| General Information |
Project/Program |
Project |
| Project Name |
Health Sector Support Project 32430 |
| Duration |
Grant; Feb. 2008 - Jun. 2010 Loan; Nov, 2002 - June, 2009 |
| Donor |
Asian Development Bank (ADB) |
| Implementiong Organization |
Ministry of Health (MOH); the Department of Planning and Health Information (DPHI) of Ministry of Health was responsible for coordinating projet implementation. |
| Sector and/or Subsector Classification |
Health |
| Region |
The HSSP covered 21 provinces; World Bank implemented project in 12 provinces and the ADB implemented project in 9 provinces: Krong Prean Sihanouk, Rattanak Kiri, Mondol Kiri, Koh Kong, and original five provinces from prior project, Kampong Cham, Kampong Chhang, Prey Veng, Svay Rieng, and Takeo. |
| Financing |
Total of $74.3million (loan $36.76 million, and grant around $12million); $20 million loan and $12.2 million grant financed from ADB |
| Analytical Information |
Stakeholders |
Stakeholders are Ministry of Health (MOH), DPHI, rural communities, interested NGOs, international agencies, and the health care providers, health centers, referral hospitals, donors. All of them have highly participated to strengthen MOH capacity. |
| Cross-cutting Issue |
Environment |
Environment is rated C. No significant adverse effects on environment or land effects, and social impacts. |
| Gender |
Participants for all training activities, priority was given to women to ensure the at least the same proportion of women trainees as in the overall pool of the targeted staff. |
| Impact Analysis |
Health indicators are among the most adverse in the region. The quality of health services and skills of health care providers are poor, health infrastruture needs strengthening, and weak capacity needs to be upgraded. It supported the first Health Sector Srategic Plan (2003 -2007), and the National Strategic Development Plan (NSDP) 2008-2015. |
| Effectiveness |
Ownership/Partnership |
Evaluation |
The project showed strong ownership and hired NGOs in health service delivery to improve utilization and coverage of health services and all contractors achieved measurable results. The MOH's efforts to create a transparent program was helpful in improving the project. |
| Rating |
4/5 |
| Policy Coherence/Harmonization |
Evaluation |
Donor & various governmnet agencies coordination was high, monitored major activities, and resolved project implementation. ADB was very responsive, with good comunication with the MOH despite two changes in the ADB leader. The project was well carried to further develop the second phase of the HSSP in 2010-2013. While HSSP was cofinanced by different agencies, the project was administered by each donor agency with different implementation schedules. This resulted in different reporting arrangements, avoided duplication, and provided a broader sectorwide approach. |
| Rating |
4/5 |
| Evaluation Framework |
Evaluation |
The facilities of the project were fully operational after 2years of completion due to underestimated additional costs of the health centers, and labor shortage of civil works. The implementation of the project was extended by 1year to ensure the smooth transition of project activities. No seperate impact evaluation was conducted at the project level. |
| Rating |
4/5 |
| Alignment/Composition of Finance |
Evaluation |
Budget allocation was complied with the covenants of the loan agreement. With the exception of the extension, all finance was accordingly used as planned. |
| Rating |
4/5 |
| Other Remarks |
HSSP was the first sectorwide management approach project in Cambodia. The MOH steering committee did not have regular meetings. The one year extentsion was given to ensure uninterrupted service delivery during transition period between the first and second HSSP. Completion report recommends a unified reporting system and a central and local monitoring and evaluation system. |
