Tonga : Integrated Aged Care Project
The project aims to enhance the well-being and quality of life of older people in Tonga by providing appropriate, safe, and high-quality integrated health and care services, and support to caregivers. For the first time, Tonga will implement a multifaceted approach to aged care, recognizing that aging involves physical, emotional, social, and psychological aspects. The project will also support caregivers (who are predominantly women) to promote a more sustainable and positive experience in providing care for older people and a psychosocial approach to care. Climate change adaptation is effectively built into the project activities. The project is aligned with the following impact: a higher quality of life experienced by older people in Tonga. The project will result in the following outcome: integrated aged care system improved and expanded.
Project Details
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Project Officer
Carandang, Ninebeth S.
Sectors Group
Request for information -
Approval Date
23 November 2023 -
Country/Economy
Tonga -
Sector
- Public sector management
Related Projects
| Project Name | Integrated Aged Care Project | ||||||||||||
| Project Number | 55254-001 | ||||||||||||
| Country / Economy | Tonga |
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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 OP6: Strengthening governance and institutional capacity |
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| Sector / Subsector |
Health / Disease control of non-communicable diseases and other priority programs - Nutrition Public sector management / Social protection initiatives |
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| Gender | Gender equity theme | ||||||||||||
| Description | The project aims to enhance the well-being and quality of life of older people in Tonga by providing appropriate, safe, and high-quality integrated health and care services, and support to caregivers. For the first time, Tonga will implement a multifaceted approach to aged care, recognizing that aging involves physical, emotional, social, and psychological aspects. The project will also support caregivers (who are predominantly women) to promote a more sustainable and positive experience in providing care for older people and a psychosocial approach to care. Climate change adaptation is effectively built into the project activities. The project is aligned with the following impact: a higher quality of life experienced by older people in Tonga. The project will result in the following outcome: integrated aged care system improved and expanded. | ||||||||||||
| Project Rationale and Linkage to Country/Regional Strategy | Tonga's aging population is a significant social and economic challenge. The country's inadequate aged care system cannot meet the growing needs of older people. Without early interventions to promote healthy and active aging, issues like noncommunicable diseases, social isolation and loneliness can contribute to a rapid deterioration of health and well-being among older people, which can strain healthcare and social resources. Care for older people is primarily provided by unpaid family caregivers, most of whom are women who also lack support and lose the opportunity to be economically productive. The burden of caregiving can affect caregivers' quality of life and the quality of care they provide to older people. The project will address these issues. | ||||||||||||
| Impact | A higher quality of life experienced by elders in Tonga (Aged Care National Strategic Plan) |
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| Project Outcome | |
|---|---|
| Description of Outcome | Integrated aged care system improved and expanded |
| Progress Toward Outcome | |
| Implementation Progress | |
| Description of Project Outputs | Community-based and climate-resilient aged care centers established Aged care services and programs implemented Caregiver support and measures to recognize, reduce, and redistribute the caregiving responsibility implemented |
| Status of Implementation Progress (Outputs, Activities, and Issues) | |
| Geographical Location | Haapai, Tongatapu Group, Vavau Islands Group |
| Safeguard Categories | |
|---|---|
| Environment | B |
| Involuntary Resettlement | B |
| Indigenous Peoples | C |
| Summary of Environmental and Social Aspects | |
|---|---|
| Environmental Aspects | The anticipated environmental impacts of the project's civil works component are site-specific and localized, and the works are not expected to have significant or irreversible negative environmental impacts. The following conditions apply to civil works contract awards: (i) the Tonga Department of Environment has granted final approval of the IEE and updated EMP, indicating whether environmental permits are required; (ii) the EMP requirements and provisions for environmental management are incorporated into the bid documents for civil works and construction contracts; and (iii) MIA has obtained ADB's clearance of the IEE based on final design and it is in compliance with ADB's information and disclosure and consultation requirements. MIA, through the PMU safeguards personnel, is responsible for project environmental safeguards management, monitoring, and reporting. Capacity will be enhanced with additional training. |
