Regional : Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases
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.
Sustainable Development and Climate Change Department
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|Project Name||Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases|
|Country / Economy||Regional
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|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.
Disease burden of noncommunicable diseases in developing Asia reduced
|Description of Outcome||
Integrated PHC-level management of NCDs in selected DMCs improved
|Progress Toward Outcome|
|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|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
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.
|Responsible ADB Officer||Yiengprugsawan, Vasoontara|
|Responsible ADB Department||Sustainable Development and Climate Change Department|
|Responsible ADB Division||SDSC-HEA|
Asian Development Bank
|Concept Clearance||27 Dec 2022|
|Approval||17 May 2023|
|Last Review Mission||-|
|Last PDS Update||17 May 2023|
|Approval||Signing Date||Effectivity Date||Closing|
|17 May 2023||-||17 May 2023||30 Jun 2026||-||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|0.00||2,000,000.00||0.00||0.00||0.00||0.00||2,000,000.00||31 May 2023||0.00|
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|Title||Document Type||Document Date|
|Strengthening Integrated Primary Health Care Management of Noncommunicable Diseases: Technical Assistance Report||Technical Assistance Reports||May 2023|
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.
None currently available.
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|Tender Title||Type||Status||Posting Date||Deadline|
|Technology for Noncommunicable Disease and Mental Health||Firm - Consulting||Active|
|Noncommunicable Disease Policy and Infrastructure Strengthening||Firm - Consulting||Active|
None currently available.