Mongolia: Strengthening Rapid Epidemic Response Capacity of Health Systems Project
The coronavirus disease (COVID-19) pandemic is causing significant health, social, and economic impacts on Mongolia. The project will help the country respond to the ongoing outbreak of COVID-19 by providing resources and training support that will help strengthen its capacity for (i) conducting reverse transcription polymerase chain reaction (RT-PCR) tests, (ii) administering COVID-19 vaccines to target populations in compliance with infection prevention and control (IPC) protocols, (iii) ensuring the complete uptake of immunization services by target groups, and (iv) undertaking post-immunization surveillance. The project is closely linked to the Support for COVID-19 Vaccine Delivery in Mongolia under the Asia Pacific Vaccine Access Facility which will provide safe and effective COVID-19 vaccines in Mongolia. The project has strong pro-poor and socially inclusive features.
Project Details
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Project Officer
Mamatkulov, Raushanbek
East Asia Department
Request for information -
Country/Economy
Mongolia -
Sector
- Health
Project Name | Strengthening Rapid Epidemic Response Capacity of Health Systems Project | ||||
Project Number | 55023-001 | ||||
Country / Economy | Mongolia |
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Project Status | Active | ||||
Project Type / Modality of Assistance | Grant |
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Source of Funding / Amount |
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Strategic Agendas | Inclusive economic growth Regional integration |
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Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development Partnerships |
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Sector / Subsector | Health / Health sector development and reform |
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Gender Equity and Mainstreaming | Some gender elements | ||||
Description | The coronavirus disease (COVID-19) pandemic is causing significant health, social, and economic impacts on Mongolia. The project will help the country respond to the ongoing outbreak of COVID-19 by providing resources and training support that will help strengthen its capacity for (i) conducting reverse transcription polymerase chain reaction (RT-PCR) tests, (ii) administering COVID-19 vaccines to target populations in compliance with infection prevention and control (IPC) protocols, (iii) ensuring the complete uptake of immunization services by target groups, and (iv) undertaking post-immunization surveillance. The project is closely linked to the Support for COVID-19 Vaccine Delivery in Mongolia under the Asia Pacific Vaccine Access Facility which will provide safe and effective COVID-19 vaccines in Mongolia. The project has strong pro-poor and socially inclusive features. | ||||
Project Rationale and Linkage to Country/Regional Strategy | On 30 January 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern. On 11 March 2020, WHO declared the COVID-19 a pandemic. By 3 June 2021, nearly 171.6 million people had been diagnosed with COVID-19, with more than 3.7 million deaths, globally. The first case of community transmission in Mongolia was reported on 10 November 2020, and since then several clusters of local transmission have emerged in Ulaanbaatar and in six provinces. The Government of Mongolia initiated stringent measures to prevent the spread of COVID-19, including international and national travel restrictions; the closure of schools and kindergartens and all non-essential business, public awareness campaigns, restrictions on public gatherings, meetings, and celebrations; and preparation of hospitals to manage emergencies in the event of a surge of cases. The government has implemented three rounds of strict lockdowns from November 2020 to end of May 2021. As of 3 June 2021, there have been 60,372 cases of COVID-19 with 286 deaths recorded in the country (footnote 3). The risk of continued community spread of COVID-19 remains substantial. Of these, some 522,428 people are at high risk (i.e., frontline medical workers, emergency management staff, police and border military personnel, state inspectors, and the elderly). The COVID-19 crisis is more severe and prolonged than the initial expectations in early 2020. In 2020, the economy of Mongolia shrank significantly by 5.3% in 12 months because of the COVID-19 crisis, a drop of 10.5 percentage points compared with 2019. The official job losses reached 63,900 or 5.4% of total employment, and unemployment rate increased by 1.0 percentage point to 7.6% in the second half of 2020. Except agriculture, all sectors including construction, services, trade, transportation, and other industries shrank, affected by negative spillovers of the pandemic. Overall budget deficit increased significantly to 9.6% of the gross domestic product (GDP) in 2020 because of revenue shortfalls, fiscal response measures against the COVID-19, and contraction in GDP. This led to a temporary increase in public debt-to-GDP ratio, including the central bank's external liabilities, by 14.1 percentage points to 92.4% by end of 2020. Public health concerns have been elevated since the first community transmission of COVID-19 in November 2020. To effectively pursue COVID-19 containment measures, Mongolia needs to expand its network of molecular biology laboratories to increase capacity for RT-PCR testing. The increased testing capacity will help the government expand screening and surveillance of the population and thereby reduce COVID-19 cases. At the same time, the country needs to rapidly prepare for COVID-19 vaccination to bring the epidemic under control and allow the country to safely reopen borders, enterprises, and schools. The efficient and safe distribution and administration of the vaccine requires capacity development and resource support for social mobilization and community engagement, compliance with IPC protocols at all immunization units, registration, recording and reporting, and post-vaccine surveillance. |
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Impact | Morbidity and mortality of COVID-19 reduced |
Project Outcome | |
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Description of Outcome | COVID-19 detection and containment strengthened |
Progress Toward Outcome | |
Implementation Progress | |
Description of Project Outputs | Goods and services for COVID-19 testing and immunization procured Capacity for efficient and safe vaccination of COVID-19 improved |
Status of Implementation Progress (Outputs, Activities, and Issues) | The loan became effective on August 2021. Consultant recruitment for 4 consulting packages has started. |
Geographical Location | Nation-wide, Ulaanbaatar |
Safeguard Categories | |
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Environment | C |
Involuntary Resettlement | C |
Indigenous Peoples | C |
Summary of Environmental and Social Aspects | |
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Environmental Aspects | |
Involuntary Resettlement | |
Indigenous Peoples | |
Stakeholder Communication, Participation, and Consultation | |
During Project Design | |
During Project Implementation |
Business Opportunities | |
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Consulting Services | Individual consultant selection - 5 contracts |
Procurement | Request for quotations - Multiple contracts |
Responsible ADB Officer | Mamatkulov, Raushanbek |
Responsible ADB Department | East Asia Department |
Responsible ADB Division | Urban and Social Sectors Division, EARD |
Executing Agencies |
Ministry of Health (formerly Ministry of Health and Sports) [email protected] 1st Floor, Government Building VIII Olympic Street 2, Ulaanbaatar Mongolia Ministry of Health (formerly Ministry of Health and Sports) 1st Floor, Government Building VIII Olympic Street 2, Ulaanbaatar Mongolia |
Timetable | |
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Concept Clearance | 08 Dec 2020 |
Fact Finding | 02 Mar 2021 to 04 Mar 2021 |
MRM | - |
Approval | 29 Jun 2021 |
Last Review Mission | - |
Last PDS Update | 27 Sep 2021 |
Grant 9218-MON
Milestones | |||||
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Approval | Signing Date | Effectivity Date | Closing | ||
Original | Revised | Actual | |||
29 Jun 2021 | 09 Jul 2021 | 22 Aug 2021 | 31 Dec 2024 | - | - |
Financing Plan | Grant Utilization | ||||
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Total (Amount in US$ million) | Date | ADB | Others | Net Percentage | |
Project Cost | 5.36 | Cumulative Contract Awards | |||
ADB | 0.00 | 24 Jun 2022 | 0.00 | 0.07 | 1% |
Counterpart | 0.36 | Cumulative Disbursements | |||
Cofinancing | 5.00 | 24 Jun 2022 | 0.00 | 0.20 | 4% |
Status of Covenants | ||||||
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Category | Sector | Safeguards | Social | Financial | Economic | Others |
Rating | - | Satisfactory | Satisfactory | Unsatisfactory | Partly satisfactory | Unsatisfactory |
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Title | Document Type | Document Date |
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Grant Agreement (Externally Financed) for Grant 9218-MON: Strengthening Rapid Epidemic Response Capacity of Health Systems Project | Grant Agreement | Jul 2021 |
Strengthening Rapid Epidemic Response Capacity of Health Systems Project: Project Administration Manual | Project/Program Administration Manual | Jun 2021 |
Strengthening Rapid Epidemic Response Capacity of Health Systems Project: Grant Assistance Report | Grant Assistance Reports | Jun 2021 |
Strengthening Rapid Epidemic Response Capacity of Health Systems Project: Procurement Plan | Procurement Plans | Apr 2021 |
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.
None currently available.
Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
None currently available.
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Requests for information may also be directed to the InfoUnit.
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ADB Grant to Strengthen COVID-19 Response in Mongolia
The Asian Development Bank has approved a $5.36 million grant to strengthen coronavirus disease (COVID-19) detection and containment in Mongolia.
Tenders
No tenders for this project were found.
Contracts Awarded
No contracts awarded for this project were found
Procurement Plan
Title | Document Type | Document Date |
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Strengthening Rapid Epidemic Response Capacity of Health Systems Project: Procurement Plan | Procurement Plans | Apr 2021 |