Tajikistan: Maternal and Child Health Integrated Care Project
The project is aligned with the following impact: improved health status and well-being of mothers and children in the project districts. The project will have the following outcome: improved coverage of women and children with quality maternal and child health (MCH) services in the project districts. Project districts are: Fayzobod, Rasht and Shamsiddin Shohin.
The project outputs are (i) integrated delivery of quality maternal and child care services in project districts improved; (ii) infrastructure and equipment for MCH services in project districts rationalized and improved; and (iii) knowledge of maternal and child health and health seeking behaviors in project districts improved.
Output 1: Integrated delivery of quality maternal and child care services in project districts improved.
Project Details
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Project Officer
Win, Hayman Kyaw
Central and West Asia Department
Request for information -
Country/Economy
Tajikistan -
Sector
- Health
Related Projects
Project Name | Maternal and Child Health Integrated Care Project | ||||||||
Project Number | 51010-002 | ||||||||
Country / Economy | Tajikistan |
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Project Status | Active | ||||||||
Project Type / Modality of Assistance | Grant |
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Source of Funding / Amount |
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Strategic Agendas | Inclusive economic growth |
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Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Knowledge solutions Partnerships |
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Sector / Subsector | Health / Health sector development and reform |
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Gender Equity and Mainstreaming | Gender equity | ||||||||
Description | The project is aligned with the following impact: improved health status and well-being of mothers and children in the project districts. The project will have the following outcome: improved coverage of women and children with quality maternal and child health (MCH) services in the project districts. Project districts are: Fayzobod, Rasht and Shamsiddin Shohin. The project outputs are (i) integrated delivery of quality maternal and child care services in project districts improved; (ii) infrastructure and equipment for MCH services in project districts rationalized and improved; and (iii) knowledge of maternal and child health and health seeking behaviors in project districts improved. Output 1: Integrated delivery of quality maternal and child care services in project districts improved. The project will: (i) formulate a strategy for planning and deploying human resources, build institutional capacity for CME; and strengthen clinical capacities in the project districts; (ii) create an effective referral system between the various MCH service levels as well as a sound feedback mechanism and integration of vertical programs into PHC; (iii) institutionalize continuous quality improvement (CQI) system at national, sub-national and facility levels and establish a supportive supervision system; and (iv) pilot case-based payment system at project district hospitals. Output 2: Infrastructure and equipment for MCH services in project districts rationalized and improved. The project will support: (i) upgrade of central district hospitals (CDHs) and DHCs; (ii) supply of medical equipment and medical furniture to refurbished CDHs and DHCs, and provision of basic medical kits to PHC facilities; and (iii) piloting of the equipment management system in project facilities. The project will also support the Government's efforts in establishing a national equipment management system in close coordination with KfW and JICA. Output 3: Knowledge on maternal and child health and health seeking behaviors in project districts improved. Knowledge of MCH and health seeking behaviors in project districts improved. The project will help (i) build the capacity of the Republican Healthy Lifestyle Center for developing a behavior change communication (BCC) plan, and for monitoring, evaluating, and reporting the plan; (ii) design and implement district-specific knowledge, attitude, and practice (KAP) surveys; and design district-specific BCC implementation plans based on the findings of the baseline KAP survey; (iii) carry out community mobilization activities to promote social norms that support collective MCH objectives and challenge harmful practices; and (iv) develop the BCC skills of health workers and community members. |
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Project Rationale and Linkage to Country/Regional Strategy | The pursuit of sustainable development goals is echoed in the National Health Strategy for Tajikistan 2010-2020, which envisions strengthening of maternal, newborn, child and adolescent health, prevention and control of infectious diseases, decreasing the burden of preventable non-communicable diseases, and strengthening PHC. The government approved the Strategic Plan for the Rationalization of Medical Facilities in the Republic of Tajikistan for 2010-2020 (No. 169 dated 1 April 2011) to rationalize health service delivery. The rationalization plan envisions an integration of health services across levels of care and types of providers. The project builds on ADB's operational plan for health to support inclusiveness and reduce vulnerabilities in Asia and the Pacific. ADB will contribute to the integration of primary and secondary care concentrating on maternal and child health, which is key for better quality and efficient provision of services. The project will consolidate different pilots of development partners, which focuses on either primary health care or secondary care, into an integrated concept. Integrated care refers to integration across primary, secondary, and tertiary health services to provide more continuous care to patients with the aim of achieving improved patient care through better coordination of services provided. ADB will bring in regional lessons on integrating health care services, and improving efficiencies in health service delivery to inform the project and the ongoing country health reforms. |
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Impact | Health status and well-being of mothers and children in the project districts improved (Sustainable Development Goals 3). |
Project Outcome | |
