Sri Lanka : Health System Enhancement Project

Sovereign Project | 51107-002

The project will contribute to the government''s development objective to ensure a healthier nation by supporting the development of a more responsive and comprehensive primary health care (PHC) system in Sri Lanka. It will enhance planning and delivering of essential PHC to geographically and socioeconomically deprived populations of Central, North Central, Sabaragamuwa, and Uva provinces. The project will (i) inform and operationalize government PHC reform initiatives, (ii) improve underserved communities'' access to primary health services, and (iii) address selected gaps in core public health capacities in line with the International Health Regulations (IHR).

Project Details

  • Project Officer
    Jayasundara, Herathbanda
    Sectors Group
    Request for information
  • Country/Economy
    Sri Lanka
  • Sector
    • Health
Project Name Health System Enhancement Project
Project Number 51107-002
Country / Economy Sri Lanka
Project Status Active
Project Type / Modality of Assistance Grant
Loan
Source of Funding / Amount
Grant 0618-SRI: Health System Enhancement Project
Asian Development Fund US$ 12.50 million
Loan 3727-SRI: Health System Enhancement Project
Concessional ordinary capital resources lending US$ 37.50 million
Grant 9222-SRI: Enhancing the Efficiency of the Prehospital Ambulance System to Support management of COVID-19
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 3.00 million
Loan 4121-SRI: Health System Enhancement Project - Additional Financing
Ordinary capital resources US$ 110.00 million
Loan: Health System Enhancement Project
Asian Infrastructure Investment Bank US$ 100.00 million
Strategic Agendas Environmentally sustainable growth
Inclusive economic growth
Regional integration
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Partnerships
Sector / Subsector

Health / Disease control of communicable disease - Health sector development and reform

Gender Effective gender mainstreaming
Description The project will contribute to the government''s development objective to ensure a healthier nation by supporting the development of a more responsive and comprehensive primary health care (PHC) system in Sri Lanka. It will enhance planning and delivering of essential PHC to geographically and socioeconomically deprived populations of Central, North Central, Sabaragamuwa, and Uva provinces. The project will (i) inform and operationalize government PHC reform initiatives, (ii) improve underserved communities'' access to primary health services, and (iii) address selected gaps in core public health capacities in line with the International Health Regulations (IHR).
Project Rationale and Linkage to Country/Regional Strategy

Sri Lanka has made impressive gains in ensuring access and quality to health services for all. Life expectancy at birth increased to 75 years in 2015 from 70 in 1990. Maternal mortality reduced from 75 to 30 per 100,000 live births and infant mortality from 17.9 to 8.0 per 1,000 live births during the same period. Sri Lanka has achieved these efficiently with low overall health spending at 3.0% of gross domestic product (GDP). Most vaccine preventable diseases are at near elimination stage with immunization coverage at about 99%. Sri Lanka has been polio-free since 1994, and malaria- and filariasis-free since 2016.

While Sri Lanka has benefited greatly from improvements in health outcomes during the Millennium Development Goals period (1990 to 2015), it is facing new health challenges related to population aging, changing disease pattern, economic and social changes, and changing lifestyles. These dynamics have resulted in a dramatic increase in noncommunicable diseases (NCDs), which are causing a surge in demand for health services and an increase in health care costs while reemerging and emerging communicable diseases remain a threat. Disparities in health outcomes, health-seeking behavior, life expectancy, and disease burden remain in lagging geographic areas especially in rural and estate sector populations, e.g., malnutrition in mothers and children is a persistent health issue and more acutely seen in the estate sector. The country is now more exposed to communicable diseases because of increased labor mobility and connectivity. Sustaining control of vaccine preventable diseases, malaria elimination efforts, and containment of global diseases will require continuous investments in the prevention and control of communicable diseases and disease surveillance in Sri Lanka.

Primary health care delivery system. The public PHC system in Sri Lanka has been instrumental in providing universal comprehensive care at no cost to the population at the point of service delivery. One of the most characteristic features of the system is preventive health care services focusing on communicable diseases control and maternal and child care. The system covers 341 geographic areas, each with a population of about 80,000. Each area is managed by a medical officer of health and served by 5-10 field health centers with midwives, public health inspectors, and preventive health care staff. In parallel, there is an extensive network of curative services in three tiers of care (955 PHC hospitals and dispensaries, and 149 secondary and tertiary health care hospitals). The government health sector provides as much as 90% of inpatient care, nearly 100% of preventive care, and 50% of outpatient care. At present, the health system planning, policy, and stewardship functions are centrally managed while management of primary and most secondary health care services is decentralized to provincial governments.

