Regional : Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases

Sovereign Project | 56072-001

The knowledge and support technical assistance (KSTA) will support Operational Priority 1 of Strategy 2030 by improving care for noncommunicable diseases (NCDs), which will contribute to reduced morbidity, mortality, and out-of-pocket expenses related to healthcare; hence reducing impoverishment and increasing productivity. The TA will be conducted regionally, with a focus on developing member countries with a high burden of NCDs. It will increase knowledge and best practices and capacity to formulate and implement policies, stimulate capacity increase, and improve uptake of innovative technologies, all for increased NCD management at primary care level in underserved areas, contributing to universal health coverage.

Project Details

  • Project Officer
    Yiengprugsawan, Vasoontara
    Sectors Group
    Request for information
  • Country/Economy
    Regional
  • Sector
    • Health
Project Name
Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases
Project Number
56072-001
Country / Economy
  • Regional
  • Bangladesh
  • Kazakhstan
  • Uzbekistan
  • Vanuatu
  • Viet Nam
Project Status
Active
Project Type / Modality of Assistance
  • Technical Assistance
Source of Funding / Amount
TA 10106-REG: Strengthening Integrated Primary Healthcare Management of Non-communicable Diseases
Source Amount
Japan Fund for Prosperous and Resilient Asia and the Pacific US$ 2.00 million
TA: Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases
Source Amount
Technical Assistance Special Fund US$ 300,000.00
Operational Priorities
  • OP1: Addressing remaining poverty and reducing inequalities
  • OP2: Accelerating progress in gender equality
  • OP6: Strengthening governance and institutional capacity
Sector / Subsector
  • Health / Disease control of non-communicable diseases and other priority programs

Gender
Some gender elements
Description
The knowledge and support technical assistance (KSTA) will support Operational Priority 1 of Strategy 2030 by improving care for noncommunicable diseases (NCDs), which will contribute to reduced morbidity, mortality, and out-of-pocket expenses related to healthcare; hence reducing impoverishment and increasing productivity. The TA will be conducted regionally, with a focus on developing member countries with a high burden of NCDs. It will increase knowledge and best practices and capacity to formulate and implement policies, stimulate capacity increase, and improve uptake of innovative technologies, all for increased NCD management at primary care level in underserved areas, contributing to universal health coverage.
Project Rationale and Linkage to Country/Regional Strategy

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.

Impact

Disease burden of noncommunicable diseases in developing Asia reduced

Project Outcome

Description of Outcome

Integrated PHC-level management of NCDs in selected DMCs improved

Progress Toward Outcome

Implementation Progress

Description of Project Outputs

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

Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location
Bangladesh - Nation-wide; Kazakhstan - Nation-wide; Uzbekistan - Nation-wide; Vanuatu - Nation-wide; Viet Nam - Nation-wide

Summary of Environmental and Social Aspects

Environmental Aspects
Involuntary Resettlement
Indigenous Peoples

Stakeholder Communication, Participation, and Consultation

During Project Design
During Project Implementation

Business Opportunities

Consulting Services

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.

Contact

Responsible ADB Officer
Yiengprugsawan, Vasoontara
Responsible ADB Department
Sectors Group
Responsible ADB Division
Human and Social Development Sector Office (SG-HSD)
Executing Agencies
Asian Development Bank

Timetable

Concept Clearance
27 Dec 2022
Fact Finding
-
MRM
-
Approval
17 May 2023
Last Review Mission
-
Last PDS Update
17 May 2023

Funding

TA 10106-REG

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
17 May 2023 - 17 May 2023 30 Jun 2026 - -
Financing Plan/TA Utilization
ADB Cofinancing Counterpart Total
Gov Beneficiaries Project Sponsor Others
0.00 2,000,000.00 0.00 0.00 0.00 0.00 2,000,000.00
Cumulative Disbursements
Date Amount
15 Jul 2024 220,509.31

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.


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


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

Tender Title Type Status Posting Date Deadline
Technology for Noncommunicable Disease and Mental Health Firm - Consulting Closed
Noncommunicable Disease Policy and Infrastructure Strengthening Firm - Consulting Closed

Contracts Awarded

Contract Title Approval Number Contract Date Contractor | Address Executing Agency Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Capacity Development Technical Assistance Technical Assistance 10106 08 Feb 2024 Ernst & Young LLP (INDIA) | 6th Floor, Wing A & B, Worldmark-1, Indira Gandhi International Airport Hospitality District, Aerocity, New Delhi 110037, India Asian Development Bank 627,698.00
Capacity Development Technical Assistance Technical Assistance 10106 14 Sep 2023 PATH (U.S.A.) | 2201 Westlake Avenue, Suite 200 Seattle, WA 98121, United States Asian Development Bank 324,689.00

Procurement Plan

None currently available.