Sri Lanka : Health System Enhancement Project - Additional Financing
Sri Lanka is currently being devastated by a third wave of COVID-19. Since the first local case was reported on 11 March 2020, the government was able to curtail the first wave well, with only 3,380 cases and 13 deaths as of end-September 2020. But with the second wave and the ongoing third wave since April 2021, the number of confirmed cases increased exponentially, and by 27 May 2021, there were a total of 172,277 cases, and the number of active cases in hospitals increased exponentially from 2,500 patients on 7 April 2021 to more than 27,190 on 27 May 2021. Deaths due to COVID-19 also increased at an unprecedented rate from 588 on 7 April 2021 to 1,298 deaths as of 27 May 2021.
Project Details
-
Project Officer
Jayasundara, Herathbanda
South Asia Department
Request for information -
Approval Date
30 September 2021 -
Country/Economy
Sri Lanka -
Sector
- Health
| Project Name | Health System Enhancement Project - Additional Financing | ||||||||
| Project Number | 51107-003 | ||||||||
| Country / Economy | Sri Lanka |
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| Project Status | Retrofitted | ||||||||
| Project Type / Modality of Assistance | Grant Loan |
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| Source of Funding / Amount |
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| Strategic Agendas | Environmentally sustainable growth Inclusive economic growth Regional integration |
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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 / Disease control of communicable disease - Health sector development and reform |
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| Gender | Effective gender mainstreaming | ||||||||
| Description | Sri Lanka is currently being devastated by a third wave of COVID-19. Since the first local case was reported on 11 March 2020, the government was able to curtail the first wave well, with only 3,380 cases and 13 deaths as of end-September 2020. But with the second wave and the ongoing third wave since April 2021, the number of confirmed cases increased exponentially, and by 27 May 2021, there were a total of 172,277 cases, and the number of active cases in hospitals increased exponentially from 2,500 patients on 7 April 2021 to more than 27,190 on 27 May 2021. Deaths due to COVID-19 also increased at an unprecedented rate from 588 on 7 April 2021 to 1,298 deaths as of 27 May 2021. As an emergency response to meet this exponentially increasing COVID-19 positive case burden, the government is urgently working to meet gaps of medical equipment, improving the services and facilities available at the hospitals, expanding the access to oxygen therapy, carrying out renovations and refurbishments to accommodating COVID-19 patients in all hospitals, and introducing home care services on a pilot basis. MOH intends to manage asymptomatic patients at home, mildly symptomatic patients at treatment centers (intermediate care centers) and symptomatic positive patients at COVID-19 hospitals. |
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| Project Rationale and Linkage to Country/Regional Strategy | The exponential increase of COVID-19 cases in all provinces since April 2021 has created an emergency need to scale up services across the entire country to better respond to COVID-19 patients without compromising care of patients due to other illnesses. A comprehensive assessment has been undertaken by PMU, PIUs and the ADB consultation mission in November 2020 in addition to follow-on consultations with the government in May 2021, which confirmed the requirement of $110 million additional financing to immediately address the emergency needs due to increasing COVID-19 burden while also ensuring the overall project (original project plus additional financing) successfully completes its targets on-time and on-budget. Furthermore, under HSEP many contracts for the second round of civil works are ready to be awarded by Q4 2021. More funds are required to make the payments for the first round of ongoing civil works as many of those are near completion. The additional financing should be ready by September 2021 to continue the ongoing project progress. | ||||||||
| 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 | |
| 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) | |
| Geographical Location | Nation-wide, Central Province, North Central Province, Province of Uva, Sabaragamuwa Province |
| 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 | 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). Select the construction supervision consultancy firm for base hospital construction repairs and renovations. Recruit construction supervision consultancy firm for renovating and developing eight sewerage systems in the base hospitals. |
| 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). Unless otherwise agreed with ADB, the ADB standard bidding documents and requests for proposals will be used for all procurement. Complete the procurement of emergency medical equipment and furniture. |
| Responsible ADB Officer | Jayasundara, Herathbanda |
| Responsible ADB Department | South Asia Department |
| Responsible ADB Division | Sri Lanka Resident Mission |
| Executing Agencies |
Ministry of Health Dr. Nihal G. Wijesooriya Inland Revenue Bldg. Sir Chittamplam A. Gardiner Mawatha P.O. Box 513, Colombo 2, Sri Lanka Ministry of Health Mr. W.M. Piyasena [email protected] Suwasiripaya, No.385, Rev.Baddegama Wimalawansa Thero Mawatha |
| Timetable | |
|---|---|
| Concept Clearance | 10 Jun 2021 |
| Fact Finding | 25 Jun 2021 to 06 Jul 2021 |
| MRM | 30 Jul 2021 |
| Approval | - |
| Last Review Mission | - |
| Last PDS Update | 30 Sep 2021 |
Grant 9222-SRI
| Financing Plan | Grant Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 3.00 | Cumulative Contract Awards | |||
| ADB | 0.00 | - | 0.00 | 0.00 | % |
| Counterpart | 0.00 | Cumulative Disbursements | |||
| Cofinancing | 3.00 | - | 0.00 | 0.00 | % |
Loan 4121-SRI
| Financing Plan | Loan Utilization | ||||
|---|---|---|---|---|---|
| Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
| Project Cost | 120.00 | Cumulative Contract Awards | |||
| ADB | 110.00 | - | 0.00 | 0.00 | % |
| Counterpart | 10.00 | Cumulative Disbursements | |||
| Cofinancing | 0.00 | - | 0.00 | 0.00 | % |
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.
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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.
| Title | Document Type | Document Date |
|---|---|---|
| Health System Enhancement Project - Additional Financing: Environmental Assessment and Review Framework | Environmental Assessment and Review Framework | Jul 2021 |
| Health System Enhancement Project - Additional Financing: Initial Environmental Examination | Initial Environmental Examination | Jul 2021 |
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
Contracts Awarded
| Contract Title | Approval Number | Contract Date | Contractor | Address | Executing Agency | Total Contract Amount (US$) | Contract Amount Financed by ADB (US$) |
|---|---|---|---|---|---|---|
| Procurement of Total Hip Replacement (THR) Implants for THR - uncemented type, sterile, per patient basis | Loan 4121 | 04 Jan 2023 | M/s. Zimmer Pte Ltd. | 401, Commonwealth Drive, #06-03, Haw Par Technocentre, Singapore | Ministry of Health | 1,135,500.00 | 1,135,500.00 |
Procurement Plan
| Title | Document Type | Document Date |
|---|---|---|
| Health System Enhancement Project - Additional Financing: Procurement Plan | Procurement Plans | Sep 2021 |