50190-002: Primary Health Care Improvement Project | Asian Development Bank

Uzbekistan: Primary Health Care Improvement Project

Sovereign (Public) Project | 50190-002 Status: Approved

The project will support the Government of the Republic of Uzbekistan's health service optimization process, which aims to improve and expand primary health care services delivered in the rural areas. The proposed project will strengthen the rural health sector by providing the 793 newly established rural family polyclinics with modern diagnostic equipment and health workforce development to expand their service delivery. This will be supported by tools to monitor the government's broader primary health care reform and the project, and include a pilot of a health management information system in a rural region.

Project Details

Project Officer
Counahan, Megan Central and West Asia Department Request for information
Country
  • Uzbekistan
Modality
  • Loan
Sector
  • Health
 
Project Name Primary Health Care Improvement Project
Project Number 50190-002
Country Uzbekistan
Project Status Approved
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 3600-UZB: Primary Healthcare Improvement Project
concessional ordinary capital resources lending / Asian Development Fund US$ 45.00 million
Strategic Agendas Environmentally sustainable growth
Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Sector / Subsector

Health / Health system development

Gender Equity and Mainstreaming Gender equity
Description The project will support the Government of the Republic of Uzbekistan's health service optimization process, which aims to improve and expand primary health care services delivered in the rural areas. The proposed project will strengthen the rural health sector by providing the 793 newly established rural family polyclinics with modern diagnostic equipment and health workforce development to expand their service delivery. This will be supported by tools to monitor the government's broader primary health care reform and the project, and include a pilot of a health management information system in a rural region.
Project Rationale and Linkage to Country/Regional Strategy The Government of the Republic of Uzbekistan has identified the primary health care sector, particularly in rural and semi-urban areas, as a key focus area for reforms and improvement. They have initiated a health service optimization process, which aims to improve and expand primary health care services delivered in the rural areas. It will bring health services closer to the people and improve early diagnosis, treatment, and chronic care with the goal of improving healthy life expectancy and productivity.
Impact Impact of the Project is Aligned With: the level of hospitalization, incidence and disability of the population in the service area are reduced
Project Outcome
Description of Outcome Availability of primary healthcare services in rural areas expanded
Progress Toward Outcome
Implementation Progress
Description of Project Outputs

Health services in family polyclinics in rural areas strengthened

Capacity of polyclinic staff enhanced

Primary healthcare monitoring tools institutionalized

Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Nation-wide
Safeguard Categories
Environment C
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects In compliance with ADB's Safeguard Policy Statement (2009), all the project's safeguard categories are category C. No civil works will be undertaken by the project. Therefore, no involuntary resettlement is envisaged. Environmental impacts during project implementation are expected to be minimal or none. Minimal healthcare waste may be generated by some of the equipment but the rural family polyclinics have existing healthcare waste facilities, policies, and protocols as well as sterilization equipment, policies, and procedures to manage it.
Involuntary Resettlement No civil works will be undertaken by the project. Therefore, no involuntary resettlement is envisaged.
Indigenous Peoples The project will not impact any indigenous people as defined in ADB's Safeguard Policy Statement (2009).
Stakeholder Communication, Participation, and Consultation
During Project Design The mandate of community advisers (maslakhatchi) and womens' committee representatives includes responsibility for the health sector. They work in close collaboration with local government (khokimoyat) and regional health departments. Involvement of the community will contribute to the promotion of better primary healthcare 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.
During Project Implementation

Continued involvement of the community and its advisers will contribute to the promotion of better primary healthcare 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.

Business Opportunities
Consulting Services

All consultants (firms and individuals) will be recruited in accordance with the ADB's Guidelines on the Use of Consultants (2013, as amended from time to time). The terms of reference for all consulting services are detailed in Section D.

An estimated 120 person-months (33 international and 87 national) of consulting services will be required to: (i) facilitate project management and implementation, and (ii) strengthen the institutional and operational capacity of the executing agency. The international project implementation consulting firm will be engaged using the quality- and cost-based selection (QCBS) method with a standard quality cost ratio of 80:20. Simplified technical proposal (STP) will be used for selecting a project implementation firm. Individual consultant will be engaged using individual consultant selection 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 a financially independent state owned enterprise (SOE), in their charter, they are given the explicit mandate by the government to introduce information and communication technologies for the MOH. They will not have responsibility for the procurement of the necessary equipment for output 3.

Procurement

The project will provide various medical equipment, IT equipment and other accessories to the family polyclinics, 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.

Responsible ADB Officer Counahan, Megan
Responsible ADB Department Central and West Asia Department
Responsible ADB Division CWSS
Executing Agencies
Ministry of Health
12 Navoi Street
Tashkent, Uzbekistan
Timetable
Concept Clearance 05 Aug 2016
Fact Finding 14 Aug 2017 to 24 Aug 2017
MRM 15 Sep 2017
Approval 27 Nov 2017
Last Review Mission -
Last PDS Update 27 Nov 2017

Loan 3600-UZB

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
27 Nov 2017 - - 30 Apr 2021 - -
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 58.80 Cumulative Contract Awards
ADB 45.00 27 Nov 2017 0.00 0.00 0%
Counterpart 13.80 Cumulative Disbursements
Cofinancing 0.00 27 Nov 2017 0.00 0.00 0%

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 Public Communications Policy (PCP) 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 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.

Requests for information may also be directed to the InfoUnit.

Tenders

No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan