Cambodia: Greater Mekong Subregion Health Security Project (Additional Financing)

Sovereign Project | 48118-005

The additional financing will provide targeted investments for additional 8 provincial hospitals and 73 district referral hospitals not covered under the original project. It will focus upgrading of hospital clinical care, laboratory, IPC, and human resource capacity to respond to COVID-19 and other public health threats. The proposed project will strengthen surveillance, response, and risk communications capacity for COVID-19 and other epidemic prone diseases nation-wide. The additional financing will complement ADB support under the COVID-19 Active Response and Expenditure Support (CARES) Program and the The Responsive COVID-19 Vaccines for Recovery (RECOVER) Project. The additional financing project remains aligned with the outcome of the original project: Greater Mekong Subregion (GMS) health system performance with regard to health security improved.

Project Details

  • Project Officer
    Elfving, Rikard N.
    Southeast Asia Department
    Request for information
  • Approval Date
    7 October 2021
  • Country
    Cambodia
  • Sector
    • Health
Project Name Greater Mekong Subregion Health Security Project (Additional Financing)
Project Number 48118-005
Country Cambodia
Project Status Approved
Project Type / Modality of Assistance Grant
Loan
Source of Funding / Amount
Grant 9223-CAM: Greater Mekong Subregion Health Security Project (Additional Financing)
Japan Fund for Poverty Reduction US$ 5.00 million
Loan 4125-CAM: Greater Mekong Subregion Health Security Project - Additional Financing for Cambodia
Concessional ordinary capital resources lending US$ 25.00 million
Strategic Agendas Environmentally sustainable growth
Inclusive economic growth
Regional integration
Drivers of Change Gender Equity and Mainstreaming
Knowledge solutions
Partnerships
Sector / Subsector

Health / Disease control of communicable disease - Health system development

Gender Equity and Mainstreaming Effective gender mainstreaming
Description The additional financing will provide targeted investments for additional 8 provincial hospitals and 73 district referral hospitals not covered under the original project. It will focus upgrading of hospital clinical care, laboratory, IPC, and human resource capacity to respond to COVID-19 and other public health threats. The proposed project will strengthen surveillance, response, and risk communications capacity for COVID-19 and other epidemic prone diseases nation-wide. The additional financing will complement ADB support under the COVID-19 Active Response and Expenditure Support (CARES) Program and the The Responsive COVID-19 Vaccines for Recovery (RECOVER) Project. The additional financing project remains aligned with the outcome of the original project: Greater Mekong Subregion (GMS) health system performance with regard to health security improved.
Project Rationale and Linkage to Country/Regional Strategy The proposed additional financing to the health security project is an efficient modality for the expedited delivery of support to build subnational capacity for responding to COVID-19 and other emerging public health threats. The approach leverages the experience of MOH in implementing targeted interventions with provincial and district referral hospitals under the original project, enabling rapid nationwide scale-up. The proposed additional financing has been determined to be technically feasible, economically viable, and financially sound. The project meets the criteria for COVID-19 fast-track processing.
Impact GMS public health security strengthened
Project Outcome
Description of Outcome GMS health system performance with regard to health security improved
Progress Toward Outcome
Implementation Progress
Description of Project Outputs

Regional cooperation and CDC in border areas improved

National disease surveillance and outbreak response systems strengthened

Laboratory services and hospital IPC improved

Emergency preparedness and response capacity for COVID-19 strengthened

Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Nation-wide
Safeguard Categories
Environment B
Involuntary Resettlement C
Indigenous Peoples B
Summary of Environmental and Social Aspects
Environmental Aspects Environment (category B). Output 3 of the proposed project will include minor renovation works for laboratories within existing hospital compounds. Output 4 will include installation of oxygen plants at selected hospitals. Such works may cause temporary and localized adverse environmental impacts and pose minor risks to occupational and community health and safety. These impacts and risks will be highly localized and for a short period. Risks can be readily mitigated to acceptable levels through implementation of standard environmental management practices. The project will provide modern medical waste treatment equipment in 42 hospitals. The initial environment examination and the environment management plan prepared for the original project were updated to reflect the expanded project scope. The overall project will remain category B for environment. The PMU, with the support of the IPC and safeguards consultants, will coordinate environment management plan implementation, including safeguards monitoring and reporting to ADB and project affected people.
Involuntary Resettlement Involuntary resettlement (category C). No land acquisition and resettlement impacts are envisaged. The overall project will remain category C for involuntary resettlement.
Indigenous Peoples Indigenous peoples (category B). Ten provinces to be supported under the project have diverse indigenous populations. Indigenous peoples comprise 3.9% of the population served by the hospitals to be supported by the project in these 10 provinces. The project will bring positive benefits to indigenous peoples in the project areas, specifically with respect to improved health care. An Indigenous People's Plan has been drafted to maximize such benefits. The MOH will appoint a focal to oversee the implementation of the Indigenous People's Plan, with support from the PMU's national safeguard specialist. The overall project will remain category B for indigenous peoples. The scope of the grievance redress mechanism established for the original project will be extended to the additional financing. The MOH will report project-related complaints to ADB through quarterly progress reports.
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Responsible ADB Officer Elfving, Rikard N.
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
No. 151-153, Avenue Kampuchea Krom
1537 Phnom Penh
Kingdom of Cambodia
Timetable
Concept Clearance 15 Apr 2021
Fact Finding 24 May 2021 to 26 May 2021
MRM 15 Jul 2021
Approval 07 Oct 2021
Last Review Mission -
Last PDS Update 07 Oct 2021

Grant 9223-CAM

Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 5.00 Cumulative Contract Awards
ADB 0.00 - 0.00 0.00 %
Counterpart 0.00 Cumulative Disbursements
Cofinancing 5.00 - 0.00 0.00 %

Loan 4125-CAM

Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 30.00 Cumulative Contract Awards
ADB 25.00 - 0.00 0.00 %
Counterpart 5.00 Cumulative Disbursements
Cofinancing 0.00 - 0.00 0.00 %

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.

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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

None currently available.


Related Publications

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Tenders

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Contracts Awarded

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