This technical assistance (TA) will support the Government of Mongolia in preparing a health sector master plan (HSMP) for 2019 -2027. The TA will provide institutional and human resource capacity to the Ministry of Health (MOH) to develop a strategic framework through 2027. This will enable the MOH to pursue its long-term development policy on health in accordance with Mongolia's commitments to health-related targets under the Mongolia Sustainable Development Vision 2030 (SDV 2030).
|Project Name||Development of the Health Sector Master Plan, 2019-2027|
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|Sector / Subsector||
Health / Health sector development and reform
|Gender Equity and Mainstreaming||Some gender elements|
|Description||This technical assistance (TA) will support the Government of Mongolia in preparing a health sector master plan (HSMP) for 2019 -2027. The TA will provide institutional and human resource capacity to the Ministry of Health (MOH) to develop a strategic framework through 2027. This will enable the MOH to pursue its long-term development policy on health in accordance with Mongolia's commitments to health-related targets under the Mongolia Sustainable Development Vision 2030 (SDV 2030).|
|Project Rationale and Linkage to Country/Regional Strategy||As the Health Sector Strategic Master Plan (HSSMP), 2005 -2015 has expired, developing a new master plan is essential to ensure that government targets are achieved and hard-won gains in key health indicators, such as the improvements achieved in maternal and infant mortality, are sustained.The government has requested ADB's support in preparing the HSMP to ensure the effective development and implementation of sector targets, which will include capacity building for effective sector-wide management at the MOH.|
The state policy on health and mid-term economic framework for policy implementation to ensure actual improvement in access and quality of preventive, diagnostics and medical services developed and implemented (The Government Action Plan, 2016-2020). a
The governments' strategic programming, healthcare policy development and planning enhanced (The Government Action Plan, 2016-2020). a
|Description of Outcome||Health sector mid-term strategic framework for the government's action to pursue its long-term development policy on health developed and implemented|
|Progress Toward Outcome||The TA implementation is slightly behind the schedule. The overall project implementation progress is estimated at 30% against elapsed time of 59%. In January 2019, ADB and MOH have agreed to replace the team leader and add one international expert to facilitate implementation of the TA's capacity building component.|
|Description of Project Outputs||
Health Sector Master Plan developed
Planning, monitoring and coordination capacity of MOH improved
|Status of Implementation Progress (Outputs, Activities, and Issues)||
Output 1. Health Sector Master Plan, 2019-2027 developed. The consultants conducted rapid assessments of implementation of the (i) previous Health Sector Strategic Master Plan (2005-2015), and (ii) major health sector reforms undertaken since 1990s based on literature review, individual interviews with key informants, policy makers and development partners, and four regional consultative workshops with participation of health administrators, healthcare workers and local government officials. The consultants also defined the core implementation strategies under eight policy objectives of the State Policy on Health (2017). This was done through extensive consultations with MOH staff. The implementation strategies will be discussed by the MOH Technical Working Group (TWG), the Coordinating Committee (CC) and other stakeholders. After reaching the stakeholder consensus, the strategies will be further detailed in the implementation plan. The implementation strategies and plan will serve as the core document of the health sector master plan.
Output 2. Planning, monitoring, and coordination capacity of the Ministry of Health strengthened. The consultants assessed the training needs of the (i) local government staff responsible for health, (ii) heads and senior staff of aimag and city health departments and (iii) directors and senior management staff of aimag and district hospitals. The assessment covered the areas of competencies in health planning, health needs and health technology assessment, monitoring and evaluation, aid coordination, financial, capital and investment planning. Based on the training needs assessment, the consultants prepared a draft capacity building program, which included (i) short term competency-based training activities to conducted through consultative workshops and working group meetings, and (ii) specifically designed training activities in selected thematic areas. In January 2019, ADB and MOH agreed with Conseil Sante to develop the detailed capacity building program and to engage additional two international experts to conduct the thematic trainings.
Stakeholder consultation and coordination mechanisms. In July 2018, the MOH established the CC that comprised 28 members including all the MOH directors, representatives from tertiary and secondary level hospitals, Ulaanbaatar City Health Department, non-governmental organizations, professional associations and representatives of donor agencies. The main tasks of the CC are to provide coordination support in the development process of the master plan documents, review and provide feedback on draft documents and ensure participation of various stakeholders. The TWG, which was established by MOH in December 2018, comprises 44 members and is supposed to provide technical support in the development of the master plan documents through technical consultation and collaboration. In addition, to ensure a wide participatory and consultative approach, all the documents developed by the team will be discussed through regional and national workshops. There are four regional and four national workshops planned under the TA. The first round of regional workshops was organized in September 2018 to discuss the sector assessments. The second round of regional workshops was organized in March 2019 to discuss the strategies.
