Uzbekistan: Primary Health Care Improvement Project

Health / Health system development

Health services in family polyclinics in rural areas strengthened

Capacity of polyclinic staff enhanced

Primary healthcare monitoring tools institutionalized

Continued involvement of the community and its advisers will contribute to the promotion of better primary health care services, national ownership and sustainability of the project, by building an awareness of and co-responsibility for the health matters and monitoring the quality of care.

Project documents will be disclosed on the ADB website.

All consultants will be recruited in accordance with the ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).

Individual consultants will be engaged using individual consultant selection (ICS) method. The least cost selection (LCS) will be used for the engagement of an audit firm with a contract amount of less than $100,000. Single source selection method will be used to engage UzMedInfo (service provider) to expand the existing HMIS tools and develop a clinic management system (based on the existing infrastructure and platform) to monitor project and PHC reforms in the rural polyclinics. UzMedInfo is an independent economic entity created by the MOH. Its charter explicitly mandates it to introduce information and communication technologies for MOH.

Advance actions were undertaken for the recruitment of PIU staff. This included advertisement via the consulting services recruitment notices for ADB's prior review and approval.

International experts will be hired for assistance in procurement and development of a Health Care Management Information Systems (HMIS) as well as for health systems performance and monitoring.

National experts will be needed as legal, financial management, institutional and social and gender specialists. Further, national consultants with expertise in procurement, IT, training, medical equipment, M&E and accounting will be hired for the Project Implementation Unit.

All procurement of goods and works will be undertaken in accordance with ADB's Procurement Guidelines (2015, as amended from time to time).

The project will provide various medical equipment, IT equipment and other related accessories to the family polyclinics, equipment related to the development of HMIS, office equipment, furniture and vehicle for the use of the project PIU staff.

(i) International competitive bidding (ICB) procedures will be used for the procurement of the medical and IT equipment.

(ii) Shopping will be used for the procurement of PIU equipment, furniture and vehicles. Shopping is a procurement method based on comparing price quotations from several suppliers with a minimum of three to assure competitive prices.