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Description of Outcome | Coverage of women and children with quality MCH services in the project districts improved |
Progress Toward Outcome | |
Implementation Progress | |
Description of Project Outputs | Integrated delivery of quality maternal and child care services in project districts improved Infrastructure and equipment for MCH services in project districts rationalized and improved Knowledge on maternal and child health and health seeking behaviors in project districts improved |
Status of Implementation Progress (Outputs, Activities, and Issues) | |
Geographical Location | Nation-wide, Fayzobod, Rasht, Shurobod |
Safeguard Categories | |
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Environment | B |
Involuntary Resettlement | C |
Indigenous Peoples | C |
Summary of Environmental and Social Aspects | |
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Environmental Aspects | |
Involuntary Resettlement | |
Indigenous Peoples | |
Stakeholder Communication, Participation, and Consultation | |
During Project Design | |
During Project Implementation |
Business Opportunities | |
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Consulting Services | The project will require an estimated 1,071 person-months of national individual consultants (including project administration group staff); 6 person-months international and 5 person-months national individual consultants; 461 person-months for project consulting firms (of which 79 person-months international and 323 person-months national consultants; 12 person-months audit firm; and 324 person-months for UNICEF. Advance contracting will be undertaken for the recruitment of project administration group manager and key technical staff, project implementation support firm, design and civil works supervision firm, integrated maternal and child health and behavior change communication firm, financial management consultant, and integrated care consultant. |
Procurement | The project will construct/renovate district hospitals and district health centers. The project will provide various medical equipment, IT equipment and other related accessories to the hospitals and district primary health care clinics to cost more than $100,000, using open competitive bidding (OCB) procedures. Office equipment, furniture and vehicle for the use of the project administration group staff to cost less than $100,000, the Request for quotations will be used for procurement of off-the-shelf equipment. Advance contracting will be undertaken for the procurement of project administration group office furniture, office equipment and vehicles. |
Responsible ADB Officer | Win, Hayman Kyaw |
Responsible ADB Department | Central and West Asia Department |
Responsible ADB Division | CWSS |
Executing Agencies |
Ministry of Health and Social Protection of the Population of the Republic of Tajikistan |
Timetable | |
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Concept Clearance | 07 Feb 2018 |
Fact Finding | 06 Aug 2018 to 17 Aug 2018 |
MRM | 17 Sep 2018 |
Approval | 29 Nov 2018 |
Last Review Mission | - |
Last PDS Update | 29 Nov 2018 |
Grant 0627-TAJ
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
29 Nov 2018 | 31 Dec 2018 | 29 Mar 2019 | 31 Aug 2025 | - | - |
Financing Plan | Grant Utilization | ||||
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Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
Project Cost | 35.20 | Cumulative Contract Awards | |||
ADB | 32.00 | 24 Jan 2023 | 23.72 | 0.00 | 74% |
Counterpart | 3.20 | Cumulative Disbursements | |||
Cofinancing | 0.00 | 24 Jan 2023 | 8.93 | 0.00 | 28% |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | Satisfactory | Satisfactory | Satisfactory | Satisfactory | - | Satisfactory |
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
None currently available.
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Requests for information may also be directed to the InfoUnit.
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New Hope for Maternal and Child Health in Tajikistan
The Maternal and Child Health Integrated Care Project funded by the ADF 12 grant is improving hospital and health-care center infrastructure and equipment and helping staff and oversight agencies plan and deploy human resources more effectively in Tajikistan. -
ADB Grant to Improve Maternal and Child Health Care in Tajikistan
ADB has approved a $32 million grant to help the Government of Tajikistan improve healthcare services in three districts of Fayzobod, Rasht, and Shamsiddin Shohin.
Tenders
Contracts Awarded
Contract Title | Approval Number | Contract Date | Contractor | Address | Executing Agency | Total Contract Amount (US$) | Contract Amount Financed by ADB (US$) |
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Civil Works in Shohin District (CW03) | Grant 0627 | 25 Jul 2022 | JV LLC Iqlimi Sof and LLC Samar SN | J Rasulov 6/1 Dushanbe | Ministry of Health and Social Protection | 3,415,037.05 | — |
Civil Works in Rasht District | Grant 0627 | 16 Jul 2022 | OJSC "Tojikgidroelectromontaj" | Huvaydullaev 337/1 Dushanbe | Ministry of Health and Social Protection | 5,995,028.00 | — |
CW02: Civil Works in Fayzobod District | Grant 0627 | 21 Jun 2022 | LLC Stroy-Center | Tilo Pulodi 41 Dushanbe Tajikistan | Ministry of Health and Social Protection | 5,251,395.33 | — |
DESIGN AND SUPERVISION OF CIVIL WORKS AND EQUIPMENT FIRM (CS05) | Grant 0627 | 26 Oct 2020 | SOCIETE ITALIANA DI MONITORAGGIO (SIM) | VIA FLAMINIANA 362 00196 ROMA ITALY | Ministry of Health and Social Protection | 1,898,970.00 | — |
INTERNATIONAL LEAD HEALTH CARE FINANCING (CS07-1) | Grant 0627 | 03 Aug 2020 | SAMVEL KHARAZYAN | 49/11 G. SHERAM ST. YEREVAN ARMENIA REPUBLIC OF | Ministry of Health and Social Protection | 194,000.00 | — |
PROJECT IMPLEMENTATION AND MONITORING AND EVALUATION SUPPORT (CS02) | Grant 0627 | 15 Jul 2020 | PRIMEX IN ASSOCIATION WITH KRC AND CAICO | 502 MANILA LUXURY CONDOMINIUM 30 PEARL DRIVE ORTIGAS PASIG CITY PHILIPPINES | Ministry of Health and Social Protection | 881,153.48 | — |
INTEGRATED MATERNAL AND CHILD HEALTH AND BEHAVIOR CHANGE COMMUNICATION FIRM(CS06/DIRECT CONTRACTING) | Grant 0627 | 25 Oct 2019 | UNICEF | 3 UNITED NATIONS PLAZA NEW YORK NY UNITED STATES | Ministry of Health and Social Protection | 3,171,656.00 | — |
Procurement Plan
Title | Document Type | Document Date |
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Maternal and Child Health Integrated Care Project: Procurement Plan | Procurement Plans | Dec 2021 |