48446-001: Malaria and Communicable Diseases Control in the Greater Mekong Subregion | Asian Development Bank

Regional: Malaria and Communicable Diseases Control in the Greater Mekong Subregion

Sovereign (Public) Project | 48446-001 Status: Active

Project Details

Project Officer
Servais, Gerard Southeast Asia Department Request for information
Country
  • Regional
Modality
  • Technical Assistance
Sector
  • Health
 
Project Name Malaria and Communicable Diseases Control in the Greater Mekong Subregion
Project Number 48446-001
Country Regional
Cambodia
Lao People's Democratic Republic
Myanmar
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 8959-REG: Malaria and Communicable Diseases Control in the Greater Mekong Subregion
Regional Malaria and Other Communicable Disease Threats Trust Fund under the Health Financing Partnership Facility US$ 4.50 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Partnerships
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming Some gender elements
Description
Project Rationale and Linkage to Country/Regional Strategy
Impact (i) Malaria eliminated across Cambodia by 2025 (National Malaria Control Program, National Centre for Parasitology, Entomology and Malaria Control); (ii) Malaria fully eliminated in Lao PDR by 2030 (National Strategy for Malaria Control and Elimination - East Asia Summit Statement 2014); and (iii) Malaria fully eliminated in Myanmar by 2030 (National Comprehensive Development Plan, Health Sector 2011-2012 to 2030-2031, East Asia Summit Statement 2014)
Project Outcome
Description of Outcome National malaria and CDC programs strengthened and better coordinated in CLM
Progress Toward Outcome

System for laboratory quality insurance in place;

Ongoing inter-agency working arrangements for laboratory quality insurance;

Piloting of mobile digital management system for disease surveillance;

Government adoption of working definition of MMPs;

Ongoing inter-sectoral collaboration on malaria among MMPs

Implementation Progress
Description of Project Outputs

Myanmar malaria surveillance and diagnostic systems improved

MMPs' specific needs for malaria prevention and treatment

Regional coordination on malaria and CDC among GMS countries strengthened

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

Myanmar malaria surveillance and diagnostic systems improved

1. An international public health specialist (Myanmar citizenship) has been engaged and will commence service on 1 April 2016 to serve as key focal person to (i) assist the Myanmar National Malaria Control Program in the areas supported by the TA surveillance, diagnostic quality assurance, MMPs, and regional coordination); (ii) coordinate work between ADB and MOH in TA implementation, particularly monitoring and provision of technical advice to INGOs engaged to implement key activities; (iii) liaise with other development partners and donors.

2. Engagement of INGOs to implement (i) improvement of Myanmar surveillance and diagnostics systems and (ii) addressing MMP needs for malaria prevention and treatment are ongoing.

3. The RCDTA inception/stakeholder workshop conducted during the 2nd quarter of 2016 in Nay Pyi Taw brought together senior officials from the Department of Public Health (DOPH) and the Department of Medial Care Services (DMCS), state/regional directors from the concerned departments and by development partners University Research Cooperation (URC), International Organization for Migration (IOM), WHO and Malaria Consortium. Myanmar Union Health Minister Dr Myint Htwe opened the workshop and expressed appreciation ADBs efforts to involve the government in TA implementation.

4. Data management system model is being designed in collaboration with the National Malaria Control Program. This is based on the results of the assessment of malaria surveillance/data management system and laboratory quality assurance.

5. The TA is targeting 27 laboratories in both project sites provided with malaria diagnostic equipment and 67 laboratories with staff trained on malaria diagnosis. The TA is expected cover an estimated number of 1,984,915 beneficiaries under laboratory diagnostics: and 969,585 beneficiaries under surveillance.

6. The TA is piloting an updated ACCESS Diagnosis and Treatment Data Management System for mobile (a simple malaria surveillance mobile application) in five pilot townships. The mobile data management systems (mDMS) is expected to strengthen the quality of monthly malaria data and to establish real time notification for malaria positive cases from VMWs, BHS, hospitals and private sectors to the data focal persons by using mobile phones (phone conversation, SMS, Viber and mobile application).

