ADB is helping Viet Nam improve health and nutrition in the Central Highlands, in particular for women, children, the poor, and ethnic groups. The project will further reduce maternal and child mortality by addressing access to and quality gaps in commune health stations and hospitals and by strengthening provincial health management in five provinces.
|Project Name||Second Health Care in the Central Highlands 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 / Health system development
|Gender Equity and Mainstreaming||Gender equity|
|Project Rationale and Linkage to Country/Regional Strategy|
|Impact||Improved health and nutrition in the central highlands, in particular for women, children, the poor, and ethnic groups|
|Description of Outcome||Increased use of health services, in particular maternal and child health services in district hospitals, ICPs, and CHSs|
|Progress Toward Outcome||
The status of the four outcome indicators are either on track or already achieved.
(1) On track. Outpatient visits per person per year to district hospitals reached 0.78 from 0.47 in 2014, a 66% increase. Outpatient visits to CHSs reached 0.95 from 0.67 per person per year, a 42% increase.
(2) On track. Inpatient visits per person per year to district hospitals and ICPs reached 0.09, a 28% increase.
(3) Achieved. Proportion of ethnic women deliveries assisted by skilled staff reached 90%.
(4) Achieved. Under-5 child malnutrition was reduced to 16.5% from 22.6% in 2014, a 27% reduction.
|Description of Project Outputs||
1. Improved access and quality of community health care
2. Increased access and quality of hospital services
3. Strengthened provincial health system management
|Status of Implementation Progress (Outputs, Activities, and Issues)||
Output 1: Improved access and quality of community health care -- All four indicators under Output1 have been achieved:
(1) Achieved. Achieved. Proportion of CHSs meeting 80% of the national quality benchmarks increased to 87%
(2) Achieved. Proportion of CHSs with at least one medical doctor increase to 92%
(3) Achieved. Number of female doctors in CHSs increased by 17% to 300
(4) Achieved. 57 CHS were built or renovated and equipped. 10 ICPs were awarded contracts for medical equipment with contract completion by Q1 2020.
Output 2: Increased Access and Quality of Hospital Services -- There are five indicators under Output 2; 4 of which have been achieved and 1 is on track/still partially achieved.
(1) Achieved. Proportion of district hospitals meeting 80% of the national quality benchmark (national inventory checklist) increased by 165% reaching 31%
(2) Achieved. 484 level-1 specialists are posted in district hospitals or 9.13 specialists per hospital (27% of whom, or 130 specialists, are female)
(3) Achieved. Number of district hospital beds in the region increased by 1,810 (from 4,410 to 6220); obstetrics and pediatric beds account for 43.6% (2,717)
(4) Achieved. Hospital infection control systems that meet national quality benchmark put in place in 50% of hospitals.
(5) Partially achieved and on track. One district hospital has been built. Five district hospitals have been upgraded and three district hospitals (in Gia Lai) are expected to be completed in Q1 2020. Forty facilities at district and provincial level have been provided with equipment.
Output 3: Strengthened Provincial Health System Management -- All four indicators under Output 3 have been achieved.
(1) Achieved. 91% of district senior managers achieving 80% of quality benchmark
(2) Achieved. Proportion of women among district senior managers increased by 10% to 61 senior health managers.
(3) Achieved. 100% of provincial annual operation plans meeting 80% of minimum benchmarks, including funding for maintenance of buildings and equipment, and in-service training
(4) Achieved. Provincial training systems put in place in all five provinces (100%).
|Geographical Location||Dak Nong, Gia Lai, Kon Tum, Tinh Dak Lak, Tinh Lam Dong|
|Summary of Environmental and Social Aspects|
The environmental management system of the project has been well established given all environmental requirements from both ADB and the
Government have been addressed and respective corrective action plans have been proposed and implemented.
In general, the contractors for commune health stations have paid little attention to the environmental mitigation and safety measures such almost contractors do not have enough fence system, warning sign boards or guard rail, safety net for the sites at height. Other non-compliance issues that have been noted during this period, include limited provision of personal protective equipment (PPE) to workers, workers not enjoined to wear PPE, improper management of construction waste, etc.
