Myanmar: Greater Mekong Subregion Capacity Building for HIV/AIDs Prevention

Sovereign Project | 46490-001 Status: Active

Summary

The grant development objective is to contribute towards achieving the Millennium Development Goal (MDG) targets by reversing/managing the spread of HIV/AIDS in Myanmar. The project will increase the coverage and quality of information and services (prevention, treatment, and care) for targeted populations along and near the economic corridors.

The development objective will be achieved by: (i) strengthened planning and management capacity at national, state or regional, and township levels; (ii) enhanced capacity to provide quality and accessible services; (iii) improved access to community outreach among target populations; and (iv) monitoring and project management.

Latest Project Documents

Consulting Notices See also: CMS

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Procurement Notices See also: Operational Procurement

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Procurement Documents


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Project Name Greater Mekong Subregion Capacity Building for HIV/AIDs Prevention
Project Number 46490-001
Country Myanmar
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 9176-MYA: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention
Japan Fund for Poverty Reduction US$ 10.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Governance and capacity development
Partnerships
Sector / Subsector

Health - Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Description

The grant development objective is to contribute towards achieving the Millennium Development Goal (MDG) targets by reversing/managing the spread of HIV/AIDS in Myanmar. The project will increase the coverage and quality of information and services (prevention, treatment, and care) for targeted populations along and near the economic corridors.

The development objective will be achieved by: (i) strengthened planning and management capacity at national, state or regional, and township levels; (ii) enhanced capacity to provide quality and accessible services; (iii) improved access to community outreach among target populations; and (iv) monitoring and project management.

Project Rationale and Linkage to Country/Regional Strategy

Myanmar remains one of the poorest countries in the Asia and Pacific region, with a per capita GDP of $857 and a Human Development Index rank of 149 out of 187 countries; 26% of

its population was living in poverty in 2010.13 Poverty is highest in the rural and remote border regions, which are the target areas for this development assistance. Myanmar''s health sector has long been underfunded and had very low levels of spending. Out-of-pocket spending comprised the majority of health spending, followed by government and donor assistance.

Project funds are designed to address urgent needs for improved health planning and delivery of HIV services in the most vulnerable areas. The project is ADB's first grant assistance for health in Myanmar since its recent re-engagement and will facilitate mutual learning for working together and developing a better understanding of the needs and priorities for future assistance programs.

Impact Contribute towards achieving the Millennium Development Goal targets by reversing/managing the spread of HIV/AIDS in Myanmar

Project Outcome

Description of Outcome

Increased coverage and quality of information and services (prevention, treatment, and care) for targeted

populations along and near the economic corridors

Progress Toward Outcome
Implementation Progress
Description of Project Outputs

Strengthened planning and management capacity at national, state or regional, and township levels

Enhanced capacity to provide quality and accessible services

Improved access to community outreach among target populations

Monitoring and project management

Status of Implementation Progress (Outputs, Activities, and Issues)

The capacity assessment which will be conducted by UNAIDS was delayed til Q4 given the late approval (June 2015) of the contract agreement between ADB and UNAIDS.

The preparation of the township plans supported by UNAIDS will tentatively be developed by Q1 2016-given the delayed approval of the contract agreement between ADB and UNAIDS.

Geographical Location

Safeguard Categories

Environment C
Involuntary Resettlement C
Indigenous Peoples B

Summary of Environmental and Social Aspects

Environmental Aspects The project will support the construction, rehabilitation, and operation of health facilities, including improved water, sanitation, and waste management systems. No significant impact on environment is expected.
Involuntary Resettlement The project will not involve any involuntary resettlement impacts. Health facilities will be constructed on government land that is unencumbered or free from any temporary users (not used for residential, business, or productive purposes).
Indigenous Peoples Myanmar is one of the most ethnically diverse countries in the world. The project sites are home to majority populations of Shan, Kayin, and Mon peoples. The project includes a significant proportion of ethnic groups among its beneficiaries in the targeted townships. Remoteness and language differences constrain effective STI/HIV and communicable disease programs in areas populated by minority groups. Furthermore, periods of internal conflict have aggravated health threats among some minority ethnic groups due to constraints on resources, displacement, and migration. These factors can lead to an increased prevalence of disease. Surveys near the Myanmar-Thai border show high levels of STIs and malaria. The ethnic groups' plan ensures analyses of ethnic peoples' needs and their participation in and access to benefits of the project. The project's design gives high priority to including ethnic minority peoples in training and community-based activities, as well as ensuring that HIV prevention services reach these populations and are culturally appropriate.
Stakeholder Communication, Participation, and Consultation
During Project Design Consultations were held in Myanmar with government agencies, development partners, NGOs, the Japan International Cooperation Agency (JICA), and the Embassy of Japan during project preparation and fact-finding and consultation missions in September 2012, and in January, March, and July 2013. Field visits were made to health centers in Mon and Kayin states in January 2013 and consultations were held with project stakeholders and beneficiaries, including women, villagers, health staff, local government officials, and NGOs and CBOs. At all levels project stakeholders were invited to provide suggestions on the project's design, scope, implementing arrangements, opportunities for partnerships, and lessons learned from similar interventions in the region and in the country. Opportunities to partner with the UN and NGOs or CBOs on key focus areas were also identified during project preparation. The views of stakeholders consulted have been incorporated into the project's design and implementation arrangements.
During Project Implementation

Business Opportunities

Consulting Services A combination of individual consultants (among others, to staff the PMU); international and local NGOs; consulting firms specializing in surveys, studies, M&E; and others will be recruited in accordance with ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).
Procurement All goods and civil works will be procured in accordance with ADB's Procurement Guidelines (2013, as amended from time to time). Goods and civil works estimated to cost above $25,000 will be procured through national competitive bidding (NCB). Goods and civil works estimated to cost $25,000 or less will be procured by shopping.

Responsible Staff

Responsible ADB Officer Elaine Thomas
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Department of Health
No. 36 Theinbyu Road
Yangon
Union of Myanmar

Timetable

Concept Clearance 20 Dec 2012
Fact Finding 21 Jan 2013 to 29 Jan 2013
MRM 23 Aug 2013
Approval 11 Dec 2013
Last Review Mission -
Last PDS Update 29 Mar 2016

Grant 9176-MYA

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
11 Dec 2013 04 Jun 2014 04 Jun 2014 30 Jun 2018 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 10.75 Cumulative Contract Awards
ADB 0.00 11 Dec 2013 0.00 1.94 19%
Counterpart 0.75 Cumulative Disbursements
Cofinancing 10.00 11 Dec 2013 0.00 1.08 11%

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
GMS Capacity Building for HIV/AIDs Project: Ethnic Groups Plan Indigenous Peoples Plans/Indigenous Peoples Development Plans Aug 2013

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


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