Health Sector Development and Infrastructure Improvements in Papua New Guinea

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Healthcare

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2017

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#1Papua New Guinea & Asian Development Bank: A Partnership in Addressing Connectiv The current and future pipeline of projects supporting an enabling environment for economic development David Hill Country Director Asian Developme#2WELCOME TO GOROKA AIRPORT Development Partnership Finding the space for adding value#3ADB Country Partnership Strategy 2016-2020) Strategy objective: Assist PNG in planning and implementing a successful conversion of its resource wealth into inclusive and environmentally sustainable economic growth Sector Focus: Transport, Energy, Public Sector Management, Health. Drivers of Change: Environmental sustainability, private sector development, effective gender mainstreaming, knowledge management, partnerships.#4ADB Country Operations Business Plan 2019-2021) gy 30%. Public Sector Management & Health 15% WASH 3% Finance 2% Pipeline 2019-2021 Loans $1,048 million Non-lending $3.9 million Transport 50% Co-financing $225 million#5ADB Country Partnership Strategy 2016-2020) ttps://www.adb.org/documents/papua-new-guinea-country- partnership-strategy-2016-2020 ADB Country Operations Business Plan 2018-2020) https://www.adb.org/documents/papua-new-guinea-country- operations-business-plan-2018-2020#6Challenges to inclusive development GDP growth linked to resource dependency. Physical isolation and lack of connectivity. Limited transport and energy infrastructure. Other barriers to private sector development and broad-based job creation: . • Law & Order Weak property rights. • Limited access to credit. . • Weak implementation capacity.#7Geographical Remoteness in PNG 6 5 + 3 Remoteness score N Extremely Remote Very Remote Moderately Remote Accessible Accessible Highly Accessible 1 Average remoteness = 1 0 Number of Local Level Government areas per group#8Connectivity Physical access to markets. Physical access to health and education facilities. Access to government services. Access to information. Implications for capacity development, economic growth (rate of) and local, regional, national and international integration.#9ADB's response to the challenges of, remoteness, connectivity and inclusive growth by major sector Major sector current and future investment ,200.00 forward investment -,000.00 800.00 600.00 400.00 Current 200.00 forward investment forward investment Current Current Current forward investment forward investment Current Road Civil Aviation Energy Health#10bad Transport - Ongoing FF Highlands Region Road Improvement Investment Program 008-2020 350 million pose: Improved Access and duced Transport Costs proved access to health and ucation facilities, lifting the ng standards of the people of G by enhancing mobility reased opportunity for equality d prosperity, especially in note rural areas in the chlands BEG-NENGAL ROAD 31+703.94KM WESTERN HIGHLANDS PROV EAST SEPIK PROVINCE ENGA PROVINCE YAMPUL PORGERA WABAG LAIAGAM MENDERANDEF ROAD ANOM 49-602.4 KM SHP ENGA PROVINCE NIPA MUNHU ROAD 27+688.12 KM SOUTHERN HIGHLANDS PROV MARGAMA MUNIHU NIPA KANDEP MENDI KOMPSAM LAPRAMP NENGIL KOTNA TBAK KAGUA BULG TAMBUL MT HAGEN WESTERN HIGHLANDS IALIBU PANGIA PROVINCE KOTNA LAPRAMP ROAD 31+652.29 KM WESTERN HIGHLANDS PROV. DEPARTMENT OF WORKS ADB ADS ROAD IMPROVEMENT LOANS 2496/2497-PNG (SF) GRANDSON ROAD IMPROVEME INVESTMENT PROGRAM MAJOR PROJECTS AND REHABITATION COACTS MADANG PROVINCE DONA KEROWAGI ROAD 25+810.63 KM WH.P SIMBU PROVINCE KARA GEMBOLG DONA KEROWAGI MINJ KWONGGI HORRIGE GEWA KUP KUNDIAWA ASARO GOROKA BEKUNA MALIN LAAME ELINDAR GUMINE LEGENDS e COLOR TABLE REPRE GEWA GEMBOGLR 10-000.00-31-025.00 SIMBU PROVINCE HENGANOFI LUPA QUOT NUPURU ayon ASARC EASTER cation: 9 Highland Core Road twork Priority Links, providing ess