementation; and expand the service provision to other backward areas of Bangladesh. By strengthening and mainstreaming the PPP model of service delivery, the Project encourages alternative ways of public services delivery and enables greater role for the private sector. Through its large focus on women's health, the Project enables greater gender equity. Therefore, UPHCSDP is closely aligned with Bangladesh's National Strategy for Accelerated Poverty Reduction-II and ADB's Country Partnership Strategy. ADB is one of the lead development partners of the Government of Bangladesh in the domain of urban development, which involves a multidimensional approach - economic (roads), public health (water supply), environmental health (sewerage, solid waste management), and primary health care. This holistic approach to urban development also includes transforming institutions to prepare Bangladesh for the rapid urbanization process. The Project is built on the rationale of synergies (blending prevention and promotion with critical PHC) and driving more effective ways of delivering services (through PPPs). The Project continues the momentum gained by Bangladesh towards achieving child, maternal health, and communicable diseases related Millennium Development Goals (MDGs). | ||||||||||||||||||||
| Impact | Health of the urban population, particularly the poor, women, and children improved Overall project: Health, nutrition, and family planning status of the urban population, particularly the poor, women, and children improved (National Urban Health Strategy, 2014) |
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| Project Outcome | |
|---|---|
| Description of Outcome | Original project (2012-2018): Sustainable good quality urban PHC services are provided in the project areas and target the poor and the needs of women and children Overall project: Sustainable good quality urban PHC services in the project areas (particularly to the poor, women and children) provided |
| Progress Toward Outcome | Overall project: Ongoing activities. 38.5% births attended by skilled health personnel in existing 24 partnership areas, 100% children under 5 visiting the facilities received nutritional screening and measured on anthropometry, 85% clients visiting the health facilities expressed satisfaction. |
| Implementation Progress | |
| Description of Project Outputs | 1. Institutional governance and local government capacity to deliver urban PHC services sustainably strengthened 2. Improved accessibility, quality, and utilization of urban PHC services, with a focus on the poor, women, and children, through PPP 3. Effective support for decentralized project management |
| Status of Implementation Progress (Outputs, Activities, and Issues) | Output 1: All target indicators under output 1 are in progress. Output 2: Data to be collected from ISI report by PPM&E firm and finalized by June 2021 for urban health care services. Additional CRHCCs and PHCCs construction is yet to start. Based on 2 PA's quality visit 96% women in labor monitored using partograph. 147,026 (100%) children received oral rehydration therapy and zinc. Internal quality compliance achieved 80% in financial management, 85% in clinical waste management, 90% in updated clinical registers, and 85% in inventory management. Target related to COVID-19 has been achieved. Output 3: In progress. Female staff in PMU 15%, PIU 18%. Computerized FMIS operationalization on going. M&E survey to be completed by December 2020. Training on computerized FM will be provided after installation of FMIS software. |
| Geographical Location | Nation-wide, Barisal, Comilla, Dhaka, Gazipura, Gopalganj, Khulna, Kishorganj, Kushtia, Narayanganj, Rajshahi, Rangpur, Sirajganj, Sylhet |
| Safeguard Categories | |
|---|---|
| Environment | B |
| Involuntary Resettlement | C |
| Indigenous Peoples | C |
| Summary of Environmental and Social Aspects | |
|---|---|
| Environmental Aspects | The original project's compliance with the safeguard requirements has been satisfactory and risks have been well-managed. The project remains category B for environment, and will continue to construct new health care centers, improve existing facilities, and enhance climate change resilience and medical waste management. It is not expected to have significant or irreversible negative environmental impacts during construction or operation. Any environmental risks will be effectively addressed through proper mitigation measures with the updated environmental assessment and review framework that has been prepared and disclosed because land and sites for project civil works will be identified by the time implementation begins. |
| Involuntary Resettlement | The project remains category C for both involuntary resettlement and tribes, minor races, ethnic sects, and community peoples. No land acquisition will be involved because land required will be either government-owned or donated voluntarily. Existing project areas do not overlap with any areas inhabited by tribes, minor races, ethnic sects, and community peoples. The project will screen new health care center sites to ensure social safeguard impacts do not occur. |
