Uzbekistan : Integrated Perinatal Care Project

Sovereign Project | 52340-001

The project aligns with the first operational strategy of ADB's Strategy 2030, which aims to achieving better health for all by improving the quality and coverage of government healthcare services and supporting to improve access to quality healthcare services. ADB has a long experience in the health sector of Uzbekistan. The Country Partnership Strategy (CPS) 2019-2023, in line with the government's new health strategy, states that it will support '(&) reducing maternal and child mortality, the ruralurban disparities in the quality of health care provision, and will assist in the development of an e-health system, aiming at integrating different levels of health care and increasing its efficiency . In general, the project aligns with SDG 3 on UHC, and in particular SDG 3.1.1 on reducing MMR and SDG 3.2.2 on reducing NMR, and SDG 5 on universal access to reproductive health.

Project Details

Project Name Integrated Perinatal Care Project
Project Number 52340-001
Country / Economy Uzbekistan
Project Status Proposed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan: Integrated Perinatal Care Project
Concessional ordinary capital resources lending US$ 100.00 million
Operational Priorities OP1: Addressing remaining poverty and reducing inequalities
OP2: Accelerating progress in gender equality
OP3: Tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability
OP5: Promoting rural development and food security
OP6: Strengthening governance and institutional capacity
Sector / Subsector

Health / Mother and child health care

Gender Gender equity theme
Description The project aligns with the first operational strategy of ADB's Strategy 2030, which aims to achieving better health for all by improving the quality and coverage of government healthcare services and supporting to improve access to quality healthcare services. ADB has a long experience in the health sector of Uzbekistan. The Country Partnership Strategy (CPS) 2019-2023, in line with the government's new health strategy, states that it will support '(&) reducing maternal and child mortality, the ruralurban disparities in the quality of health care provision, and will assist in the development of an e-health system, aiming at integrating different levels of health care and increasing its efficiency . In general, the project aligns with SDG 3 on UHC, and in particular SDG 3.1.1 on reducing MMR and SDG 3.2.2 on reducing NMR, and SDG 5 on universal access to reproductive health. The project will promote SDG 3's clear focus on equity, including equity-focused monitoring and evaluation, to help ensure that targets are being met and that no one is being left behind, and to contribute toward achieving SDG 5.
Project Rationale and Linkage to Country/Regional Strategy The proposed Improvement of Perinatal Care Project (IPCP) is a project loan. The transaction TA will help the Government of Uzbekistan to (i) review the technical, economic and financial viability of the project and ascertain the project rationale, scope, cost, schedule, implementation arrangements, risks and mitigation measures; (ii) ensure compliance with Asian Development Bank's (ADB) safeguard policy statement (2009) and identify mitigation measures and institutional strengthening; and (iii) assist the project executing agency (EA) and implementing agency (IA) in advance contracting for the ensuing loan project.
Impact

Maternal and neonatal mortality rates reduced

Outcome

Woman- and baby-friendly quality perinatal care services optimally utilized

Outputs

Perinatal centers modernized and upgraded

Perinatal referral system strengthened

Quality adherence at perinatal centers enhanced

Maternal health seeking behavior improved

Geographical Location Nation-wide
Safeguard Categories
Environment C
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

Open competitive bidding (international) will be used for recruiting consulting firms for (i) baseline and endline survey, (ii) project implementation and quality improvement, (iii) behavioral change communication (BCC) technical assistance and evaluation consultancy, (iv) BCC campaign development and implementation, and (v) research. Firms will be recruited using (i) quality- and cost-based selection (QCBS) method with 80-20 quality-cost ratio or (ii) consultants qualification selection (CQS) method. LLC ITMED, which will be responsible for development of electronic health records (perinatal care module) (estimated contract value of $2,000,000), will be engaged thru direct contracting.

Individual consultants and PIU positions will be recruited thru competitive selection. The PIU will engage an estimated 432 person-months of experts to (i) facilitate project management and implementation, and (ii) strengthen the institutional and operational capacity of the executing agency.

Nonconsulting services include packages covering training for all perinatal centers throughout the country to be provided by Center for Professional Training of Medical Workers, Republican Perinatal Center, and Republican Obstetrician and Gynecology Center. World Health Organization (WHO) will also provide training to the perinatal centers but the project will only cover costs related to training. WHO staff remuneration or salary will not be paid under the project. Engagement for these contracts will be based on direct contracting. Request for quotation for non-consulting services will be used for the audit package.

Procurement

All procurement of goods, consulting, and nonconsulting services in the project will be undertaken in accordance with ADB Procurement Policy (2017, as amended from time to time) and Procurement Regulations for ADB Borrowers (2017, as amended from time to time).

The main goods procurement will be medical equipment for the project perinatal centers. The project includes ICT tablet personal computers hardware, to improve case management for referral. Open competitive bidding (international) for goods packages will be used.

Responsible ADB Officer Win, Hayman Kyaw
Responsible ADB Department Sectors Group
Responsible ADB Division Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Ministry of Health
Timetable
Concept Clearance -
Fact Finding 29 Nov 2022 to 12 Dec 2022
MRM 18 May 2023
Approval -
Last Review Mission -
Last PDS Update 09 Dec 2019

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.

Title Document Type Document Date
Integrated Perinatal Care Project: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Nov 2019

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

No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.