- LuxDev's Regional office
- Vientiane Regional Office
- Partner execution agency
- Lao Ministry of Health
- PIC 3
- 2011 - 2015
- Implementation period
- 22 January 2014 - 31 December 2021
- Total duration
- 95 months
- Total budget
- 36,800,000 EUR
- Contribution breakdown
- Luxembourg Government
- Government of Laos
The Grand Duchy of Luxembourg has been providing support to the health sector since the Cooperation between Lao PDR and Luxembourg started in the late 1997.
The preceding phase’s (LAO/017) specific objective was to “assist the Lao Ministry of Health (MOH) in implementing and operationalizing its long-term Health Sector Strategy 2000-2020, Primary Health Care Strategy and Health Sector Development Plans, emphasizing its eight Priority Programmes, with a view to implement quality health services for reaching a larger share of the population, especially the poorest, those at risk, and living in more remote areas. This includes ethnic minority peoples”.
LAO/027 will stay in that continuity, with a similar general objective, and a specific objective that aims at supporting the implementation of the updated sector policy (Health Sector Reform Framework 2013-2025) with a specific focus on Mother and Child Health, by fostering district health systems and actors.
The Project will have a steady geographical focus on the three provinces of Vientiane, Bolikhamxay and Khammouane. It will concentrate on fostering the Provincial Health Department roles and responsibilities, towards facilitation of effective Primary Health Care service delivery at district level and Mother and Child Health activities.
Special attention will be given to the development of a patient-centred health care approach, and to the priority target groups such as pregnant women and children under five-years.
In a nutshell, the Project is to support the MOH in implementing the Health Sector Reform framework 2013-2025, prioritizing access to quality Mother and Child Health services through the strengthening of health districts in the three central provinces.
The LL-HSSP II is fully aligned with the Government of Laos’ recent policy and strategy developments. It has been designed to support the further development and implementation of the health sector reform by the MOH as adopted by the National Assembly. As such, support will be provided:
- In accordance to the principles included in the three-builds decentralization model (greater autonomy and responsibilities given to the provinces);
- In line with the sub-sector strategies and the Primary Health Care / district approach adopted by the MOH; and
- In complement to the other development initiatives supported by the MOH and its Development Partners.
Luxembourg and Thailand International Cooperation Agency inks Partnership Agreement on Human Resource Development Cooperation for LAOS
The Luxembourg Development Cooperation Agency and the Thailand International Cooperation Agency (TICA) have established a long-term partnership focusing on the strengthening of human capital development in on Lao PDR. The Letter of Understanding (LoU) signing ceremony took place in Bangkok on 20 October represented by H.E. Jean-Paul Senninger, Ambassador of Luxembourg to Thailand on behalf of the Government of the Grand Duchy of Luxembourg and Ms Pattarat Hongtong, Director-General of Thailand International Cooperation Agency (TICA), Ministry of Foreign Affairs.
H.E. Jean-Paul Senninger, Ambassador of Luxembourg to Thailand (left) and Ms Pattarat Hongtong Director-General of Thailand International Cooperation Agency (TICA), Ministry of Foreign Affairs. Photo by: TICA
The LoU aims to establish a development and cooperation framework which focuses on:
- improving the effectiveness, efficiency and sustainability of projects or programmes in Lao PDR by combining TICA’s and LuxDev’s technical expertise in complementary fields;
- developing and sharing good practices and lessons learned within the framework of human capital development in Lao PDR, particularly in the fields of public health, local/rural development and Technical Vocational Education and Training (TVET).
Based on TICA and LuxDev’s joint fact-finding mission in Laos in November 2019, certain activities will be launched immediately in late 2020 including:
- technical support and training for the Lao-Luxembourg Health Sector Support Programme - LAO/027; and
- twinning of TVET colleges with Thai tourism-related training institutes for the benefit of the Skills for Tourism porject - LAO/029.
Photo by: Luxembourg Embassy in Bangkok
The agreement will cover the entire duration of the next Indicative Cooperation Programme between Lao PDR and Luxembourg (2021 – 2025) and will end on 31 November 2025. Both parties will review and update the collaboration annually in order to take stock and capitalise on good practice and update the planned collaborations for subsequent years.
