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Tajikistan: Maternal and Child Health Integrated Care Project

Sovereign (Public) Project | 51010-002 Status: Active

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

Project Officer
Wong, Cebele Central and West Asia Department Request for information
Country
  • Tajikistan
Sector
  • Health
 
Project Name Maternal and Child Health Integrated Care Project
Project Number 51010-002
Country Tajikistan
Project Status Active
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0627-TAJ: Maternal and Child Health Integrated Care Project
concessional ordinary capital resources lending / Asian Development Fund US$ 32.00 million
Grant: Maternal and Child Health Integrated Care Project
KfW US$ 10.42 million
Strategic Agendas Inclusive economic growth
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 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.

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 all levels of health services to provide more continuous care to patients through the improved coordination of services provided. 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.15 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.

Impact

Health status and well-being of mothers and children in the project districts improved

(Sustainable Development Goals 3).

Project Outcome
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
Environment B
Involuntary Resettlement C
Indigenous Peoples C
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

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 Wong, Cebele
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
Shevchenko Street
69 Dushanbe
Tajikistan
Timetable
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
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
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 35.20 Cumulative Contract Awards
ADB 32.00 29 Nov 2018 4.11 0.00 13%
Counterpart 3.20 Cumulative Disbursements
Cofinancing 0.00 29 Nov 2018 2.37 0.00 7%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating Unsatisfactory - Unsatisfactory Unsatisfactory - Unsatisfactory

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 Access to Information Policy (AIP) 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.

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


The Access to Information Policy (AIP) 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

Tender Title Type Status Posting Date Deadline
HEALTH CARE FINANCING SPECIALIST Individual - Consulting Closed 06 Mar 2020 19 Apr 2020
LEAD HEALTH CARE FINANCING SPECIALIST Individual - Consulting Closed 06 Mar 2020 20 Mar 2020
Pilot Case-Based Financing Firm Firm - Consulting Closed 01 Oct 2019 14 Dec 2019
Integrated Care Consultant Individual - Consulting Closed 27 Sep 2019 11 Oct 2019
DESIGN AND SUPERVISION OF CIVIL WORKS AND EQUIPMENT FIRM Firm - Consulting Closed 29 Jun 2019 12 Aug 2019
DESIGN AND SUPERVISION OF CIVIL WORKS AND EQUIPMENT FIRM Firm - Consulting Closed 15 Jun 2019 29 Jun 2019
Project Implementation and Monitoring and Evaluation Support Firm Firm - Consulting Closed 01 Jun 2019 15 Jul 2019

Contracts Awarded

Contract Title Approval Number Contract Date Contractor Contractor Address Executing Agency Contract Description Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
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 CONSULTANCY 3,171,656.00

Procurement Plan