7. Workshop on the SOPs and Guidelines for malaria surveillance and laboratory quality assurance was conducted in Nay Pyi Taw on 28 June 2017 attended by 51 participants from central and state/region malaria program offices and laboratories, National Malaria Control Program (NMCP), National Health Laboratory (NHL), donor agencies, and partner organizations such as IOM, Save the Children. During the workshop, NMCP and NHL confirmed that 1,200 SOPs will be printed and will be distributed during the trainings for all lab technicians (including grade 2 technicians in station hospitals). Around 100 Lab QA manuals will be printed and distributed during trainings for regional malaria officers and lab technicians from the Vector-Borne Disease Control offices (VBDC). The RCDTA project shall support publication and distribution of the SOPs and manuals in the project sites, while URC/Defeat Malaria will provide the cost for the rest of the areas identified by NMCP and NHL.

8. Several technical knowledge products were developed (Malaria Laboratory Quality Assurance Manual, Standard Operating Procedures for malaria microscopy, and a mobile application guideline) which were officially submitted to the Minister of MOHS, who following a quick technical review has already provided permission to print the documents. URC-ADB staff then completed he necessary revisions and submitted to the Director General of Public Health Department.

9. Laboratory equipment and commodities will be delivered and installed at state/region level by 3rd quarter 2017. Conduct of (i) malaria microscopy and laboratory QA trainings; (ii) Malaria Surveillance, Access Data Based and Mobile Application (or mobile used in malaria surveillance) trainings; (iii) Village Health Workers (VHWs) Training on Mobile used in Malaria Surveillance by SMS and Viber will be conducted during the 3rd Quarter of 2017

10. Video documentation for Myanmar and Lao PDR RCDTA started August 2017 and targeted to be completed by October 2017

11 . The NMCP, Ministry of Health and Sports (MOHS) with support from partners, developed a mobile Data Management System (mDMS) piloted in the three townships, Mawlamyine, Belin and Hkamti, to strengthen the quality of monthly malaria data reporting and establish real time notification for malaria positive cases from VMWs, basic health staff (BHS), hospitals and the private sector.

12. Commodities for surveillance have been procured and distributed to the central health offices, regional and state and township medical offices: central server, 31 laptops, 200 mobile phones for village health workers, 21 external HDDs, 11 printers and 44 cartridges, 8 projectors and screens, and 12 SIM card routers. Laboratory equipment have also been procured and distributed: 31 microscopes (4 for NHL, 10 for Sagaing and 17 for Mon), microscope with digital camera for NHL, 5-headed multi-viewing teaching microscope for NHL, lab equipment and reagent for malaria microscopy, cabinets and benches for the labs, 13 desktop computers and 4 printers, and 10 generators for Sagaing region.

13. The SOPs and manuals on Microscopy and Laboratory QA were approved by the Union Minister of the MOHS on 4 April 2017. The Malaria Microscopy and Laboratory QA manuals were approved by the MOH-NMCP on 15 September 2017 for nationwide use. These materials have been distributed nationwide and used for training MOH staff in the project areas. Likewise, a malaria microscopy algorithm was developed for lab technicians.

MMPs specific needs for malaria prevention and treatment

1. In Myanmar, worksite visits within the target townships were conducted and multiple local level advocacy workshops were organized to advocate with business owners and priority worksites have been identified that do not have existing malaria services on site. National Malaria Control Program (NMCP) confirmed that it will contribute LLINs to project worksites which can be mobilized through State Level VBDC coordinators. Training and curriculum NMCP and WHO are currently revising and updating the national malaria volunteer training curriculum and be ready for distribution by January 2017 and will be used as a guide for implementation or training.