LAOS - Official Visits at the Bolikhamxay Provincial Hospital
The Bolikhamxay provincial hospital, located in Paksan and funded by the Government of the Grand-Duchy of Luxembourg, was officially established and handed over in July 2018 in presence of Associate Professor Dr. Bounkong Syhavong, Minister of Health, as well as other senior officials from Bolikhamxay province, representatives from the Luxembourg Embassy in Lao PDR and representatives from the Luxembourg Development Cooperation Agency, LuxDev.
Since 2018, the Lao-Luxembourg Health Sector Support Programme (LAO/027) has been renovating various departments of the hospital. A great part of the renovation work was finalized in 2020, with the hospital opening its new laundry department, new ophthalmology operating theatre, new administration office for hospital staff, and General Medicine ward, to give some examples.
A. Ministerial visit at the Bolikhamxay Provincial Hospital
The Minister of Health, Associate Professor Dr. Bounkong Syhavong, visited the Bolikhamxay provincial hospital on the 8th of July 2020. His visit mainly focused on COVID-19 as well as on the dengue fever response of the Bolikhamxay provincial hospital. Indeed, besides the public health measures for COVID-19 preparedness and response, the Ministry of Health has to respond to a rising number of dengue fever infections in various parts of the country.
The Minister of Health and Bolikhamxay provincial hospital team, July 8, 2020
The Minister of Health at the Bolikhamxay provincial hospital, July 8, 2020
During his visit at the Bolikhamxay provincial hospital, the Minister of Health highlighted the importance of laboratory preparedness, quality and safety of laboratory testing, and upgrading of competencies of laboratory staff. Moreover, his discussions also revolved around infection prevention and control (IPC) and the 5W1S strategy (“Five Well, One Satisfactory” - the Lao PDR’s national strategy to improve the quality of health care services).
Minister of Health visiting the new administration building of the Bolikhamxay provincial hospital
The Minister of Health accompanied by Dr. Boungnan Phommachanh, Director of Bolikhamxay provincial hospital, and other hospital staff, July 2020
The Minister of Health planted a tree as a souvenir in the compounds of the hospital.
Minister of Health offered a tree to the Bolikhamxay provincial hospital, July 2020
B. Sharing knowledge and learning from good hospital management practices
On the 6th of July 2020, a meeting was held between Dr. Boungnan Phommachanh, Director of the Bolikhamxay provincial hospital, Dr. Ouymixai Sybounheang, Director of Houaphan provincial hospital, and other health professionals from the Houaphan provincial hospital.
The meeting revolved around the 5W1S strategy as well as around sharing and scaling up good practices in hospital management, patient safety and hospital quality improvement.
Houaphan provincial hospital team visiting the Bolikhamxay provincial hospital, July 6, 2020
It is important to highlight that the Bolikhamxay provincial hospital serves as the referral centre for 7 district hospitals and 41 health centres. The hospital also serves as a “model” for other provincial hospitals. Indeed, the Bolikhamxay provincial hospital has been designated to perform as a teaching and training centre for the comprehensive and expanded programme of human resource capital development supported by the Luxembourg Development Cooperation.
LAOS - New ophthalmology unit and laundry department at the Bolikhamxay Provincial Hospital
A. Improving access to eye care services in Laos
The Lao-Luxembourg Health Sector Support Programme (LAO/027) has been working in partnership with the Fred Hollows Foundation in Lao PDR since 2018 to develop ophthalmology capacity in the three provinces of Vientiane, Bolikhamxay and Khammouane.
As part of its overall objective of reinforcing the scope and the quality of curative ophthalmological services in the three Luxembourg-supported provinces, project LAO/027 has renovated the old ophthalmology unit of the Bolikhamxay provincial hospital. After 14 months of renovation works, the new Ophthalmology Surgical Department opened its doors in July 2020. The renovation costs, including the medical gas system for the anaesthesia unit, amounted to EUR 135 000.
New Ophthalmology Unit, Bolikhamxay Provincial Hospital, July 2020, © LuxDev
The new Ophthalmology Surgical Department of the Bolikhamxay provincial hospital delivers eye health services for the whole province, composed of 7 district hospitals and 41 health centres.
