fbpx 44265-013: Second Health Care in the Central Highlands Project | Asian Development Bank

Viet Nam: Second Health Care in the Central Highlands Project

Sovereign (Public) 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.

Project Details

Project Officer
Xu, Ye Southeast Asia Department Request for information
Country
  • Viet Nam
Modality
  • Loan
Sector
  • Health
 
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
concessional ordinary capital resources lending / Asian Development Fund US$ 70.00 million
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
Description
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

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.

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)

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
Safeguard Categories
Environment B
Involuntary Resettlement B
Indigenous Peoples B
Summary of Environmental and Social Aspects
Environmental 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.

Involuntary Resettlement

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.
Business Opportunities
Consulting Services

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.

Procurement

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
Executing Agencies
Ministry of Health
138A Giang Vo Str.
Hanoi, Viet Nam
Timetable
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

Loan 3038-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
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%
Counterpart 6.60 Cumulative Disbursements
Cofinancing 0.00 30 Sep 2013 50.10 0.00 77%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory - Partly 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.

Title Document Type Document Date
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (January-June 2020) Environmental Monitoring Reports Jul 2020
Second Health Care in the Central Highlands Project: Social Monitoring Report (January-June 2020) Social Monitoring Reports Jul 2020
Second Health Care in the Central Highlands Project: Social Monitoring Report (July-December 2019) Social Monitoring Reports Jan 2020
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (July-December 2019) Environmental Monitoring Reports Jan 2020
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (January-June 2019) Environmental Monitoring Reports Sep 2019
Second Health Care in the Central Highlands Project: Social Monitoring Report (January-June 2019) Social Monitoring Reports Sep 2019
Second Health Care in the Central Highlands Project: Krong Buk District Hospital Subproject Resettlement Plan Resettlement Plans Sep 2019
Second Health Care in the Central Highlands Project: Social Monitoring Report (July-December 2018) Social Monitoring Reports Feb 2019
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (July-December 2018) Environmental Monitoring Reports Feb 2019
Second Health Care in the Central Highlands Project: Annual Monitoring Report on the Ethnic Group Development Plan 2018 Social Monitoring Reports Dec 2018
Second Health Care in the Central Highlands Project - Gia Lai Province: Safeguard Due Diligence Report Safeguards Due Diligence Reports Sep 2018
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (January-June 2018) Environmental Monitoring Reports Aug 2018
Second Health Care in the Central Highlands Project: Social Monitoring Report (January-June 2018) Social Monitoring Reports Jul 2018
Second Health Care in the Central Highlands Project: Environmental Monitoring Report (January-June 2017) Environmental Monitoring Reports Jun 2017
Second Health Care in the Central Highlands Project: Final Report on Ethnic Group Development Plan Safeguards Due Diligence Reports Jan 2017
Second Health Care in the Central Highlands Project - Lam Dong Province: Safeguards Due Diligence Report Safeguards Due Diligence Reports Nov 2016
Second Health Care in the Central Highlands Project - Kon Tum Province: Safeguards Due Diligence Report Safeguards Due Diligence Reports Aug 2016
Second Health Care in the Central Highlands Project - Dak Nong Province: Safeguards Due Diligence Report Safeguards Due Diligence Reports Mar 2016
Second Health Care in the Central Highlands Project: Ethnic Groups Development Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Dec 2015
Second Health Care in the Central Highlands Project: Safeguard Due Diligence Report Safeguards Due Diligence Reports Jul 2015
Second Health Care in the Central Highlands Project Initial Environmental Examination Sep 2013
Second Health Care in the Central Highlands Project: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Apr 2013

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
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

Contracts Awarded

Contract Title Approval Number Contract Date Contractor Contractor Address Executing Agency Contract Description Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
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

Procurement Plan