to the main economic ridor the Highlands Highway SOUTHERN HIGHLANDS PROVINCE WESTERN PROVINCE MENDI-TAMBUL ROAD 55+528.33 KM S.H.P-W.H.P ERAVE WEMU SIMBU PROVINCE LALIBU-KAGUA ROAD 31+788.53 KM SOUTHERN HIGHLANDS PROV GULF MINJ KUP ROAD 23+565.54 KM WHP-SIMBU PROVINCE EUMBARS-MOVE ROAD 39+562.18 KM SIMBU PROVINCE OKAPA EASTERN HIGHLAND PROVINCE HENGANO NUPURU ROAD 33496001 KM EASTERN HIGHLANDS PROY#11d Transport - Ongoing and Future ainable Highlands Highway Investment Program 2017-2027 illion 144 00E PAPUA NEW GUINEA ABLE HIGHLANDS HIGHWAY INVESTMENT PROGRAM Korobe EAST SEPIK ENGA Porgera Landbl Langa Wabag Komplam Vampu Mapenemand N Lampramo JIWAKA apdep Tambul Bug Kotna MADANG Larengau Unimo Keleng Wwwk BISMARCK SEA Kokego Kerouragi Mt. Hagen Miri Gena Kundiawa WESTERN HIGHLANDS Goroka mbeMoy Tari Margarima Munihu Mend albu Pangia SOUTHERN HIGHLANDS Kagua led Under Sustainable Highlands Highway Investment Progra ed Under Highlands Region Roads Improvement Investment Program ту uthoritative Wamu SIMBU GULF Nupun Mer Kinbe Kenme Papendetta Gulf of Japan DU PORT MORESBY Hengano6 EASTERN HIGHLANDS SO LOMON SEA CORAL SEA MOROBE BISMARCK SEA Arawa 6°00's- The Highlands region of Papua New Guinea (PN consists of seven landlocked provinces where approximately 40% of the country's population resides, most of whom are involved in rural smallholder agricultural production. • • Impact: Attainment of well-integrated, safe, affordab and financially and environmentally sustaina transport systems Improved access to health and education, an living standards of the people of PNG by enhancing mobility • Increased opportunity for equality and prosperity in rural areas) • Outcome: Increased efficiency and safe movement of people, goods, and services between the Highlands Region and markets Gulf of Papa This map was produced by the cartography unit of the Asian Development Bark The boundaries dors, denominations, and any other information shown on this map do not imply on the part of the Asian Development Bank, any judgment on the legal status of eny lemillory, or any endorsement or acceptance of such boundaries, colors, denominations, or information#12ation Transport - Ongoing Aviation Development Investment Program 9-2019 O million program is a Multitranche Financing Facility designed to mented in three tranches. pact of the program is to achieve economic growth and y reduction in project areas by providing safer, more nt, and more accessible all-weather air transport services project areas. alsofzi slɔotzi 2i zappari vited yd copperi ville? yd zeponi vile va botzi opml ylteǝ yd bordi eopati viteǝ yd SPOOK: vilaw W bota Tranche 1 (2009): 5 airports and institutional support $95 million bota For yo sloot Tranche 2 (2014): doot28 airports of $130 million 21 vitao ydı albotti boorte you Яlɔot? 2000ml villebydl Tranche 3 (2017): slodzi 9 airports que seppm! vile? wd viliq> vd $248 million#13tion Transport - Future Aviation Development Investment Program 2 -2029 O million Vanimo E100 Altape Kavieng F100 152°00'E PAPUA NEW GUINEA CIVIL AVIATION DEVELOPMEN INVESTMENT PROGRAM 144°00E Momote F100 Lorengau > MANUS BISMARCK SEA NEW IRELAND Kokopo Tokua F100 program is currently being. ed, which may include cant cofinancing and private participation, and will target. cructure upgrade of 7 airports. lition to the infrastructure des, the program will further then and sustain the operations C, PNGASL, and CASA, and rt these agencies to improve iance with the ICAO and CASA afety and security standards. WEST SEPIK Ok Tedi Kiunga Dash 8 Wa Tari Dash 8 WESTERN 150 E Wewak F100 EAST SEPIK ENGA anda Dash 8 உ MADANG Ramu River WESTERN Wabag HIGHLANDS Mendi Mt. Hagen F100 WEST NEW BRITAIN Madang F100 Hoskins 100 Kimbe Dash a SOUTHERN HIGHLANDS Kundiawa Dash 8 CSIMBU EASTERN Goroka F100 Nadzab F100 HIGHLANDS Lae GULF Bang River Daru Kikori River Dash 8 144°00'E -2007 N Philippine Sea North Pacific Ocean MARSHALL ISLANDS 6 Bes Kerema Dash 