The establishment of an Ophthalmology Surgical Department is an important achievement for Bolikhamxay province and its population of 325 000 people. Today, the hospital provides care and treatment services, including services for eye-related diseases and conditions, from general problems to treatments that require the expertise of specialists.
Since the opening of the new ophthalmology unit, there has been 12 cataract surgeries and three 3 other eye related operations.
Cataract surgery, Bolikhamxay Provincial Hospital, July 2020, © LuxDev
More specifically, the ophthalmology unit offers the following services: comprehensive vision testing, eye examination services, cataract surgeries, treatment of disorders of the lacrimal system or of the orbits among others.
The leading cause of blindness in Laos are cataracts (clouding of the normally clear lens) and this represents an immense public health and socioeconomic problem. Indeed, a loss of vision has not only a negative impact on a person’s quality of life, but it also engenders economic loss, leads to unemployment, and causes an increase in welfare costs.
Cataracts are commonly associated with ageing, however, not all patients suffering from a cataract are old. In fact, the average age of cataract surgery patients at the Bolikhamxay provincial hospital is 50 (as of July 2020).
Cataract surgery, Bolikhamxay Provincial Hospital, July 2020, © LuxDev
It is important to highlight that even though cataracts are one of main causes of blindness and visual impairment in many developing countries, cataracts can be operated before a loss in vision leads to blindness and it consists of a short operation of approximately 20 minutes. However, the major barriers for more surgeries are:
- lack of awareness of eye health care services;
- lack of accessible and affordable surgeries;
- general fear of cataract operations among communities;
- uneven distribution of eye health facilities; and
- limited number of qualified eye health personnel.
Taking the above-mentioned into consideration, it is not only important to implement the appropriate structures to deliver eye care, but it is also important to provide accessible, quality and affordable eye surgeries, to raise awareness on eye health in remote areas of the country, and to increase the number of trained health personnel.
Infrastructure and eye care equipment
Besides the renovation of the building, the LAO/027 project has also provided a new ophthalmology operating theatre with equipment worth a total amount of EUR 90 000 (i.e. slit lamp, ophthalmic microscope, A/B-Scan and anaesthesia workstation).
New ophthalmology operating theatre, Bolikhamxay Provincial Hospital, July 2020, © LuxDev
Human resources for eye health care and capacity development
The new ophthalmology unit of the Bolikhamxay provincial hospital currently employs one ophthalmologist and two ophthalmology nurses (both nurses followed a special eye care training for four months at the National Eye Care hospital in Vientiane Capital).
Besides the provision of infrastructure and equipment, project LAO/027 also supports capacity development through various short and long-term scholarships. The LAO/027 project offers scholarships for the following programs/ training courses:
- short-term training for nurses and medical doctors (courses in ophthalmologic nursing; courses on visual impairment and blindness); and
- long-term scholarships for medical doctors (one year for basic eye doctors; three years for Ophthalmologist Specialist Residency).
Currently, one eye doctor from the Bolikhamxay provincial hospital is following an OSR course (Ophthalmology Specialization Residency). He has finished his first year at Thammasat University in Thailand and is currently continuing his final academic year at the University of Health Sciences in Vientiane and at the National Ophthalmology Centre. He is expecting to complete his training in September 2021.
The key to preventing avoidable blindness and visual impairment is improving the delivery of surgical eye care services in the Lao PDR as well as enabling more people to access quality and affordable eye care.
However, a great part of the population, particularly in remote and the poorest areas of the country, are not aware of eye health and eye diseases. Thus, informing communities about eye care, avoidable blindness as well as raising awareness on the availability of services, is crucial.
In this regard, project LAO/027 supports outreach activities in the three central provinces of Vientiane, Khammouane and Bolikhamxay. Due to the coronavirus COVID-19 pandemic, there were no outreach activities between January and June 2020. However, in previous years, the provincial ophthalmologist went on field visits to provide clinical supervision support at the district level and to find cases in remote areas of the country that required a cataract surgery.
B. Safety, cleanliness and the opening of the new laundry department
Besides the new Ophthalmology Surgery Department, the LAO/027 project has also renovated various other departments of the hospital, including the laundry building. The new laundry department is operational since the 6th of July 2020.
