Output 1.1 — Health Facility Construction & IEE/EIA

What Output 1.1 Delivers

Facilities Built for the Long Term

Output 1.1 finances the construction of new facilities and renovation of existing ones to meet Lao PDR's national health facility standards (Level 1–3), incorporating seismic safety, flood resilience, and energy efficiency requirements.

Each sub-project undergoes rigorous environmental screening before works begin, with ongoing environmental monitoring throughout construction managed by the District Health Teams.

12 District hospitals — new construction or full renovation

33 Primary health centers — upgrade to Level 1 standard

17 Maternity and reproductive health annexes

7 Medical waste management facilities

Newly constructed health center in a border district of Lao PDR

Environmental Safeguards

Environmental Compliance at Every Step

All BAHP civil works are subject to ADB's Safeguard Policy Statement (2009) and Government of Lao PDR environmental regulations. No construction begins until environmental clearance is confirmed.

Feature of Interest

Initial Environmental Examination (IEE)

An IEE is conducted for Category B sub-projects — facilities with limited and reversible environmental impacts. The IEE identifies potential risks during construction and operation, and prescribes mitigation measures incorporated into the Environmental Management Plan.

Covers noise, dust, waste, water, and community disruption during construction
Reviews site selection to avoid sensitive ecosystems, flood plains, or protected areas
Public consultation with affected communities required before approval
IEE report disclosed on ADB's website and at project sites in Lao language
34 sub-projects screened as Category B — IEE completed for all

Feature of Interest

Environmental Impact Assessment (EIA)

For Category A sub-projects with potentially significant environmental impacts — primarily the two large district hospital constructions in Phongsali and Attapeu — a full EIA is required. The EIA is a comprehensive study covering baseline environmental conditions, impact prediction, and a detailed Environmental Management Plan.

Baseline studies: air quality, water quality, biodiversity, and noise surveys
Quantitative impact modelling for construction and operational phases
Public disclosure and two rounds of stakeholder consultations
Independent EIA review by the Ministry of Natural Resources and Environment (MONRE)
2 sub-projects designated Category A — EIA approved by MONRE 2024

Environmental Monitoring During Construction

Each DHT submits monthly environmental compliance reports to the PMU. A semi-annual environmental monitoring report is prepared by the PMU and submitted to ADB. Any non-compliance triggers a corrective action plan within 14 days. All reports are published on this website and the ADB project page.

Sub-project Status

Facility Construction Tracker

Status of all major civil works contracts as of June 2026. Updated monthly by District Health Teams.

Facility	Province	Type	Contract Value	Status
Phongsali District Hospital	Phongsali	New Construction	$2.8M	Complete
Namtha District Hospital	Luang Namtha	Renovation	$1.6M	On Track
Houay Xay Health Center	Bokeo	New Construction	$0.9M	Minor Delay
Savannakhet Provincial Hospital Annex	Savannakhet	Extension	$3.1M	On Track
Saravan District Hospital	Saravan	Renovation	$1.4M	Complete
Thateng Health Center	Sekong	New Construction	$0.7M	Minor Delay
Attapeu District Hospital	Attapeu	New Construction	$3.4M	On Track

Table shows representative facilities. Full facility list available from the PMU upon request. Figures as at 30 June 2026.

Health Facility Construction & Renovation