Project Progress Dashboard

Annual Operations Plan Β· DMF Indicators Β· ADB Overall Rating Β· Last updated: 30 June 2026

Overall ADB Project Rating
On Track

Key Performance Indicators β€” Q2 2026

Loan Disbursement
68%
$20.4M / $30M
Facilities Completed
24
of 62 β€” 2026 target: 30
Health Workers Trained
2,400
of 3,900 β€” 61%
Facilities Online (eHMIS)
42
of 62 β€” 2026 target: 50
Institutional Delivery Rate
64%
Baseline 49% β€” Target 80%
Safeguard Compliance
100%
0 non-compliance incidents
Annual Operations Plan

AOP 2026 β€” Mid-Year Status

ADB-style traffic light ratings for key 2026 Annual Operations Plan activities. Rating as at 30 June 2026.

AOP Activity Output 2026 Target Achieved (Jun 26) ADB Rating Notes
Civil works β€” complete 30 facilities1.13024 Some Delay Wet season delays in Sekong & Bokeo
Equipment delivery β€” all 5 batches1.25 batches3.75 batches On Track Batch 4 final delivery Aug 2026
FDD approvals β€” all 62 sub-projects1.36262 Complete 100% achieved ahead of schedule
PHD capacity building sessions28068 On Track 12 sessions planned for Q3
Health workers trained21,200840 Some Delay Training accelerated in Q3–Q4
eHMIS facilities live35042 Some Delay Connectivity issues in 3 remote districts
IT Hub installation (central)3100%65% Some Delay Completion target moved to Oct 2026
Safeguard compliance (no incidents)All0 incidents0 incidents On Track All EMP monitoring reports submitted
Loan disbursementAll$5.5M$4.8M On Track Year-end projection: $5.4M
Design & Monitoring Framework

DMF Indicators β€” Outcome & Impact Level

BAHP's DMF tracks 24 indicators across impact, outcome, and output levels. The table below shows the 10 headline indicators tracked at the ADB level.

DMF Indicator Level Baseline (2022) 2028 Target Current (2026) Status
Maternal mortality ratio (per 100,000 live births) in 7 provinces Impact 284 200 238 On Track
Under-5 mortality rate (per 1,000 live births) in project areas Impact 56 42 49 On Track
% institutional delivery rate in 7 provinces Outcome 49% 80% 64% On Track
% fully immunised children under 1 year in project areas Outcome 62% 90% 71% Some Delay
% TB case detection rate in 7 provinces Outcome 64% 85% 78% On Track
Health facilities meeting national service standards Output 18 62 24 Some Delay
Health workers trained to national competency standards Output 0 3,900 2,400 Some Delay
Facilities connected to eHMIS Output 0 62 42 Some Delay
% women among trained health workers Output 38% 50% 58% Exceeded
GRM grievances resolved within 30 days Output β€” 100% 94% On Track
Current Challenges

Obstacles & How We're Addressing Them

Transparent reporting on the challenges that are causing some delays, and the mitigation actions underway.

Challenge 1

Wet Season Construction Delays β€” Sekong & Bokeo

Heavy monsoon rains in 2025 caused 4–8 week delays in foundation works at 6 facilities in Sekong and Bokeo provinces. Access roads to remote sites were impassable for extended periods.

Mitigation:

Revised construction schedules incorporate weather buffers. Pre-positioned materials on site before monsoon onset. Extended working hours (with community consent) post-monsoon to recover schedule. Project completion not at risk.

Challenge 2

Last-Mile Connectivity for eHMIS

Three remote district health centers in Phongsali and Attapeu lack reliable 3G/4G coverage, preventing full eHMIS deployment. Satellite connectivity solutions require additional budget and procurement time.

Mitigation:

VSAT (satellite internet) procurement underway β€” expected installation Q4 2026. Offline-capable eHMIS modules deployed as interim solution. ADB approved budget reallocation for satellite costs in April 2026.

Challenge 3

Health Worker Retention in Border Provinces

After training, 14% of trained health workers in border provinces transferred to urban centres within 12 months β€” reducing the impact of Output 2 capacity building investments.

Mitigation:

MOH introducing 2-year mandatory service commitments for BAHP-funded training recipients. PHDs developing retention packages β€” housing allowances and career pathways for border-area service. Policy advocacy to MOH underway.

Positive Deviation

Gender Target Exceeded β€” 58% Women Trained

BAHP's gender parity target of 50% female training participants has been consistently exceeded β€” currently at 58%. The GAP scholarship programme has proven highly effective in recruiting women from ethnic minority communities into health worker roles.

Action:

Best practices from the scholarship programme being documented for scaling to other ADB health projects in the GMS region. ADB's gender team conducting a case study visit in Q3 2026.