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Regional: Developing Innovative Community-Based Long-Term Care Systems and Services

Sovereign (Public) Project | 53370-001 Status: Active

The knowledge and support technical assistance (TA) will build on the findings, recommendations, and lessons learned from TA 9111: Strengthening Developing Member Countries' (DMCs) Capacity in Elderly Care, approved in May 2016 and expected to be completed in May 2020. TA 9111 aimed to develop DMC capacity to adapt to aging populations and develop long-term care (LTC) systems and services. The country diagnostic studies conducted under the TA in six countries (Indonesia, Mongolia, Sri Lanka, Thailand, Tonga, and Viet Nam) have revealed large deficits in LTC services, especially those providing affordable and quality care. In each country, developing community-based services has emerged as a priority.

Project Details

Project Officer
Walker, Wendy M. Sustainable Development and Climate Change Department Request for information
Country
  • Regional
Sector
  • Health
 
Project Name Developing Innovative Community-Based Long-Term Care Systems and Services
Project Number 53370-001
Country Regional
Indonesia
Mongolia
Sri Lanka
Viet Nam
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9928-REG: Piloting Innovative Community-Based Long-Term Care Systems and Services
Japan Fund for Poverty Reduction US$ 2.00 million
TA 9928-REG: Developing Innovative Community-Based Long-Term Care Systems and Services
Technical Assistance Special Fund US$ 200,000.00
High Level Technology Fund US$ 600,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Knowledge solutions
Partnerships
Sector / Subsector

Education / Education sector development - social protection initiatives

Health / Health insurance and subsidized health programs

Gender Equity and Mainstreaming Effective gender mainstreaming
Description

The knowledge and support technical assistance (TA) will build on the findings, recommendations, and lessons learned from TA 9111: Strengthening Developing Member Countries' (DMCs) Capacity in Elderly Care, approved in May 2016 and expected to be completed in May 2020. TA 9111 aimed to develop DMC capacity to adapt to aging populations and develop long-term care (LTC) systems and services. The country diagnostic studies conducted under the TA in six countries (Indonesia, Mongolia, Sri Lanka, Thailand, Tonga, and Viet Nam) have revealed large deficits in LTC services, especially those providing affordable and quality care. In each country, developing community-based services has emerged as a priority. This TA will (i) continue to build the knowledge base on LTC; (ii) develop innovative and sustainable community-based LTC service models that can operate in low income settings, deliver quality and affordable services, are sustainable and have potential for replication and; (iii) strengthen knowledge sharing and networking on LTC in the region. The TA seeks to create new partnerships for service delivery and to address the multiple care needs of older persons in Indonesia, Mongolia, Sri Lanka, and Viet Nam.

The TA is included in the management-approved 2019 results-based work plan of the Sustainable Development and Climate Change Department. It is aligned with the Asian Development Bank's (ADB) Strategy 2030, particularly operational priority one's agenda of addressing remaining poverty and reducing inequalities among the region's most vulnerable populations. The proposed community-based care models will support the development of technical assistance and lending portfolios on adapting to aging.

Project Rationale and Linkage to Country/Regional Strategy The Asia and the Pacific region is at the forefront of one of the most profound demographic transitions due largely to the achievements of increased longevity and decreased fertility rates. It is currently home to over half of the global population over age 60 years, and this number is expected to rise to nearly two-thirds, or close to 1.3 billion, by 2050. The transition is happening at an unprecedented pace and at a time when traditional family support systems are weakening due to factors, such as migration and expanding female labor market participation. To date, the majority of care provision is supplied informally by family members, who rarely receive any support or training. As population demographics change there is a need to develop systems and services which can help alleviate the widening gap between demand and supply and provide quality services. Existing LTC is very limited in types of services, providers, and geographic and beneficiary coverage. The country diagnostic studies conducted under TA 9111 have found that a major challenge across all countries is to shift from policy development to implementing sustainable services on the ground that are affordable and which address the particular contexts and strengths in each country. Developing community-based LTC service models in the four selected countries will (i) help expand access to a majority of the older population, and particularly the poor and vulnerable, (ii) create a clear evidence base for good practice and (iii) an enabling environment for scaling up in the main area of service delivery that each country is prioritizing.
Impact Remaining poverty and inequalities for the region's most vulnerable population including older persons addressed
Project Outcome
Description of Outcome Capacity of DMCs to develop and scale up community-based care systems and services for older persons improved
Progress Toward Outcome
Implementation Progress
Description of Project Outputs