2. In Cambodia, IOM is implementing the project in Oddar Meanchey Province (bordering Northeast Thailand) selected by MOH based on density and pattern of MMPs. IOM with the Ministry Healths National Centre for Parasitology, Entomology and Malaria Control (CNM) has initiated close collaboration with the provincial health department, department of immigration, department of labour, private sector and armed forces services in the province. The TA will also try to reach undocumented workers in the target sites.

3. TA implementation covers two districts in the Southern Lao PDR border. Preliminary meetings between IOM, MOH Communicable Diseases Control and the Center for Malaria Prevention and Elimination have resulted to the selection of Champasak and Attapeu provinces as project sites and preliminary discussion of possible interventions for MMPs. IOM organized a consultative workshop in September 2016 with participants from seven ministries i.e., MOH (DPIC, DCDC, CPME), Security of Public (Immigration), Labor and Social Welfare, Agriculture and Forestry, Natural Resource and Environment, Planning and Investment, Foreign Affairs, and Lao Trade Union. Preliminary assessment on migration patterns and MMP profiles was conducted at provincial and district levels.

4. Malaria Vulnerability and Risk Assessment Tool (health facility and malaria services mapping, migration and mobility profile and movement, behavior and awareness assessment) developed in Cambodia, Lao PDR and Myanmar. Data collection started in Lao PDR and Myanmar and initial results have been analyzed and submitted to Ministry of Health.

5. In Cambodia, project activities to date include adapting and translating existing IEC materials used in GMS border areas to make them appropriate to the local context. IOM project team in Cambodia has also had input into the development of CNM/WHOs Operational Guidelines for Mobile, Migrant and other Underserved Populations in the Context of Malaria Elimination. These guidelines, awaiting endorsement by CNM, will provide the template for pilot project interventions under the R-CDTA.

6. In Lao PDR, locally appropriate multi-lingual IEC materials, training manuals and ladder games were developed for Lao and Vietnamese MMPs.

7. The pilot intervention model design for the three countries includes a number of innovative components to address MMP vulnerability

8. For Cambodia, Lao PDR and Myanmar, MOH have adopted the working definition for MMPs

9. Malaria vulnerability and risk assessment tool (health facility and malaria services mapping, migration and mobility profile and movement, behavior and awareness assessment) was developed and used in project sites in Cambodia, Lao PDR and Myanmar. Initial results were shared during the Global Malaria Week in Nay Pyi Taw on 4 December 2017.

10. Volunteer trainings and outreach activities for MMPs have been conducted. Outreach participants in Lao: 1,956 people (1,082 in Khong district and 874 in Phouvong district) while in Myanmar: 13760 in the 3 project townships.

11. RCDTA 8959 has been extended until June 2018 and the contracts of the TA's implementing partners have been similarly extended. Final review missions have been initiated from March-April 2018 with field visits in the three project areas to assist the IAs and the partners in defining their completion plans and exit strategies.

Regional coordination on malaria and CDC among GMS countries strengthened

1. Workshop on Malaria Control for Mobile and Migrant Population at Border Areas, Da Lat, Viet Nam, 2-3 March 2017 was conducted to enhance information sharing and share lessons learned on effective cross border approaches addressing MMP needs for malaria treatment and prevention to control of malaria between the countries in the Greater Mekong Sub-Region.

2. A regional workshop is planned during the third quarter of 2017 to discuss effective interventions addressing MMP needs for malaria prevention and treatment in the GMS using initial lessons from the TA interventions in Cambodia, Lao PDR and Myanmar.

3. GMS Malaria Workshop (Orienting health systems towards effective control and elimination of malaria in the GMS) was conducted in Vientiane co-hosted by the Department of Communicable Disease Control, Ministry of Health, Lao PDR on 28-30 June, 2017. The workshop was attended by malaria program officers from Cambodia, Lao PDR, Myanmar, Thailand and Viet Nam, representatives from APLMA, ADB, and WHO.

4. The project also supported a Regional Health Managers Meeting on the 5th of July 2017 in Bangkok participated by officers from Disease Control Departments of Cambodia, Lao PDR, Myanmar, PRC, Thailand and Viet Nam to discuss health cooperation initiatives and border collaborations on communicable diseases (i.e. malaria, HIV, etc), EIDs, UHC for MMPs, etc.