| Indigenous Peoples | |
| Stakeholder Communication, Participation, and Consultation | |
| During Project Design | Primary stakeholders include selected staff from the Ministry of Local Government, Rural Development, and Cooperatives; Ministry of Health and Family Welfare; project implementation units of the UPHCSDP; NGOs involved in the UPHCSDP; donor consortium; community-based organizations; representatives and officers of city corporations and municipalities; and representatives of the poor and of vulnerable groups. Stakeholders include relevant line ministries and other private providers of health services. A stakeholder analysis was conducted as part of the feasibility study. The study identified key project stakeholders and planned project activities. During project implementation, participatory processes were incorporated into mapping target beneficiaries from urban slum and low-income areas, and into monitoring health services through the neighborhood and ward health committees at the health facilities. Citizen score cards and routine display of up-to-date public information about staffing, stock, facilities, and fee rates were examined to improve accountability of the service providers and facilitate participation of service users in monitoring services. The communication, participation and consultation process were done through a number of workshops, involving NGOs, CBOs and other stakeholders. |
| During Project Implementation | Consultations with primary and secondary stakeholders were done during implementation. |
| Responsible ADB Officer | Ahad, Faiza |
| Responsible ADB Department | South Asia Department |
| Responsible ADB Division | Bangladesh Resident Mission |
| Executing Agencies |
Local Govt Div,Min of Local Govt Rural Devt & Coop Bangladesh Secretariat Dhaka |
| Timetable | |
|---|---|
| Concept Clearance | 16 Nov 2012 |
| Fact Finding | 27 Feb 2012 to 08 Mar 2012 |
| MRM | 04 Apr 2012 |
| Approval | 18 Jul 2012 |
| Last Review Mission | - |
| Last PDS Update | 30 Sep 2020 |
Grant 0298-BAN
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 18 Jul 2012 | 26 Sep 2012 | 03 Dec 2012 | 31 Dec 2017 | 30 Sep 2018 | 08 Jul 2020 |
| Financing Plan | Grant Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 20.00 | Cumulative Contract Awards | |||
| ADB | 0.00 | 18 Jul 2012 | 0.00 | 17.25 | 97% |
| Counterpart | 0.00 | Cumulative Disbursements | |||
| Cofinancing | 20.00 | 18 Jul 2012 | 0.00 | 17.25 | 97% |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory |
Grant 0607-BAN
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 18 Sep 2018 | 25 Oct 2018 | 12 Dec 2018 | 31 Dec 2021 | - | - |
| Financing Plan | Grant Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 2.00 | Cumulative Contract Awards | |||
| ADB | 0.00 | 18 Sep 2018 | 0.00 | 1.37 | 69% |
| Counterpart | 0.00 | Cumulative Disbursements | |||
| Cofinancing | 2.00 | 18 Sep 2018 | 0.00 | 1.29 | 65% |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory |
Loan 2878-BAN
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 18 Jul 2012 | 26 Sep 2012 | 03 Dec 2012 | 31 Dec 2017 | 30 Sep 2018 | 08 Jul 2020 |
| Financing Plan | Loan Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 61.00 | Cumulative Contract Awards | |||
| ADB | 50.00 | 18 Jul 2012 | 44.62 | 0.00 | 100% |
| Counterpart | 11.00 | Cumulative Disbursements | |||
| Cofinancing | 0.00 | 18 Jul 2012 | 44.62 | 0.00 | 100% |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory |
Loan 3705-BAN
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 18 Sep 2018 | 25 Oct 2018 | 12 Dec 2018 | 30 Sep 2023 | - | - |
| Financing Plan | Loan Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 140.00 | Cumulative Contract Awards | |||
| ADB | 110.00 | 18 Sep 2018 | 49.42 | 0.00 | 45% |
| Counterpart | 30.00 | Cumulative Disbursements | |||
| Cofinancing | 0.00 | 18 Sep 2018 | 28.46 | 0.00 | 26% |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory |
TA 8118-BAN
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 18 Jul 2012 | 02 Oct 2012 | 02 Oct 2012 | 31 Dec 2013 | 30 Jun 2014 | - |
| Financing Plan/TA Utilization | Cumulative Disbursements | |||||||
|---|---|---|---|---|---|---|---|---|
| ADB | Cofinancing | Counterpart | Total | Date | Amount | |||
| Gov | Beneficiaries | Project Sponsor | Others | |||||
| 400,000.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 400,000.00 | 18 Jul 2012 | 261,211.65 |
| Status of Covenants | ||||||
|---|---|---|---|---|---|---|
| Category | Sector | Safeguards | Social | Financial | Economic | Others |
| Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | Satisfactory | 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 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.
Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
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.
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Health Services for Bangladesh's Urban Poor
ADB, Sweden, and the United Nations Population Fund are supporting efforts to help urban local governments partner with non-governmental organizations and the private sector to deliver primary healthcare services in poor urban communities.
Tenders
| Tender Title | Type | Status | Posting Date | Deadline |
|---|---|---|---|---|
| Procurement Specialist | Individual - Consulting | Closed | 06 Nov 2020 | 18 Nov 2020 |
| Gender Specialist | Individual - Consulting | Closed | 06 Nov 2020 | 18 Nov 2020 |
| Senior Monitoring and Evaluation Manager | Individual - Consulting | Closed | 06 Nov 2020 | 18 Nov 2020 |
| Environment Specialist | Individual - Consulting | Closed | 09 Apr 2019 | 15 Apr 2019 |
| Gender Specialist | Individual - Consulting | Closed | 09 Apr 2019 | 15 Apr 2019 |
| Monitoring and Quality Assurance Specialist | Individual - Consulting | Closed | 09 Apr 2019 | 15 Apr 2019 |
| Procurement Specialist | Individual - Consulting | Closed | 09 Apr 2019 | 15 Apr 2019 |
| BAN: Urban Primary Health Services Delivery Project | Advance Notice | Archived | 21 May 2012 |
Contracts Awarded
| Contract Title | Approval Number | Contract Date | Contractor | Contractor Address | Executing Agency | Contract Description | Total Contract Amount (US$) | Contract Amount Financed by ADB (US$) |
|---|---|---|---|---|---|---|---|---|
| GD-35: CHOTTOGRAM CITY CORPORATION HEALTH DEPARTME NT (CCC PA-3) | Loan 3705 | 04 Nov 2020 | CHOTTOGRAM CITY CORPORATION HEALTH DEPARTMENT | CHOTTOGRAM CITY CORPORATION BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,178,813.38 | 1,178,813.38 |
| GD-33: CHOTTOGRAM CITY CORPORATION HEALTH DEPARTME NT (CCC PA-1) | Loan 3705 | 04 Nov 2020 | CHOTTOGRAM CITY CORPORATION HEALTH DEPARTMENT | CHOTTOGRAM CITY CORPORATION BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,179,342.63 | 1,179,342.63 |
| SD 13: FINANCIAL MANAGEMENT SPECIALIST | Loan 3705 | 03 May 2020 | UTTAM KUMAR KARMAKAR | ESKATON, DHAKA BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | CONSULTANCY | 113,066.64 | 113,066.64 |
| SD 6: ACTION ORIENTED OPERATIONS RESEARCH FIRM-1 ( CONTINUATION OF URBAN HEALTH AND DEMOGRAPHIC SURVE ILLANCE SYSTEM, UHDSS) | Loan 3705 | 21 Apr 2020 | INTERNATIONAL CENTER FOR DIARRHOEAL RESEARCH | 68, SHAHEED TAJUDDIN AHMED SHARANI MOHAKHALI, DHAKA-1216, BANGLADESH BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | CONSULTANCY | 301,560.16 | 301,347.17 |
