Pakistan: Preparing Health Sector Assessment

Sovereign Project | 51318-001

In line with the authority delegated to country directors or heads of divisions to approve small-scale technical assistance (TA), we request approval of the subject small-scale transaction TA amounting to $225,000 to be financed on a grant basis by ADB's Technical Assistance Special Fund (TASF 6). This TA will become effective upon approval; and such approval will be reported to the Board in the Quarterly Summary Report on Small-Scale and Supplementary Technical Assistance Projects not exceeding $225,000.

Project Details

  • Project Officer
    Huitzing, Hiddo A.
    Central and West Asia Department
    Request for information
  • Country/Economy
    Pakistan
  • Sector
    • Health
Project Name Preparing Health Sector Assessment
Project Number 51318-001
Country / Economy Pakistan
Project Status Closed
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9392-PAK: Preparing Health Sector Assessment
Technical Assistance Special Fund US$ 225,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Private sector development
Sector / Subsector

Health / Health system development

Gender Equity and Mainstreaming Gender equity
Description

In line with the authority delegated to country directors or heads of divisions to approve small-scale technical assistance (TA), we request approval of the subject small-scale transaction TA amounting to $225,000 to be financed on a grant basis by ADB's Technical Assistance Special Fund (TASF 6). This TA will become effective upon approval; and such approval will be reported to the Board in the Quarterly Summary Report on Small-Scale and Supplementary Technical Assistance Projects not exceeding $225,000.

ADB will finance the SSTA to carry out an assessment that will examine delivery of health services particularly hospital sector, focusing on quality of health care, public financial management of the health sector, and health seeking behavior of the population. With all the ongoing initiatives, there is need for a consistent policy framework to coordinate and align all the reform initiatives and prevent system fragmentation by reforms implemented in silos. The sector assessment will inform the new Health Strategy for the province and will distill the policy matrix for an upcoming policy-based loan.

Project Rationale and Linkage to Country/Regional Strategy

ADB received request for assistance in strengthening health systems, especially, secondary hospitals, and critical part of tertiary hospitals, and introduction of public private partnerships in hospitals, from health departments of Punjab, KP, and Sindh. Given substantial investments by provincial governments often with development partners (e.g. Department for International Development [DFID], World Bank, and United Nations Children's Fund) in primary health care, strengthening the hospital sector and integration of primary and secondary health care indeed a logical next step.

Following the mission in May 2017, Government of Khyber Pakhtunkhwa (GoKP) in particular, send urgent request for ADB's financial support for supporting its health sector reforms, and a program was included in the 2018 pipeline of the Country Operation and Business Plan, as of August 2017, and requested possible approval the program by May 2018. Given the urgency of program preparation and also expected similar request from other provinces, this SSTA is proposed to conduct essential due diligence required for preparing a solid program for supporting health sector reforms in KP, but also support necessary analysis in other provinces.

Impact Health status of the population in the province is improved.
Project Outcome
Description of Outcome Health sector strategy drafted
Progress Toward Outcome
Implementation Progress
Description of Project Outputs

Health sector assessment undertaken

Priority policy reforms identified

Status of Implementation Progress (Outputs, Activities, and Issues) An analysis of the quality of care provided by secondary hospitals, governance of the health sector, planning and financial sustainability as well as on health seeking behavior of the population has been prepared. These areas were identified as the main constraints of Khyber Pakhtunkhwa (KP) health sector.
Geographical Location Khyber Pakhtunkhwa
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 International consultants on the areas of health care quality, and behavior change communication have been recruited and fielded. National consultants on the areas of finance, behavior change communication, health care quality have also been recruited and fielded.
Responsible ADB Officer Huitzing, Hiddo A.
Responsible ADB Department Central and West Asia Department
Responsible ADB Division CWSS
Executing Agencies
Asian Development Bank
6 ADB Avenue,
Mandaluyong City 1550, Philippines
Timetable
Concept Clearance -
Fact Finding 11 Sep 2017 to 11 Sep 2017
MRM -
Approval 27 Sep 2017
Last Review Mission -
Last PDS Update 04 Apr 2018

TA 9392-PAK

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
27 Sep 2017 - 27 Sep 2017 30 Jun 2018 30 Jun 2020 17 Sep 2020
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
225,000.00 0.00 0.00 0.00 0.00 0.00 225,000.00 17 Jun 2022 206,467.42

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.

The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.


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

Title Document Type Document Date
Pakistan: Preparing Health Sector Assessment Validation of Technical Assistance Completion Reports Dec 2021

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
Senior Health Security Expert Individual - Consulting Closed 24 Mar 2020 06 Apr 2020
Survey Data Specialist Individual - Consulting Closed 05 Mar 2020 11 Mar 2020
Health Economist Individual - Consulting Closed 21 Sep 2019 27 Sep 2019
International Expert in Health Sector Strategy Individual - Consulting Closed 20 Jan 2018 26 Jan 2018
Preparing Health Sector Assessment: Health Specialist Individual - Consulting Closed 18 Oct 2017 22 Oct 2017
Preparing Health Sector Assessment: Health economist Individual - Consulting Closed 29 Sep 2017 10 Oct 2017
Preparing Health Sector Assessment: Quality specialist Individual - Consulting Closed 29 Sep 2017 10 Oct 2017
Preparing Health Sector Assessment: International Quality of Care Expert Individual - Consulting Closed 29 Sep 2017 10 Oct 2017
Preparing Health Sector Assessment: Behavior change communication expert Individual - Consulting Closed 29 Sep 2017 05 Oct 2017
Preparing Health Sector Assessment: Behavior Change Specialist Individual - Consulting Closed 29 Sep 2017 10 Oct 2017

Contracts Awarded

No contracts awarded for this project were found


Procurement Plan

None currently available.