Annual audited project financial statements for sovereign operations provide project financial information prepared in accordance with generally accepted accounting principles and audited by an independent certified public accountant.
This document dated 28 June 2019 is provided for the ADB project 47137-003 in the Lao People's Democratic Republic.
Environmental monitoring reports describe the environmental issues or mitigation measures of a project.
This document dated February 2019 is provided for the ADB project 44265-013 in Viet Nam.
DUSHANBE, TAJIKISTAN (4 December 2018) — The Asian Development Bank (ADB) has approved a $32 million grant to help the Government of Tajikistan improve healthcare services in three districts of Fayzobod, Rasht, and Shamsiddin Shohin.
“A healthy population is crucial for Tajikistan’s growth and development, but this is only possible if healthcare services, particularly for mothers and children, are of good quality and accessible,” said ADB Senior Health Specialist for Central and West Asia Ms. Rouselle Lavado.
Healthcare coverage in Tajikistan has improved over the last few decades, but it still lags behind global and subregional averages on maternal and child health. The country’s child mortality rates are 20 neonatal and 37 infant deaths per 1,000 live births, compared to the Sustainable Development Goals target of 12 neonatal and 25 infant deaths per 1,000 live births. The maternal mortality rate is also higher in Tajikistan at 32 deaths per 100,000 live births in 2017 than in other Central Asian countries, which average 23 deaths per 100,000 live births.
The Maternal and Child Health Integrated Care Project will help address key issues affecting Tajikistan’s health sector, such as inadequate funding, outdated infrastructure and health facilities, as well as a lack of qualified medical professionals and healthcare providers, especially in rural areas.
The project will also modernize infrastructure and equipment in central district hospitals and rural health centers, and improve health education and behavior in communities. It will support the government’s efforts to establish a national equipment management system.
Total cost of the project, which is expected to be completed in 2025, is $35.2 million, with the Government of Tajikistan providing $3.2 million.
ADB is celebrating 20 years of development partnership with Tajikistan in 2018. To date, ADB has approved over $1.7 billion in grants, concessional loans, and technical assistance to the country. ADB and Tajikistan’s development partnership, which began in 1998, has restored and built the country’s new transport and energy infrastructure, supported social development, expanded agricultural production, and improved regional cooperation and trade.
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 67 members—48 from the region. In 2017, ADB operations totaled $32.2 billion, including $11.9 billion in cofinancing.
ADB Signs $44.2 Million Blue Loan with ALBA to Reduce Ocean Plastic Waste in Indonesia
JAKARTA, INDONESIA (6 June 2023) — The Asian Development Bank (ADB) signed a $44.2 million blue loan with PT ALBA Tridi Plastics Recycling Indonesia, an ALBA Group Asia company, to establish a polyethylene terephthalate (PET) recycling facility in Central Java.
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
The financing partners of the Asian Development Bank (ADB) committed $11.4 billion in cofinancing of ADB projects in 2022 to help build the resilience of developing member countries and enable them to withstand economic shocks, according to the Partnership Report 2022: Driving Growth, Boosting Resilience.
ADB Helps Launch Vocational Education Project in PNG
ADB and the governments of Australia and Papua New Guinea today launched a cofinanced project to improve the country’s technical and vocational education and training program.
ADB to Focus on Robust, Climate-Resilient, and Inclusive Growth in India
ADB has launched a new country partnership strategy for India with a focus on deepening its engagement with the country and supporting India’s drive for robust, climate-resilient, and inclusive growth.
ДУШАНБЕ, ТАДЖИКИСТАН (4 декабря 2018г.) — Азиатский банк развития (АБР) одобрил грант в размере 32 миллионов долларов США для оказания помощи Правительству Таджикистана в улучшении услуг здравоохранения в трех районах страны: Файзабад, Рашт и Шамсиддин Шохин.
«Здоровое население критически важно для роста и развития Таджикистана, однако, для этого необходимы качественные и доступные услуги здравоохранения, особенно для матерей и детей», - отметила Роузель Лавадо, старший специалист АБР по здравоохранению.