8 MOROBE Gulf of Papua Girua Dash 8 Popondetta NATIONAL CAPITAL DISTRICT ORT MORESBY B747 OR Intematona Datelin 17POW 2POON -10°00'S PACIFIC REGION SOLOMON SEA Gamey F100 Atolau CENTRAL 13 AUTONO Buka F100 REGION BOUGAIN EAST NEW BRITAIN National Capital MILNE BAY Provincial Capital City/Town Non-Jet Airport Jet Airport Airport for upgrading under Project 1 Araw#14ergy Sector - Ongoing hs Electrification Investment Program (TEIP) 0-2017 (2020) O million ($150 million) emented in two tranches. focus on: wer generation through wable energy sources. ansmission expansion istribution and house connections echnical assistance and city development to PPL Kimbe Bialla Interconnection#15ergy Sector - Future er Sector Development Investment Program (PSDIP) 9/2020-2029/2030 O million. impact of the program will mproved socio-economic ditions through increased zation of clean reliable tricity. outcome will be an roved access to clean and able power supply in the ect areas with a focus on ated small grids. . • This will be achieved through following outputs: • • (i) Increased Private Sector Investments by establishing a renewable energy financing company (REFC) in promoting. renewable energy solutions in off and on grid areas, facilitati transaction services, (ii) Expansion of transmission networks to connect large load existing grids, interconnect provincial centers and high dens rural populations, (iii) Expansion of distribution network to construct distributi lines and connect households in peri-urban and rural communities, (iv) Increased renewable energy for provincial grids includes conversion of diesel generation to renewable energy to redu cost of generation in provincial centers, and increase capacit supply the increased load from expanded transmission and distribution networks#16's Engagement in PNG's Health Sector Health Services Sector Development Program 2018-2023 Rural Primary Health Services Delivery Project 2012-2020 $25m $97m $100m $100m 2020 $195m 2019 2018 TA-Preparing the Health Services Sector Development Program 2017 HIV/AIDS Prevention and Control in Rural Development Enclaves Project 2006-2012 TA Health Sector - Improvement Program 1998 16 Results to date: ➤ Rehabilitation of 97 health clinics for HIV testing ➤ PPP in health established with Oil Search Health Founda ➤ 10 community health posts constructed and operationa (with another 22 to be constructed) 300 staff trained in emergency obstetrics care Digital health information system developed and piloted#17alth Sector - Moving Forward Ith Services Sector Development Program B-2023 5 million The program impact is affordable, accessible, equitable, and high-quality health services for all citizens, aligned with the vision of the NHP. The outcome is a more sustainable and efficient healthcare system achieved. • . . Output 1: National public expenditu management system enhanced. poli actions aim to develop and implemer sustainable medium term fiscal strate and safeguard adequate financing lev for health services. • Output 2: Public expenditure reform the health sector implemented. Imp the flow of public resources to servic delivery units and their management Output 3: Service delivery in health strengthened. The program will supp improvements in the institutional framework, human resources for hea the referral system and health partnerships.#18ADB's VALUE-ADDED Strategy: Consolidated and integrated portfolio Approach: Programmatic and sector coordination for connectivity Financing Modality: Long-term, multi-year financing, predictable and flexible. Innovation: • Sub-national level partnerships to improve implementation and outcomes Using the portfolio to leverage private investments#19OB results A ● 850 kilometers of roads 550 kilometers of roads (O&M) 22 bridges 21 airports (domestic) 1 border infrastructure 1 other facilities Electrification and upgrade to renewable energy#20Thank You

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