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Sri Lanka: Health System Enhancement Project - Additional Financing

Sovereign (Public) Project | 51107-003 Status: Proposed

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
Chen, Dai-Ling South Asia Department Request for information
Country
  • Sri Lanka
Sector
  • Health
 
Project Name Health System Enhancement Project - Additional Financing
Project Number 51107-003
Country Sri Lanka
Project Status Proposed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan: Health System Enhancement Project - Additional Financing
Ordinary capital resources US$ 110.00 million
Strategic Agendas Inclusive economic growth
Regional integration
Drivers of Change Gender Equity and Mainstreaming
Knowledge solutions
Partnerships
Sector / Subsector

Health / Disease control of communicable disease

Gender Equity and Mainstreaming 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.

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
Outcome Efficiency, equity, and responsiveness of the PHC system improved
Outputs

PHC enhanced in Central, North Central, Sabaragamuwa, and Uva.

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

Policy development, capacity building, and project management supported

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 Chen, Dai-Ling
Responsible ADB Department South Asia Department
Responsible ADB Division Human and Social Development Division, SARD
Executing Agencies
Ministry of Health
Inland Revenue Bldg.
Sir Chittamplam A. Gardiner Mawatha
P.O. Box 513, Colombo 2, Sri Lanka
Timetable
Concept Clearance 10 Jun 2021
Fact Finding 25 Jun 2021 to 06 Jul 2021
MRM 28 Jul 2021
Approval -
Last Review Mission -
Last PDS Update 10 Jun 2021

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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None currently available.

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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Tenders

No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.