Nepal : COVID-19 Active Response and Expenditure Support Program

Sovereign Project | 54184-001

The CARES Program will help the government in implementing its pandemic response planthe National Relief Programto respond to public health emergencies and to mitigate adverse economic and social impacts caused by the coronavirus disease (COVID-19) pandemic. The program will extend support to the poor and vulnerable to withstand the pandemic's adverse impact on their livelihoods through food assistance and employment support. It will pay special attention to establishing gender-segregated hospital units and facilities, and ensuring that additional incentives are extended to women health workers. Further, the program will increase women's resilience to the pandemic's economic shocks. It will promote resilience to external shocks and strengthen public service delivery, especially in the health sector, contributing to a reduction in shared health risks. The program facilitates the government's mapping of the poor and vulnerable populations for effective food distribution and other relief service delivery.

Project Details

  • Project Officer
    Van Dael, Rudi Louis Hendrikus
    South Asia Department
    Request for information
  • Country/Economy
    Nepal
  • Sector
    • Health
Project Name COVID-19 Active Response and Expenditure Support Program
Project Number 54184-001
Country / Economy Nepal
Project Status Closed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan 3926-NEP: COVID-19 Active Response and Expenditure Support Program
Concessional ordinary capital resources lending US$ 250.00 million
Operational Priorities OP1: Addressing remaining poverty and reducing inequalities
OP2: Accelerating progress in gender equality
OP6: Strengthening governance and institutional capacity
OP7: Fostering regional cooperation and integration
Sector / Subsector

Health / Disease control of communicable disease - Health system development

Public sector management / Public expenditure and fiscal management - Social protection initiatives

Gender Effective gender mainstreaming
Description The CARES Program will help the government in implementing its pandemic response planthe National Relief Programto respond to public health emergencies and to mitigate adverse economic and social impacts caused by the coronavirus disease (COVID-19) pandemic. The program will extend support to the poor and vulnerable to withstand the pandemic's adverse impact on their livelihoods through food assistance and employment support. It will pay special attention to establishing gender-segregated hospital units and facilities, and ensuring that additional incentives are extended to women health workers. Further, the program will increase women's resilience to the pandemic's economic shocks. It will promote resilience to external shocks and strengthen public service delivery, especially in the health sector, contributing to a reduction in shared health risks. The program facilitates the government's mapping of the poor and vulnerable populations for effective food distribution and other relief service delivery. Its support to the government's economic response measures, especially financing MSMEs, will accelerate the recovery of an export-oriented manufacturing as well as tourism sector, for enhanced regional cooperation and integration. The program complements efforts by SAARC and the South Asia Subregional Economic Cooperation to ensure coordinated responses to mitigate the impact of the pandemic in the region and facilitate the recovery process.
Project Rationale and Linkage to Country/Regional Strategy Nepal is considered as one of the high risk countries for rapid spread of COVID-19 infections due to the country's vulnerable public health system, underdeveloped sanitation and other infrastructure, and densely populated urban and semi urban areas. The sudden economic disruption caused by the pandemic hit hard the sectors such as service, wholesale, retail, trade, transport, construction and manufacturing, among others. Especially the entire service sector, which accounts over 60% of GDP and includes tourism, aviation and hospitality sector, have been severely affected. Further, remittance income, which contributes about 26.0% of GDP in fiscal year (FY) 2019 and the most important source of foreign exchange, will be adversely impacted. . Due to the pandemic, the fiscal deficit will widen from pre-COVID estimate of 6.4% of GDP to 8.5% in FY2020. The government estimates the additional financing need of $1.26 billion to respond to COVID-19 for FY2020.
Impact

Disaster risks in human lives, livelihoods, health, economy, and social aspects sustainably reduced (Disaster Risk Reduction Policy)a

Project Outcome
Description of Outcome

COVID-19 pandemic adverse impacts on health systems, livelihoods, poverty, employment, and economy mitigated

Progress Toward Outcome The project had three outcome indicators, based on assumptions from early 2020. Back then it was assume that Nepal would be able to contain the number of COVID-19 cases, that was a wrong assumptions as the number of COVID-19 infections far surpasses the expected number a year ago. As per the September 2021 report from the World Food Programme, the number of people that is food insecure remains below the 4.6 million. However, data shows that people are struggling. With regard to the economic support, the financial sector in Nepal has been able to provide refinancing and concessional loans to a large number of businesses. Whether or not these businesses survived, will be assessed.
Implementation Progress
Description of Project Outputs

Health system response measures supported

Social protection and relief programs delivered

Economic support for affected sectors implemented

Status of Implementation Progress (Outputs, Activities, and Issues) Five steering committee meetings were conducted as planned, to discuss progress. The progress towards outputs is the following as of October 2021. In the health sector, the testing capacity in the country has increased way beyond 3,000 tests per day, and currently over 102 medical laboratories (public and private) are certified to conduct tests, spread out over the 7 provinces. On 21 May 2021 23,226 RT-PCR tests on a single day was achieved. As per the data from the Ministry of Federal Affairs and General Administration over 6,304 quarantine centers with a bed capacity of 205,000 was established as of the first week of July 2020. Based on a sample survey separate wards for males and females were maintained in all the quarantine centers. Financial incentives have been provided to health and frontline personnel, with the full data still being collected. On the support to the poor and vulnerable, the following update. As per the data from the Ministry of Federal Affairs and General Administration over 1 million households have received food assistance so far. The Prime Minister's Employment Program (PMEP) has enrolled over 750,000 unemployed persons from the informal sector in Employment Service Centers at the local levels. Employment programs are currently being provided, but the target of 500,000 will most likely not be achieved. A study on the program was done together with the Ministry of Labour, Employment and Social Security and the World Bank, and will be published end of 2021. For Economic Support for Affected Sectors the following update. NRB is facilitating its regular re-financing and concessional lending programs, and a new fund, the fund for Business Continuity Loan is under operation. The lending shows very good progress, and the first figures show that over 100,000 MSME's received financing. Collection of disaggregated data, to assess if the program also reached the specific target groups is ongoing.
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 Any consulting services during the implementation of the program shall conform to all applicable ADB policies.
Procurement Any procurement during the implementation of the program shall conform to all applicable ADB policies.
Responsible ADB Officer Van Dael, Rudi Louis Hendrikus
Responsible ADB Department South Asia Department
Responsible ADB Division Nepal Resident Mission
Executing Agencies
Ministry of Finance
Timetable
Concept Clearance 01 Apr 2020
Fact Finding 14 Apr 2020 to 14 Apr 2020
MRM 29 Apr 2020
Approval 26 May 2020
Last Review Mission -
Last PDS Update 29 Nov 2021

Loan 3926-NEP

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
26 May 2020 01 Jun 2020 08 Jun 2020 15 Jul 2021 - 30 Nov 2021
Financing Plan Loan Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 250.00 Cumulative Contract Awards
ADB 250.00 19 Dec 2022 250.00 0.00 100%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 19 Dec 2022 250.00 0.00 100%

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Tenders

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Contracts Awarded

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Procurement Plan

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