New laundry building at the Bolikhamxay Provincial Hospital; Soaking sink and drying racks, July 2020, © LuxDev
Ensuring good hygiene is a priority in a hospital. Therefore, renovating the building and installing modern laundry equipment is important in order to save power and water but also to avoid that any infection is passed through the hospital clothing or linens.
The laundry building ensures the supply of clean clothes and linens for the operating theatres (OTs), the delivery rooms, the emergency unit, the five (5) patient wards as well as for several outpatient department (OPD) consultation rooms (around 25 units).
On average, 110 kg of dirty clothes and linens are washed per day. The laundry department manages the: changing of linens; picking up of dirty clothes; disinfection, cleaning, drying, ironing and distribution of the clothes and linens to the corresponding department of the hospital; sewing of bed and instrument wrapping sheets; and repairing of teared linens.
Laundry team responsible for keeping the hospital clothing and linens clean, Laundry building at the Bolikhamxay provincial hospital, July 2020, © LuxDev
Distribution of clean clothes and linens, Bolikhamxay Provincial Hospital, July 2020, © LuxDev
The new laundry department has been equipped with laundry equipment including washer extractors, dryers, irons, and sewing tables.
LAOS - COVID-19 Nasal pharyngeal sample taking training
Luxembourg Cooperation through its Lao-Luxembourg Health support program (LAO/027) is continually supporting the Lao PDR in its efforts to contain the spread of COVID-19.
Infection prevention and control (IPC) is vital in minimizing the harm caused by the spread of infection. In this regard, the LAO/027 project, in close cooperation with the National Centre of Laboratory and Epidemiology (NCLE), has been providing guidance and training to enhance cleaning practices in health facilities, as well as COVID-19 nasopharyngeal specimen collection trainings for frontline health workers.
Aimed at preventing the spread of COVID-19, the trainings and guidance have been delivered to 68 health workers from the three central provinces of Vientiane (VTE), Bolikhamxay (BLX) and Khammouane (KMN), for a total amount of LAK 51,044,000 (5,050 EUR).
COVID-19 sample taking training, Vientiane Province (June 16, 2020)
The main objective of the training courses was to better prepare the provincial and district hospital staff in taking samples to identify individuals carrying the SARS-CoV-2 virus.
Upon completion of the training, the hospital staff (mainly laboratory technicians and frontline nurses) should be able to safely collect nasopharyngeal swab specimens from individuals with suggestive symptoms, known to have been exposed or to have the coronavirus, for testing purposes. Furthermore, the participants have learned to safely package and transport the samples to a reference laboratory following international safety procedures and guidelines.
Use of PPE, practical training, Bolikhamxay Province (June, 2020)
More specifically, the training consisted of half a day theory, focusing on:
- self-protection during patient contact (the proper use of N95 masks, the use, donning and doffing of Personal Protective Equipment (PPE), the safety principles of laboratory biohazard);
- the proper technique for collecting COVID-19 specimens by using the nasal pharyngeal swab technique;
- the proper transfer of the sample collection to the central laboratory;
- disinfection methods; and
- clinical waste management.
The training also consisted of half a day of practical training, focusing on:
- practical exercises and real sample taking using the nasopharyngeal swab technique;
- the use of PPE by strictly following the safety steps and guidelines.
COVID-19 Sample Taking Training, Vientiane Province (June 16, 2020)
During the practical session, the participants had the opportunity to practice the nasopharyngeal swab technique, sample packing and sample transportation to the NCLE. Moreover, the health staff were trained on the use of PPE, cleaning and the disinfection of premises.
The training sessions were held:
- In VTE Province: 20 participants (the training was divided into 2 batches of 10 people consisting of 6 staff from the Provincial Hospital, 14 staff from 11 district hospitals); training organised on 15-16 June (batch 1) and 17-18 June (batch 2) at the Vientiane Provincial Hospital.
- In BLX Province: 15 participants (12 lab staff from six district hospitals, 2 lab staff from BLX Provincial Hospital and 1 lab staff from the Provincial Health Department); training organised on 24-25 June 2020.
