fbpx 47137-004: Strengthening Capacity for Health Sector Governance Reforms | Asian Development Bank

Lao People's Democratic Republic: Strengthening Capacity for Health Sector Governance Reforms

Sovereign (Public) Project | 47137-004 Status: Closed
Project Name Strengthening Capacity for Health Sector Governance Reforms
Project Number 47137-004
Country Lao People's Democratic Republic
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9190-LAO: Strengthening Capacity for Health Sector Governance Reforms
Japan Fund for Poverty Reduction US$ 2.00 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Private sector development
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Project Rationale and Linkage to Country/Regional Strategy
Impact Universal health coverage achieved by 2025 (Health Sector Reform Strategy)
Project Outcome
Description of Outcome Key components of subprogram 2 of the Health Sector Governance Program implemented
Progress Toward Outcome

The CDTA team, with the cooperation of MOH, MOF and MPI, worked on the achievement of all Subprogram 2 triggers by January 2018.

HSR annual implementation plan for 2018 submitted to NCHSR in November 2017. NHI survey on-going. Annual health workforce plans for 18 provinces to be completed by 2018. All provinces submit quarterly financial reports as per guideline.

Implementation Progress
Description of Project Outputs

Health sector reform planning, monitoring, and implementation improved

Implementation of the HEF and free MNCH schemes improved

Human resources management capacity strengthened

Health sector financial management system strengthened

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

Output 1: The National Committee for HSR convened on 9 Dec 2017, reviewed HSR progress, and approved the HSR plan for 2018. The CDTA team worked with the various MOH departments to prepare the HRH and Finance roadmaps, which were approved by the Minister of Health. Governance roadmap is under review.

Output 2: Lao PDR has expanded its national health insurance (NHI) scheme to include the HEF and free MNCH schemes. NHI will provide free care for the poor, mothers, and children under the age of 5 years by exempting them from co-payment. Out of 148 districts, 141 districts reported free services provided to the poor, 143 districts reported free services to children under 5, and virtually all 148 districts reported free services to pregnant women.

Output 3: DHP has completed training and follow-up sessions on data entry and use of the web-based Personnel Management Information System (PMIS) for all provincial and district focal persons. CDTA consultants have also assisted to improve offline MOH database for health sector staff. DHP is also working on the development of health sector workforce plans for 12 provinces. 6 additional provinces are planned for 2018. International and national consultants are providing support in the finalization of health facility profiles and workplans.

Output4: MOF requested all sectors, including MOH, to adopt a paper and excel-based "double entry" accounting system in compliance with the Accounting Law of 2014. MOH, through DOF, has conducted training in all provinces, which will cascade training to districts for consistency across the health sector. Good progress has also been made in improving the quality and timeliness of quarterly expenditure reports from PHOs to DOF. National Health Accounts for 2013 - 2016 (4 fiscal years) was approved by the Minister of Health and was disseminated at a national workshop in December 2017.

All consultants international and national consultants under the CDTA have been engaged and mobilized. Inputs of a few international and national consultants will be extended to continue providing support to MOH.

Minor change to: (a) include tasks of the international MOH Budget Reform Specialist under the TOR of the international Public Finance Management Specialist; (b) engage a national Education Development and Regulation Specialist through the consulting firm; and (c) revise selection method for the national Health Facility Accounting System Specialist from individual to through the consulting firm, approved on 15 March 2017.

Geographical Location Nation-wide
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Business Opportunities
Consulting Services The TA will support 10 international consultants and 4 national consultants for a total of 159 person-months. To ensure high quality of inputs and adjustment to the reforms sequencing consultants will be recruited by ADB as individual consultants, in accordance with the Guidelines on the Use of Consultants (2013, as amended from time to time).
Responsible ADB Officer Sato, Azusa
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
Simuang Road
Concept Clearance 17 Jun 2015
Fact Finding 19 May 2015 to 22 May 2015
Approval 29 Sep 2016
Last Review Mission -
Last PDS Update 25 Sep 2018

TA 9190-LAO

Approval Signing Date Effectivity Date Closing
Original Revised Actual
29 Sep 2016 31 Oct 2016 31 Oct 2016 31 Aug 2018 - -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 2,000,000.00 0.00 0.00 0.00 0.00 2,000,000.00 29 Sep 2016 1,927,616.51

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.

None currently available.

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.


Tender Title Type Status Posting Date Deadline
Program Impact Assessment Consultant Individual - Consulting Closed 17 Aug 2017 25 Aug 2017

Contracts Awarded

Contract Title Approval Number Contract Date Contractor Contractor Address Executing Agency Contract Description Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Capacity Development Technical Assistance 9190 24 Nov 2016 Pacific Rim Innovation & Management Exponents, Inc (Philippines) 502 MANILA LUXURY CONDOMINIUM PEARL DRIVE, ORTIGAS CENTER, PASIG CITY METRO MANILA, PHILIPPINES Ministry of Health 1,620,000.00

Procurement Plan

None currently available.