Constraints. Since 1990, changing health challenges and population aging led to secondary and tertiary health care services being prioritized for investments at the expense of investments for primary curative and preventive care services. Deterioration of PHC facilities led to bypassing of primary curative care services for secondary and tertiary care for most health problems faced by the population. For example, secondary and tertiary health care today manage as much as 93% of childbirths, 75% of NCD patients, and 50% of outpatient services. On the preventive side, the medical officers of health continue to provide antenatal care, nutrition, and immunization services. However, the quality of services decreased because of lower investments (about 4.5% of public health spending), inadequate staffing, and other resource constraints. Expanded outreach and interventions for populations living in vulnerable and lagging areas are also hampered. Preventive health care services are limited to mothers and children and village environments. There is a need to expand the target group to include the total population (children, youth, adult men and women, and elderly) and expand coverage of NCDs.

Government initiatives. The Government of Sri Lanka is reprioritizing PHC in line with its national health policy and strategic master plan. Sector reforms aim to establish a more responsive, patient-centered, and person-focused health care system. The system will enable health seekers to access a comprehensive package of essential health services including financial risk protection. The government's most recent policy on rational health care delivery for universal health coverage provides the guiding framework to reform the existing PHC system.

The government is committed to develop a more comprehensive, accessible, and higher-quality PHC package to strengthen PHC services, reduce bypassing, and reach vulnerable groups. It is also committed to implement e-health to strengthen evidence-based health services. This includes scaling up the introduction of a patient e-health card, connecting health services for referral and better patient care, and improving information on diseases and health-seeking behavior using a geographical information system (GIS). The system will be linked to disease surveillance for national health security. To comply with International Health Regulations standards, the government aims to strengthen the health assessment of migrants and quarantine services at ports of entry (POEs). In support of efforts to strengthen PHC and the digital health information system, policy developments are in preparation for the essential services package, health human resources, family medicine, facility norms, and testing innovative approaches to strengthen PHC. Capacity building will also be implemented in management, e-health, quarantine and health security, procurement, accounting, gender, nutrition, and health care waste management.

Value added by ADB assistance. Asian Development Bank (ADB) assistance brings value by (i) supporting equity-focused health care delivery reform especially in lagging and rural areas such as the plantation and estate sectors; (ii) adopting evidence-based planning based on GIS mapping and vulnerability index to identify and target underserved districts and populations; (iii) enhancing infrastructure design to address climate change and disaster risk resilience; (iv) scaling up e-health card and its integration with the government's web-based health information system to improve continuity of care and disease surveillance; (iv) supporting GIS units in central and district planning departments to improve disease surveillance and monitor health-seeking behavior; (v) institutionalizing distance learning for training PHC staff; and (vi) helping districts develop and implement innovative solutions to integrate and improve PHC services.

Link to national development strategy and ADB sector priority. The project aligns with the government''s priorities identified in the Public Investment Programme, 2017-2020 and Vision 2025, and with the United Nation's Sustainable Development Goal 3 on universal health coverage. The project is in line with ADB''s country partnership strategy, 2018-2022 for Sri Lanka and paves the way for a long-term programmatic approach consistent with ADB''s health operations plan.

ADB experience and lessons learned. The project is ADB''s reentry to the health sector in Sri Lanka after a gap of about 20 years. The prior project and other recently completed and ongoing ADB-financed projects in the social sectors have been implemented successfully. These past experiences and the project preparation process indicate strong commitment by the government at the national and regional levels. The leadership provided by the Ministry of Health, Nutrition and Indigenous Medicine (MOHNIM) and the four provincial administrations during the project preparation stage is expected to continue into project implementation.

Development coordination. MOHNIM convened the donor coordination committee to ensure collaboration with and among development partners. The World Health Organization (WHO) has a leading role in policy development and sector coordination. The project will collaborate with WHO in terms of technical assistance to support selected areas related to the essential services package, health system strengthening, human resource development, and health security. The project also intends to work with the United Nations Children's Fund (UNICEF) and the World Food Programme on nutrition, as well as the International Organization for Migration on migrant issues. ADB''s support will be coordinated with the World Bank program support to strengthen PHC, and regular discussions are held to prevent duplication of efforts and to synergize on the results and outcomes.