- In KMN Province: 33 participants (the training was divided into 3 batches consisting of 3 lab technicians from KMN provincial hospital, 10 lab technicians from 10 districts, 2 lab technicians from the military hospital, 18 lab technicians from KMN community hospitals); training organised on 1st of July (batch 1 with NCLE), on 7-8 July (batch 2) and 9-10 July (batch 3).
LAOS – Luxembourg Cooperation supports Lao PDR’s efforts to tackle COVID-19Solidarity does not stop at our borders!
Luxembourg Cooperation, through its Lao-Luxembourg Health Sector Support Programme - Phase II (LAO/027) implemented by LuxDev, is supporting the Government of Lao PDR in its response to COVID-19 pandemic.
The Government of Lao PDR together with its international counterparts have reacted rapidly to the COVID-19 pandemic and have launched a national COVID-19 procurement list to facilitate the coordination of support and to deliver a strong and coordinated response at national and subnational levels.
LAO/027 is providing supplies and technical support in areas where gaps in capacity and resources have been identified. More specifically, LAO/027 Provincial Health Planning Management Advisors (HPMA) and Nurse-Midwife Trainers Advisors (NMTA) are closely supporting the COVID-19 preparedness in the three Provinces of Vientiane, Bolikhamxay and Khammouane that Luxembourg supports.
New In Patient Department at Bolikhamxay hospital
To ensure the efficiency and efficacy of its contribution, LAO/027 is:
- coordinating its support with national counterparts and other international development partners in Lao PDR;
- following the World Health Organization (WHO) Guidelines as well as international literature on COVID-19 emergency preparedness.
The LuxDev team is communicating on a daily basis with the National and Provincial Health Departments (PHDs), District Health Offices (DHOs) as well as with Provincial and District Hospitals to address the identified gaps and needs.
At the provincial level, LAO/027 is:
- providing support in the establishment of temporary provincial isolation and treatment centers to protect patients from infections and to separate COVID-19 patients from other ongoing essential non-COVID care (e.g. deliveries, surgeries, MNCH);
- working with PHDs and DHOs on regulating patient flows in the designated facilities (adequate first line clinical management, separate registration of suspected patients, sample taking and transportation to laboratories, hospitalization of confirmed patients, referral systems for critically ill patients);
- promoting the elaboration and dissemination of management and clinical procedures;
- supporting facility mapping and the Health Information System (HIS)
Moreover, LAO/027 is providing urgent logistics support. The Program is assisting the provincial authorities in operationalizing their provincial response by purchasing specialized medical devices and other supplies (i.e. acquisition of personal protective equipment, beds, fans, refrigerators, oxygen, disinfectant hydrogels, alcohol, pulse oximeters, among others).
Emergency equipment and medical supplies
So far equipment worth 107.000 EUR has been purchased and dispatched to the Provinces of Vientiane, Bolikhamxay and Khammouane.
The procurement needs and gaps will be continuously updated by the PHDs/ DHOs and will be shared in the coming weeks.
In these unprecedented times, besides the LAO/027 support, Luxembourg will continue to provide every support to its partner countries including Lao PDR. The proposed Luxembourg intervention engages at the national and provincial levels. The current budget proposal of Luxembourg for COVID-19 Health Response is 2 million EUR.
LAOS - 22 ophthalmic nurses are ready for delivering eye care services in hospitals and in remote parts of the countryLuxembourg and The Fred Hollows Foundation support capacity building for hospitals and rural eye care in Lao PDR
On 25 December 2019, twenty-two specialised ophthalmology nurses completed their training course at a graduation ceremony held at the National Eye Centre (NOC) hospital in Vientiane Capital.
Assoc. Prof Dr. Boauthep PHOUMMINDR (Deputy Director of Health Care Department at the Ministry of Health) and Dr. Siphetthavong SISALEUMSAK (Deputy Director of National of ophthalmology Center), presided the ceremony, joined by representatives from the Lao-Luxembourg Health Sector Support Programme LAO/027, which provided six-month scholarships to six of the graduates, under a collaboration agreement with The Fred Hollows Foundation in Lao PDR.
Scholarship recipients with Ms Sommay Sibounheuang, LAO/027 Scholarship Officer. ©LuxDev
The Fred Hollows Foundation (https://www.hollows.org) is an independent, not-for-profit international development organisation working towards the elimination of avoidable blindness. Founded in Australia in 1992, The Foundation helps to create sustainable eye care systems in more than 25 countries, including Lao PDR.
