Tajikistan: COVID-19 Emergency Response

Sovereign Project | 54363-001

The project will help finance immediate needs and deliver appropriate medical services where required. The government has indicated ADB's support would be used to improve laboratory diagnostic and testing capacity. Other needs such as procurement of medical equipment or other similar support to help the government meet its most urgent gaps may be identified as the situation evolves in the coming weeks. Recognizing the unpredictable nature of the situation and the concurrent inflow of support from other sources, flexibility is required, along with close coordination with various sources and partners. Any supplies funded from this grant need to be coordinated with other support, including the ADB-approved COVID-19 Active Response and Expenditure Support (CARES) Program, to avoid duplication.

Project Details

  • Project Officer
    Fazilova, Ganjina I.
    Central and West Asia Department
    Request for information
  • Country/Economy
    Tajikistan
  • Sector
    • Health
Project Name COVID-19 Emergency Response
Project Number 54363-001
Country / Economy Tajikistan
Project Status Closed
Project Type / Modality of Assistance Grant
Source of Funding / Amount
Grant 0730-TAJ: COVID-19 Emergency Response
APDRF Government of Japan for COVID19 US$ 2.50 million
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Sector / Subsector

Health / Disease control of communicable disease

Gender Equity and Mainstreaming No gender elements
Description The project will help finance immediate needs and deliver appropriate medical services where required. The government has indicated ADB's support would be used to improve laboratory diagnostic and testing capacity. Other needs such as procurement of medical equipment or other similar support to help the government meet its most urgent gaps may be identified as the situation evolves in the coming weeks. Recognizing the unpredictable nature of the situation and the concurrent inflow of support from other sources, flexibility is required, along with close coordination with various sources and partners. Any supplies funded from this grant need to be coordinated with other support, including the ADB-approved COVID-19 Active Response and Expenditure Support (CARES) Program, to avoid duplication.
Project Rationale and Linkage to Country/Regional Strategy Tajikistan has historically under-spent on the health sector. The sector has insufficient financial resources, and government spending on health is low at 7% of general government spending, compared with 12% in the Kyrgyz Republic and a regional average of 16%. Out-of-pocket spending accounts for 60% of combined health expenditure, and total health expenditure (public and private) per capita is the lowest in the region at $170. The health sector capacity is limited, physical health infrastructure is inadequate, and there is a lack of trained medical personnel to respond to the COVID-19 pandemic. Its ratio of 20.9 doctors per 10,000 people is below the Central Asia average of 34.0 doctors per 10,000 people. Critical skills gaps exist and a number of health workers and laboratory staff have to be trained to be able to respond to COVID-19. As of June 2020, the country's capacity for testing COVID-19 remains at 500 per day, compared to the WHO recommendation of at least 4,000 to 5,000 per day. Actual tests conducted are often lower, as a result of limited laboratory supplies and qualified personnel.
Impact To alleviate financial resource constraints to meet immediate needs and deliver appropriate medical services where required.
Project Outcome
Description of Outcome Improved capacity of Tajikistan in preparedness, prevention, and response to COVID-19 disease.
Progress Toward Outcome
Implementation Progress
Description of Project Outputs Financial support provided to the government' to meet immediate needs and deliver appropriate medical services to combat COVID-19 disease outbreak
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Nation-wide
Safeguard Categories
Environment FI
Involuntary Resettlement FI
Indigenous Peoples FI
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 Fazilova, Ganjina I.
Responsible ADB Department Central and West Asia Department
Responsible ADB Division Tajikistan Resident Mission
Executing Agencies
Ministry of Finance
[email protected]
3, Academic Rajabovs
Dushanbe
Tajikistan
Ministry of Finance
3, Academic Rajabovs
Dushanbe
Tajikistan
Timetable
Concept Clearance -
Fact Finding 30 Jul 2020 to 30 Jul 2020
MRM 11 Sep 2020
Approval 05 Aug 2020
Last Review Mission -
Last PDS Update 07 Aug 2020

Grant 0730-TAJ

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
05 Aug 2020 17 Sep 2020 17 Sep 2020 17 Mar 2021 17 Sep 2021 25 May 2022
Financing Plan Grant Utilization
Total (Amount in US$ million) Date ADB Others Net Percentage
Project Cost 2.50 Cumulative Contract Awards
ADB 2.50 17 Jun 2022 2.50 0.00 100%
Counterpart 0.00 Cumulative Disbursements
Cofinancing 0.00 17 Jun 2022 2.50 0.00 100%

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