| Involuntary Resettlement | Long-term leases will be required for three parcels of land. A resettlement plan has been prepared following the laws of the Government of Tonga and ADB's Safeguard Policy Statement. Ministry of Internal Affairs, through its PMU, will ensure effective implementation and monitoring of the resettlement plan. |
| Indigenous Peoples | Due diligence has confirmed that the project will not impact any indigenous people groups as defined under ADB's Safeguard Policy Statement. The project will ensure that local communities actively participate and receive culturally appropriate benefits. |
| Stakeholder Communication, Participation, and Consultation | |
| During Project Design | The project design has been informed through wide consultations, including survey and focus group discussions with older people and caregivers. About 724 Tongans aged 65 years and older were surveyed and interviewed, and a separate survey was undertaken with 307 caregivers. All key government agencies (e.g., Ministry of Finance, Ministry of Internal Affairs, Ministry of Health, and Ministry of Infrastructure) and NGOs were consulted. Communities located near the sites of the aged care centers were also consulted to receive their feedback about the project and avoid any social and environmental impacts. |
| During Project Implementation | The project will continue to consult with community members, churches, and NGOs during implementation. Women and households, particularly older people and their caregivers, will be specifically invited to attend focus group discussions to ensure their concerns and priorities are considered in all activities. Various community activities will be implemented to promote volunteerism and support by young people to care for older people. The project will also coordinate with non-government organizations. |
| Business Opportunities | |
|---|---|
| Consulting Services | The following consulting services will be engaged: 1.Design and supervision consultant 2.Project Manager (PMU) National 3.Procurement Specialist (PMU) International 4.Administrative Officer (PMU) National 5.Procurement Officer (PMU) National 6.Home Modification Engineer (PMU) National 7.Safeguards Officer (PMU) National 8.Financial Management Specialist (PMU) National 9.Gender Officer National 10.Driver (PMU) - National |
| Procurement | The following goods, works and nonconsulting services will be procured: 1.Community-based aged care center Tongatapu Main Center 2.Community-based aged care center Vava'u Network Center 3.Community-based aged care center District East Tonga Network Center 4.Community-based aged care center District West Tonga Network Center 5.Furniture for PMU 6.Medical Equipment and Supplies 7.Caregiver Training (non-consulting services) 8.Vehicle for PMU |
| Responsible ADB Officer | Carandang, Ninebeth S. |
| Responsible ADB Department | Sectors Group |
| Responsible ADB Division | Human and Social Development Sector Office (SG-HSD) |
| Executing Agencies |
Ministry of Finance |
| Timetable | |
|---|---|
| Concept Clearance | 02 Sep 2021 |
| Fact Finding | 16 May 2023 to 24 May 2023 |
| MRM | - |
| Approval | 23 Nov 2023 |
| Last Review Mission | - |
| Last PDS Update | 23 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.
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
| Title | Document Type | Document Date |
|---|---|---|
| Grant Agreement (Externally Financed - Japan Fund for Prosperous and Resilient Asia and the Pacific) for Grant 9237-TON: Integrated Aged Care Project | Grant Agreement | Dec 2023 |
| Grant Agreement (Special Operations) for Grant 0915-TON: Integrated Aged Care Project | Grant Agreement | Dec 2023 |
| Grant Agreement (Climate Change Fund) for Grant 0916-TON: Integrated Aged Care Project | Grant Agreement | Dec 2023 |
| Integrated Aged Care Project: Project Administration Manual | Project/Program Administration Manual | Nov 2023 |
| Integrated Aged Care Project: Report and Recommendation of the President | Reports and Recommendations of the President | Oct 2023 |
| Integrated Aged Care Project: Gender Action Plan | Gender Action Plans | Oct 2023 |
| Integrated Aged Care Project: Procurement Plan | Procurement Plans | Jul 2023 |
| Integrated Aged Care Project: Initial Poverty and Social Analysis | Initial Poverty and Social Analysis | Sep 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 |
|---|---|---|
| Integrated Aged Care Project: Land Acquisition and Resettlement Plan | Resettlement Plans | Oct 2023 |
| Integrated Aged Care Project: Initial Environment Examination | Initial Environmental Examination | Oct 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, Tonga Sign Grants for an Integrated Aged Care Project
ADB and the Government of Tonga today signed grant agreements totaling $16.18 million to help provide safe, high-quality integrated health and care services for older people and their caregivers.
Tenders
| Tender Title | Type | Status | Posting Date | Deadline |
|---|---|---|---|---|
| Safeguards Officer (PMU) | Individual - Consulting | Closed | ||
| Procurement Officer (PMU) | Individual - Consulting | Closed | ||
| Financial Management Specialist (PMU) | Individual - Consulting | Closed | ||
| Project Manager (PMU) | Individual - Consulting | Closed | ||
| Gender Officer | Individual - Consulting | Closed | ||
| Design and Supervision Consultant | Firm - Consulting | Closed |
Contracts Awarded
Procurement Plan
| Title | Document Type | Document Date |
|---|---|---|
| Integrated Aged Care Project: Procurement Plan | Procurement Plans | Jul 2023 |