The Fred Hollows Foundation has a long-standing collaboration with the Ministry of Health and the National Ophthalmology Center, acquiring expertise in identifying national and provincial needs for eye care development, curriculum development and student selection, technical standards and supervision of eye care service delivery.
Eye examination in the provincial hospital in Bolikhamxay, newly renovated by LAO/027, ©LuxDev
The LAO/027 Programme and the Fred Hollows Foundation entered into a synergic collaboration agreement (September 2018 – December 2020), to provide complementary support for the capacity development and training of ophthalmology staff in the provinces of Bolikhamxay, Khammouane and Vientiane Province.
This partnership aims to support the national health authorities in organising 18 six-month ophthalmology specialist nurse courses, eight one-year “Basic Eye Doctor Courses (BED)” for newly graduated medical doctors, and 10 three-year Ophthalmology Specialists Residencies in Lao PDR and Thailand.
Along with the trainings, LAO/027 is also supporting the upgrade of eye care out-patient and surgery facilities in the provincial hospitals. The newly trained eye health staff will provide eye care through community outreach activities, such as cataract surgery.
While infectious eye diseases such as trachoma were virtually eliminated in Lao PDR over the last decades, the country still struggles to provide adequate care for aging-related eye diseases such as cataract and glaucoma. More prevalent in rural areas, these diseases cause poor vision and blindness, resulting in exclusion and a lower quality of life for the elderly. It is estimated that nationwide, only one third of serious cataract cases are being treated, and often still by sub-standard procedures.
The ophthalmic nurses graduation session, © LuxDev
The students graduated on Luxembourg Development Cooperation scholarships will be posted at provincial and district hospitals for delivering eye care services in hospitals and in remote parts of the country. They will also be educating communities about avoidable blindness, in collaboration with the Ministry of Health and provincial health departments.
LAOS - International Nurses Day Celebration promotes patient-centred care in Luxembourg supported hospitals
Each year in May, it has become a worldwide tradition to celebrate the founding of modern nursing as introduced by Ms Florence Nightingale, who gained fame for her pioneering work in training and organising nursing care during the Crimean War (1853-56), during which she cared for wounded soldiers.
In the Lao PDR, three provincial hospitals in the provinces of Bolikhamxay, Khammouane and Vientiane being supported by the LAO/027 programme. These provincial hospitals provide medical, surgical and obstetrical referral care for a total population of 1.1 million, as well as technical supervision to 28 district hospitals and 178 primary care health centres across the three provinces.
The above-mentioned hospitals have also embraced the International Nurses Day Celebration tradition since several years, to promote the importance of a modern nurses’ professional corps, which acts as an interface between doctors and patients, rendering quality hospital care effective and responsive to needs and aspirations of patients.
Poster of Nurse Day Celebration 2019 in Bolikhamxay hospital.
The LAO/027 programme has been progressively upgrading the medical and nursing practice and management in these hospitals to modern standards, through the provision of equipment, renovations, scholarships and intensive in-situ training, coaching and supervision by a dedicated team of external senior nurse-midwife experts since its start in 2014. Health care has been upgraded equally in district and village health facilities, for both curative and preventive care, with a focus on mother’s, new-born’s and children’s health.
Nurses Day Celebration 2019 in Bolikhamxay provincial hospital
Nurses Day Celebration 2019 in Khammouane provincial hospital
The 2019 Nurses Day celebrations in the hospitals of Bolikhamxay and Khammouane were held in May, presided by high-level administrative and sanitary officials, and were attended by medical doctors, nurse professionals and students.
Oral presentations and posters highlighted the progress accomplished over the last year in nursing techniques and organisation, and allowed nursing staff to take pride in their work and renew their commitment towards ad continuous quality improvement mechanism that will be an ongoing challenge for many years to come.
Joyful advocacy for hand-disinfection practice among nurse students, during the celebration in Khammouane hospital.
Officials learn from poster presentations prepared by Bolikhamxay nurses.
