Kiribati : Climate-Resilient Health Infrastructure and Systems Project
The proposed Climate-Resilient Health Infrastructure and Systems Project will be the Asian Development Bank's (ADB) first investment in the health sector in Kiribati. ADB will work closely with New Zealand's Ministry of Foreign Affairs and Trade (MFAT) to complement their investments in health systems and infrastructure. Other development partners in the health sector include World Bank, World Health Organization (WHO), UNICEF, The Pacific Community, and the governments of Australia, People's Republic of China, Japan, Republic of Korea, and the United States of America, who are supporting the pandemic response through donations of personal protective equipment; GeneXpert machines with testing cartridges; other medical supplies; water, sanitation, and hygiene items; and risk communication.
Project Details
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Project Officer
Aftab, Ammar
Sectors Group
Request for information -
Approval Date
28 November 2023 -
Country/Economy
Kiribati -
Sector
- Health
Related Projects
| Project Name | Climate-Resilient Health Infrastructure and Systems Project | ||||
| Project Number | 55180-001 | ||||
| Country / Economy | Kiribati |
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| Project Status | Approved | ||||
| Project Type / Modality of Assistance | Grant |
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| Source of Funding / Amount |
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| Operational Priorities | OP1: Addressing remaining poverty and reducing inequalities OP2: Accelerating progress in gender equality OP3: Tackling climate change, building climate and disaster resilience, and enhancing environmental sustainability |
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| Sector / Subsector | Health / Health system development |
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| Gender | Gender equity theme | ||||
| Description | The proposed Climate-Resilient Health Infrastructure and Systems Project will be the Asian Development Bank's (ADB) first investment in the health sector in Kiribati. ADB will work closely with New Zealand's Ministry of Foreign Affairs and Trade (MFAT) to complement their investments in health systems and infrastructure. Other development partners in the health sector include World Bank, World Health Organization (WHO), UNICEF, The Pacific Community, and the governments of Australia, People's Republic of China, Japan, Republic of Korea, and the United States of America, who are supporting the pandemic response through donations of personal protective equipment; GeneXpert machines with testing cartridges; other medical supplies; water, sanitation, and hygiene items; and risk communication. The proposed project will improve access to climate-resilient and quality health services for more than half of Kiribati's population by improving health facilities, service delivery, infection control, and sexual and reproductive health (SRH). Placing women and climate at the center, the project will tackle the urgent need for a disaster-resilient and decarbonized health system that meets the needs of women and other vulnerable groups. The beneficiaries include all residents of South Tarawa (about 63,000 people). The proposed project is aligned with ADB's Strategy 2030 priorities of addressing remaining poverty and reducing inequalities and accelerating progress in gender equality. It is consistent with the Pacific Approach, 2021-2025 priority of preparing for, responding to, and improving resilience to health shocks through stronger health systems. It will contribute to Sustainable Development Goal 3 "to ensure healthy lives and promote well-being for all at all ages" by supporting Kiribati's journey towards universal health coverage. |
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| Project Rationale and Linkage to Country/Regional Strategy | |||||
| Impact | A healthy population supported by an accessible, equitable, and quality health care services (Kiribati National Health Strategic Plan 20202023). |
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| Project Outcome | |
|---|---|
| Description of Outcome | Access to quality health services improved |
| Progress Toward Outcome | |
| Implementation Progress | |
| Description of Project Outputs | Climate-resilient health services delivery strengthened Capacity to deliver essential health services and IPC systems improved Awareness and access to sexual and reproductive health services improved |
| Status of Implementation Progress (Outputs, Activities, and Issues) | |
| Geographical Location | Nation-wide |
| Safeguard Categories | |
|---|---|
| Environment | B |
| Involuntary Resettlement | C |
| Indigenous Peoples | C |
| Summary of Environmental and Social Aspects | |
|---|---|
| Environmental Aspects | |
| Involuntary Resettlement | |
| Indigenous Peoples | |
| Stakeholder Communication, Participation, and Consultation | |
| During Project Design | |
| During Project Implementation | |
| Responsible ADB Officer | Aftab, Ammar |
| Responsible ADB Department | Sectors Group |
| Responsible ADB Division | Human and Social Development Sector Office (SG-HSD) |
| Executing Agencies |
Ministry of Finance and Economic Development |
| Timetable | |
|---|---|
| Concept Clearance | 03 Dec 2021 |
| Fact Finding | 12 Jun 2023 to 16 Jun 2023 |
| MRM | - |
| Approval | 28 Nov 2023 |
| Last Review Mission | - |
| Last PDS Update | 29 Nov 2023 |
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.
The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.
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| Title | Document Type | Document Date |
|---|---|---|
| Grant Agreement (Special Operations) for Grant 0917-KIR: Health Infrastructure and Systems Project | Grant Agreement | Dec 2023 |
| Climate-Resilient Health Infrastructure and Systems Project: Report and Recommendation of the President | Reports and Recommendations of the President | Nov 2023 |
| Climate-Resilient Health Infrastructure and Systems Project: Gender Assessment and Action Plan | Gender Action Plans | Nov 2023 |
| Climate-Resilient Health Infrastructure and Systems Project: Supplementary Documents | Supplementary Documents to the RRP | Nov 2023 |
| Climate-Resilient Health Infrastructure and Systems Project: Project Administration Manual | Project/Program Administration Manual | Oct 2023 |
| Climate-Resilient Health Infrastructure and Systems Project: Procurement Plan | Procurement Plans | Sep 2023 |
| Health Infrastructure and Systems Project: Initial Poverty and Social Analysis | Initial Poverty and Social Analysis | Dec 2021 |
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.
| Title | Document Type | Document Date |
|---|---|---|
| Health Infrastructure and Systems Project: Draft Initial Environmental Examination | Initial Environmental Examination | Aug 2023 |
Evaluation Documents See also: Independent Evaluation
None currently available.
Related Publications
None currently available.
The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.
Requests for information may also be directed to the InfoUnit.
ADB Supports Quality Health Services in Kiribati through Asian Development Fund Grant
ADB has approved a grant package of $27 million to support the delivery of climate-resilient and quality health services in Kiribati.
Tenders
Contracts Awarded
Procurement Plan
| Title | Document Type | Document Date |
|---|---|---|
| Climate-Resilient Health Infrastructure and Systems Project: Procurement Plan | Procurement Plans | Sep 2023 |