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design||The TA will establish a stakeholders' consultation and coordination mechanism at the MOH to ensure the participation of all stakeholders, a sector-wide approach, and ownership of the development of the HSMP. The TA will use a wide participatory and consultative approach where the primary responsibility lies on the MOH while ensuring (i) participation and engagement of national and international stakeholders from the onset; (ii) broad and systematic consultation with health sector stakeholders, including medical staff, clients, professional associations, and private sector participants; (iii) use of an evidence-based approach and a well-documented strategy; and (iv) promotion of ownership at the central and local levels through dissemination of the strategy documents for discussion and feedback.|
|During Project Implementation||On 20 May 2018, MOH established the (i) TA Coordinating Committee to oversee the Action Plan development process, (ii) technical working groups to work on the key strategic areas, and (iii) thematic working groups to work on the supporting documents. The MOH ensures participation of the relevant stakeholders, including the central and local level government agencies, international partners, and representatives of private sector, non-governmental organizations and training and research institutions.|
|Consulting Services||ADB will engage a consulting firm following ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).7 The selected firm will provide 73 person-months of consulting services in health care and financial planning, health needs and technology assessment, and capacity building. ADB will recruit the firm through the quality- and cost-based selection procedure (quality cost ratio of 90:10) and engage it using a performance-based contract. ADB will also engage a project coordinator for 24 person-months and an administrative and finance coordinator for 24 person-months. The two project coordinators will be responsible for the TA's day-to-day activities and will be recruited by ADB as individual consultants following the Guidelines on the Use of Consultants.|
The executing agency will purchase office equipment and procure goods for printing and
publishing following ADB's Procurement Guidelines (2015, as amended from time to time). TA
project implementation unit will transfer office equipment to the executing agency upon completion
of TA activities.
|Responsible ADB Officer||Altantuya Jigjidsuren|
|Responsible ADB Department||East Asia Department|
|Responsible ADB Division||Mongolia Resident Mission|
Ministry of Health (formerly Ministry of Health and Sports)
1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar
|Concept Clearance||31 May 2017|
|Approval||21 Sep 2017|
|Last Review Mission||-|
|Last PDS Update||27 Mar 2019|
|Approval||Signing Date||Effectivity Date||Closing|
|21 Sep 2017||20 Oct 2017||20 Oct 2017||30 Nov 2019||-||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|0.00||1,000,000.00||0.00||0.00||0.00||0.00||1,000,000.00||21 Sep 2017||376,058.74|
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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|Title||Document Type||Document Date|
|Эрүүл мэндийн салбарын 2019-2027 оны мастер төлөвлөгөөг боловсруулах төсөл : Төслийн МэдээллийнТайлан||Translated PDS||Sep 2018|
|Development of the Health Sector Master Plan, 2019-2027: Technical Assistance Report||Technical Assistance Reports||Sep 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.
None currently available.
Evaluation Documents See also: Independent Evaluation
None currently available.
None currently available.
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|Tender Title||Type||Status||Posting Date||Deadline|
|Health Policy, Planning and Capacity Building||Firm - Consulting||Closed||27 Nov 2017||26 Dec 2017|
|Project coordinator – Health specialist||Individual - Consulting||Closed||09 Nov 2017||22 Nov 2017|
|Administrative and finance coordinator||Individual - Consulting||Closed||09 Nov 2017||22 Nov 2017|
|Contract Title||Approval Number||Contract Date||Contractor||Contractor Address||Executing Agency||Contract Description||Total Contract Amount (US$)||Contract Amount Financed by ADB (US$)|
|Capacity Development||Technical Assistance 9386||20 Apr 2018||CONSEIL SANTE S.A.(FRANCE) in association with INDEPENDENT RESEARCH INSTITUTE OF MONGOLIA(MONGOLIA)||92-98 BOULEVARD VICTOR HUGO 92110 CLINCHY, FRANCE||*** No Executing Agency for this TA ***||Consulting Services||623,445.00||—|
None currently available.