Project or program completion reports evaluate design, implementation and performance of a project or program, and provide an overall assessment and recommendations.
This document dated December 2022 is provided for the ADB project 43407-013 in the Philippines.
Grant agreements outline the terms of an agreement for a grant.
This document dated 22 December 2022 is provided for the ADB project 53290-001 in Cambodia.
Loan agreements outline the terms of an agreement for a loan.
This document dated 22 December 2022 is provided for the ADB project 53290-001 in Cambodia.
HA NOI, VIET NAM (5 December 2022) — The Asian Development Bank (ADB) signed a €20 million (around $ 21 million) loan with Hayat Kimya Vietnam Company Limited (Hayat Kimya) to support the ongoing construction of a manufacturing facility for baby diapers, wet wipes, and women’s hygiene pads in Viet Nam.
The project aims to expand consumer choices and improve the affordability of these products, which will also be exported to Malaysia and Thailand. An additional loan of €15 million was issued by Deutsche Investitions- und Entwicklungsgesellschaft mbH.
“Proper menstrual health management and childcare sanitation is crucial for women, and yet they not only lack access to hygiene products but also face stigma often linked to menstruation,” said ADB Director General for Private Sector Operations Department Suzanne Gaboury. “Our support will help Hayat Kimya to continue empowering women and improving their health and education, leaving them in a better position to share in the country’s rising prosperity.”
In Viet Nam, it is estimated that only 43% of women have access to sanitary pads while only 52% of mothers use diapers for their infants. At the same time, Viet Nam has one of the highest female labor force participation rates in the world. Even so, most working women still have primary responsibility for house, child, and elderly care duties.
ADB will also help Hayat Kimya to develop a gender-inclusive action plan which includes promoting gender equality in their branding and marketing, implementation of an awareness campaign about the benefits of hygiene products, and development of a gender-inclusive corporate framework including anti-sexual harassment policies and career development programs for female professionals. The company also aims to open an internship program for female graduates of science, technology, engineering, and mathematics.
This project has qualified for a 2x gender financing rating, a challenge launched at the G7 summit in 2018 to encourage gender lens investing among development finance institutions.
“We believe that everyone has the right to access quality sanitation products and we work for this vision. Especially in a region like Southeast Asia and particularly in Viet Nam, where women are extremely active in both home and business life. It inspires us to know that we add comfort to their lives,” said Hayat Vice-President of Finance Hüseyin Okur.
Hayat Kimya is a wholly owned subsidiary of Hayat Kimya Sanayi, the world’s fourth-largest branded baby diaper manufacturer, and was established over 50 years ago in Türkiye. The company owns 16 brands across multiple consumer product categories. It operates 21 manufacturing facilities, has 9,000 employees globally, and is among Türkiye’s top 50 industrial entities.
ADB is committed to achieving a prosperous, inclusive, resilient, and sustainable Asia and the Pacific, while sustaining its efforts to eradicate extreme poverty. Established in 1966, it is owned by 68 members—49 from the region.
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HÀ NỘI, VIỆT NAM (ngày 5 tháng 12 năm 2022) — Ngân hàng Phát triển Châu Á (ADB) đã ký kết khoản vay trị giá 20 triệu euro (khoảng 21 triệu USD) với Công ty TNHH Hayat Kimya Việt Nam (Hayat Kimya) để hỗ trợ việc xây dựng một nhà máy sản xuất tã trẻ em, khăn ướt và băng vệ sinh phụ nữ đang được triển khai ở Việt Nam.
Dự án nhằm mục đich mở rộng phạm vi lựa chọn cho người tiêu dùng và cải thiện khả năng chi trả cho các sản phẩm này, vốn cũng sẽ được xuất khẩu sang Ma-lai-xia và Thái Lan. Công ty Đầu tư Phát triển Đức (Deutsche Investitions- und Entwicklungsgesellschaft mbH) đã cấp một khoản vay bổ sung trị giá 15 triệu euro.