The contractors are trying to comply with the required environmental management measures. The PPMUs, with assistance from CSCs is continually conducting discussions and reminding the contractors to improve the implementation of environmental measures. The CSCs are regularly monitoring the contractors' performance through their daily site inspections.
The CSCs have already included a more detailed section using the report template and the checklists on the contractors' environmental
management activities and performance in monthly progress reports.
Environmental Monitoring Report (July-December 2019) is disclosed.
In the last 6 months of 2019, the project activities have complied with social safeguards requirements. The land acquisition and handing over of the site in the Krong Buk sub-project has been completed. There was no complaint arising in the last 6 months of 2019.
As of 31 December 2019, land acquisition and site handover activities for construction sites of 5 project provinces have been completed. All sub-projects with land acquisition activities comply well with the regulations of ADB donors and the Government of Vietnam on resettlement and social safeguards policies.
Training and communication activities are still ongoing, basically meeting the targets set out for the ethnic minority development framework and gender development plan. In the last 6 months of 2019, many activities have been completed, many of the Project's targets on training and communication for the ethnic minority have been met. The benefits from training and communication activities have triggered a clear effect to ethnic minorities in improving professional capacity for ethnic minority health workers.
Activities of primary health care for people in the community have basically completed the targets of the Project. This result has good effects on the awareness and attitudes of ethnic minorities in primary health care, especially in maternal and child health care for ethnic minorities at 5 Central Highlands province.
Social Monitoring Report (July-December 2019 is disclosed.
|Indigenous Peoples||The Ethnic Group Development Plan (EGDP) is being implemented. Updates are provided in the EGDP 2018 report. Findings of EGDP implementation are also included in the semiannual social safeguard monitoring reports.|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design||Consultation and participation during PPTA or project processing were seminars and workshops conducted such as: (i) inception, midterm, and final seminars involving all the project stakeholders; and (ii) a workshop involving decision makers, planners, managers, and representatives from the provinces and districts on specific policy and regulatory framework.|
|During Project Implementation||Continuous dialogue and consultation with government, development partners and relevant stakeholders.|
All procurement of goods and works follow ADB Procurement Guidelines (2013, as amended from time to time). MOH will advertise all consulting opportunities through the Consultant Management System at www.adb.org.
The project has completed recruitment of international individual consultants and national individual consultants. The project has the following consulting firm assignments: (i) information, education and communication (completed); (ii) training program and health care quality insurance (completed); (iii) civil works detail design and supervision (four firms, ongoing); and (iv) financial audit (FY2015, FY2016, & FY2017 are all completed; and FY2018-2019 is ongoing). The project has 5 remaining consulting assignments to be implemented in Q1 2019. Details of these consulting packages are included in the published Procurement Plan of the project.
International competitive bidding (ICB) procedures will be used for civil work contracts estimated to cost $5,000,000 or more; national competitive bidding (NCB) procedures will be used for civil work contracts below $5,000,000. For Goods, ICB procedures will be used for goods valued at $3,000,000 or above; NCB procedures will be used for goods valued below $3,000,000; Civil works contracts and goods costing $100,000 or less will be procured through shopping.
Civil works procurement packages and other equipment will be awarded based on local competition and will be managed by the five PPMUs with supervision by the Central level and ADB when they are below $1,000,000. Above this level the CPMU will take a leading role and the bidding methodology will be international and national but the bidding process will be launched locally in the provinces.
Medical equipment and supplies packages will be procured by CPMU on basis of ICB, NCB, shopping or direct purchase. Vehicles (hospital ambulances and district outreach vehicles) will be procured through ICB.
Details on the procurement activities, including remaining packages under the project are reported in the published Procurement Plan of the project.
|Responsible ADB Officer||Xu, Ye|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Human and Social Development Division, SERD|
Ministry of Health
138A Giang Vo Str.