Impact

A healthier nation is ensured with a more comprehensive PHC system

Project Outcome
Description of Outcome

Efficiency, equity, and responsiveness of the PHC system improved

Progress Toward Outcome

By end of reporting period, the cluster system reform process has been implemented in all nine districts. The evaluation will be carried out by comparing the findings of the end-line survey against the baseline, as well as analyzing the outcomes of the pilot cluster and HSEP supported non-cluster areas in contrast to the control area.

Outpatient utilization was estimated as the percentage of people in the catchment population who utilized the PHC for outpatient services according to the baseline household survey. The proportion of females in the catchment populations utilized PHC was higher than that of males. The highest utilization rates were observed in the elderly, followed by children under 5 years of age.

The patients' knowledge and satisfaction were calculated using the data from PHC user survey. The details of calculation are available in the Baseline report. At the baseline, overall, 52.8% of the PHC users were satisfied (scored 70% or more in the multi-item satisfaction scale). Satisfaction level was somewhat lower in the 45-64 year age category (50.6%) than those aged below 18 years and above 65 years. Overall, 53.5% of the PHC users were aware (scored 70% or more in a multi-item hospital awareness scale) of the services provided at the PHC. The awareness was higher in females than males.

Implementation Progress
Description of Project Outputs

Primary and secondary health care enhanced in Central, North Central, Sabaragamuwa, and Uva provinces.

Health information system, disease surveillance capacity, and COVID-19 response strengthened

Policy development, capacity building, and project management supported

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

Output 1

Out of 135 PMCUs and DH, 35 completed (25.18%)

(Secondary data from the PMU by the end of reporting period), a Gender Consultant has initiated developing the criteria for considering a facility as providing gender responsive health care. M&E team will analyze baseline and annual survey data once the definition has been finalized and agreed upon under the gender responsive and inclusive essential service package for outpatient and clinic services provided by PHC facilities supported in target provinces.

All MOH within cluster areas provide gender responsive nutrition services to infants and children under 5 years of age and school children further MOH provides specific nutrition services to pregnant and postpartum females.

Recruitment of consultancy firm for behavior change and community mobilization for increasing primary health care utilization has been withheld as budget allocation has been transferred to the emergency procurement of medical supplies.

Output 2

Establishment of electronic patient information sharing system for stage one in progress.

(Qualitative study). Two out of 9 clusters (Thambuthegama and Dambulla) have been identified as pilot areas and the initial work is in progress. (Discussion with Director, information, Ministry of Health). Developed software has been piloted.

Only few of the health facilities were sending notifications via email and not by an electronic system under the target of developing a system to send notifiable disease surveillance information via electronically to medical officers

Core capabilities to carry out quarantine services with a score of at least 4 joint external evaluation reports to increase eight ports of entry in Sri Lanka not available after 2017, the latest score was available in the baseline score JEE report 2017 and was 3.0

The target has been completed to establish capacity to screen and diagnose COVID19 diseases by December 2020.

Construction Work conducted for the following hospitals have been completed under the upgrading of primary, secondary and tertiary level hospitals capacity to treat and manage patients including COVID 19 patients:

ICU BH Madirigiriya

ICU BH Thambuttegama

PCR Colombo East Base Hospital

ETU GH Kalutara

ICU TH Kurunegala

PCR TH Karapitiya

COVID-19 ward TH Batticaloa, Hambantota Port

Contract awarded and construction ongoing Galle. SBD has been prepared with price escalation clause for Trincomalee and Colombo. Refurbishment of isolation rooms at NIID in the rebidding process Establishment of Iodine Therapy at GH Rathnapura construction ongoing Establishment of Iodine Therapy at GH Anuradhapura construction ongoing NIID Laboratory Complex - Rebidding process.

Secondary data from Suwa Seriya to be obtained under the upgrading of Suwa Seriya ambulance system in all districts

Output 3

The already available Maternal and Child Health policy, Maternal and Newborn strategy and National strategic Plan for Adolescent and Youth Health are gender responsive under the operational polices and guidelines with gender dimensions to complete delivering a comprehensive package of PHC (incorporating the essential service package, management and functioning of cluster hospitals and geographic information system for based planning and monitoring in health sector.

Discussion with FHB is in progress. Gender dimensions are included in the national MCH policy and the relevant strategies for 11 units of FHB to have integrated gender dimension in all their policies and strategic plans.

M&E firm has developed a database to auto-calculate the indicator of "at least 30% of medical officers and other staff of PMCUs and divisional hospitals in target provinces with increased knowledge in PHC based on the secondary data.

By the end of 2021, a total of 270 health staff from the project districts have undergone online training programmes on gender conducted by the Gender Consultant.