Bà Suzanne Gaboury, Tổng Vụ trưởng Vụ Nghiệp vụ Khu vực tư nhân của ADB, chia sẻ: “Chăm sóc sức khỏe trong kỳ kinh nguyệt cũng như vệ sinh trẻ em đúng cách là rất quan trọng đối với phụ nữ, tuy nhiên họ không chỉ thiếu khả năng tiếp cận các sản phẩm vệ sinh, mà còn thường xuyên phải đối mặt với sự kỳ thị liên quan tới kinh nguyệt. Sự hỗ trợ của chúng tôi sẽ giúp Hayat Kimya tiếp tục trao quyền cho phụ nữ, đồng thời cải thiện sức khỏe và giáo dục của họ, giúp họ có vị thế tốt hơn để đóng góp cho đất nước ngày càng thịnh vượng.”
Ở Việt Nam, ước tính chỉ có khoảng 43% phụ nữ được sử dụng băng vệ sinh, trong khi chỉ có 52% các bà mẹ sử dụng tã giấy cho con mình. Đồng thời, Việt Nam là một trong những quốc gia có tỷ lệ phụ nữ tham gia lực lượng lao động cao nhất trên thế giới. Mặc dù vậy, hầu hết phụ nữ đi làm vẫn chịu trách nhiệm chính cho việc chăm sóc nhà cửa, con cái và người già trong gia đình.
ADB cũng sẽ hỗ trợ Hayat Kimya xây dựng một kế hoạch hành động bao trùm giới, bao gồm thúc đẩy bình đẳng giới trong việc xây dựng thương hiệu và tiếp thị sản phẩm của mình, triển khai một chiến dịch nâng cao nhận thức về lợi ích của các sản phẩm vệ sinh, và phát triển khuôn khổ hoạt động doanh nghiệp bao trùm giới, gồm cả các chính sách chống quấy rối tình dục và các chương trình phát triển nghề nghiệp cho các chuyên gia nữ. Công ty cũng đặt mục tiêu mở một chương trình thực tập sinh dành cho nữ sinh viên tốt nghiệp các chuyên ngành khoa học, công nghệ, kỹ thuật và toán học.
Dự án này đã đủ điều kiện để được xếp hạng 2x tài chính giới, một thách thức được đưa ra tại hội nghị thượng đỉnh G7 năm 2018 nhằm khuyến khích đầu tư theo lăng kính giới giữa các thể chế tài chính phát triển.
Ông Hüseyin Okur, Phó Chủ tịch Tài chính của Hayat, cho biết: “Chúng tôi tin rằng mọi người đều có quyền tiếp cận các sản phẩm vệ sinh chất lượng và chúng tôi làm việc vì mục tiêu này. Đặc biệt là ở một khu vực như Đông Nam Á và cụ thể là ở Việt Nam, nơi phụ nữ rất năng động trong cuộc sống gia đình và công việc. Nó truyền cảm hứng cho chúng tôi khi biết rằng chúng tôi tạo thêm sự thoải mái cho cuộc sống của họ.”
Hayat Kimya là công ty con thuộc sở hữu toàn bộ của Hayat Kimya Sanayi, nhà sản xuất tã trẻ em có thương hiệu lớn thứ tư trên thế giới, được thành lập cách đây hơn 50 năm tại Thổ Nhĩ Kỳ. Công ty sở hữu 16 thương hiệu trong nhiều hạng mục sản phẩm hàng tiêu dùng. Công ty vận hành 21 cơ sở sản xuất, có 9.000 nhân viên trên toàn cầu, và nằm trong số 50 doanh nghiệp công nghiệp hàng đầu của Thổ Nhĩ Kỳ.
ADB cam kết đạt tới một khu vực Châu Á và Thái Bình Dương thịnh vượng, đồng đều, thích ứng và bền vững, trong khi duy trì nỗ lực xóa nghèo cùng cực. Được thành lập năm 1966, ADB thuộc sở hữu của 68 thành viên, trong đó có 49 thành viên trong khu vực.
ADB Signs $44.2 Million Blue Loan with ALBA to Reduce Ocean Plastic Waste in Indonesia
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ADB and the Leading Asia's Private Infrastructure Fund (LEAP) will each provide $22.1 million in funding for the project. Blue loans are financing instruments that aim to safeguard access to clean water, protect underwater environments, and invest in a sustainable water economy.
