Preventive Health System Support Project

Consideration of local government fiscal capacity. The project originally required participating provinces to provide funds to upgrade the PPMCs (provincial preventive medicine centers), including their laboratories. While local government commitment to preventive health care is significant in Viet Nam, the fiscal situation of some provinces does not allow investments of the scale that was needed. ADB needs to carefully consider the local costs of such infrastructure projects and the fiscal ability of local governments to meet them before committing to an investment.