Preparing Health Sector Assessment (ADB-51318-001)

  • Pakistan
Geographic location 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
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
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 27, 2017
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.
Government of Pakistan
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • 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, guarantee, technical assistance, advisory services, equity and fund.
Grant Amount (USD)
$ 0.23 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Investment Amount (USD)
Not Disclosed
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Primary Source

Original disclosure @ ADB website

Updated in EWS Jul 20, 2020

Disclosed by Bank Sep 29, 2017

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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 line with the authority delegated to country directors or heads of divisions to approve small-scale technical assistance (TA), we request approval of the subject small-scale transaction TA amounting to $225,000 to be financed on a grant basis by ADB's Technical Assistance Special Fund (TASF 6). This TA will become effective upon approval; and such approval will be reported to the Board in the Quarterly Summary Report on Small-Scale and Supplementary Technical Assistance Projects not exceeding $225,000.

ADB will finance the SSTA to carry out an assessment that will examine delivery of health services particularly hospital sector, focusing on quality of health care, public financial management of the health sector, and health seeking behavior of the population. With all the ongoing initiatives, there is need for a consistent policy framework to coordinate and align all the reform initiatives and prevent system fragmentation by reforms implemented in silos. The sector assessment will inform the new Health Strategy for the province and will distill the policy matrix for an upcoming policy-based loan.


ADB received request for assistance in strengthening health systems, especially, secondary hospitals, and critical part of tertiary hospitals, and introduction of public private partnerships in hospitals, from health departments of Punjab, KP, and Sindh. Given substantial investments by provincial governments often with development partners (e.g. Department for International Development [DFID], World Bank, and United Nations Children's Fund) in primary health care, strengthening the hospital sector and integration of primary and secondary health care indeed a logical next step.

Following the mission in May 2017, Government of Khyber Pakhtunkhwa (GoKP) in particular, send urgent request for ADB's financial support for supporting its health sector reforms, and a program was included in the 2018 pipeline of the Country Operation and Business Plan, as of August 2017, and requested possible approval the program by May 2018. Given the urgency of program preparation and also expected similar request from other provinces, this SSTA is proposed to conduct essential due diligence required for preparing a solid program for supporting health sector reforms in KP, but also support necessary analysis in other provinces.


Health status of the population in the province is improved.

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.


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:

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