Improving Access to Affordable Medicines in Public Hospitals (ADB-49194-001)

Countries
  • Mongolia
Geographic location where the impacts of the investment may be experienced.
Specific Location
Nation wide
Whenever identified, the area within countries where the impacts of the investment may be experienced. Exact locations of projects may not be identified fully or at all in project documents. Please review updated project documents and community-led assessments.
Financial Institutions
  • Asian Development Bank (ADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Active
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
B
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Sep 29, 2015
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Borrower
Government of Mongolia
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
Sectors
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Grant
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 1.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Project Cost (USD)
$ 1.10 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Bank Documents
Primary Source

Original disclosure @ ADB website

Updated in EWS Jul 3, 2020

Disclosed by Bank Sep 30, 2016

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

In order to improve access to medicines by ensuring availability, affordability and physical accessibility to quality generic essential medicines, there is a need to introduce a more cost-efficient and effective system of pooled procurement of medicines for public hospitals along with establishment of in-house drug retailers in public hospitals . The pooled procurement system will increase purchasing power of public hospitals, decrease cost of medicines by increasing number of competitive suppliers and reducing manufacturer's selling price as well as drug wholesale mark-ups. The system will also improve the quality of medicines. Public hospitals will be permitted to run in-house drug retail stores for their outpatient clinic patients and serve with medicines purchased under bulk contracts and with agreed minimal mark-ups. The new system will be designed based on comprehensive analysis of the pharmaceutical sector and piloted prior to nationwide implementation. Substantial technical assistance is needed in a range of activities and technical areas, such as advocacy, human resource development, and public information education and communication campaign.

IMPACT
Household's health expenditure reduced, especially among the poor.

Efficiency of the medicines procurement and supply system increased.

Continuous and equitable access to essential medicines ensured.

CONSULTING SERVICES
The TA will engage 44 person months of consulting firm (22 person months of international and 22 person months of national consultants) specialized in medicines and public procurement systems, medicines supply and medicines regulatory functions. The MOHS will establish a project implementation unit (PIU) to manage day-to-day activities of the project. The PIU will comprise health specialist - project coordinator (36 person months) and finance and administrative coordinator (36 person months). The two project coordinators will be recruited by the executing agency through an individual consultant selection process. International and national consultants will be selected and engaged in accordance with ADB's Guidelines on the Use of Consultants (2013, as amended from time to time).

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

Ministry of Health (formerly Ministry of Health and Sports)
1st Floor, Government Building VIII
Olympic Street 2, Ulaanbaatar, Mongolia

ACCOUNTABILITY MECHANISM OF ADB
The Accountability Mechanism is an independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by an Asian Development Bank-financed project. If you submit a complaint to the Accountability Mechanism, they may investigate to assess whether the Asian Development Bank is following its own policies and procedures for preventing harm to people or the environment. You can learn more about the Accountability Mechanism and how to file a complaint at: http://www.adb.org/site/accountability-mechanism/main

How it works

How it works