The participants included 141 Medical officers, 101 nursing officers and 14 other staff. Action related to policy development has not been initiated yet under the target of PHC staff from PMUs, divisional hospitals, and medical officers of health areas with increased knowledge in gender sensitivity and gender related policies

heir policies and strategic plans.

Geographical Location Central Province, North Central Province, Province of Sabaragamuwa, Province of Uva
Safeguard Categories
Environment B
Involuntary Resettlement C
Indigenous Peoples C
Summary of Environmental and Social Aspects
Environmental Aspects The project is classified as Category B for environment in accordance with ADB's Safeguards Policy Statement (2009). Adverse environmental consequences of the project will be largely restricted to component 1 under which support will be provided to existing PHC facilities to upgrade 30% (135) of its primary medical care infrastructure facilities and small-scale repairs to field health centers. The nature of construction envisaged will be small-scale, simple and straightforward, mostly restricted to expansion of the outpatient departments for primary medical care facilities and repairs and refurbishment to field health centers.
Involuntary Resettlement The project is classified as C for IR based on the screening and assessment of qualitative sample survey of 29 of 135 sites. Selected PMCUs and DHs in the nine districts will be supported via infrastructure upgrades and provision of equipment. Land acquisition and resettlement is not triggered as all civil works are aligned to reconstruction on existing centers which are owed by the Government of Sri Lanka.
Indigenous Peoples The project is classified as C for IP based on ADB's guidelines. The due diligence confirms classification of C categorization for IP impacts. Screening and assessment outlined in the due diligence report show no impacts on the Indigenous Vedda population (the only IP group in the country) in both the Uva and North Central provinces (project areas with habitats).
Stakeholder Communication, Participation, and Consultation
During Project Design The Ministry of Health, Nutrition and Indigenous Medicine (MOHNIM) is the primary stakeholder together with the provincial directorates of health services in the provinces of Uva, Central, Sabaragamuwa, and North Central. Based on the ADB public communication policy and ADB safeguard policy statement, the project assisted the executing agency to prepare a stakeholder communication strategy.
During Project Implementation Stakeholder feedbacks are encouraged in stakeholder meetings, hospital civil society meetings and during review activities. Patient satisfaction surveys routinely carried out in health care institutions will be utilized to obtain feedbacks from project beneficiaries. Stakeholders will have communication access through ADB website and project website which will serve as the main information sharing channel. Direct communication with PMU and PIU is also possible for public and other stake holders.
Business Opportunities
Consulting Services A design and supervision consultant for all civil works to be carried out under the project will be engaged using the quality- and cost-based selection (QCBS) method with a standard quality cost ratio of 90:10. All consulting services will be engaged in accordance with the ADB Procurement Policy (2017, as amended from time to time) and Procurement Regulations for ADB Borrowers (2017, as amended from time to time).
Procurement All procurement of goods, works, nonconsulting and consulting services for the proposed Project will be carried out in accordance with the ADB Procurement Policy and Procurement Regulations for ADB Borrowers (2017, as amended from time to time). Procurement items include civil works, medical equipment, computers, and vehicles.
Responsible ADB Officer Jayasundara, Herathbanda
Responsible ADB Department Sectors Group
Responsible ADB Division Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Ministry of Health
Timetable
Concept Clearance 05 Oct 2017
Fact Finding 23 Apr 2018 to 04 May 2018
MRM 07 Aug 2018
Approval 23 Oct 2018
Last Review Mission -
Last PDS Update 08 Dec 2022

Grant 0618-SRI

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
23 Oct 2018 26 Oct 2018 05 Feb 2019 31 May 2024 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 22.50 Cumulative Contract Awards
ADB 12.50 18 Apr 2024 6.11 0.00 49%
Counterpart 10.00 Cumulative Disbursements
Cofinancing 0.00 18 Apr 2024 7.30 0.00 58%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory Satisfactory Satisfactory - Satisfactory

Grant 9222-SRI

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
30 Sep 2021 07 Oct 2021 17 Nov 2021 31 May 2026 - -
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 3.00 Cumulative Contract Awards
ADB 0.00 18 Apr 2024 0.00 0.78 26%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 3.00 18 Apr 2024 0.00 0.40 13%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory Satisfactory Satisfactory - Satisfactory

Loan 3727-SRI

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
23 Oct 2018 26 Oct 2018 05 Feb 2019 31 May 2024 - -
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 37.50 Cumulative Contract Awards
ADB 37.50 18 Apr 2024 27.20 0.00 73%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 18 Apr 2024 24.44 0.00 65%
Status of Covenants
Category Sector Safeguards Social Financial Economic Others
Rating - Satisfactory Satisfactory Satisfactory - Satisfactory

Loan 4121-SRI

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
30 Sep 2021 07 Oct 2021 17 Nov 2021 31 May 2026 - -
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 120.00 Cumulative Contract Awards
ADB 110.00 18 Apr 2024 57.51 0.00 52%
Counterpart 10.00 Cumulative Disbursements
Cofinancing 0.00 18 Apr 2024 49.35 0.00 45%

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.