ADB Records $11.4 Billion in Cofinancing, Focused on Resilience Against Economic Shocks
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Initial Poverty and Social Analysis (IPSA) provides an initial poverty and social assessment of people who may be beneficially or adversely affected by a project.
This document dated September 2022 is provided for the ADB project 55350-001 in India.
Central Java, Indonesia—Gone are the days when villagers in Indonesia’s Central Java Regency of Wonogiri had to travel long distances to major cities for health care services. A newly refurbished hospital now offers high quality and affordable health care to communities at Wonogiri, and in doing so is changing lives—particularly of mothers and their children.
Inside the hospital’s cozy reception lounge, first-time parents Yunita Widiawati and Rasyid Dwi Permana, both 27, wait in comfort for a pediatrician. Their two-week old baby boy is scheduled to have his first vaccination and post-birth checkup.
“I had so many concerns when we learned that I was pregnant,” says Yunita. “I was worried that I will not be able to provide the right pre-natal care for me and my baby.”
The couple are originally from Wonogiri but relocated in 2018 to Bekasi, a town on the eastern border of Jakarta. Hundreds of kilometers from their relatives, the couple started to build a future by running a meatball soup kiosk.
But the pregnancy made Yunita anxious. So the couple decided to move back to Wonogiri to be closer to her family and a reputable hospital.
“It’s very convenient that a hospital in my hometown offers good maternal care. I was able to have regular pre-natal examinations. And now we also have access to post-natal checkups and my baby’s primary care without worrying about long travel and hospital expenses.”
Nearby, another young patient is scheduled for a medical check-up. Nurhayani and Tananto accompany Azam Abinaya, their six-year-old son, whose incessant coughing worries them.
“I have a growing boy and it’s comforting to know that a hospital is close to home,” explains Nurhayani. “Hermina Wonogiri has complete facilities with friendly doctors and nurses. Having a hospital within convenient reach using public transport is a blessing for parents like us.”
These families are among many benefiting from affordable and accessible health care services in Wonogiri provided by PT Medikaloka Hermina Tbk (Hermina), which has received assistance from the Asian Development Bank (ADB) in line with its focus on supporting health services to the poor and promoting universal health coverage in Indonesia. The families are patients under Jaminan Kesehatan Nasional (JKN), Indonesia’s universal health insurance program.
Hermina is one of the first private health facilities to register under JKN. This opens their services to new market segments in Indonesia. Current and emerging middle-income families under the JKN program, like Yunita and Nurhayani, can now access high-quality health services in a Hermina hospital.
In 2018, ADB participated as an anchor investor for Hermina’s initial public offering (IPO). ADB invested $10 million in direct financing and administered another $10 million from Leading Asia’s Private Infrastructure Fund, which was established in 2016 by the Japan International Cooperation Agency to deliver high-quality and sustainable private sector infrastructure projects in ADB’s developing member countries. ADB’s involvement in the IPO attracted third-party investors and built confidence in Hermina’s future access to capital markets.
The financing helped Hermina to expand its operations outside Jakarta and other major cities by acquiring hospitals in smaller cities and rural areas. The Wonogiri facility is one of its newly acquired and refurbished hospitals.
“Hermina took over Wonogiri hospital management in August 2020,” says Dr. Wenny Retno Sarie Lestari, hospital director of Hermina Wonogiri. “Renovation and construction, as well as procurement of new health equipment were needed to meet Hermina’s standard. Despite challenges during the height of pandemic, we are now fully operational to serve the community.”
The Wonogiri hospital, like other Hermina facilities across Indonesia, provides general and specialist health services. But its prime service is in perinatology—providing health care to mother and child before, during, and after birth—and neonatal intensive care, reflecting Hermina’s focus on maternity and child health care.
Hermina Wonogiri also offers public awareness seminars for pregnant women on child care and development.