Hanoi, Viet Nam
|Concept Clearance||05 Dec 2011|
|Fact Finding||21 Jan 2013 to 02 Feb 2013|
|MRM||08 Apr 2013|
|Approval||30 Sep 2013|
|Last Review Mission||-|
|Last PDS Update||31 Mar 2020|
|Approval||Signing Date||Effectivity Date||Closing|
|30 Sep 2013||08 Nov 2013||23 Jun 2014||31 Dec 2019||30 Jun 2020||-|
|Financing Plan||Loan Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||76.60||Cumulative Contract Awards|
|ADB||70.00||30 Sep 2013||49.30||0.00||76%|
|Cofinancing||0.00||30 Sep 2013||50.10||0.00||77%|
|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.
Evaluation Documents See also: Independent Evaluation
None currently available.
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.
|Tender Title||Type||Status||Posting Date||Deadline|
|Survey on maternal and infant mortality rate||Firm - Consulting||Closed||02 Dec 2019||02 Jan 2020|
|Project Endline Survey||Firm - Consulting||Closed||15 Nov 2019||16 Dec 2019|
|Audit services for FY 2020||Firm - Consulting||Closed||01 Nov 2019||02 Dec 2019|
|Recruitment of an auditing firm for FY 2018-2019||Firm - Consulting||Closed||26 Oct 2018||26 Nov 2018|
|Loan 3038-VIE (SF): Second Health Care in the Central Highlands Project [E8]||Invitation for Bids||Closed||02 Jan 2018||27 Feb 2018|
|Loan 3038-VIE (SF): Second Health Care in the Central Highlands Project [E9]||Invitation for Bids||Closed||02 Jan 2018||27 Feb 2018|
|Loan 3038-VIE (SF): Second Health Care in the Central Highlands Project [E10]||Invitation for Bids||Closed||02 Jan 2018||28 Feb 2018|
|Loan 3038-VIE (SF): Second Health Care in the Central Highlands Project [E11]||Invitation for Bids||Closed||02 Jan 2018||28 Feb 2018|
|Recruitment of independent consulting firm for conducting selected research||Firm - Consulting||Closed||30 Oct 2017||28 Nov 2017|
|Recruitment of audit firm for FY2017||Firm - Consulting||Closed||25 Oct 2017||23 Nov 2017|
|Recruitment of the Project Midterm Evaluation Firm||Firm - Consulting||Closed||13 Oct 2017||13 Nov 2017|
|Procurement Consultant - Consulting services||Individual - Consulting||Closed||14 Sep 2017||21 Sep 2017|
|NATIONAL PROJECT OFFICER (COORDINATOR/TRAINING)||Individual - Consulting||Closed||06 Sep 2017||18 Sep 2017|
|NATIONAL FINANCIAL MANAGEMENT/DISBURSEMENT SPECIALIST||Individual - Consulting||Closed||14 Jul 2017||30 Jul 2017|
|Contract Title||Approval Number||Contract Date||Contractor||Contractor Address||Executing Agency||Contract Description||Total Contract Amount (US$)||Contract Amount Financed by ADB (US$)|
|CS-35: SURVEY ON MATERNAL AND INFANT MORTALITY RATE CONSULTING FIRM||Loan 3038||13 Mar 2020||CENTER FOR ENVIRONMENT AND HEALTH STUDIES||4TH FLOOR N8A8 NGUYEN THITHAP THANHXUAN HANOI VIET NAM,SOC REP OF||Ministry of Health||CONSULTANCY||116,333.48||114,619.50|
|CS6 AUDIT SERVICES FOR APFS FY 2018 TO 2019||Loan 3038||12 Apr 2019||UHY AUDITING AND CONSULTING COMPANY LIMITED||9TH FLOOR HL TOWER 82 DUY TAN DICH VONG HAU WARD CAU GIAY DISTRICT HANOI VIET NAM,SOC REP OF||Ministry of Health||CONSULTANCY||144,538.24||143,732.50|