5. The project supported the participation of CDC and malaria health officials of Cambodia, Lao PDR and Myanmar in the Prince Mahidol Awards and Conference (PMAC) in Bangkok in February 2018, particularly in the side event showcasing work done by ADB, IOM and partner MOHs in disease control, MMP intervention and border health.

6. A regional project managers' meeting was conducted in December 2017 in Luang Prabang participated by GMS MOHs focusing on regional cooperation. Another regional health project managers' meeting is slated in May 2018 in Myanmar.

7. Regional MMP and malaria learning exchange workshop is scheduled in Siem Reap on 27-28 April 2018.

Geographical Location Cambodia - Nation-wide; Lao People's Democratic Republic - Nation-wide; Myanmar - 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 ADB will recruit nongovernment organizations (NGOs) to execute the TA activities from January 2016-June 2017: (i) for development and the roll out of the malaria program surveillance system malaria data collection, reporting and analysis in Myanmar; (ii) for the development and roll out of laboratory quality assurance control for malaria testing in Myanmar; (iii) for the identification of needs and/or service delivery for migrants and mobile populations (MMPs) in private sector projects in Myanmar; (iv) for the identification of needs and service delivery for MMPs in Cambodia; and (v) for the identification of needs and service delivery for MMPs in Lao PDR. In addition, the TA will hire individual consultants to support overall TA coordination and conduct the TA work stream on regional coordination: (i) one regional coordinator, who will be based in Vientiane, (ii) one public health specialist for Myanmar, (iii) one knowledge management specialist, and (iv) one procurement and finance specialist. All NGO and individual consultants will be hired in accordance with the Guidelines on the Use of Consultants (2013, as amended from time to time).
Procurement Equipment under the TA will be procured in accordance with ADB's Procurement Guidelines (April 2015, as amended from time to time). The nongovernment organizations contracted by ADB will act as a procurement agent and will conduct all procurement procedures and select the winning bidder, in consultation with the government (Ministry of Health). The Ministry of Health will sign the contract for the purchase of the equipment. Suppliers will be paid by ADB through the direct payment procedures. All equipment procured under the TA will be retained by the relevant Ministries of Health on completion of the TA.
Responsible ADB Officer Servais, Gerard
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Asian Development Bank
Ms. Ayako Inagaki, Director, SEHS
[email protected]
6 ADB Avenue, Mandaluyong City 1550, Philippines
Timetable
Concept Clearance 01 Jul 2015
Fact Finding 08 Jun 2015 to 12 Jun 2015
MRM -
Approval 23 Sep 2015
Last Review Mission -
Last PDS Update 28 Mar 2018

TA 8959-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
23 Sep 2015 - 23 Sep 2015 30 Jun 2017 25 Jun 2018 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 4,500,000.00 0.00 0.00 0.00 0.00 4,500,000.00 23 Sep 2015 3,545,526.55

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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.

None currently available.

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.

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Tenders

No tenders for this project were found.

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 8959 29 Jun 2016 International Organization for Migration (IOM) (Switzerland) 17 Route del Morillons, Geneva, Switzerland Asian Development Bank 250,000.00
Capacity Development Technical Assistance 8959 24 Jun 2016 International Organization for Migration (IOM) (Switzerland) 17 Route del Morillons, Geneva, Switzerland Asian Development Bank 417,992.00
Capacity Development Technical Assistance 8959 17 Jun 2016 International Organization for Migration (IOM) (Myanmar) 318 Alone Rd Dagon Township, Yangon Region, Myanmar Asian Development Bank 599,221.00
Capacity Development Technical Assistance 8959 11 May 2016 University Research Co., LLC (United States) 7200 WISCONSIN AVENUE, SUITE 600 BETHESD MARYLAND 2814 UNITED STATES Asian Development Bank 1,349,588.00

Procurement Plan

None currently available.