Georgia: Health Sector Enhancement Program
The proposed program will support Georgia's health sector reforms, which will prioritize primary health care (PHC) and specialized outpatient and diagnostic services through sector regulation, redefining health care benefits, improving strategic purchasing mechanisms, and restructuring governance and organizational arrangements, to enhance the sector's operational efficiency, service delivery, and financial sustainability.
Project Details
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Project Officer
Chin, Brian
Central and West Asia Department
Request for information -
Country/Economy
Georgia -
Sector
- Health
Related Projects
| Project Name | Health Sector Enhancement Program | ||||
| Project Number | 56069-001 | ||||
| Country / Economy | Georgia |
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| Project Status | Proposed | ||||
| Project Type / Modality of Assistance | Loan |
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| Source of Funding / Amount |
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| Strategic Agendas | Environmentally sustainable growth Inclusive economic growth |
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| Drivers of Change | Gender Equity and Mainstreaming Governance and capacity development |
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| Sector / Subsector | Health / Health sector development and reform |
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| Gender Equity and Mainstreaming | Effective gender mainstreaming | ||||
| Description | The proposed program will support Georgia's health sector reforms, which will prioritize primary health care (PHC) and specialized outpatient and diagnostic services through sector regulation, redefining health care benefits, improving strategic purchasing mechanisms, and restructuring governance and organizational arrangements, to enhance the sector's operational efficiency, service delivery, and financial sustainability. The program is aligned with Strategy 2030 of the Asian Development Bank (ADB) and supports the operational priorities on addressing remaining poverty and reducing inequalities; accelerating progress in gender equality; tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability; and strengthening governance and institutional capacity._The program is consistent with ADB's country partnership strategy for Georgia, 2019-2023 to support the government's development priority for human capital development._The proposed stand-alone policy-based loan (PBL) comprises two tranches amounting to a total of $50 million from ADB's ordinary capital resources. | ||||
| Project Rationale and Linkage to Country/Regional Strategy | Georgia's 8-year National Health Care Strategy 2022-2030 presents an opportunity for transformative reforms in the health sector, which require financing, international expertise, and institutional support to achieve targets timely. The government of Georgia is committed to focusing on PHC reforms comprehensively and holistically to address current and future health challenges. Additional expertise and capacity are needed to: (i) increase benefits and clarity of benefits offered to the population for PHC, specialized outpatient and diagnostic services; (ii) strengthen quality of PHC service provision via strategic purchasing; (iii) improve digital information systems for efficient management of results-based PHC programming and health financing; and (iv) improve PHC stewardship and governance, clinical protocols, healthcare quality, and continuing medical education and continuing professional development. Policy-based loan is the most appropriate modality given (i) the government has a strong commitment for concrete health sector reforms; (ii) MOH has experience in implementing ADB projects; (iii) ADB has experience in Georgia's health sector and has supported analyses on health financing, PHC, public financial management, and regional health security that contributed to policy dialogue and policy development; and (iv) budget support is necessary to cover development financing gaps. |
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| Impact | |||||
| Outcome | |||||
| Outputs | |||||
| Geographical Location | Nation-wide | ||||
| Safeguard Categories | |
|---|---|
| Environment | C |
| Involuntary Resettlement | C |
| Indigenous Peoples | C |
| Summary of Environmental and Social Aspects | |
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| Environmental Aspects | |
| Involuntary Resettlement | |
| Indigenous Peoples | |
| Stakeholder Communication, Participation, and Consultation | |
| During Project Design | The Ministry of Finance will be the executing agency. The MOH, its departments and subordinated agencies such as the National Health Agency and the Information Technology Agency, will be the implementing agency. |
| During Project Implementation | The proposed implementation period is January 2023-September 2023 for Tranche 1 and October 2023-August 2025 for Tranche 2. |
| Responsible ADB Officer | Chin, Brian |
| Responsible ADB Department | Central and West Asia Department |
| Responsible ADB Division | CWSS |
| Executing Agencies |
Ministry of Finance |
| Timetable | |
|---|---|
| Concept Clearance | 08 Dec 2022 |
| Fact Finding | 01 Apr 2023 to 14 Apr 2023 |
| MRM | 14 Jun 2023 |
| Approval | - |
| Last Review Mission | - |
| Last PDS Update | 09 Dec 2022 |
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.
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| Title | Document Type | Document Date |
|---|---|---|
| Health Sector Enhancement Program: Concept Paper | Concept Papers | Dec 2022 |
| Health Sector Enhancement Program: Initial Poverty and Social Analysis | Initial Poverty and Social Analysis | Dec 2022 |
Safeguard Documents See also: Safeguards
Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.
None currently available.
Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
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Tenders
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Contracts Awarded
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Procurement Plan
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