Aid View
| General Information |
Project/Program |
Project |
| Project Name |
Disease Control & Health Development Project |
| Duration |
Board of Approval: 12/23/1996 Closing Date (original): 03/31/2002, (actual): 12/31/2002 |
| Donor |
World Bank |
| Implementiong Organization |
Ministry of Health |
| Sector and/or Subsector Classification |
Health |
| Region |
Not Applicable |
| Financing |
The project total cost at appraisal amounted to USD 34.91 million and the actual cost were USD 26.56 million, which includes following: National Tuberculosis Control Program (USD 2.11 million), Malaria Control Program (USD 2.47 million), HIV/AIDS Program (USD 4.88 million), Health Service Strengthening (USD 17.1 million). |
| Analytical Information |
Stakeholders |
Asian Development Bank, World Bank, National Center for Tuberculosis and Leprosy Control, National Malaria Center, Global Funds for AIDS, Tuberculosis and Malaria, Ministry of Economy and Finance, Ministry of Health, National AIDS Office, National Center for HIV/AIDS, Dermatology and STDs, Non-governmental Organization, Provincial AIDS Offices, Provincial Health Department, Social Fund for the Kingdom of Cambodia, World Health Organizations, Civil Society, Affected People, Private Sectors, UNICEF, |
| Cross-cutting Issue |
Environment |
Data analysis was hard to overcome (to compare disease and health statistics before and after the project) due to different collective systems, limited data, and verified survey data. In addition, low salaries, coming out of a political turmoil, and lack of familiarity were outside factors that had affected the Government control. |
| Gender |
No information regarding gender was to be found in the Implementation Completion Report. |
| Impact Analysis |
The project supports the national tuberculosis program, malaria control program, and the HIV/AIDS control program. In addition, the project aligns with the National Health Policy, originally created through collaborations with the WHO, and World Bank's Country Assistance Strategy. Health Service Strengthening particular is in accordance with the National Health Coverage Plan. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
HIV/AIDS: Through intense policy dialogue, intense training and technical assistance from external and domestic donors, the project was able to move from donor oriented activities to complete national ownership. Shared responsibility at the national and regional level led to development of strategy and guidelines and non-governmental organizations had grant contracts which gave them capacity to implement high priority programs. Overall, the Government had very positive attitudes and were receptive with high commitment. On the other side, lack of stakeholder participation lagged the project with inadequate involvement of district levels and other important officials that were needed. Moreover, according to the Implementation Completion Report, the Government did not provide the promised counterpart funding, though there is not evidence for the shortage. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
Implementation Completion Report notes there were insufficient coordination between the project coordination unit and the managers of the project. In addition, when drafting the Health Management Agreements, not all relevant stakeholders had participated. |
| Rating |
2/5 |
| Evaluation Framework |
Evaluation |
Supervision of World Bank consisted of successful but insufficient missions (three missions during the first two years after the Board Approval), monitoring systems, creating 90 day accounts; the report notes a total of 108 staff weeks was used for the supervision. Though, overally, supervision of World Bank was considered very crucial for the success of the project. |
| Rating |
3/5 |
| Alignment/Composition of Finance |
Evaluation |
Finance procurement was very weak due to Cambodia's weak capacity, limited human resources, inexperience of projects, etc. This led to issues of 90 day accounts, Memorandum of Understanding between the MOEF and MOH, and giving UNICEF to handle the international procurements. |
| Rating |
2/5 |
| Other Remarks |
This project is the first health related project for the World Bank and is praiseworthy that it only needed a nine month extension. Due to this nature, the project has affected the policies and guidelines for the Health Plans of Cambodia, and the general technical operations of the field. |
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