The TA will provide support for capacity development to increase preparedness in Mongolia to the novel Coronavirus (COVID-19). The TA will assist in strengthening public health risk and resources mapping and coordination, introducing incident management approach and improving capacity of health workers on Infection Prevention and Control (IPC) at both national and local levels through targeted coaching and training by international experts.
| Project Name | Support for Improving the Preparedness and Response to Novel Coronavirus Outbreak | ||||
| Project Number | 54102-001 | ||||
| Country | Mongolia |
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| Project Status | Active | ||||
| 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 | Governance and capacity development Partnerships |
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| Sector / Subsector | Health / Disease control of communicable disease |
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| Gender Equity and Mainstreaming | No gender elements | ||||
| Description | The TA will provide support for capacity development to increase preparedness in Mongolia to the novel Coronavirus (COVID-19). The TA will assist in strengthening public health risk and resources mapping and coordination, introducing incident management approach and improving capacity of health workers on Infection Prevention and Control (IPC) at both national and local levels through targeted coaching and training by international experts. | ||||
| Project Rationale and Linkage to Country/Regional Strategy | These areas have been identified by the government as the most pressing issues that require immediate assistance to improve the government's ability to respond and to contain the spread of a potential coronavirus outbreak in the country. Increased interconnectedness due to regional global trade and travel has played a significant part in spread of COVID-19. Mongolia is considered a high-risk country for the COVID-19 outbreak given the geographical proximity and direct trade and transport linkages with PRC and high volume of people to people interactions between the two countries. Every month 5 million travelers and 2 million vehicles cross 11 border crossings with mainland China. Monthly foreign trade turnover is 4-5 million tons. Although there has been no reported case of COVID-19 in Mongolia as of 20 February 2020, there are 183 suspected cases with the history of travel to COVID-19 affected regions, fever and other respiratory symptoms. The epidemic of COVID-19 coincides with increased activity in seasonal influenza and influenza-like illnesses across the globe as well as in Mongolia, which calls for enhanced surveillance and preparedness. | ||||
| Impact | Efficient and effective response to public health emergencies and hazards improved. | ||||
| Project Outcome | |
|---|---|
| Description of Outcome | Institutional preparedness for responding to a potential coronavirus outbreak strengthened |
| Progress Toward Outcome | 3. The project has successfully achieved all its envisioned outputs. The overall project implementation progress is estimated at 90% against elapsed time of 81%. Two teams of technical experts have been recruited to provide technical guidance to relevant government staff in areas (i) incident management and (ii) infection prevention and control. WHO has mobilized its international technical experts as resource persons for the TA. |
| Implementation Progress | |
| Description of Project Outputs | Incident management, planning and coordination improved Knowledge and skills of health workers on Infection Prevention and Control (IPC) practices in selected public hospitals improved |
| Status of Implementation Progress (Outputs, Activities, and Issues) | Output 1. Incident management, planning and coordination improved. The TA assisted the MOH in reviewing the existing risk assessments and conducted the 6th assessment in March 2020 with the involvement of relevant agencies. The assessment result reveals that the country is at high risk at the national, provincial, and capital levels. Based on the results of the assessment, the TA assisted the government review the Incident Management System (IMS). As the current IMS established by the MOH along was not effective in preventing and combating the COVID-19 outbreak, on 30 March 2020, the State Emergency Commission approved a new structure and procedure of intersectoral IMS. The new IMS regulates relationships between interdisciplinary agencies in organizing prevention and response activities for COVID-19 in a coordinated and consistent manner. The new IMS is functioning well; the organization of operational response measures, including the detection, isolation, tracking, monitoring and observation of contacts and COVID-19 cases continues without significant flaws. To date, there are 220 confirmed imported cases and no community transmission has been reported. The TA assisted to develop guidelines for monitoring and evaluation of the preparedness, prevention and response functions at aimag and district level and conducted monitoring and evaluation in five aimags and Ulaanbaatar city. The TA also conducted training on IMS for 500 people nationwide as of today. Output 2. Knowledge and skills of health workers on Infection Prevention and Control (IPC) practices in selected public hospitals improved. The TA assisted the MOH in assessing the compliance of 16 public hospitals in organization of IPC measures, including triage, isolation, transportation, and standard precautions practices. The TA developed training modules and materials on IPC for health workers covering the following areas (i) epidemiology, risk factors, and symptoms of new coronavirus infections; (ii) readiness for prevention and control of new coronavirus infections, triage, organization of hospital operations during in emergency situation; and (iii) standard precautions measures for infection prevention and control. To date, total of 979 health workers were involved in IPC training nationwide. Now that the two major TA outputs have been achieved the EA focuses the TA activities more on prevention particularly, information, education and communication activities to improve the public awareness and education (IEC) on prevention of both illnesses during the influenza season. These include video, audio and print publication content development and social media and mass media broadcasting on topics such as citizens social responsibilities, isolation, quarantine, psychological preparedness and advice, and prevention measures by high risk population groups. This is in line with the government's strategy of fighting Covid-19 primarily with prevention and risk mitigation measures. |
| Geographical Location | 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 | |
| Responsible ADB Officer | Jigjidsuren, Altantuya |
| Responsible ADB Department | East Asia Department |
| Responsible ADB Division | Mongolia Resident Mission |
| Timetable | |
|---|---|
| Concept Clearance | - |
| Fact Finding | 20 Feb 2020 to 20 Feb 2020 |
| MRM | - |
| Approval | 02 Mar 2020 |
| Last Review Mission | - |
| Last PDS Update | 30 Sep 2020 |
TA 9954-MON
| Milestones | |||||
|---|---|---|---|---|---|
| Approval | Signing Date | Effectivity Date | Closing | ||
| Original | Revised | Actual | |||
| 02 Mar 2020 | - | 02 Mar 2020 | 31 Jul 2020 | 31 Dec 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 | 02 Mar 2020 | 165,925.66 |
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