“The regional government is concerned with stunting cases in Wonogiri,” explains Dr. Lestari. “We actively partner with them to help reduce the stunting rate. We conduct public seminars on pre- and post-natal care. We also discuss the importance of breastfeeding in the first six months of a baby’s life. We believe that engaging our patients and the public about health care will go a long way.”
Indonesia’s goal to achieve universal health coverage requires substantial expansion of hospital infrastructure. Its health care system is considerably underserved, with patients often struggling to obtain hospital beds and access to doctors, leading to poor health outcomes, especially for new mothers and infants.
A strong partnership with the private sector is key to expanding health coverage and delivering health care services under JKN. ADB’s partnership with Hermina demonstrates the success of a business model that focuses on JKN adoption.
Aniruddha Patil, Unit Head of Health and Education Investments at ADB’s private sector operations department, says that strengthening health care through the private sector can deliver broader economic benefits. The government uses its budget to focus on affordability while the private sector can catalyze investment to improve quality and access to health care.
“We are helping to reduce out-of-pocket expenses for health care services needed by vulnerable families. This prevents them from slipping into poverty due to health shocks. We look forward to replicating this partnership, and encourage other hospital operators to work with the public sector to deliver much-needed health care services across Indonesia and elsewhere in the region.”
Yunita and Nurhayani feel fortunate to be raising their young children in Wonogiri, where health care services are now accessible and affordable.
“Years back, only one hospital accepted patients under JKN,” recalls Nurhayani. “Patient queues were so long and it was difficult to get a doctor’s appointment. We really appreciate the opening of Hermina here in Wonogiri.”
Access to high quality health care services like those provided by Hermina Wonogiri improves and sometimes saves lives.
“We hope our presence in Wonogiri, with our standard medical equipment and skilled health professionals, can help reduce maternal and pediatric health issues,” says Dr. Lestari. “Healthy children will shape our future generation.”
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Jawa Tengah, Indonesia—Tiada lagi hari-hari ketika penduduk desa di Kabupaten Wonogiri, Jawa Tengah, Indonesia, harus melakukan perjalanan jauh ke kota-kota besar demi mendapatkan berbagai layanan kesehatan. Sebuah rumah sakit yang baru direnovasi kini menawarkan layanan kesehatan berkualitas tinggi dengan harga terjangkau bagi masyarakat Wonogiri, dan oleh karenanya mengubah hidup penduduk—khususnya para ibu dan anak-anak mereka.
Di dalam ruang tunggu rumah sakit yang nyaman, Yunita Widiawati dan Rasyid Dwi Permana, keduanya berusia 27 tahun, dan baru saja menjadi orang tua, dengan santai menunggu untuk bertemu dengan dokter anak. Bayi laki-laki mereka yang berusia dua minggu telah dijadwalkan untuk mendapatkan vaksinasi pertama dan pemeriksaan pasca kelahiran.
“Saya merasa khawatir sekali ketika kita mengetahui bahwa saya hamil,” kata Yunita. “Saya khawatir jika saya tidak akan mendapatkan perawatan pra-kelahiran yang tepat untuk saya dan bayi.”
Pasangan ini berasal dari Wonogiri tetapi pada tahun 2018 pindah ke Bekasi, sebuah kota di perbatasan timur Jakarta. Berada ratusan kilometer dari sanak saudara, pasangan ini mulai membangun masa depan dengan membuka usaha warung bakso.
Namun kehamilannya membuat Yunita cemas. Oleh karenanya pasangan ini memutuskan untuk kembali ke Wonogiri agar lebih dekat dengan keluarganya dan rumah sakit yang bereputasi baik.
“Saya merasa sangat nyaman karena di kampung halaman saya terdapat rumah sakit yang menawarkan pelayanan kesehatan ibu yang baik. Saya dapat melakukan pemeriksaan pra-kelahiran secara teratur. Dan sekarang kita juga mempunyai akses ke pemeriksaan pasca kelahiran dan perawatan penting untuk bayi tanpa khawatir akan perlunya melakukan perjalanan jauh dan biaya rumah sakit.”