Здравоохранение в Таджикистане за последние несколько десятилетий улучшилось, но оно по-прежнему отстает от глобальных и региональных средних показателей здоровья матерей и детей. Показатели детской смертности в стране составляют 20 неонатальных и 37 младенческих смертей на 1000 живорождений по сравнению с целевым показателем для целей устойчивого развития в 12 неонатальных и 25 младенческих смертей на 1000 живорождений. Коэффициент материнской смертности также выше в Таджикистане, составившим 32 смерти на 100 000 живорождений в 2017 году, чем в других странах Центральной Азии, где в среднем 23 случая смерти на 100 000 живорождений.
Проект улучшения материнского и детского здоровья поможет решить основные проблемы сектора здравоохранения Таджикистана, такие как неадекватное финансирование, устарелая инфраструктура, нехватка квалифицированного медицинского персонала, особенно в сельской местности.
В рамках проекта будет модернизирована инфраструктура и оборудование в центральных районных больницах и сельских центрах здоровья, повышен уровень осведомленности и поведения относительно вопросов здоровья среди населения. Проект также поддержит усилия страны по созданию национальной системы управления оборудованием.
Общая стоимость проекта составляет 35,2 млн. долларов США, при этом Правительство Таджикистана предоставляет 3,2 млн. долларов США. Ожидается, что проект будет завершен в 2025 году.
В 2018 году АБР отмечает 20-летие сотрудничества с Таджикистаном. До настоящего времени АБР одобрил для Таджикистана общий объем помощи в сумме свыше 1,7 миллиардов долларов США в виде грантов, льготных кредитов и технической помощи. Партнерство АБР с Таджикистаном, которое началось в 1998 году, восстановило или построило новую транспортную и энергетическую инфраструктуру в стране, помогло в социальном развитии, расширило сельскохозяйственное производство и поддержало развитие регионального сотрудничества и торговли.
АБР привержен цели достижения процветающего, интегрированного, жизнестойкого и устойчивого Азиатско-Тихоокеанского региона, не прекращая при этом свою работу по искоренению крайней бедности. АБР был создан в 1966 году; акционерами банка являются 67 стран, из них 48 стран находятся в Азиатско-Тихоокеанском регионе. В 2017 году общий объем помощи АБР составил 32,2 миллиарда долларов США, включая софинансирование в размере 11,9 миллиардов долларов США.
ADB Signs $44.2 Million Blue Loan with ALBA to Reduce Ocean Plastic Waste in Indonesia
JAKARTA, INDONESIA (6 June 2023) — The Asian Development Bank (ADB) signed a $44.2 million blue loan with PT ALBA Tridi Plastics Recycling Indonesia, an ALBA Group Asia company, to establish a polyethylene terephthalate (PET) recycling facility in Central Java.
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
The financing partners of the Asian Development Bank (ADB) committed $11.4 billion in cofinancing of ADB projects in 2022 to help build the resilience of developing member countries and enable them to withstand economic shocks, according to the Partnership Report 2022: Driving Growth, Boosting Resilience.
ADB Helps Launch Vocational Education Project in PNG
ADB and the governments of Australia and Papua New Guinea today launched a cofinanced project to improve the country’s technical and vocational education and training program.
ADB to Focus on Robust, Climate-Resilient, and Inclusive Growth in India
ADB has launched a new country partnership strategy for India with a focus on deepening its engagement with the country and supporting India’s drive for robust, climate-resilient, and inclusive growth.
The Project aimed to help the Philippines achieve health-related Millennium Development Goals (MDGs), particularly to improve maternal health and reduce child mortality. Insufficient investment in the health sector precluded better access to higher quality services. Public health spending as a percentage of total health spending declined from 41% in 2000 to 29% in 2005, especially due to declining local government expenditures. This particularly impacted the poor even though a Philippine Health Insurance Corporation (PHIC) package cover
Better training for health professionals, modern equipment and new facilities are helping to save the lives of new mothers and their babies.
Fergana, Uzbekistan – The odds were stacked so high against her premature newborn that Matluba Mamasolieva feared she would lose her.
The 24-year-old mother of two recalls with tears in her eyes how hard the doctors and nurses at Fergana Provincial Perinatal Center worked to save her baby, weighing barely a kilogram and suffering multiple life-threatening health problems.