Knowledge base on long-term care improved

Capacity building program and community-based care models developed

Knowledge sharing and networking systems strengthened

Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Indonesia - Nation-wide; Mongolia - Nation-wide; Sri Lanka - Nation-wide; Viet Nam - Nation-wide
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 ADB will engage consultants following the ADB Procurement Policy (2017, as amended from time to time) and the associated project administration instructions and staff instructions.
Procurement Non-consulting services and goods (i.e., computer software packages, exercise machines, simple medical devices, and other small items for services to older persons in community care centers). Procurement to be undertaken by the selected consulting firm and/or consultants in each country (Indonesia, Mongolia, Sri Lanka, and Viet Nam) using request for quotation method, following the ADB Procurement Policy (2017, as amended from time to time) and the associated project administration and staff instructions.
Responsible ADB Officer Walker, Wendy M.
Responsible ADB Department Sustainable Development and Climate Change Department
Responsible ADB Division SDTC-SOC
Timetable
Concept Clearance 06 Nov 2019
Fact Finding 02 Oct 2019 to 02 Oct 2019
MRM -
Approval 19 Dec 2019
Last Review Mission -
Last PDS Update 26 Dec 2019

TA 9928-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
19 Dec 2019 - 19 Dec 2019 30 Nov 2022 - -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
200,000.00 2,600,000.00 0.00 0.00 0.00 0.00 2,800,000.00 19 Dec 2019 16,646.07

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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Evaluation Documents See also: Independent Evaluation

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Related Publications

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Tenders

Tender Title Type Status Posting Date Deadline
Developing Innovative Community-Based Long-Term Care Systems and Services - Knowledge Management Associate Individual - Consulting Closed 23 Mar 2021 29 Mar 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - LTC Health Specialist Individual - Consulting Closed 20 Feb 2021 26 Feb 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Facilitator for Community-Based LTC Pilot in Indonesia Individual - Consulting Closed 14 Feb 2021 20 Feb 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Trainer/Facilitator for Community Care Services in Bali Individual - Consulting Closed 30 Jan 2021 05 Feb 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Trainer/Facilitator in Integrated Care for Older Persons in Bali Individual - Consulting Closed 30 Jan 2021 05 Feb 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Trainer/Facilitator for Case Management Services in Bali Individual - Consulting Closed 30 Jan 2021 08 Feb 2021
Developing Innovative Community-Based Long-Term Care Systems and Services - INO: Project Coordinator for Community-Based LTC Pilot Individual - Consulting Closed 27 Oct 2020 29 Oct 2020
Developing Innovative Community-Based Long-Term Care Systems and Services - INO: Project Officer for Community-Based LTC Pilot Individual - Consulting Closed 09 Oct 2020 15 Oct 2020
Developing Innovative Community-Based Long-Term Care Systems and Services - Community-Based Long-Term Care Specialist (Mongolia) Individual - Consulting Closed 08 Oct 2020 14 Oct 2020
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Coordination Specialist Individual - Consulting Closed 28 Aug 2020 03 Sep 2020
Social Development and Gender Specialist Individual - Consulting Closed 05 Aug 2020 18 Aug 2020
Developing Innovative Community-Based Long-Term Care Systems and Services - Long-Term Care Systems and Services Specialist Individual - Consulting Closed 22 Apr 2020 28 Apr 2020

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.