| GD 02(DSCC PA-2) ASSOCIATION FOR PREVENTION OF SEP TIC ABORTION | Loan 3705 | 18 Nov 2019 | BAPSA | HOUSE # 6/3, BLOCK-D, BOROBAGH, DHAKA 12 16, BANGLADESH BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,800,968.45 | 1,800,968.45 |
| GD 14(KCC, PA 2)- BAPSA | Loan 3705 | 18 Nov 2019 | BAPSA | HOUSE # 6/3, BLOCK-D, BOROBAGH, DHAKA 12 16 BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,635,335.59 | 1,635,335.59 |
| GD 09(DNCC, PA 4):ASSOCIATION FOR PREVENTION OF SE PTIC ABORTION | Loan 3705 | 18 Nov 2019 | BAPSA | HOUSE # 6/3, BLOCK-D, BOROBAGH, DHAKA 12 16 BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,538,608.05 | 1,538,608.05 |
| GD 16 (BCC, PA 1) | Loan 3705 | 31 Oct 2019 | VARIOUS | VARIOUS BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,198,700.05 | 1,197,287.74 |
| GD 21: LIGHT HOUSE | Loan 3705 | 07 Oct 2019 | LIGHT HOUSE | HOUSE 3, ROAD 17, BLOCK E, BANANI, DHAKA BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,274,609.89 | 1,268,978.33 |
| GD 18: FAMILY PLANNING ASSOCIATION OF BANGLADESH ( FPAB) | Loan 3705 | 07 Oct 2019 | FAMILY PLANNING ASSOCIATION OF BANGLADESH (FP | 2 NAYA PALTAN, DHAKA BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,242,603.55 | 1,237,113.40 |
| GD-13 : ADAMS | Loan 3705 | 07 Oct 2019 | ASSOCIATION FOR DEVELOPMENT ACTIVITY OF MANIF | 130 KEDARNATH ROAD, MOHESWARPASHA KHULNA BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | SUPPLY OF GOODS | 1,648,955.24 | 1,641,669.73 |
| GD-10: DNCC PA-5 (UTPS) | Loan 3705 | 02 Oct 2019 | UNITY THROUGH POPULATION SERVICE (UTPS) | HOUSE 3, ROAD 11, SECTOR 11 UTTARA MODEL TOWN, DHAKA 1230 BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | OTHERS | 1,403,360.51 | 1,398,275.65 |
| GD-24: SM PA-1 (TILOTTAMA) | Loan 3705 | 02 Oct 2019 | TILOTTAMA VOLUNTARY WOMEN'S ORGANIZATION | NORTH NAODAPARA BYPASS ROAD RAJSHAHI BANGLADESH | Local Govt Div,Min of Local Govt Rural Devt & Coop | OTHERS | 1,370,225.98 | 1,364,979.17 |
| Special Audit Firm | Grant 0298 | 18 May 2017 | Ernst and Young LLP (India) | 22 Camac St.Block-C 3Rd Floor Kolkata 700016 India | Local Government Division, Ministry of Local Government, Rural Development and Cooperation | Special Audit Firm | 161,175.00 | — |
| Special Audit Firm | Grant 0298 | 18 May 2017 | Ernst And Young Llp (India) | 22 Camac St.Block-C 3Rd Floor Kolkata 700016 India | Local Govt Div Min Of Local Govt Rural Devt & Coop | 161,175.00 | — |
Procurement Plan
| Title | Document Type | Document Date |
|---|---|---|
| Urban Primary Health Care Services Delivery Project - Additional Financing: Procurement Plan | Procurement Plans | Aug 2019 |
| Urban Primary Health Care Services Delivery Project: Procurement Plan | Procurement Plans | Mar 2016 |