“I lost all hope that my baby girl would survive,” she says.
Sitting next to her sleeping infant’s crib 4 days after delivery, she is thankful for the professional staff and the new facilities at the center, 350 kilometers from Uzbekistan’s capital of Tashkent. Mamasolieva is well aware that before the Woman and Child Health Development Project provided this facility and 226 others nationwide with the latest medical equipment and staff training, her story might not have had such a happy ending.
Since 2004, mortality rates for mothers like Mamasolieva have fallen by more than 37%, and for their infants by more than 33%, mostly due to improved neonatal care services.
The main goal of the project was to integrate women and child health into the primary health care system. To avoid duplication of effort, the Asian Development Bank (ADB) worked closely with the World Bank to complement ongoing health projects in Uzbekistan, and tapped the expertise and activities of the United Nations and bilateral agencies involved in maternal, newborn, and child health.
The project aimed to reduce infectious diseases, increase contraceptive use among women, and reduce iron deficiency anemia among pregnant women. With the government reconstructing maternal care facilities and the World Bank building and upgrading primary care centers, the ADB-supported project focused on equipping woman and child health facilities and 227 maternity units around the country.
Critical for success was training health care professionals at all levels in the use of new equipment and the latest methods in maternal and child health care.
Working with the World Health Organization, the United Nations Children’s Fund, and the United Nations Population Fund, ADB and the government prepared clinical guidelines, upgraded the curriculum for nurses and general practitioners to international standards, and developed a nursing degree program.
General practitioners and specialists attended sessions at 18 training centers, where courses were also held for 20,000 primary health care nurses.
Albert Mustaev, chief medical doctor at the Fergana Regional Blood Center, says the government began restructuring blood services in 2008. The project introduced a national blood safety program and supported restructuring of the blood transfusion supply system, establishing six regional blood transfusion centers with modern equipment and facilities.
In collaboration with the World Health Organization and the United States Center for Disease Control and Prevention, the project trained 1,870 national, provincial, and district specialists in blood safety. In 2000, just 60% of blood samples were screened for infectious diseases before transfusion. Following the project, 100% of samples are now screened before use.
As Abdulhakim Abdullaev donates blood at the Fergana Regional Blood Center, the 57-year-old says he appreciates the center’s modern equipment and how well the facilities are maintained and sanitized. “It is a blessing for me that I can save someone’s life by donating blood,” he says.
“To see the happiness of a mother whose baby survives after she had lost all hope is priceless.”
The project not only improved maternal health centers, but also upgraded rural primary health care clinics, known as rural doctoral points. At the Oqtepa rural doctoral point in Fergana province, 29-year-old Feruza Tuhlieva, pregnant with her third child, is consulting a doctor. She used to have to go to the district hospital to see a doctor but now staff in rural doctoral points are equipped and trained to monitor the health of pregnant women and mothers with newborns.
Tuhlieva receives treatment and supplements, such as iron and vitamins, free of charge and nurses from the primary care clinic visit her home regularly to conduct essential checkups. Nine trained nurses at the clinic each visit up to 10 families a day. Staffed with three doctors, the rural clinic serves five communities of 10,000 people.
Aleksandra Mihneva, who works at an oil refinery, is another mother who is deeply grateful for the modern facilities at the Fergana Provincial Perinatal Center and the medical staff who saved her premature baby. “My family waited 2 years for this baby boy. It is a great feeling to be a mother to a child,” she says.
The center’s neonatologist, Umida Kosimova, says the biggest achievement is providing medical treatment necessary to give premature babies a chance at life. “To see the happiness of a mother whose baby survives after she had lost all hope is priceless,” she says.
Learn more about ADB’s work in Uzbekistan.
This article was originally published in Together We Deliver, a publication highlighting successful ADB projects across Asia and the Pacific that demonstrated development impacts, best practice, and innovation.
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 fact sheet presents key achievements ADB operations, projects, and assistance to support and strengthen health-care services in Mongolia.
АХБ нь 1993 оноос хойш Монгол Улсын эрүүл мэндийн тогтолцоог өөрчлөн шинэчлэхэд дэмжлэг үзүүлж ирсэн хөгжлийн томоохон түнш юм.