LAOS - Reinforcement of public funding and financial management
On 15 May 2019, HE Prof Dr Bounkong Syhavong, Minister of Health of Lao PDR, presided an inter-ministerial meeting of the National Council overseeing the Lao-Luxembourg LAO/027 Programme’s “Joint Participatory Mechanism” (JPM).
Women and children attending village health clinic
The JPM is an innovative financing mechanism, by which the LAO/027 Programme multiplies provincial government budgets annually on a common imprest account, for the timely provision of mother and child health services in three central provinces of Laos (population 1.1 Million). Application of the JPM multiplier formula is based upon well-defined budget-activity plans, timely imprest account deposits by the government and detailed target indicators on service quality, outputs and outcome.
The JPM began in 2018, following a previous 10-year experience of direct delegation agreement for Funds and Implementation.
Joint Participatory Machanism National Secretariat national review meeting 1st quarter 2019
The JPM aligns with the provincial budgetary planning cycles and provides effective and sufficient funding at the beginning of the fiscal year for the entire operational year. A transparent participative provincial planning process allows all district health system facilities (178 village health centres, 28 district hospitals) to receive operational budgets effectively and timely, through quarterly budget replenishment cycles.
Provincial training on Joint Participatory Mechanism financial management training
The National Council meeting hosted high-ranking representatives from the Ministries of Health and Planning and Investment, as well as the Resident Representative of the World Health Organisation and Mr Sam Schreiner, Chargé d’affaires a.i. Embassy of Luxembourg in Vientiane Laos.
Joint Participatory Machanism National Council Annual Meeting chaired by HE HE Prof Dr Bounkong Syhavong, Minister of Health of Lao PDR (thirth from the left) and co-chaired by Mr. Sam Schreiner, Chargé d’Affaires a.i. Embassy of Luxembourg in Vientiane (seond from the left)
During the recent meeting, the Council Members reviewed the results achieved during the first full year of JPM activities implementation in 2018, for a total budget of 1,082,136 EUR (20% MOH, 80% LAO/027 contributions), and endorsed the reports of the independent external auditors, stating a reconciled disbursement rate of 99% for the three provinces combined.
The National Council furthermore examined the first quarterly progress report of the ongoing 2019-year budget-activity plans, and approved the provincial activity proposals for the 2020 budget cycle (total provincial and Luxembourg amount combined of 1,317,952 EUR)
A JPM National Secretariat, embedded in the Ministry of Health, monitors quarterly the provincial results towards the achievement of the national targets for SDG 3 (Sustainable Development Goals for Health) and the national MCH policies and strategies. The Secretariat’s work is executed through the national Health Management information system and completed with supportive supervision and quarterly review and planning meetings.
LAOS - Nurses and midwives receive short-term scholarships on High Risk Pregnancy and Nursing Care Management
Six young nurse-midwifes from Bolikhamxay, Vientiane and Khammouane provincial hospitals recently received a 4-month training scholarship on “High Risk Pregnancy Management “at the Boromarajonani College of Nursing in Khon Kaen (BCNKK) in Thailand.
In addition, the project offered scholarships to six young nurses, who are now working in intensive care or emergency units in the above-mentioned provincial hospitals. These students will study “Nursing Care Management for Trauma Patients" at the University of Khon Kaen, Faculty of Nursing.
These 4-month intensive upgrading courses target the education of young and dynamic candidates. In terms of the beneficiaries, there is an even split between civil servants and volunteer staff.
Investing in human resources for health is part of an ongoing effort of the LAO/027 project that aims to improve performance of health services delivery particularly for Maternal Neonatal and Child Health (MNCH) activities in the project areas.
Scholarship recipients, second row and four at the back row from the left.
LAOS - Six midwives and nurses successfully graduated from a training course on High-Risk Pregnancy Nursing Care
The Lao-Luxembourg Health Sector Support Programme Phase II (LAO/027), recently offered six short-term scholarships to nurses and midwives from the provincial hospitals of Vientiane, Bolikhamxay and Khammouane province to attend a four-month training course on High-Risk Pregnancy Nursing Care at the Boromarajonani College of Nursing in Khon Kaen, Thailand.
This short-term training started in August of this year, and the first group lately graduated after completing this course on quality nursing and midwifery training. Several additional groups of dedicated nursing staff will benefit from this regionally based short-term scholarship over the next two years.