Di dekatnya, seorang pasien muda lainnya dijadwalkan untuk pemeriksaan kesehatan. Nurhayani dan Tananto menemani Azam Abinaya, putra mereka yang berusia enam tahun, mengalami batuk terus-menerus sehingga membuat mereka khawatir.
“Saya memiliki anak laki-laki yang sedang tumbuh dan saya merasa lega ketika mengetahui bahwa ada rumah sakit yang dekat dari rumah,” Nurhayani menjelaskan. “Hermina Wonogiri memiliki fasilitas yang lengkap dengan para dokter dan perawat yang ramah. Adanya rumah sakit yang mudah dijangkau dengan kendaraan umum adalah berkah bagi orang tua seperti kami.”
Keluarga-keluarga ini adalah sebagian dari banyak orang yang merasakan manfaat berbagai layanan kesehatan yang terjangkau dan mudah diakses di Wonogiri yang disediakan oleh PT Medikaloka Hermina Tbk (Hermina), yang telah menerima bantuan dari Bank Pembangunan Asia (ADB) sejalan dengan fokusnya untuk mendukung layanan kesehatan kepada masyarakat miskin dan mempromosikan cakupan layanan kesehatan universal di Indonesia. Keluarga-keluarga tersebut adalah pasien Jaminan Kesehatan Nasional (JKN), program jaminan kesehatan universal Indonesia.
Hermina adalah salah satu fasilitas kesehatan swasta pertama yang terdaftar di bawah JKN. Hal ini membuka layanan mereka ke segmen-segmen pasar baru di Indonesia. Keluarga-keluarga berpenghasilan menengah saat ini dan yang sedang muncul di bawah program JKN, seperti Yunita dan Nurhayani, sekarang dapat mengakses layanan kesehatan berkualitas tinggi di rumah sakit Hermina.
Pada tahun 2018, ADB turut serta menjadi investor jangkar untuk penawaran umum perdana (IPO) Hermina. ADB menginvestasikan 10 juta dollar lewat pembiayaan langsung dan mengelola 10 juta dollar lainnya yang berasal dari Dana Infrastruktur Swasta Utama di Asia, yang dibentuk oleh Badan Kerjasama Internasional Jepang (JICA) pada tahun 2016 untuk menghasilkan proyek-proyek infrastruktur sektor swasta yang berkualitas tinggi dan berkelanjutan di negara-negara berkembang anggota ADB. Keterlibatan ADB dalam IPO tersebut menarik para investor pihak ketiga dan membangun kepercayaan terhadap akses Hermina ke pasar modal di masa depan.
Pembiayaan tersebut membantu Hermina untuk memperluas operasinya di luar Jakarta dan kota-kota besar lainya dengan mengakuisisi berbagai rumah sakit di kota-kota yang lebih kecil dan daerah-daerah pedesaan. Fasilitas di Wonogiri adalah salah satu rumah sakit yang baru diakuisisi dan diperbaharui.
“Hermina mengambil alih pengelolaan sebuah rumah sakit di Wonogiri pada bulan Agustus 2020,” kata Dr. Wenny Retno Sarie Lestari, direktur rumah sakit Hermina Wonogiri. “Renovasi dan kontruksi, maupun pengadaan alat-alat kesehatan baru, harus dilakukan untuk memenuhi standar Hermina. Walaupun ada berbagai tantangan selama puncak pandemi, kami sekarang telah beroperasi secara penuh untuk melayani masyarakat.”
Rumah sakit di Wonogiri ini, seperti fasilitas-fasilitas Hermina lainya di seluruh Indonesia, menyediakan layanan kesehatan umum dan spesialis. Namun layanan utamanya adalah di bidang perinatologi—menyediakan perawatan kesehatan bagi ibu dan anak sebelum, selama, dan setelah kelahiran—serta perawatan intensif neonatal, yang mencerminkan fokus Hermina pada perawatan kesehatan ibu dan anak.
Hermina Wonogiri juga menawarkan seminar kesadaran masyarakat bagi ibu hamil tentang perawatan dan perkembangan anak.
