The Independent State of Papua New Guinea is expected to receive a credit in the amount of US$30 million equivalent from the World Bank toward the cost of the Impact Health Project, and it intends to apply part of the proceeds for consulting services.
The consulting services (“the Services”) include the procurement of a Consultant to develop the Project Operations Manual (POM) for the IMPACT Health Project in consultation with the National Department of Health (NDOH) and Provincial Health Offices, and for the Papua New Guinea COVID-19 Emergency Response Project in consultation with the NDOH. Under the IMPACT Health Project, the Disbursement Linked Indicators Operations Manual (DLI OM) is to be included as an Annex to the POM. The consultant is to develop a separate Contingent Emergency Response Component Operations Manual (CERC OM) for each of the Projects. The initial draft of the IMPACT Health POM and DLI OM have already been developed but require further refinement. The CERC OM under both Projects and the COVID-19 POM have existing generic drafts that need to be adapted to the PNG context.
About the Organization
The Independent State of Papua New Guinea (PNG) is a lower-middle income country (LMIC) with a population of over 8 million. PNG is a predominantly rural country - 86.9 percent of the population lives in rural areas – and given its rugged topography, and very poor transport infrastructure, a large share of the population resides in remote and hard-to-reach areas.
PNG’s economy relies heavily on natural resources and it is therefore exposed to the price volatility of international commodities. PNG has a rich endowment of minerals and petroleum, and a high potential for agriculture, forestry and fishing. In 2016, these sectors represented almost half of PNG’s Gross Domestic Product (GDP) per capita (US$2,688) and more than 80 percent of the country’s exports. In the absence of adequate stabilization measures, PNG has followed a “boom and bust” cycle of high fluctuations in revenues and expenditures driven by changes in global commodity prices. Moreover, approximately 80 percent of Papua New Guineans are directly or indirectly involved in agriculture.
A fragile social, political and environmental landscape have hindered improvements in socio-economic indicators. PNG scores are low on socio-economic development indices such as the Human Capital Index and the Human Development Index and only limited improvements have been achieved on this front over the last decade. Poverty rates remain high, particularly in the rural and remote areas, with 38 percent of PNG’s population living below the international poverty line of US$1.90 per day (2011 US$ Purchasing Power Parity) in 2009. PNG’s ethnographic diversity represents a salient challenge for social cohesion and tribal conflict is an important driver of PNG’s social fragility. Furthermore, PNG’s cultural diversity has influenced the evolution of its political system since independence in 1975. PNG has implemented a system of political decentralization that delegates large responsibilities to lower government levels. Finally, PNG faces environmental risks, such as earthquakes, floods and droughts, that can have severe social and economic impacts.
Gains in key health outcomes have been slower than expected. PNG did not achieve any of the health-related global Millennium Development Goals. Improvements in key health outcomes in PNG have also been slower than in comparator countries. The maternal mortality ratio (MMR) declined from 258 per 100,000 live births in 2008 to 215 per 100,000 live births in 2015. It is significantly higher than the average for the EAP region (59 per 100,000 live births) and the Pacific Islands small states (75 per 100,000 live births). In fact, maternal mortality in PNG is the highest in the Western Pacific region.