Title Document Type Document Date
Health System Enhancement Project: Audited Project Financial Statements (January-December 2022) Audited Project Financial Statements Jun 2023
Health System Enhancement Project: Procurement Plan Procurement Plans Feb 2023
Health System Enhancement Project: Audited Project Financial Statements (January-December 2021) Audited Project Financial Statements Jun 2022
Health System Enhancement Project - Additional Financing: Updated Project Administration Manual Project/Program Administration Manual Oct 2021
Loan Agreement (Ordinary Operations) for Loan 4121-SRI: Health System Enhancement Project - Additional Financing Loan Agreement (Ordinary Resources) Oct 2021
Grant Agreement (Externally Financed - Japan Fund for Poverty Reduction) for Grant 9222-SRI: Health System Enhancement Project - Additional Financing Grant Agreement Oct 2021
Health System Enhancement Project - Additional Financing: Report and Recommendation of the President Reports and Recommendations of the President Sep 2021
Health System Enhancement Project - Additional Financing: Gender Action Plan Gender Action Plans Sep 2021
Health System Enhancement Project - Additional Financing: Procurement Plan Procurement Plans Sep 2021
Health System Enhancement Project - Additional Financing: Project Administration Manual Project/Program Administration Manual Sep 2021
Health System Enhancement Project: Audited Project Financial Statements (January-December 2020) Audited Project Financial Statements Jul 2021
Health System Enhancement Project: Audited Project Financial Statements (January-December 2019) Audited Project Financial Statements Aug 2020
Amendment to the Loan Agreement for Loan 3727-SRI: Health System Enhancement Project Loan Agreement (Ordinary Resources) Apr 2020
Health System Enhancement Project: Project Administration Manual Project/Program Administration Manual Apr 2020
Health System Enhancement Project: Audited Project Financial Statements (August-December 2018) Audited Project Financial Statements Jul 2019
Grant Agreement (Special Operations) for Grant 0618-SRI: Health System Enhancement Project Agreements Oct 2018
Loan Agreement (Ordinary Operations [Concessional]) for Loan 3727-SRI: Health System Enhancement Project Agreements Oct 2018
Health System Enhancement Project: Gender Action Plan Gender Action Plans Oct 2018
Health System Enhancement Project: Project Administration Manual Project/Program Administration Manual Oct 2018
Health System Enhancement Project: Report and Recommendation of the President Reports and Recommendations of the President Oct 2018
Preparing the Health System Enhancement Project: Technical Assistance Report Technical Assistance Reports Oct 2017
Health System Enhancement Project: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Oct 2017

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.

