| General Information |
Project/Program |
Project |
| Project Name |
Basic Health Services Project LN1447 |
| Duration |
Approval: Jun, 1996 Closing Date: Aug, 2003 |
| Donor |
Asian Development Bank (ADB) |
| Implementiong Organization |
Ministry of Health (MOH) |
| Sector and/or Subsector Classification |
Infrastructure |
| Region |
Provinces of Kampong Cham, Kampong Chhang, Prey Vong, Svay Rieng, and Takeo. |
| Financing |
$24.9 million ADB: $20million Government $5million |
| Analytical Information |
Stakeholders |
Project Coordination Unit (PCU), Provincial Health Departments(PHD), Ministry of Health, Project Health Centers, Referrel Hospitals, Operational districts |
| Cross-cutting Issue |
Environment |
|
| Gender |
|
| Impact Analysis |
The Project achieved the development targets set at appraisal. Project aligns with the Health Coverage Plan (HCP) 1997 and the National Health Development Plan for 1994-1996. The Government has developed a coherent health sector plan that prioritizes the provision of a basic package of health services ( the MPA) at the community level. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
Ministry of Health's umbrella PCU coordinated and executed most of the projects. At the provincial levels, provincial project units were established in each provincial health department. High level of ownership of implementation arrangements. Participation of all stakeholders were satisfactory. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
ADB and MOH maintained good relationships throughout the entire project. ADB staff conducted conducted review missions regularly with field visits. The Loan was extended twice from 30 June 2002 to 31 December 2002, to harmonize the Project physical completion date with the Contracting Health Services Pilot Project (CHSP) contract agreement. |
| Rating |
4/5 |
| Evaluation Framework |
Evaluation |
An international firm, Macro International, was hired to establish objective monitoring and evaluation. Implementation of all activies were commenced later than planned due to an underestimated time required to establish Project Coordination Unit (PCU). |
| Rating |
3/5 |
| Alignment/Composition of Finance |
Evaluation |
With low level of domestic savings, and narrow taxation base, the Governments scope for revenue generation over the short time to the medium term is limited. Risk of financial sustainability will be decreased if Government is able to increase the health budget to 10 percent by 2000. |
| Rating |
3/5 |
| Other Remarks |
Most of the day to day operations were done by the PCU. Weakness and constraints were inadequate number of staff for CHSP evaluation survey, superiority attitudes toward government officials, and inefficient communication among the provincial levels (Project Completion Report, pg. 26). First health project of Cambodia, thus more foreign and local assistance is unescapable in the forseeable future. Stakeholders were only consisted of government officials, institutions and agencies; there were no interactions with the society or health institutions prior to drafting of the project. |
