Mongolia : Development of the Health Sector Master Plan, 2019-2027

Sovereign Project | 51134-001

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 Details

  • Project Officer
    Jigjidsuren, Altantuya
    East Asia Department
    Request for information
  • Country/Economy
    Mongolia
  • Modality
  • Sector
    • Health
Project Name Development of the Health Sector Master Plan, 2019-2027
Project Number 51134-001
Country / Economy Mongolia
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9386-MON: Development of the Health Sector Master Plan (2019-2027)
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 1.00 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 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.
Impact

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
Project Outcome
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 overall project implementation progress is estimated at 70% against elapsed time of 93%. Health Sector Master Plan, 2019-2027 has been developed and adopted.
Implementation Progress
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 final version of the Health Sector Master Plan (2019-2027) and the documents that support the plan such as (i) the essential and complementary service package; (ii) the service planning framework; (iii) the medium-term investment framework; (iv) the medium-term expenditure framework; and (v) the monitoring and evaluation framework was widely deliberated at all levels of the government and finally accepted by the MOH on 7 January 2020. The strategy 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. The EA is in the process of adopting the Health Sector Master Plan and the Essential Services Packages through a ministerial order. The master plan has been published in Mongolian language and distributed.

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; (ii) heads and senior staff of province and city health departments; and (iii) directors and senior management staff of province and district hospitals. Based on the findings of the assessment, the consultants have developed capacity building program. Starting from September 2020, 534 staff government staff and decision makers at all levels, including rural soums (districts) and aimags (provinces) have been receiving training in the competency areas of health planning, health needs, health technology assessment, monitoring and evaluation, financial, capital and investment planning.
Geographical Location Nation-wide
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
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 In July 2018, the MOH established the MOH Coordinating Committee for the Health Sector Master Plan (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 CC tasks 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 Technical Working Group (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 have been discussed through regional and national workshops. As of date, the CC met twice, the TWG met twice and there were two regional and once national consultation workshops organized by the PIU and MOH.
Business Opportunities
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.
Procurement

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 Jigjidsuren, Altantuya
Responsible ADB Department East Asia Department
Responsible ADB Division Mongolia Resident Mission
Executing Agencies
Ministry of Health (formerly Ministry of Health and Sports)
1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar
Mongolia
Timetable
Concept Clearance 31 May 2017
Fact Finding -
MRM -
Approval 21 Sep 2017
Last Review Mission -
Last PDS Update 30 Sep 2020

TA 9386-MON

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
21 Sep 2017 20 Oct 2017 20 Oct 2017 30 Nov 2019 30 Nov 2020 15 Feb 2021
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 1,000,000.00 0.00 0.00 0.00 0.00 1,000,000.00 17 Jun 2022 926,175.05

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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.

None currently available.

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.

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Tenders

Tender Title Type Status Posting Date Deadline
Health Policy, Planning and Capacity Building Firm - Consulting Closed
Project coordinator – Health specialist Individual - Consulting Closed
Administrative and finance coordinator Individual - Consulting Closed

Contracts Awarded

Contract Title Approval Number Contract Date Contractor | Address Executing Agency 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 *** 623,445.00 —

Procurement Plan

None currently available.