Title Document Type Document Date
Health System Enhancement Project: Environmental Monitoring Report (June-December 2023) Environmental Monitoring Reports Dec 2023
Health System Enhancement Project: Social Safeguard Monitoring Report (June-December 2023) Social Monitoring Reports Dec 2023
Health System Enhancement Project: Suwaseriya Paramedical Staff Facilities Improvement Environmental Safeguards Due Diligence Report Safeguards Due Diligence Reports Oct 2023
Health System Enhancement Project: Proposed for Round 2, Phase II in the Kegalle District - Algama PMCU Initial Environmental Examination Initial Environmental Examination Sep 2023
Health System Enhancement Project: Proposed for Round 2, Phase II in the Ratnapura District - Baranduwa PMCU Initial Environmental Examination Initial Environmental Examination Jul 2023
Health System Enhancement Project: Proposed for Round 2, Phase II in the Rathnapura District - Weddagala PMCU Initial Environmental Examination Initial Environmental Examination Jul 2023
Health System Enhancement Project: Proposed for Round 2, Phase II in the Rathnapura District Initial Environmental Examination Initial Environmental Examination Jul 2023
Health System Enhancement Project: Proposed for Round 2, Phase II in the Ratnapura District - Baranduwa PMCU Revised Initial Environmental Examination Initial Environmental Examination Jul 2023
Health System Enhancement Project: Social Safeguard Monitoring Report (January-June 2023) Social Monitoring Reports Jun 2023
Health System Enhancement Project: Environmental Monitoring Report (January-June 2023) Environmental Monitoring Reports Jun 2023
Health System Enhancement Project: Environmental Monitoring Report (July-December 2022) Environmental Monitoring Reports Mar 2023
Health System Enhancement Project: Social Safeguard Monitoring Report (June-December 2022) Social Monitoring Reports Mar 2023
Health System Enhancement Project: Proposed Refurbishments for Field Health Centers Monaragala District Environmental Safeguards Due Diligence Report Safeguards Due Diligence Reports Nov 2022
Health System Enhancement Project: Social Safeguard Monitoring Report (January-June 2022) Social Monitoring Reports Jul 2022
Health System Enhancement Project: Proposed for Round 2, Phase II in the Nuwaraeliya District Initial Environmental Examination Initial Environmental Examination Jul 2022
Health System Enhancement Project: Proposed for Round 2, Phase I in the Nuwaraeliya District Initial Environmental Examination Initial Environmental Examination Jul 2022
Health System Enhancement Project: Environmental Monitoring Report (January-June 2022) Environmental Monitoring Reports Jul 2022
Health System Enhancement Project: Proposed for Round 2, Phase II in the Badulla District Initial Environmental Examination Initial Environmental Examination May 2022
Health System Enhancement Project: Proposed for Round 2, Phase II in the Bathalayaya-Badulla District Initial Environmental Examination Initial Environmental Examination Apr 2022
Health System Enhancement Project: Environmental Monitoring Report (July-December 2021) Environmental Monitoring Reports Jan 2022
Health System Enhancement Project: Social Safeguard Monitoring Report (July-December 2021) Social Monitoring Reports Jan 2022
Health System Enhancement Project: Proposed for Round 2, Phase I in the Nuwaraeliya District Initial Environmental Examination Initial Environmental Examination Nov 2021
Health System Enhancement Project: Polonnaruwa District Round 2, Phase II Subprojects Initial Environmental Examination Initial Environmental Examination Sep 2021
Health System Enhancement Project: Anuradhapura District Round 2, Phase II Subprojects Initial Environmental Examination Initial Environmental Examination Sep 2021
Health System Enhancement Project: Monaragala District Round 2, Phase II Subprojects Initial Environmental Examination Initial Environmental Examination Sep 2021
Health System Enhancement Project - Additional Financing: Initial Environmental Examination Initial Environmental Examination Jul 2021
Health System Enhancement Project - Additional Financing: Environmental Assessment and Review Framework Environmental Assessment and Review Framework Jul 2021
Health System Enhancement Project: Social Safeguard Monitoring Report (January-June 2021) Social Monitoring Reports Jul 2021
Health System Enhancement Project: Environmental Monitoring Report (January-June 2021) Environmental Monitoring Reports Jul 2021
Health System Enhancement Project: Proposed for Round 2, Phase I in the Anuradhapura District Initial Environmental Examination Initial Environmental Examination Mar 2021
Health System Enhancement Project: Proposed for Round 2, Phase I in the Polonnaruwa District Initial Environmental Examination Initial Environmental Examination Mar 2021
Health System Enhancement Project: Social Safeguard Monitoring Report (July-December 2020) Social Monitoring Reports Jan 2021
Health System Enhancement Project: Environmental Monitoring Report (July-December 2020) Environmental Monitoring Reports Jan 2021
Health System Enhancement Project: Kegalle District Round 2, Phase I Subprojects Initial Environmental Examination Initial Environmental Examination Dec 2020
Health System Enhancement Project: Nuwara Eliya District Round 2, Phase I Subprojects Initial Environmental Examination Initial Environmental Examination Nov 2020
Health System Enhancement Project: Matale District Round 2, Phase I Subprojects Initial Environmental Examination Initial Environmental Examination Oct 2020
Health System Enhancement Project: National Institute of Infectious Diseases Environmental Due Diligence Report Safeguards Due Diligence Reports Oct 2020
Health System Enhancement Project: Kandy District Round 2, Phase I Subprojects Initial Environmental Examination Initial Environmental Examination Sep 2020
Health System Enhancement Project: Uva Province District Round 2, Phase I Subprojects Initial Environmental Examination Initial Environmental Examination Sep 2020
Health System Enhancement Project: Construction of a New Laboratory at National Institute of Infectious Disease Initial Environmental Examination Initial Environmental Examination Sep 2020
Health System Enhancement Project: Social Safeguard Monitoring Report (January-June 2020) Social Monitoring Reports Jul 2020
Health System Enhancement Project: Environmental Monitoring Report (January-June 2020) Environmental Monitoring Reports Jul 2020
Health System Enhancement Project: Construction of a new PCR Laboratory Initial Environmental Examination Initial Environmental Examination Apr 2020
Health System Enhancement Project: Environmental Monitoring Report (June-December 2019) Environmental Monitoring Reports Feb 2020
Health System Enhancement Project: Annual Social Safeguard Monitoring Report (January-December 2019) Social Monitoring Reports Jan 2020
Health System Enhancement Project: Environmental Assessment and Review Framework Environmental Assessment and Review Framework Jul 2018
Health System Enhancement Project: Initial Environmental Examination Initial Environmental Examination Jul 2018