“Pemerintah daerah prihatin dengan kasus-kasus tengkes (stunting) di Wonogiri,” jelas Dr. Lestari. “Kami secara aktif bermitra dengan mereka untuk membantu mengurangi tingkat tengkes. Kami mengadakan seminar-seminar publik mengenai perawatan sebelum dan setelah kelahiran. Kami juga membahas arti pentingnya menyusui dalam enam bulan pertama kehidupan bayi. Kami percaya bahwa melibatkan pasien kami dan masyarakat umum sehubungan dengan perawatan kesehatan akan berhasil pada akhirnya.”
Tujuan Indonesia untuk mencapai cakupan kesehatan universal memerlukan perluasan infrastruktur rumah sakit yang mendasar. Saat ini sistem pelayanan kesehatan masih sangat kurang, dengan pasien yang sering berjuang untuk mendapatkan tempat tidur rumah sakit dan akses ke berbagai dokter, menyebabkan hasil kesehatan yang buruk, khususnya untuk para ibu baru dan bayi.
Kemitraan yang kuat dengan sektor swasta adalah kunci untuk memperluas cakupan kesehatan dan penyediaan layanan kesehatan dengan JKN. Kemitraan ADB dan Hermina menunjukan keberhasilan model bisnis yang berfokus pada adopsi JKN.
Aniruddha Patil, Kepala Unit Investasi Kesehatan dan Pendidikan di departemen operasi sektor swasta ADB, mengatakan bahwa penguatan layanan kesehatan melalui sektor swasta dapat memberikan manfaat ekonomi yang lebih luas. Pemerintah menggunakan anggarannya untuk fokus pada keterjangkauan sementara sektor swasta mengkatalisasi investasi untuk meningkatkan kualitas dan akses ke layanan kesehatan.
“Kami membantu mengurangi biaya pribadi untuk mendapatkan berbagai layanan perawatan kesehatan yang dibutuhkan oleh para keluarga rentan. Ini akan mencegah mereka tergelincir kedalam lubang kemiskinan karena guncangan kesehatan. Kami berharap dapat mereplikasi kemitraan ini,dan mendorong para operator rumah sakit lain untuk berkerja sama dengan sektor publik untuk memberikan layanan kesehatan yang sangat dibutuhkan di seluruh Indonesia dan tempat lainnya di kawasan ini.”
Yunita and Nurhayani merasa beruntung karena dapat membesarkan anak-anak mereka di Wonogiri, dimana layanan kesehatan sekarang mudah diakses dan terjangkau.
“Bertahun-tahun lalu, hanya ada satu rumah sakit yang dapat menerima pasien JKN,” kenang Nurhayani. “Antrian pasien sangat panjang dan sulit mendapatkan janji dengan dokter. Kami benar-benar sangat menghargai dibukanya Hermina di Wonogiri.”
Akses ke layanan kesehatan berkualitas tinggi seperti yang diberikan oleh Hermina Wonogiri telah berkembang dan terkadang menyelamatkan nyawa.
“Kami berharap kehadiran kami di Wonogiri, dengan peralatan medis standar dan tenaga kesehatan yang terampil, dapat membantu mengurangi masalah kesehatan ibu dan anak,” kata Dr. Lestari. “Anak-anak yang sehat akan membentuk generasi masa depan kita.”
How a Mongolian Company is Providing Jobs and Hope for People with Disabilities
In this landlocked country of 3.4 million people, 42% of households with people with disabilities live in poverty, compared with 18% of households with persons without disabilities.
Improving Bengaluru’s Livability Through Transit-Oriented Development
Bengaluru, capital of the southern state of Karnataka, is India’s fourth most populous and economically productive city. It is also the world’s fourth largest technology cluster.
In Bangladesh, ADB Helped Build A Safer and Healthier Workplace for Women Garment Workers
In recent decades, Bangladesh has emerged as a leading textile exporter globally due to its low labor cost and high-quality products.
Roads Enhance Connectivity and Create Opportunities in Isolated Hills in Nepal
For landlocked Nepal, roads are a critical lifeline that transport 90% of passengers and goods.
This paper provides an overview of early childhood development in the People’s Republic of China and calls for a comprehensive and equitable early childhood development service system to build its essential public service systems.