The LAO/027 programme offers a comprehensive package of long and short-term scholarships to both volunteers and civil servants as part of its human resource capital development programme.
LAOS - Official launch of the new Luxembourg-funded Bolikhamxay provincial hospital
A handing over ceremony of the brand new Bolikhamxay provincial hospital took place on 10 July 2018 in the provincial capital Pakxan.
The ceremony was attended by Associate Professor Dr Bounkong Syhavong, Minister of Health, PhD Mr Kongkeo Xaysongkham, Governor of Bolikhamxay Province, PhD Mr Kikeo Chanthabouly, Deputy-Minister of the Ministry of Planning and Investment, Mr Claude Jentgen, Chargé d’affaires at the Luxembourg Embassy in Vientiane, senior officials from the concerned Ministries of Bolikhamxay Province and representatives from the Luxembourg Development Cooperation.
The newly built hospital complex includes a new core development and renovation of buildings from the old provincial facilities.
The new complex has been designed to function as the referral centre for Bolikhamxay but will also perform as the teaching and training centre for the comprehensive and expanded programme of human resource capital development supported by the Luxembourg Development Cooperation.
The hospital includes a modern technical block of three high-tech operating theatres, a central sterilizing department, an expanded maternity department complete with two delivery suites, radiology and laboratory departments incorporating bacteriology and hematology specialties.
Specialized outpatient services include dentistry, physiotherapy, Ear-Nose-Throat and Eye clinics.
Inpatient services have been designed to focus on patient-centred quality of care. Dedicated resting and open spaces have been provided to facilitate a friendly climate for both patients and staff. Dedicated overnight shelters for families are foreseen in the next phase.
This development is part of the long-standing support to the Lao health sector support project LAO/027 by the Luxembourg Development Cooperation. The focus is on health system strengthening and it is fully aligned with the national health sector reform strategy. In addition to supporting human resource capacity development, health financing, provincial governance and improvements to quality in service delivery, the construction and provision of equipment underpin the establishment of a suitable enabling environment.
The facility serves a population of 285,000 inhabitants and is the reference centre for seven district hospitals and 40 health centres. The hospital complex employs 180 staff members, of which 30 are medical doctors and specialists and 75 nurses and midwives. Based on previous months’ operations, the projected 2018 attendance figures are 35,000 external out-patients visits, including 1,500 dental and 2,800 ophthalmology patients. A total of 140 beds are equipped for 7,000 hospitalisations, 1,100 deliveries and 1,400 surgery cases, among which 200 are expected to be caesarean sections. More than 25,000 laboratory examinations, 10,000 radiology and echo examinations are forecast during 2018. Currently, the bed occupancy rate is 83 per cent.
The hospital services scope is also fully compliant with the recently issued “Essential Health Services Package 2018-2020”. The facility also provides preventive services, focused on mother and child care, while the recent Ministry of Health Insurance Initiative will increasingly reach the more vulnerable segments of the population with equitable health care.
The work started in August 2015 and was completed in April 2018. Luxembourg contributed 2,965,000 USD for the construction of the 4,800 square meters central facility and 2,300 square meters of ancillary services such as the technical maintenance department, waste management, central medical gasses infrastructure, parking lots and landscaping. An additional 980,000 USD was provided on high-end medical equipment, instruments and medical furniture.
Although building construction and medical equipment installation is completed, some works are ongoing and are planned in 2018-19, including the renovation of the administration building, an additional general medicine ward, a joint venture ophthalmology operation theatre, emergency room and hospital link, pharmacy store and laundry services.
The LAO/027 project will continue to provide onsite technical expertise in hospital management, nursing and midwifery. Collaboration with third-party organizations will complement the onsite expertise to strengthen the quality of services. A three-year dedicated programme of scholarships and regional partnerships is operational for the upgrading of skills of health care providers at both the new facility and in the province.
Laos - First births in new Bolikhamxay provincial hospital !
The new Bolikhamxay provincial hospital has been welcoming its first newborns. This hospital, supported by Lao-Luxembourg Health Sector Support Program Phase II (LAO/027), will help to improve health care services in Bolikhamxay and contribute to reducing provincial maternal, neonatal and child mortality rates.