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
CONSULTANCY FIRM FOR SUPERVISION OF CONSTRUCTION OF A NEW LABORATORY COMPLEX FOR NATIONAL INSTITUTE OF INFECTIOUS DISEASES (NIID) AT ANGODA Firm - Consulting Closed
National Individual Consultant: Social Safeguards Specialist New Contract Individual - Consulting Closed
Recruitment of a Construction Supervision Consultancy Firm for Infrastructure Development (CSCID) for Balance work Firm - Consulting Closed
GIS Expert to establish GIS based health planning and monitoring in 9 Districts in Sri Lanka Individual - Consulting Closed
Consultant Supports establishment of Gender based Violence Support Centers Individual - Consulting Closed
Procurement Officer Individual - Consulting Closed
Finance Officer Individual - Consulting Closed
Health Care Waste Management Specialist Individual - Consulting Closed
Health Communication Specialist Individual - Consulting Closed
Financial Management Officer Individual - Consulting Closed
Procurement Officer Individual - Consulting Closed
Health System Enhancement Project Firm - Consulting Closed
Networking Consultant for LAN establishment (Matale and Anuradhapura) Individual - Consulting Closed
Social Safeguards Specialist Individual - Consulting Closed
Specialist Bioinformatician for Sequencing Laboratory, Ministry of Health (Apeksha Hospital, Maharagama) Individual - Consulting Closed
Consultant for Project Implementation Impact on Gender Individual - Consulting Closed
Social Safeguards Specialist Individual - Consulting Closed
Financial Management Specialist Individual - Consulting Closed
Legal Expert for Quarantine Unit Individual - Consulting Closed
DESIGNING AND IMPLEMENTING A HEALTH INFORMATION SYSTEM SOLUTION IN 9 DISTRICT HEALTH FACILITY CLUSTERS IN SRI LANKA Firm - Consulting Closed
PROVISION OF SUPPORT FOR COMMUNITY EMPOWERMENT AND CAPACITY BUILDING FOR IMPROVING THE NUTRITION STATUS OF MOTHERS AND CHILDREN UNDER 5 YEARS IN 9 DISTRICTS COVERING THE ESTATE AND RURAL SECTORS Firm - Consulting Closed
BEHAVIOUR CHANGE AND COMMUNITY MOBILIZATION FOR INCREASING PRIMARY HEALTH CARE UTILIZATION Firm - Consulting Closed
3727 SRI: Health System Enhancement Project (HSEP/PMU//PRO/G 1/04/2018 ) Invitation for Bids Closed
GIS Expert to establish GIS based health planning and monitoring in 9 Districts in Sri Lanka Individual - Consulting Closed
Distance Education Consultant Individual - Consulting Closed
Consultant to support establishment and implementation of Clusters Individual - Consulting Closed
Support Development of Essential Service Package (ESP) within Clusters Individual - Consulting Closed
Consultant for Develop Primary Health Care (PHC) Human Resources for Health (HRH) plan for Cluster Work Force Plan Individual - Consulting Closed
Procurement of Environment Specialist Individual - Consulting Closed
Health System Enhancement Project (Project Engineer) Individual - Consulting Closed
Health Care Waste Management Consultant Individual - Consulting Closed
Gender and Social Safeguards Specialist Individual - Consulting Closed
Financial Management Specialist Individual - Consulting Closed
Health Advocacy Communications Expert Individual - Consulting Closed
Information Technology Specialist for Epidemiology Unit Individual - Consulting Closed
Legal Expert for Quarantine Unit Individual - Consulting Closed
Environment Specialist Individual - Consulting Closed
Consulting Service for Monitoring and Evaluation of the Health System Enhancement Project Firm - Consulting Closed
Design and Supervision of Construction/Renovation/ Upgradation /Refurbishment of PMCUs, Divisional Hospitals including MOHNIM Outreach Facilities in the Central, North Central, Sabaragamuwa and Uva Firm - Consulting Closed
51107-SRI: Health System Enhancement Project Advance Notice Active

