Bhutan : Preparing the Health Sector Development Program
The transaction technical assistance is required for designing the program and enhancing program readiness through appropriate advance actions.
Project Details
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Project Officer
Win, Hayman Kyaw
South Asia Department
Request for information -
Country/Economy
Bhutan -
Modality
-
Sector
- Health
Related Projects
Project Name | Preparing the Health Sector Development Program | ||||
Project Number | 51141-001 | ||||
Country / Economy | Bhutan |
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Project Status | Closed | ||||
Project Type / Modality of Assistance | Technical Assistance |
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Source of Funding / Amount |
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Strategic Agendas | Inclusive economic growth |
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Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Partnerships |
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Sector / Subsector | Health / Disease control of communicable disease - Health care finance - Health system development |
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Gender | Effective gender mainstreaming | ||||
Description | The transaction technical assistance is required for designing the program and enhancing program readiness through appropriate advance actions. | ||||
Project Rationale and Linkage to Country/Regional Strategy | Bhutan has made significant investments into developing its health system from a low base and achieved remarkable progress in key health outcomes over the past several decades. Average health indicators have vastly improved from being among the poorest in the world to mostly achieving the Millennium Development Goals. Bhutan's total health expenditure is 3.8% of gross domestic product, which is predominantly government financed (approximately 75.0%). Household out-of-pocket expenditure is relatively low, implying a fair level of equity and financial protection. Coverage of health facilities is also extensive, with 96% of the population living within 3 hours walk of the nearest health facility, which is a considerable feat of physical access given the challenges posed by the country's difficult terrain and scattered, remote populations. Despite these impressive gains in key health outcomes, and a high government priority given to health, challenges remain in Bhutan's health sector performance, including wide district-level variations in service quality and coverage, and regional disparities in health outcomes. Bhutan's relative performance in some health indicators compared with other lower middle-income countries could also be further improved. The sector also needs to evolve to effectively deal with growing health security threats and epidemiological and demographic transitions, including the increasing burden of noncommunicable diseases and rapid urbanization with increasing ruralurban migration. Long-term sustainability of health care financing needs critical attention, given rising population expectations and planned introduction of new technologies and services. The need for solutions to address the critical shortage of human resources is a further challenge to sustainably improving health care quality and access. The proposed assistance will bridge critical gaps in Bhutan's health system and will enhance overall sector performance. The proposal is aligned with priorities in the National Health Policy of the Ministry of Health (MOH) and will support implementation of the upcoming Twelfth Five-Year Plan (20182022). The program is included in the country operations business plan, 2016-2018 of the Asian Development Bank (ADB), and reinforces ADB's inclusive growth agenda in the Midterm Review of Strategy 2020. |
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Impact |
Project Outcome | |
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Description of Outcome | |
Progress Toward Outcome | |
Implementation Progress | |
Description of Project Outputs | |
Status of Implementation Progress (Outputs, Activities, and Issues) | |
Geographical Location | Nation-wide |
Summary of Environmental and Social Aspects | |
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Environmental Aspects | |
Involuntary Resettlement | |
Indigenous Peoples | |
Stakeholder Communication, Participation, and Consultation | |
During Project Design | |
During Project Implementation |
Business Opportunities | |
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Consulting Services | A total of 37 person-months (19 international and 18 national) of consulting inputs are provided under the TA. The firm's contract (PwC) will end on 30 September 2018 and international health financing specialist's services has been completed. |
Procurement | N/A |
Responsible ADB Officer | Win, Hayman Kyaw |
Responsible ADB Department | South Asia Department |
Responsible ADB Division | Human and Social Development Division, SARD |
Executing Agencies |
Ministry of Health |
Timetable | |
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Concept Clearance | - |
Fact Finding | - |
MRM | - |
Approval | 10 Aug 2017 |
Last Review Mission | - |
Last PDS Update | 26 Sep 2018 |
TA 9352-BHU
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
10 Aug 2017 | 01 Sep 2017 | 01 Sep 2017 | 31 Mar 2018 | 30 Sep 2018 | 13 Dec 2018 |
Financing Plan/TA Utilization | Cumulative Disbursements | |||||||
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ADB | Cofinancing | Counterpart | Total | Date | Amount | |||
Gov | Beneficiaries | Project Sponsor | Others | |||||
500,000.00 | 0.00 | 100,000.00 | 0.00 | 0.00 | 0.00 | 600,000.00 | 17 Jun 2022 | 450,049.99 |
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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Title | Document Type | Document Date |
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Preparing the Health Sector Development Program: Concept Paper | Concept Papers | Aug 2017 |
Preparing the Health Sector Development Program: Project Data Sheet (Dzongkha Translation) | Translated PDS | Aug 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.
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 |
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International Health Financing Specialist | Individual - Consulting | Closed | ||
PPTA Firm | Firm - Consulting | Closed |
Contracts Awarded
Contract Title | Approval Number | Contract Date | Contractor | Address | Executing Agency | Total Contract Amount (US$) | Contract Amount Financed by ADB (US$) |
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Project Preparatory | Technical Assistance 9352 | 10 Nov 2017 | PricewaterhouseCoopers Private Limited, IND(INDIA) in association with Phuensum Consulting Services(BHUTAN) | #8-2-293/82/A/1131A; Road No. 36, Jubile derabad, India/Andhra Pradesh 500 034 In 17th Flr,Bldg10,TowerC,DLF Cyber City Gu | 401,152.00 | — |
Procurement Plan
None currently available.