Development Aims and Impacts. The Urban Primary Health Care Project strengthened and expanded primary health care infrastructure and services with a focus on the urban poor. The project provided preventative and curative services, including access to immunization, reproductive health services, limited curative care, nutrition-related services, community outreach on health issues, and assistance for women survivors of violence. In project areas, there were significant improvements in key indicators, including under-5 mortality, maternal mortality, total fertility, child malnutrition, and control of sexually transmitted infections.
ADB Processes and Management Tools. During the project design phase, a gender action plan (GAP) was developed. This plan provided analytical background and set out a series of initiatives to strengthen attention toward gender equality issues and improve access of women and girls to health services. In addition to the GAP, other approaches that contributed to the project’s gender equality performance were pro-poor targeting particularly women and children, public–private partnership health service delivery model, and creation of awareness among adolescent boys and girls. Specific indicators to track progress were included. The project increased access to health services (health facilities were constructed close to poor communities, with a target of providing 30% of services to identified low-income families), increased women’s access to health services (70% of beneficiaries were females), and contributed to improvements in maternal mortality ratio.