|MEDICAL EQUIPMENT FOR INFECTION CONTROL DEPTS PACKAGE E9.1||Loan 3038||06 Sep 2018||BMS MEDICAL TECHNOLOGY JSC||LOT NV B56 TRUNG HOA NHAN CHINH BOROUGH THANH XUAN DISTRICT VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||1,221,890.00||1,221,890.00|
|MEDICAL EDQUIPMENT FOR INPATIENT-OB/GYN PEDIATRICS PACKAGE E9.2||Loan 3038||06 Sep 2018||MEDINSCO MEDICAL EQUIPMENT JOINT STOCK COMPAN||1ST FLOOR N4A-B BUILDING LE VAN LUONG STREET NHAN CHINH WARD THAN XUAN DISTRIC VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||2,238,311.00||2,238,311.00|
|EQUIPMENT FOR IMAGING DIAGNOSTICS DEP -PACKAGE E10||Loan 3038||06 Sep 2018||TAI LOC TECHNOLOGY SERVICES AND VIETNAM-KOREA||NO.7 ALLEY 128 HOANG VAN THAU KHUONG MAI WARD THANH XUAN DISTRICT HANOI VIET NAM VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||2,161,260.00||2,161,260.00|
|PROCUREMENT OF MEDICAL EQUIPMENT FOR OPERATING ROOMS (PACKAGE E11)||Loan 3038||15 Aug 2018||JV ARMYPHARM JSC AND HA CAO MEDICAL EQUIPMENT||NO. 55 CUM TRAM LONG BIEN WARD LONG BIEN DISTRICT HANOI VIET NAM VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||2,650,000.00||2,650,000.00|
|PROCUREMENT OF MEDICAL EQUIPMENT FOR EMERGENCY AND INTENSIVE CARE DEPARTMENT (PACKAGE E8 LOT 1)||Loan 3038||15 Aug 2018||HDN INVESTMENT JSC||NO 19 LANE 61 HOAN CAU STREET O CHO DUA WARD DONG DA DISTRICT HANOI VIETNAM VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||1,741,278.00||1,741,241.00|
|PROCUREMENT OF MEDICAL EQUIPMENT FOR LABORATORIES (PACKAGE E8 LOT 3)||Loan 3038||15 Aug 2018||THANH HOA MEDICAL MATERIALS EQUIPMENT JSC||109 NGUYEN TRAI STR. BA DINH WARD THAN HOA PROVINCE VIET NAM VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||1,193,952.00||1,193,952.00|
|PROCUREMENT OF SOLID WASTE MANAGEMENT EQUIPMENT||Loan 3038||13 Jan 2018||TAY BAC A TECHNOLOGY JOINT STOCK COMPANY||6TH FLR, 25T2 BLDG. HOANG DAO THUY ST. TRUNG HOA WARD, CAU GIAY DIST., HANOI VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||1,402,844.00||1,402,844.00|
|SIGNED CONTRACT FOR INFORMATION EDUCATION AND COMMUNICATION (CS-4/QBS)||Loan 3038||27 Oct 2017||CENTER FOR ENVIRONEMNT HEALTH STUDIES||4TH FLOOR, N8A8, NGUYEN THI THAP THANH XUAN, HANOI VIET NAM,SOC REP OF||Ministry of Health||251,409.00||251,276.00|
|SIGNED CONTRACT FOR RECRUITMENT OF QUALITY ASSURANCE OF HEALTH CARE AND TRAINING FIRM (CS-5/ QBS)||Loan 3038||27 Oct 2017||HEALTH ECONOMICS RESEARCH & CONSULTING CENTER||NO.13 HOUSE E, MIN.OF HEALTH COLLECTIVE 138 GIANG VO, BA DINH, HANOI VIET NAM,SOC REP OF||Ministry of Health||272,226.00||272,083.00|
|SIGNED CONTRACT FOR PROCUREMENT OF AMBULANCES||Loan 3038||01 Aug 2017||AN PHU THANH IMPORT-EXPORT JSC||329 CAU GIAY, DICH VONG CAU GIAY, HANOI VIET NAM,SOC REP OF||Ministry of Health||SUPPLY OF GOODS||1,104,350.00||1,104,350.00|
|Signed Contracts for Construction of Krong Buk District Hospital (Lot 1: Sand Filling; Lot 2: Construction of Main Building, Etc.)||Loan 3038||25 May 2017||Dak Lak Construction Joint Stock Company||25 Le Duan, Buon Me Thuot City Dak Lak Province, Viet Nam, Soc Rep of||Ministry of Health||Construction||3,651,483.00||3,085,310.00|
