Primary Healthcare Improvement Project

Country: 
Uzbekistan
Region: 
Area of competence: 
Health Facilities and Services
Donor organization: 
ADB (Asian Development Bank)
Start of Project: 
01/2017
End of Project: 
02/2018
Staff-month: 
16
Value of service: 
€ 469,109
Partner Organisations: 
Mediconsult
Description of Project: 

Uzbekistan has shown continuous improvement in health indicators since its independence in 1991. Major improvements have been recorded in key health indicators such as maternal and infant mortality rates and total fertility rate. Tertiary care has seen quantum improvements with the establishment of multi-profile paediatric and oblast (regional) hospitals, district hospitals and as many as 10 specialized hospitals.There is, however, more to be achieved in primary healthcare (PHC) generally and rural PHC specifically.

The Government originally wanted to strengthen its e-health services. However a change in priority led to revision of the project to improvement in primary healthcare. The project now is expected improve access to quality PHC services in rural areas.  The expected outputs will be (i) the provision of a standard set of equipment for family polyclinics, (ii) staff capacity development for the rural family polyclinics and (iii) strengthened institutional capacity of the MOH and General Directorate for Organizing Healthcare for PHC service delivery.

EPOS was engaged by ADB to undertake a Transaction Technical Assistance (TRTA) for preparing the project. Though the project was originally for a period of 9 months (January to September 2017), due to delays in decision making by the Government of Uzbekistan, the timeline for the TRTA got extended till February 2018.

Description of Services: 

The consultant is providing assistance to the Ministry of Health as the Execution Agency (EA) and (IA) . Specific assistance provided included:

  • Health sector assessment, considering the beneficial impacts of the project in strengthening the country’s health system, and how it can be leveraged to help the country move towards universal health coverage (UHC).

  • project and sector procurement risk assessments

  • capacity assessment of the EA and IA

  • technical, economic, financial and safeguards due diligence

  • preparation of technical specifications for the equipment

  • assistance to the implementing agency in the preparation of bidding documents

  • drafting a procurement plan, cost estimates of equipment, bill of quantities (BOQs) and master bidding document

  • assistance in preparation of the Report and Recommendation of the President (RRP), Project Administration Manual (PAM) and other linked documents
Project Volume: 
€ 549,157