Regional : Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases

Health / Disease control of non-communicable diseases and other priority programs

1. Impact of noncommunicable diseases. More than 70% of global deaths and 85% of premature mortality are attributed to NCDs. These deaths are also disproportionately concentrated in low and middle-income economies. In 2019, there were approximately 18.41 million deaths ascribed to NCDs in developing Asia.

2. Need to expand NCD management to cover all population groups. This TA will focus on NCD management, especially to expand coverage across lower socioeconomic status and vulnerable groups. The TA will contribute to fill a critical gap in regional and national NCD initiatives.

3. Challenges in current approaches to NCD management. NCD management costs are rising rapidly. As DMCs experience rapid aging, more people require multiple NCD management interventions. Regular monitoring for hypertension, blood sugar, and cholesterol are essential for middle-aged and older adults; subgroups may need regular screening for cancers.

4. Need to raise understanding of scalable and efficient NCD management models. There is limited guidance on how to customize a PHC-led approach to NCDs to specific health system contexts. Capacity development and engagement of policymakers is needed to translate normative evidence to local implementation plans in achieving SDG 3.4 while facing constrained domestic public financing.

5. Need to stimulate expansion of chronic care capacity in underserved areas. evidence suggests expansion of chronic diseases management in underserved areas in Asia and the Pacific can reduce unnecessary hospitalization and costs.

6. Demand for use of cost-saving, patient-centered technologies in NCD management. Across both needs above technology can play a crucial role. The technologies include telemedecine, digital diagnostics, reduced point-of-care diagnostic equipment, and digitally enabled clinics.

7. ADB's past support in the area of NCD management. NCDs were highlighted in the Health Sector Operational plan 2015-2020. In 2018, ADB hosted a meeting on "Innovations and Actions Against NCDs", which identified best practices for national NCD control plans. Increasing access to quality PHC and hospital care is a focus of reforms supported by ADB policy-based lending in several DMCs.

Disease burden of noncommunicable diseases in developing Asia reduced

Integrated PHC-level management of NCDs in selected DMCs improved

Knowledge and capacity on PHC-level management of NCDs improved

Policymakers' capacity for expanding infrastructure and services for chronic NCD care in underserved areas increased

Uptake of efficient and innovative technology for NCD management increased

Individual consultants will be recruited to provide international and international consulting inputs or to act as resource persons.

Two firms will be recruited using either quality and cost based selection (QCBS) or quality based selection (QBS) as merited by the terms of reference and deliverables. ADB will engage consultants and carry out procurement following the ADB Procurement Policy (2017, as amended from time to time) and its associated project administration instructions and/or staff instructions.