Georgia : Health Sector Enhancement Program

Sovereign Project | 56069-001

The proposed program will support Georgia's health sector reforms, which will prioritize primary health care (PHC) and specialized outpatient and diagnostic services through sector regulation, redefining health care benefits, improving strategic purchasing mechanisms, and restructuring governance and organizational arrangements, to enhance the sector's operational efficiency, service delivery, and financial sustainability. The program is aligned with Strategy 2030 of the Asian Development Bank (ADB) and supports the operational priorities on addressing remaining poverty and reducing inequalities; accelerating progress in gender equality; tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability; and strengthening governance and institutional capacity. The program is consistent with ADB's country partnership strategy for Georgia to support the government's development priority for human capital development as well as climate change action.

Project Details

  • Project Officer
    Chin, Brian
    Sectors Group
    Request for information
  • Approval Date
    16 April 2024
  • Country/Economy
    Georgia
  • Sector
    • Health
Project Name
Health Sector Enhancement Program
Project Number
56069-001
Country / Economy
  • Georgia
Project Status
Approved
Project Type / Modality of Assistance
  • Loan
Source of Funding / Amount
Loan 4444-GEO: Health Sector Enhancement Program
Source Amount
Ordinary capital resources US$ 50.00 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 proposed program will support Georgia's health sector reforms, which will prioritize primary health care (PHC) and specialized outpatient and diagnostic services through sector regulation, redefining health care benefits, improving strategic purchasing mechanisms, and restructuring governance and organizational arrangements, to enhance the sector's operational efficiency, service delivery, and financial sustainability. The program is aligned with Strategy 2030 of the Asian Development Bank (ADB) and supports the operational priorities on addressing remaining poverty and reducing inequalities; accelerating progress in gender equality; tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability; and strengthening governance and institutional capacity. The program is consistent with ADB's country partnership strategy for Georgia to support the government's development priority for human capital development as well as climate change action. The proposed stand-alone policy-based loan (PBL) comprises two tranches amounting to a total of $50 million from ADB's ordinary capital resources.
Project Rationale and Linkage to Country/Regional Strategy

Georgia's 8-year National Health Care Strategy 2022-2030 presents an opportunity for transformative reforms in the health sector, which require financing, international expertise, and institutional support to achieve targets timely. The government of Georgia is committed to focusing on PHC reforms comprehensively and holistically to address current and future health challenges. Additional expertise and capacity are needed to: (i) increase benefits and clarity of benefits offered to the population for PHC, specialized outpatient and diagnostic services; (ii) strengthen quality of PHC service provision via strategic purchasing; (iii) improve digital information systems for efficient management of results-based PHC programming and health financing; and (iv) improve PHC stewardship and governance, clinical protocols, healthcare quality, and continuing medical education and continuing professional development.

Policy-based loan is the most appropriate modality given (i) the government has a strong commitment for concrete health sector reforms; (ii) MOH has experience in implementing ADB projects; (iii) ADB has experience in Georgia's health sector and has supported analyses on health financing, PHC, public financial management, and regional health security that contributed to policy dialogue and policy development; and (iv) budget support is necessary to cover development financing gaps.

Impact

Project Outcome

Description of Outcome
Progress Toward Outcome

Implementation Progress

Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
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
The Ministry of Finance will be the executing agency. The MOH, its departments and subordinated agencies such as the National Health Agency, Information Technology Agency, and the National Center for Disease Control and Public Health will be the implementing agencies.
During Project Implementation
The proposed implementation period is May 2023-April 2024 for Tranche 1 and May 2024-April 2025 for Tranche 2.

Contact

Responsible ADB Officer
Chin, Brian
Responsible ADB Department
Sectors Group
Responsible ADB Division
Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Ministry of Finance

Timetable

Concept Clearance
08 Dec 2022
Fact Finding
03 Oct 2023 to 13 Oct 2023
MRM
09 Jan 2024
Approval
16 Apr 2024
Last Review Mission
-
Last PDS Update
16 Apr 2024

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.

The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.

The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.

In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

Title Document Type Document Date
Loan Agreement (Ordinary Operations) for 4444-GEO: Health Sector Enhancement Program Loan Agreement (Ordinary Resources) Apr 2024
Health Sector Enhancement Program: Report and Recommendation of the President Reports and Recommendations of the President Mar 2024
Health Sector Enhancement Program: Concept Paper Concept Papers Dec 2022
Health Sector Enhancement Program: Initial Poverty and Social Analysis Initial Poverty and Social Analysis Dec 2022

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.


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.

Requests for information may also be directed to the InfoUnit.

Tenders

No tenders for this project were found.

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.