39305-013: Urban Public and Environmental Health Sector Development Program (Program Loan)
Project Data Sheet (PDS): Details
The overall impact of the Urban Public and Environmental Health Sector Development Program (UPEHSDP) is to improve the public and environmental health conditions in the urban areas of Bangladesh, particularly in the six city corporations (Barisal, Chittagong, Dhaka, Khulna, Rajshahi, and Sylhet). The successful implementation of the UPEHSDP will help reduce child mortality and morbidity by reducing the prevalence of waterborne and food-related diseases, increase productivity by reducing overall morbidity, and improve the quality of life of urban inhabitants. UPEHSDP will improve the health status of the poor in urban areas and assist Bangladesh to make progress on the Millennium Development Goals (MDGs) relating to child and maternal health care and communicable diseases (MDGs 4, 5, and 6), and improve urban sanitation (MDG 7). The program and project loans under the UPEHSDP are designed to complement each other in achieving progress towards these key goals.
Project Rationale and Linkage to Country/Regional Strategy
Rapidly urbanizing Bangladesh has one of the highest population densities in the world. Crowded and poor hygienic living conditions have increased the vulnerability of urban poor people to economic shocks from ill-health. A burgeoning urban population is only going to make the situation for public and environmental health more challenging. Urban local bodies that are mandated to provide public and environmental health-related services have limited institutional and financial capacities. Nationally, the Local Government Division (LGD) of the Ministry of Local Government, Rural Development and Cooperatives (MOLGRDC) needs to take a stronger stewardship role in urban public and environmental health (UPEH). The Government of Bangladesh needs to make use of various instruments at its disposal such as regulations, taxation, information, and investments to address the growing challenges of UPEH with the help of the private sector and civil society. A sector development program (SDP) will address a wide range of complex but interlinked UPEH challenges. The Asian Development Bank (ADB) in many ways is uniquely placed to help the Government address these daunting multidimensional challenges. The SDP builds on more than a decade of ADB's strong engagement in urban development in Bangladesh, and makes a concerted effort to mainstream valuable lessons learned and good practices which have evolved from ADB-supported projects, such as urban governance and infrastructure improvement projects and urban primary health care projects.
Improved public and environmental health of urban inhabitants
Description of Outcome
Sustainable public and environmental health services established in the six city corporations
Progress Towards Outcome
For the Project, all three consulting teams were mobilized and are now fully operational, supporting the Project Office: (i) Package A: Program Support Consultancy; (ii) Package B: Financial Management and Municipal Finance Consultant; and (iii) Package C: Design Supervision and Construction consultants. Three civil works packages on: (i) the Construction of Food Laboratories, Service Delivery and Supply of Equipment in Dhaka and Chittagong City Corporations, and Renovation of Food Laboratory Training Center in Dhaka City Corporation (Package 1); and (ii) the Construction of Secondary Transfer Stations (STSs) in seven City Corporations (Packages 2 and 3) are already awarded. Evaluation of two other major civil works and goods packages (Packages 4 and 5) is ongoing. Tendering of six goods and consultancy packages is in various stages of preparation (Packages 7A, 8, 10, 11, 12 and GD61). The Urban Development Wing under the Local Government Division was created in June 2013 and positions are being filled up. For the Program, all three tranches were already released to the Government.
Description of Project Outputs
1. Strengthened institutional arrangements for urban public and environmental health (UPEH) in place (policy reform area 1) 2. Improved financial sustainability of urban public and environmental health interventions are operational (policy reform area 2 and project component C) 3. Improved public and environmental health service delivery are operational (policy reform area 3 and project components A and B) 4. Strengthened UPEH governance and management (policy reform area 4 and project component C)
Status of Operation/Construction or Implementation Progress
UPEHU established. Ongoing Formation of the NUPEHC completed. This is ongoing. Ongoing. Resources mobilized to two city corporations (Dhaka and Chittagong) Achieved by six city corporations (Dhaka, Chittagong, Khulna, Rajshahi, Barisal and Sylhet) Work in progress Work in progress Introduction circulated to all CCs and adopted by them. Operations Guidelines on Performance Based Targeted Grant Mechanism for City Corporations circulated to CCs by LGD on 6 March 2014. Ongoing. Strategy and standards circulated and in the process of implementation. Ongoing procurement Ongoing procurement Achieved, the Committee met twice already. Will be done through PPP. LGD sent a request to PPP office for necessary action. Model Bylaws on Medical Waste Management for CCs is finalized. LGD has approved in principle and sent to city corporations to take necessary action for getting formal approval in the name of particular city corporations. Five CCs (CCC, KCC, RCC, BCC and SCC) have already submitted the bylaws on medical waste management to LGD. Draft model bylaws on Food Safety for CCs has been prepared on the basis of Safe Food Act 2013 and sent to CCs for comments. It will be finalized after finalizing the draft rules on safe food at national level. All CCs deposited an amount equivalent to 1% of their budget into their respective Urban Primary Health Care Sustainability Fund bank accounts. Ongoing. Ongoing. In 2010, the prime minister s office issued Policy and Strategy Guidelines on Public Private Partnership. Guidelines were circulated to all CCs for implementation Ongoing. Guidelines circulated to all CCs for implementation. Ongoing. This has been done by the Urban Primary Health Care Service Delivery Project Ongoing. This has been done by the Urban Primary Health Care Service Delivery Project.
Involuntary Resettlement: B
Indigenous Peoples: C
Summary of Environmental and Social Aspects
Environmental assessments are being prepared as part of the detailed design of subprojects in accordance with the agreed Environmental Assessment and Review Framework (EARF). The EARF covers both ADB and government policy requirements.
Involuntary resettlement assessments are being prepared as part of the detailed design of subprojects in accordance with the agreed Resettlement Framework (RF). The RF covers both ADB and government policy requirements.
Stakeholder Participation and Consultation
During Project Design
Stakeholder consultation is an ongoing process which is being undertaken during project planning and design stages.
During Project Implementation
Community consultation will be an ongoing process and will continue througout project implementation.
Status of Covenants
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Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.