Tajikistan: Improved Maternal and Child Health through Connectivity

Sovereign Project | 46077-001 Status: Closed
Project Name Improved Maternal and Child Health through Connectivity
Project Number 46077-001
Country Tajikistan
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Strategic Agendas Inclusive economic growth
Drivers of Change Partnerships
Sector / Subsector

Transport - Road transport (non-urban)

Gender Equity and Mainstreaming Some gender elements
Project Rationale and Linkage to Country/Regional Strategy

Project Outcome

Description of Outcome
Progress Toward Outcome All project activities were successfully completed by the end of September 2016. Assessment of the project progress towards outcome is ongoing.
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)

ROAD REHABILITATION: The civil works contract for rehabilitation of 9 km road and bridge was awarded on 3 September 2014 and signed on 5 September 2014. The main civil works were substantially completed by the end of 2015. In February 2016, ADB approved the Governments request to extend the main civil work contract until 30 June 2016 to allow improvement of further 1.5 km road section using remaining grant funds. Rehabilitation was completed by the end of June 2016.

Local contractors and communities in five targeted djamoats of Rasht district were trained in conducting day-to-day infrastructure maintenance and minor repair works. Besides, a joint road maintenance association was established among all five djamoats to enhance communities capacity for routine road maintenance. The joint association pooled together existing machinery and equipment from five djamoats. As the result, the association owned a grader, an excavator, and a loader, in addition to the available tools (clothing, shovels, pickaxes, etc). The project filled in the available gap in this list by procuring a dump-track, which was considered to be crucial for proper and timely cleaning of the road during mudflows and rock falls.

HEALTH COMPONENT: The project team in consultation with MOHSP and local authorities has identified the training needs of health workers (October 2013) and delivered training programs on obstetric/infant care (May 2014) (covering 80 staff or 100% of the targeted health workers), Integrated Management of Childhood Illnesses (IMCI) (October 2014), and TOT trainings (February 2015). Implementation of the awareness raising activities was completed in September 2016.

Besides, in December 2014 the project completed rehabilitation of a Diagnostic Center building of Rural Medical Facility in Jamoat Navobod (Rasht District). The project also procured a new ambulance (September 2014) and the required basic essential medical equipment, furniture, tools (December 2014) for the rural hospital in Navobod township.

Geographical Location Rasht district, Tajikistan

Summary of Environmental and Social Aspects

Environmental Aspects The due diligence confirmed that the Project does not pass through any environmentally sensitive areas and will not result in significantly negative environmental impacts, and therefore, for environmental safeguards the Project is classified as having environmental category B. MOT prepared an initial environmental examination (IEE) according to ADB's Safeguard Policy Statement (2009) and national legislation and regulations. The IEE was disclosed on ADB website on 24 September 2012. Project-affected people were duly consulted. The IEE includes an environmental management plan to minimize the Project's potential environmental impacts. MOT, assisted by an environmental expert, will be responsible for implementing the plan and submitting to ADB a semi-annual monitoring report.
Involuntary Resettlement The Project is categorized C for potential involuntary resettlement (IR) and indigenous peoples (IP) impacts since no land acquisition and impacts on IPs are foreseen. All activities will be conducted in the existing Right of Way (ROW) and other available land with no IR impacts. A due diligence mission to the project site was fielded and a report was prepared accordingly.
Indigenous Peoples No ethnic minorities that fall under the definition of ADB SPS (2009) on Indigenous Peoples are identified in the project site to trigger the policy application. The Project categorized as C.
Stakeholder Communication, Participation, and Consultation
During Project Design

The project was formulated in consultation with Ministry of Transport, the Ministry of Health, local governments, rural communities, and development partners concerned, particularly the Embassy of Japan in Tajikistan and the Japan International Cooperation Agency, as well as people affected by the project. ADB held several consultations with district authorities, communities, and women's groups to identify primary and secondary stakeholders, their perceptions of current problems, and interest in the project.

The project scope and approach have also been discussed with World Health Organization, United Nations Children's Fund, World Bank, GIZ, and Global Funds. All development partners agree on the importance of the project.