Contracts Awarded

Contract Title Approval Number Contract Date Contractor | Address Executing Agency Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Recruitment of Consultancy Firm for Design and Implement of a Health Information System in Nine Districts (S-4) Loan 3727 21 Aug 2023 M/s Science Land Information Technology (PVT) Ltd. | No. 2, 3rd floor, Temple Lane, Colombo 3 Ministry of Health 251,555.51 250,693.30
Procurement of medical supplies and consumables for MSD (surgical) - Polydioxanone Ndl, PG Suture Ndls etc. (Lot 1 to Lot 5) Loan 4121 24 Jan 2023 M/s B Braun Lanka (Pvt) Ltd. | Level 11, HNB Tower, No. 476, T B Jaya Mawatha, Colombo 10 Ministry of Health 2,635,324.46 2,634,821.16
Procurement of Peritoneal dialysis solution 2liter bag with integrated asymmetric Y set (1.5 % concentration) and Peritoneal dialysis solution 2liter bag with integrated asymmetric Y set (2.5 % concentration) for SPC Loan 4121 25 Nov 2022 M/s Peritone Health SDN BHD | Lot 12, Industrial Zone, Phase 4Kulim Hi-Tech Park, 09000 Kulim Kedah, Malaysia Ministry of Health 5,700,000.00 5,700,000.00
Recruitment of consultancy firm for provision of support for community empowerment and capacity building for improving the nutrition status of mothers and children under five years under 9 districts covering the estate and rural sector Loan 4121 19 Jul 2022 M/s. The Foundation for Health Promotion | No. 21/1, Kahwatta Road, Attidiya Ministry of Health 209,510.35 209,510.35
COVID- PROCUREMENT OF RAPID ANTIGEN TEST KITS FOR COVID-19 - G33 Loan 3727 16 Feb 2021 GEORGE STEUART (PVT) LTD | NO. 7E POSTMASTERS PLACE, OFF TEMPLES ROAD, MOUNT LAVINIA SRI LANKA Ministry of Health & Indigenous Medical Services 1,469,663.56 1,465,604.54
PROCUREMENT OF VEHICLES- 38 DOUBLE CABS- G1 Loan 3727 16 Feb 2021 M/S UNITED MOTORS LANKA PRIVATE LIMITED | NO. 100, HYDE PARK CORNER, COLOMBO 2. SRI LANKA Ministry of Health & Indigenous Medical Services 1,810,544.67 1,805,544.19
MONITORING AND EVALUATION FIRM (BASELINE AND END L INE)- S-2 Loan 3727 04 Sep 2020 SRI LANKA BUSINESS DEVELOPMENT CENTRE | 288/8/P, ROYAL GARDENS, RAJAGIRIYA. SRI LANKA Ministry of Health & Indigenous Medical Services 510,955.38 510,429.53
COVID-REIMBURSEMENT OF THE EXPENDITURE INCURRED ON THE COVID-19 PANDEMIC RESPONSE ACTIVITIES IN THE MEDICAL SUPPLY DIVISION IN MOHIMS- BATCH 2 Loan 3727 04 Sep 2020 VARIOUS | VARIOUS SRI LANKA Ministry of Health & Indigenous Medical Services 1,889,812.70 1,889,812.70
COVID-REIMBURSEMENT OF THE EXPENDITURE INCURRED ON THE COVID-19 PANDEMIC RESPONSE ACTIVITIES IN THE MEDICAL SUPPLY DEVISION IN THE MOHIMS Loan 3727 13 Jul 2020 VARIOUS | VARIOUS SRI LANKA Ministry of Health & Indigenous Medical Services 1,125,887.52 1,125,887.52
DESIGN AND SUPERVISION CONSULTANCY FIRM FOR INFRASTRUCTURE DEVELOPMENT (S-01) Loan 3727 06 Dec 2019 RESOURCES DEVELOPMENT CONSULTANTS LTD | 55/2-1, GALLE ROAD, COLOMBO 3 SRI LANKA Ministry of Health,Nutrition & Indigenous Medicine 1,768,272.63 1,768,272.63

Procurement Plan

Title Document Type Document Date
Health System Enhancement Project: Procurement Plan Procurement Plans Feb 2023
Health System Enhancement Project - Additional Financing: Procurement Plan Procurement Plans Sep 2021