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.
PROJECT RATIONALE AND LINKAGE TO COUNTRY/REGIONAL STRATEGY
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.
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