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

Sovereign Project | 53370-001

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 Name
Developing Innovative Community-Based Long-Term Care Systems and Services
Project Number
53370-001
Country / Economy
  • 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
Source Amount
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 2.00 million
TA 9928-REG: Developing Innovative Community-Based Long-Term Care Systems and Services
Source Amount
Technical Assistance Special Fund US$ 200,000.00
High Level Technology Fund US$ 600,000.00
TA 9928-REG: Developing Innovative Community-Based Long-Term Care Systems and Services
Source Amount
Japan Special Fund US$ 750,000.00
Operational Priorities
  • OP1: Addressing remaining poverty and reducing inequalities
  • OP2: Accelerating progress in gender equality
Sector / Subsector
  • Education / Education sector development - social protection initiatives

  • Health / Disease control of non-communicable diseases and other priority programs - Health system development

  • Information and communication technology / ICT industries and ICT-enabled services

Gender
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.

Contact

Responsible ADB Officer
Wyse, Meredith
Responsible ADB Department
Sectors Group
Responsible ADB Division
Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Asian Development Bank

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

Funding

TA 9928-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
19 Dec 2019 - 19 Dec 2019 30 Nov 2022 30 Jun 2025 -
Financing Plan/TA Utilization
ADB Cofinancing Counterpart Total
Gov Beneficiaries Project Sponsor Others
950,000.00 2,600,000.00 0.00 0.00 0.00 0.00 3,550,000.00
Cumulative Disbursements
Date Amount
28 Jun 2024 2,088,612.29

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
Developing Innovative Community-Based Long-Term Care Systems and Services: Technical Assistance Report Technical Assistance Reports Dec 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.



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
Developing Innovative Community-Based Long-Term Care Systems and Services - INO: Community-based Long-Term Care (LTC) Evaluation Specialist Individual - Consulting Active
Developing Innovative Community-Based Long-Term Care Systems and Services - VIE: Community-based Long-Term Care (LTC) Evaluation Specialist Individual - Consulting Active
Developing Innovative Community-Based Long-Term Care Systems and Services - Community-based Long-Term Care (LTC) Evaluation Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - International Evaluation Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Digital Case Management Systems Specialist / Team Leader Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Full Stack Engineer/Mobile Application Developer Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Design, Development, and Operationalization of the Indonesia Elderly Information System (SILANI) Firm - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Digital case management for LTC_VIE Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - INO Social Services Financing Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - VIE Health Financing Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - VIE: Health Financing Policy Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - International Long-term care digital specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - [MON] Digital case management for Elderly Care Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Digital Social and Health Service Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Long-Term Care Systems and Services Specialist (Mongolia Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Pilot Manager for Community-Based Long-Term Care in Viet Nam Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - TA Monitoring Officer Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Communications and Media Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - IT Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Long-Term Care and Case Management (Clinical) Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Coordinator for Community-Based LTC Pilot in Viet Nam Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Long-Term Care and Case Management (Systems) Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Officer for Community-Based LTC Pilot in Viet Nam Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Coordinator for Community-Based LTC Pilot in Mongolia Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Manager (Mongolia) Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Facilitator for the Community-Based Pilot in Yogyakarta Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Knowledge Management Associate Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - LTC Health Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Facilitator for Community-Based LTC Pilot in Indonesia Individual - Consulting Closed
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
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Trainer/Facilitator for Case Management Services in Bali Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Capacity Building Trainer/Facilitator for Community Care Services in Bali Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - INO: Project Coordinator for Community-Based LTC Pilot Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - INO: Project Officer for Community-Based LTC Pilot Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Community-Based Long-Term Care Specialist (Mongolia) Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Project Coordination Specialist Individual - Consulting Closed
Social Development and Gender Specialist Individual - Consulting Closed
Developing Innovative Community-Based Long-Term Care Systems and Services - Long-Term Care Systems and Services Specialist 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 Technical Assistance 9928 16 Jan 2024 PT Cartenz Technology (INDONESIA) | Millennium Centennial Center 51st Floor, Jl. Jend. Sudirman Kav 25, Karet, Setiabudi, Jakarta Selatan, 12920 Indonesia Asian Development Bank 122,227.00
Capacity Development Technical Assistance Technical Assistance 9928 26 Jan 2024 Global Disability Innovation Hub (U.K.) | UCL East, 1 Pool Street, Stratford, London, United Kingdom Asian Development Bank 194,735.00

Procurement Plan

None currently available.