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Bangladesh: Urban Primary Health Care Services Delivery Project

Sovereign (Public) Project | 42177-013 Status: Active

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 Details

Project Officer
Ahad, Faiza South Asia Department Request for information
Country
  • Bangladesh
Modality
  • Grant
  • Loan
  • Technical Assistance
Sector
  • Health
 
Project Name Urban Primary Health Care Services Delivery Project
Project Number 42177-013
Country Bangladesh
Project Status Active
Project Type / Modality of Assistance Grant
Loan
Technical Assistance
Source of Funding / Amount
Grant 0298-BAN: Urban Primary Health Care Services Delivery Project
Government of Sweden US$ 20.00 million
Loan 2878-BAN: Urban Primary Health Care Services Delivery Project
concessional ordinary capital resources lending / Asian Development Fund US$ 50.00 million
TA 8118-BAN: Supporting the Urban Primary Health Care Services Delivery Project
Technical Assistance Special Fund US$ 400,000.00
Grant 0607-BAN: Urban Primary Health Care Services Delivery Project - Additional Financing
Urban Climate Change Resilience Trust Fund under the Urban Financing Partnership Facility US$ 2.00 million
Loan 3705-BAN: Urban Primary Health Care Services Delivery Project - Additional Financing
concessional ordinary capital resources lending / Asian Development Fund US$ 110.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Partnerships
Private sector development
Sector / Subsector

Health / Health sector development and reform - Health system development

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.

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)

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 24 PANGOs signed partnership agreements. CCC 5 PAs did not contract. Gopalgonj Municipal Health Department continues its services until project completion date. 10 CRHCCs and 19 PHCCCs have been completed. 7 maintenance works for CRHCCs and PHCCs are completed.
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)

Recruitment process completed.

Accounting system has been computerized using Tally software.

Quarterly progress reporting is being produced regularly.

- Urban Health Coordination Committee has been formed headed by Additional Secretary (Urban Development)

- PPP contract management training not arranged yet

- Present data collection format through HMIS need to improve to incorporate gender responsive data

Achieved.

Achieved. As of July 2017, a total of BDT105.29 million has been deposited to the Urban Health Sustainability Fund.

All major services are delivered free of cost to the red card holders.

10 CRHCCs and 19 PHCCCs have been completed. 7 maintenance works for CRHCCs and PHCCs were completed.

Indicators were monitored by PMU QA team and PPME firm.

Indicators were monitored by PMU QA team and PPME firm.

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
Involuntary Resettlement
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 04 Jul 2019

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 -
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 17.72 100%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 20.00 18 Jul 2012 0.00 17.28 97%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating 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 1.21 61%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 2.00 18 Sep 2018 0.00 0.91 45%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating 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 -
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 44.25 0.00 95%
Counterpart 11.00 Cumulative Disbursements
Cofinancing 0.00 18 Jul 2012 44.63 0.00 95%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating 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 46.13 0.00 42%
Counterpart 30.00 Cumulative Disbursements
Cofinancing 0.00 18 Sep 2018 16.29 0.00 15%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating 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 -

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.

Title Document Type Document Date
Urban Primary Health Care Services Delivery Project – Additional Financing: Audited Project Financial Statements (July 2018-June 2019) Audited Project Financial Statements Dec 2019
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (July 2017-June 2018) Audited Project Financial Statements Jan 2019
Amendment to the Loan Agreement for Loan No. 2878-BAN (SF): Urban Primary Health Care Services Delivery Project Loan Agreement (Special Operations) Jun 2018
Amendment to the Grant Agreement for Grant No. 0298-BAN: Urban Primary Health Care Services Delivery Project Grant Agreement Jun 2018
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (1 July 2016-30 June 2017) Audited Project Financial Statements Dec 2017
Bangladesh Project Stories: Health Needs of the Needy, Answered Documents Produced Under Grant/Loans/TA Jul 2017
Project Brief: Bangladesh Urban Primary Health Care Services Delivery Project Documents Produced Under Grant/Loans/TA Jul 2017
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (30 June 2015-30 June 2016) Audited Project Financial Statements Dec 2016
Urban Primary Health Care Services Delivery Project - Additional Financing: Project Preparatory Technical Assistance Report Project Preparatory Technical Assistance Reports Aug 2016
Urban Primary Health Care Services Delivery Project - Additional Financing: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Aug 2016
Urban Primary Health Care Services Delivery Project: Procurement Plan Procurement Plans Mar 2016
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (30 June 2014-30 June 2015) Audited Project Financial Statements Jan 2016
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (30 June 2013 - 20 June 2014) Audited Project Financial Statements Dec 2014
Supporting the Urban Primary Health Care Services Delivery Project: TA Completion Report TA Completion Reports Sep 2014
Supporting Urban Primary Health Care Services Delivery Project: Simple Poverty Scorecard for Identification of the Ultra Poor and Poor Consultants' Reports Aug 2014
নগর প্রাথমিক স্বাস্থ্য সেবা প্রদান প্রকল্প : প্রকল্প তথ্যপত্র Translated PDS Jul 2014
Supporting Urban Primary Health Care Services Delivery Project: Behaviour Change Communication Strategy Consultants' Reports Jun 2014
Supporting Urban Primary Health Care Services Delivery Project: Training and Capacity Development Strategy Consultants' Reports Jun 2014
Urban Primary Health Care Services Delivery Project: Audited Project Financial Statements (For the Year Ended 30 June 2013) Audited Project Financial Statements Nov 2013
Project Agreement for Urban Primary Health Care Services Delivery Project Project/Program Agreements Sep 2012
Grant Agreement (Externally Financed) for Urban Primary Health Care Services Delivery Project Grant Agreement Sep 2012
Loan Agreement (Special Operations) for Urban Primary Health Care Services Delivery Project Loan Agreement (Special Operations) Sep 2012
Urban Primary Health Care Services Delivery Project Gender Action Plans Jun 2012
Urban Primary Health Care Services Delivery Project Project/Program Administration Manual Jun 2012
Proposed Loan, Technical Assistance Grant, and Administration of Grant: Urban Primary Health Care Services Delivery Project Reports and Recommendations of the President Jun 2012

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.

Tenders

Tender Title Type Status Posting Date Deadline
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
Environment Specialist Individual - Consulting Closed 09 Apr 2019 15 Apr 2019
Gender 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$) Contract Amount Financed by ADB (US$)
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 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 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 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-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 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-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