During Project Implementation

The project design promotes consultation among all stakeholders, including Ministry of Transport, Ministry of Health, the Ministry of Finance, local governments with active participation of community and jamoat leaders, district administrators, the Embassy of Japan in Tajikistan, Japan International Cooperation Agency, World Health Organization, United Nations Development Programme, United Nations Children's Fund, World Bank, GIZ, and Global Funds. Ministry of Transport will provide national coordination of the project and disseminate information on project activities to all project stakeholders and partners through consultation workshops, seminars, and public awareness campaigns.

The project will build the capacity of key local stakeholders (local government, community-based organizations, and contractors) to carry out community-based maintenance work through participatory planning and mobilizing local resources. The project will rely on a variety of training and awareness-raising channels, including community-based education, counseling, schools, parent-teacher associations, local organizations (i.e., farmer associations, village infrastructure maintenance associations) in developing and implementing behavior change communication activities

Business Opportunities

Consulting Services MOT will recruit all consultants under the project in consultation with ADB according to ADB's Guidelines on the Use of Consultants (2010, as amended from time to time). Individual international and national experts are expected to be hired for the positions of project manager (national, 36 person-months), technical advisor (international, 3 person-months), health coordinator (national, 36 person-months), environmental expert (national, 3 person-months), baseline survey and impact assessment, and monitoring and evaluation (4 person-months). MOT will recruit the independent external auditor using the consultants' qualifications selection (CQS).
Procurement Procurement under the project will be conducted in accordance with the Asian Development Bank (ADB) Procurement Guidelines (2010, as amended from time to time). Procurement of civil works will follow (i) international competitive bidding (ICB) procedure for bridge rehabilitation and/or road improvement contract that exceeds ICB threshold indicated in the procurement plan, and (ii) national competitive bidding (NCB) procedure for renovation of health facilities contract, a value of which meets the NCB threshold in the procurement plan. The shopping method will be used for procuring contracts less than the threshold indicated in the procurement plan for basic essential medical equipment, furniture, tools, new ambulance, and small-valued items, including office furniture. Local consulting firms will be engaged for printing information, education, and communication materials using a national short-listing given the small contracts amounts.

Responsible Staff

Responsible ADB Officer Nuriddinov, Farrukh Sharofiddinovich
Responsible ADB Department Central and West Asia Department
Responsible ADB Division Tajikistan Resident Mission
Executing Agencies
Ministry of Transport
[email protected]
14, Aini Street
Dushanbe 734042


Concept Clearance -
Fact Finding -
Approval -
Last Review Mission -
Last PDS Update 24 Mar 2017

Grant 9171-TAJ

Approval Signing Date Effectivity Date Closing
Original Revised Actual
07 Mar 2013 09 Apr 2013 09 Apr 2013 31 Mar 2016 30 Sep 2016 16 Mar 2017
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 0.43 Cumulative Contract Awards
ADB 0.00 07 Mar 2013 0.00 2.49 100%
Counterpart 0.43 Cumulative Disbursements
Cofinancing 0.00 07 Mar 2013 0.00 2.49 100%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - - - 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 Public Communications Policy (PCP) 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
Improved Maternal and Child Health through Connectivity: Semiannual Environmental Monitoring Report (January-June 2016) Environmental Monitoring Reports Jul 2016
Improved Maternal and Child Health through Connectivity: Semiannual Environmental Monitoring Report (July-December 2015) Environmental Monitoring Reports Jan 2016
Улучшение здоровья матери и ребенка через Интерфейсы: Полугодовой отчет мониторинга окружающей среды (январь -июнь 2015 года) Environmental Monitoring Reports Jul 2015
Improved Maternal and Child Health through Connectivity: Semiannual Environmental Monitoring Report (January-June 2015) Environmental Monitoring Reports Jul 2015
Improved Maternal and Child Health through Connectivity: Environmental Monitoring Report (October-December 2014) Environmental Monitoring Reports Apr 2015
Improved Maternal and Child Health through Connectivity: Environmental Monitoring Report (January-March 2015) Environmental Monitoring Reports Apr 2015
Improved Maternal and Child Health Through Connectivity Initial Environmental Examination Jan 2013
Проект по улучшению материнского и детского здоровья через развитие транспортного сообщения: Первоначальная экологическая оценка Initial Environmental Examination Jan 2013
Strengthened Maternal and Child Health Results through Improved Connectivity to CAREC Corridor 3 and 5 Initial Environmental Examination Sep 2012

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.

The Public Communications Policy (PCP) 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.


No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan