Strengthening Hospital Autonomy (ADB-49278-001)

  • Mongolia
Where the impacts of the investment may be experienced.
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
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
Dec 9, 2015
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Government of Mongolia
The holder of the loan, grant, or other investment.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, etc.
Investment Amount (USD)
$ 1.10 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please review updated project documents for more information.
Project Cost (USD)
$ 1.20 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
Primary Source

Original disclosure @ ADB website

Updated in EWS Jul 3, 2020

Disclosed by Bank Sep 28, 2016

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Project Description

The Government of Mongolia requested assistance from the Asian Development Bank (ADB) to strengthen public hospital autonomy. A fact-finding mission took place in Ulaanbaatar in August 2015, and ADB reached agreement with the government on the impact, outcome, outputs, cost and financing, implementation arrangements, and outline terms of reference for consulting services for the policy and advisory technical assistance (TA). Concept clearance was obtained on 22 October 2015.

The capacity of the Ministry of Health and Sports and other central and local government agencies to engage in a broad hospital reform process needs to be strengthened. This will require a phased approach to hospital autonomy with built-in mechanisms to learn from the implementation process and readjust implementation tools as required. Senior hospital management staff, board members, and selected community representatives will require substantial enhancements to their capacity to face their new responsibilities to manage autonomous facilities. The Ministry of Finance's capacity to oversee and monitor hospital financing reform will also need to be reinforced.

The government has requested ADB support to (i) further advance the regulatory framework for hospital autonomy, (ii) build capacity of the government and hospital staff to manage hospitals within the improved legal environment, and (iii) provide technical support in the gradual implementation of hospital autonomy.


Investment Description

Government US$ 0.1 million

Contact Information

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

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