Viet Nam: Second Health Care in the Central Highlands Project

Sovereign Project | 44265-013 Status: Active


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.

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Procurement Notices See also: Operational Procurement

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Procurement Documents

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Project Name Second Health Care in the Central Highlands Project
Project Number 44265-013
Country Viet Nam
Project Status Active
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 3038-VIE: Second Health Care in the Central Highlands Project
Asian Development Fund US$ 70.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change 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

Project Outcome

Description of Outcome Increased use of health services, in particular maternal and child health services in district hospitals, ICPs, and CHSs
Progress Toward Outcome Recent review mission fielded in December 2015.
Implementation Progress
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)

ADB review mission met with EA in December, 2015 to review progress and had updated 2016 AOP including procurement plan in civil works and CAD projection. Since then EA has made solid progress in procurement of goods and consulting services (e.g. selected design and detail engineering firm for civil works; supervision firm for hospitals, CHS, ICP and waste water treatment; inspection service firm for vehicles and teaching/training equipment; IEC firm; advertised for external audit firm; web manager/development consultant). The EA also delivered revised Ethnic Group Development Plan and due diligence report on involuntary resettlement, environment, and indigenous people for civil works in Dak Nong.

Recruitment of national consultants for the preparation of detailed design for civil works of district hospitals, intercommunal polyclinics, commune health stations (CHS), and wastewater treatment plants. Likewise, recruitment of a consulting company for the development of civil works detailed design in Gia Lai and Lam Dong provinces has been initiated, with expected contract award by end Q2 2016. Recruitment of international civil works monitoring consultant and medical equipment specialist is also ongoing, with estimated mobilization by Q2 2016.

Terms of reference for the recruitment of consulting firm to provide quality assurance of health care and training have been approved by ADB in February 2016, with expected commencement of services by Q2 2016. CPMU will also collaborate with Hue University of Medicine and Pharmacy, Tay Nguyen University, and University of Medicine and Pharmacy HCMC for the long-term training programs.

Training of trainers courses have been conducted and completed in May and June for safe motherhood for midwives and doctors in May and October 2015.

Qualified institutes have been selected to develop and update curriculum, training

materials for (i) pre-service training for village health works and village birth attendants; (ii) training in health center management, hygiene and quality assurance for CHS/ICP heads; (iii) in-service training for nurses, midwives and technicians; (iv) TOT in medical pedagogical methodologies to improve teaching capacity for teachers/lecturers of medical schools/hospitals. The first course of

TOT in medical pedagogical methodologies has been completed in December 2015.

The recent review mission received a request to fund a waste water treatment plant in Dak R'Lap as the treatment plants in Tuy Duc and Cu Jut will be finance by government bonds. The EA also requested several re-packaging of civil works in Dak Nong, Dak Lak, and Kon Tum in consideration of actual needs of the project, PPC capacity to conduct the bidding process, and schedule of civil works activities.

Procurement of office equipment for CPMU and PPMU has been completed. Remaining procurement for 3 provinces will be completed by Q2 2016. The EA also requested re-packaging of various equipment contracts, and inclusion of custom clearance, insurance and inland transportation costs to equipment packages. ADB review of first NCB package on teaching/training equipment has been completed, including revised contract amount to incorporate insurance costs. Standard bidding documents are currently being revised by the EA.

Curriculum and training materials for in-service training for village health works have been approved by Dak Nong and Lam Dong provinces and completed in December 2015.

Geographical Location

Safeguard Categories

Environment B
Involuntary Resettlement C
Indigenous Peoples B

Summary of Environmental and Social Aspects

Environmental Aspects To be validated during project implementation.
Involuntary Resettlement Category C. No resettlement issues envisaged.
Indigenous Peoples To be validated during project implementation.
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.

Business Opportunities

Consulting Services

All procurement of goods and works will be undertaken in accordance with ADB Procurement Guidelines (2013, as amended from time to time). MOH will advertise all consulting opportunities through the Consultant Management System at EA will obtain user login credentials from ADB.

The project has completed recruitment of international individual consultants and national individual

consultants. Engagement of consulting firms will be undertaken for (i) information, education and communication (IEC); (ii) training program and health care quality insurance; (iii) civil works detail design and supervision (four firms); and (iv) financial audit. Consulting firms will be hired under Quality- and Cost-Based Selection (QCBS), Quality-Based Selection (QBS), Least Cost Selection (LCS).


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.

Responsible Staff

Responsible ADB Officer Gerard Servais
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
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 30 Mar 2016

Loan 3038-VIE

Approval Signing Date Effectivity Date Closing
Original Revised Actual
30 Sep 2013 08 Nov 2013 23 Jun 2014 31 Dec 2019 - -
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 1.52 0.00 2%
Counterpart 6.60 Cumulative Disbursements
Cofinancing 0.00 30 Sep 2013 1.39 0.00 2%

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

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Related Publications

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