|Improvement/Strengthening of Roads under Package C4J in Almora District||Loan 3038||24 Apr 2017||Various||Various United States||Ministry of Health||Others||225,000.00||225,000.00|
|Various Contracts under WA 00012||Loan 3038||20 Mar 2017||Various||Various Viet Nam||Ministry of Health||Others||212,364.18||212,364.18|
|Signed Contracts for International Consultants: 1. Civil Works ($180,000); 2. Medical Equipment ($45,000)||Loan 3038||06 Mar 2017||Dak Lak Construction Investment and Housing||29A Nguyen Cong Tru, Buon Me Thuot City Dak Lak Province Viet Nam||Ministry of Health||Construction||296,705.40||253,534.63|
|Procurement of Office Equipment Gia Lai; Additional Equipment for CHSS and ICPS-GIA Lai and Wastewater and Sanitation Equipment Gia Lai; Signed Contract for Construction/Upgrade of ICP 719||Loan 3038||06 Mar 2017||Various||Various Viet Nam||Ministry of Health||Others||219,373.41||219,373.41|
|Various Contracts under WA 0010||Loan 3038||22 Feb 2017||Various||Various Viet Nam||Ministry of Health||Others||312,767.59||312,767.59|
|Signed Contract for Upgrade of District Hospital in Dakrlap||Loan 3038||20 Jan 2017||Ngu Hanh Son Construction and Trading Co.||76 To Huu, Khanh Xuan, Buon Ma Thuot City, Dak Lak Viet Nam||Ministry of Health||Construction||1,114,610.26||938,231.38|
|Signed Contract for Construction of Wastewater Treatment Plant in Dakrlap Hospital (CW3.3)||Loan 3038||20 Jan 2017||Gia Viet Architecture Joint Stock Company||59 Hoang Van Thu, Quang Ngai City Quang Ngai Province Viet Nam||Ministry of Health||Construction||195,956.40||164,947.74|
|Signed Contract for Construction of Oxygen Supply System in District Hospitals of Dakrlap, Krong No and Cu Jut||Loan 3038||20 Jan 2017||Central Highlands Medical Equipment Trading||32 Tran Huu Duc, Tan Loi Buon Ma Thuot City, Dak Lak Viet Nam||Ministry of Health||Construction||873,872.67||735,585.78|
|Signed Contract for Supervision Firm for Construction of District Hospitals and Wastewater Treatment Plants (F01/QCBS)||Loan 3038||10 Jan 2017||Thang Long Construction Architecture Design||02 House A8A Thanh Xuan Bac Collective Zone, Than Xuan Bac Ward, Hanoi, Viet Nam||Ministry of Health||Consultancy||585,896.57||—|
|Signed Contract for Provision of Teaching/Training Equipment (Package E4) Lot 1: Medical Equipment||Loan 3038||09 Jan 2017||Professional Technology of Medicines Co., Ltd.||72 Thai Thinh 1 Lane, Dong Da Hanoi Viet Nam||Ministry of Health||Supply of Goods||159,673.20||159,077.67|
|Signed Contract for Provision of Teaching/Training Equipment (Package E4) Lot 2: Office Equipment||Loan 3038||09 Jan 2017||Cinema-Broadcast Joint Stock Company||65 Tran Hung Dao, Hoan Kiem Hanoi Viet Nam||Ministry of Health||Supply of Goods||286,203.66||285,136.20|
|Title||Document Type||Document Date|
|Second Health Care in the Central Highlands Project: Procurement Plan||Procurement Plans||Nov 2019|