Armenia : Healthcare Quality Improvement Program

Sovereign Project | 54293-001

The program aims to improve the quality of health care as stipulated in the Government Program, 2021-2026, Health Sector Strategy 2023-2026, the UHI Concept Paper, and the Quality of Care Strategy 2022-2026.

The proposed RBL program is aligned with the following impact: personal and public health improved. The outcome of the RBL program will be quality of health care improved, measured by (i) amenable deaths for chronic conditions reduced; (ii) in-hospital mortality for acute myocardial infarction reduced; and (iii) hospitalization rate for ambulatory care sensitive conditions reduced. The program will have the following outputs: (i) infrastructure and equipment to provide quality health services improved; (ii) capacity and organization for quality of care strengthened; and (iii) quality improvement interventions and monitoring institutionalized.

Project Details

Project Name Healthcare Quality Improvement Program
Project Number 54293-001
Country / Economy Armenia
Project Status Proposed
Project Type / Modality of Assistance Loan
Source of Funding / Amount
Loan: Healthcare Quality Improvement Program
Ordinary capital resources US$ 30.00 million
Operational Priorities OP1: Addressing remaining poverty and reducing inequalities
OP2: Accelerating progress in gender equality
OP3: Tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability
OP6: Strengthening governance and institutional capacity
Sector / Subsector

Health / Health sector development and reform

Gender Effective gender mainstreaming
Description

The program aims to improve the quality of health care as stipulated in the Government Program, 2021-2026, Health Sector Strategy 2023-2026, the UHI Concept Paper, and the Quality of Care Strategy 2022-2026.

The proposed RBL program is aligned with the following impact: personal and public health improved. The outcome of the RBL program will be quality of health care improved, measured by (i) amenable deaths for chronic conditions reduced; (ii) in-hospital mortality for acute myocardial infarction reduced; and (iii) hospitalization rate for ambulatory care sensitive conditions reduced. The program will have the following outputs: (i) infrastructure and equipment to provide quality health services improved; (ii) capacity and organization for quality of care strengthened; and (iii) quality improvement interventions and monitoring institutionalized.

Disbursement-linked indicators (DLIs) may include (i) amenable deaths for chronic conditions reduced; (ii) in-hospital mortality for acute myocardial infarction reduced; (iii) health facilities upgraded or constructed and equipped with consideration of climate-resilience and gender responsiveness; (iv) institutional structure and leadership, including for female leaders, for quality of care strengthened; (v) availability of qualified health workers improved; (vi) gender- and climate-responsive quality of care standards and improvement tools piloted in selected number of marzes (regional administrative entities) and approved for nationwide scale-up; and (vii) health facilities reporting quality indicator data on time.

Project Rationale and Linkage to Country/Regional Strategy

With the roll-out of universal health insurance in Armenia, the demand and utilization of health services are expected to increase due to enhanced affordability of services. Along with enhancing affordability of health services for the population, the improvement of health care quality is high on the government's reform agenda. The provision of comprehensive health care coverage will require simultaneous improvements in quality of care to lead to improved health outcomes. Improving the quality of care will need support across structural elements of quality (infrastructure, equipment, and human resources) to improve service availability, enhance the quality of care processes and monitoring to measure performance and outcomes. The key to sustaining quality improvement interventions is to ensure sufficient institutionalization, budget, measurement, and accountability. The proposed results-based lending (RBL) will support quality of care implementation as part of the reform agenda.

The RBL program is aligned with Asian Development Bank (ADB)'s Strategy 2030 operational priority (OP) 1 (addressing remaining poverty and reducing inequalities), OP2 (by improving gender-responsiveness of health services), OP3 (by promoting climate change adaptation and mitigation measures), and OP6 (by strengthening governance and institutional capacity in the health sector); and ADB's Strategy 2030 Health Sector Directional Guide.

Impact

Personal and public health improved

Outcome

Quality of care improved

Outputs

Infrastructure and equipment to provide quality health services improved

Capacity and organization for quality of care strengthened

Quality improvement interventions and monitoring institutionalized

Geographical Location Nation-wide
Safeguard Categories
Environment B
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
Responsible ADB Officer Ramesh, Kirthi
Responsible ADB Department Sectors Group
Responsible ADB Division Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Ministry of Healthcare
Timetable
Concept Clearance 06 Oct 2023
Fact Finding 26 Feb 2024 to 06 Mar 2024
MRM 17 Apr 2024
Approval -
Last Review Mission -
Last PDS Update 08 Nov 2023

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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Title Document Type Document Date
Healthcare Quality Improvement Program: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Sep 2023

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.

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Evaluation Documents See also: Independent Evaluation

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Related Publications

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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.

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Tenders

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Contracts Awarded

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Procurement Plan

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