Afghanistan: Emergency Assistance for COVID-19 Pandemic Response
Taking into account the needs of the country and the priorities established by the National Emergency Response Plan for Coronavirus 2020 (NERP), Asian Development Bank's (ADB) emergency assistance covers: rehabilitation and construction of hospitals and medical facilities for the treatment of coronavirus disease (COVID-19) infected patients in most affected areas; procurement of medical equipment, supplies and medicines; and capacity building and resilience strengthening of the national health system to respond to public health emergencies including COVID-19; and related project management and monitoring system support.
Central and West Asia Department
Request for information
|Project Name||Emergency Assistance for COVID-19 Pandemic Response|
|Country / Economy||Afghanistan
|Project Type / Modality of Assistance||Grant
|Source of Funding / Amount||
|Strategic Agendas||Environmentally sustainable growth
Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|Sector / Subsector||
Health / Disease control of communicable disease
|Gender Equity and Mainstreaming||Effective gender mainstreaming|
|Description||Taking into account the needs of the country and the priorities established by the National Emergency Response Plan for Coronavirus 2020 (NERP), Asian Development Bank's (ADB) emergency assistance covers: rehabilitation and construction of hospitals and medical facilities for the treatment of coronavirus disease (COVID-19) infected patients in most affected areas; procurement of medical equipment, supplies and medicines; and capacity building and resilience strengthening of the national health system to respond to public health emergencies including COVID-19; and related project management and monitoring system support.|
|Project Rationale and Linkage to Country/Regional Strategy||
Afghanistan is considered a Fragile and Conflict-Affected Situations (FCAS) country, which has limited institutional capacity, and is experiencing significant challenges related to security and ongoing political uncertainty. In Afghanistan, COVID-19 is a public health emergency, which is aggravated by the country's constrained capacity to adequately respond to the expected scale of the epidemic, or to provide the basic services to restrict the COVID-19 spread, and to deliver essential basic treatment services to the population. Urgent support is required.
In line with the NERP and the FCAS approach of the ADB, the emergency assistance will support the Government of Afghanistan in its response to the COVID-19 pandemic. The proposed emergency assistance responds to the government's request to ADB made on 16 March 2020 for emergency response and resilience building for COVID-19.
|Impact||Protect the people from the spread of coronavirus epidemic and limit its devastating consequences|
|Description of Outcome||COVID-19 surveillance and treatment improved|
|Progress Toward Outcome|
|Description of Project Outputs||
Hospitals and medical facilities rehabilitated or constructed
Medicines and medical equipment supplied
Capacity development and resilience building strengthened
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
For capacity and resilience development under output 3, consulting services will be delivered under the umbrella and guidance of WHO and UNICEF. The capacity building activities will also include the development of online materials. The capacity building component will focus on training medical personnel (doctors and nurses) to manage COVID-19 related activities and other potential communicable disease outbreaks in the future. The MOPH, World Bank, and ADB closely coordinated the capacity building component to ensure no duplication. WHO and UNICEF will be engaged on a single source selection basis, since these agencies have been working in these thematic areas, they have the capacity to mobilize technical resources at short notice, and they can operate in remote areas that are threatened by security issues.
Because of the envisaged challenges of ADB personnel accessing the site to verify the quality of the civil works construction, this component will include a TPM firm to ensure that the new medical facilities comply with the technical specifications and ADB policies before handing over to the MOPH. The TPM firm will provide periodic progress reports and will conduct on-site inspections. Given the urgency, a TPM firm that was engaged under other ADB projects will be engaged on a single source selection basis to monitor the delivery of the outputs
For the construction of hospitals and medical facilities under output 1, the MOPH will work closely with WHO and the MOF to ensure the medical facilities are designed to meet international standards and are adequately staffed. The facilities will be designed and built to allow conversion to regular medical facilities after the pandemic. Because of the emergency situation, the rapid need for mobilization, and the inability of international contractors to access remote provinces, the MOPH will engage the following state-owned enterprises (SOEs) on a direct contracting basis to build these medical facilities: the Housing Construction Corporation (HCC), as the prime contractor and Banayee Construction Corporation (BCC), as the subcontractor
For the procurement of medicines, supplies, and medical equipment under output 2, the MOPH will (i) directly contract UN agencies (including WHO and UNICEF) for the procurement of supplies and equipment and its installation; and (ii) use reputable suppliers procured by the government under the national procurement systems, consistent with the ADB Procurement Policy (2017, as amended from time to time).
|Responsible ADB Officer||ADB Disclosure|
|Responsible ADB Department||Central and West Asia Department|
|Responsible ADB Division||Afghanistan Resident Mission|
|Fact Finding||11 Apr 2020 to 12 Apr 2020|
|MRM||20 Apr 2020|
|Approval||11 May 2020|
|Last Review Mission||-|
|Last PDS Update||11 May 2020|
|Approval||Signing Date||Effectivity Date||Closing|
|11 May 2020||18 May 2020||15 Jun 2020||31 May 2022||-||-|
|Financing Plan||Grant Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||40.80||Cumulative Contract Awards|
|ADB||40.00||10 Jul 2022||26.38||0.00||66%|
|Cofinancing||0.00||10 Jul 2022||14.21||0.00||36%|
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