The GMS Regional Health Cooperation Strategy 2024-2030 emphasizes health issues that are regional in nature and require collective action to address. It has two strategic pillars: regional health security and health system strengthening toward universal health coverage.
Scaling Up One Health Approaches in the Greater Mekong Subregion provides an overview of One Health in the GMS and its relationship to addressing climate change. It details One Health activities in the subregion and recommends how they can be scaled up, including specific investment opportunities.
Countries in the Greater Mekong Subregion aim for Sustainable Development Goals for health. Through the Working Group on Health Cooperation, GMS countries are taking comprehensive, coordinated and proactive approaches to address regional health issues.
The Greater Mekong Subregion still experiences high incidence of communicable diseases and drug-resistant microorganisms. GMS countries also suffer from inefficient health systems due to lack of synergies, economies of scale, and scope; and there are few common solutions to common health problems.
The health agenda of the GMS Economic Cooperation Program Strategic Framework 2030 (GMS-2030) will focus on communicable disease control through cross-border surveillance and modeling, information exchange, implementation of international health regulations, and pandemic preparedness. Since universal health coverage is a critical regional public good, GMS-2030 will aim to accelerate its implementation. This will be effected by strengthening the performance of GMS health systems to prevent, detect, and respond to public health threats such as COVID-19 and other emerging diseases; supporting countries to comply with the World Health Organization’s International Health Regulations; applying a unified approach to environmental, animal, and human health (“One Health”); strengthening protection of vulnerable communities and migrants; building capacity and cross-border cooperation to address priority health issues; and advancing gender equality to build subregional health cooperation leadership and decision-making policy. GMS-2030 aims to provide a new setting for the development of this subregion for the next decade.
Regional health cooperation initiatives in the GMS, based on the 5-year strategy that identifies operational priorities for health cooperation for 2019-2023, focus on three strategic pillars:
Strategic Pillar 1: Health security as a regional public good tackles the subregion’s vulnerability to acute public health events. Ensuring robust national health systems with capacity to prevent, detect and respond to transnational health threats is the cornerstone of health security.
Strategic Pillar 2: Health impacts of connectivity and mobility respond to health challenges stemming from an increasingly interconnected GMS. Strengthening health systems in border areas where migrant and mobile populations pass and reside is an entry point for programming. Also includes. integrating health impact assessment during project planning and implementation of GMS urban and transport infrastructure projects.
Strategic Pillar 3: Health workforce development builds on the subregion’s existing human resource capacity to address common health challenges. Strong leadership in turn opens opportunities for intraregional capacity building, utilizing the subregions’ depth of health human resource and health programming experience to tackle shared health issues and enhance country efforts to attain Sustainable Development Goal targets.
The Working Group on Health Cooperation seeks to address collective action problems of regional health investments and limited resources for health that tend to prioritize national investments.
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Focal Persons at the Asian Development Bank
Rikard Elfving
Human and Social Development Sector Office
Sectors Group
Najibullah Habib
Human and Social Development Sector Office
Sectors Group
Other Concerned Staff & Consultants
Asadullah Sumbal
Regional Cooperation and Integration Unit
Southeast Asia Department
Mario Randolph Dacanay
Human and Social Development Sector Office
Sectors Group
Rowena Sancio
Regional Cooperation and Integration Unit
Southeast Asia Department/GMS Secretariat
Send inquiries to GMS Secretariat.
Focal Persons at the Asian Development Bank
Rikard Elfving
Human and Social Development Sector Office
Sectors Group
Other Concerned Staff & Consultants
Asadullah Sumbal
Regional Cooperation and Integration Unit
Southeast Asia Department
Rowena Sancio
Regional Cooperation and Integration Unit
Southeast Asia Department/GMS Secretariat
Send inquiries to GMS Secretariat.
After more than 20 years, the Working Group on Human Resource Development was restructured in 2017 to focus on health, given the strategic importance of regional cooperation in this area.
Labor migrants in the Greater Mekong Subregion play a vital role in economic development. The Asian Development Bank (ADB) and the International Organization for Migration (IOM) have organized joint virtual dialogues on labor mobility.
Consequent to the review of the GMS Institutional Framework in 2016 and a separate review of the Strategic Framework and Action Plan for Human Resource Development in the GMS 2013–2017, GMS ministers endorsed the creation of the Working Group on Health Cooperation in 2017.
Human resource development, however, continues to be an important sector in the Greater Mekong Subregion. At an extraordinary meeting of the Working Group on Human Resource Development in Bangkok on 4 July 2017, participants agreed on the following key points:
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Regional health cooperation is a priority for the countries of the Greater Mekong Subregion (GMS) and an integral part of the GMS Economic Cooperation Program Strategic Framework 2030. It utilizes the subregion's expertise in health leadership, human resource capabilities, and programmatic experience to tackle their shared health issues and cross-border challenges
The Asian Development Bank (ADB) has approved a financing package of $24.9 million, inclusive of a $4.95 million Asian Development Fund grant, to help improve access to quality health services in the border provinces of Champasak, Phongsali, and Savannakhet of the Lao People’s Democratic Republic (Lao PDR).
This publication outlines how the One Health approach can be stepped up in the Greater Mekong Subregion to address climate change, boost food security, and tackle disease resistance to help optimize the health of people, animals, and ecosystems.
Tracking Human Mobility Dynamics to Inform Public Health Interventions in Cambodia and the Lao People’s Democratic Republic
ADB and the National Health Commission of People’s Republic of China convened the 6th Greater Mekong Subregion Working Group on Health Cooperation Meeting on 13-15 December 2023 in Beijing.
The COVID-19 pandemic posed unprecedented challenges for migrant workers in Thailand, who found themselves facing not only health risks but also economic and social hardships. Recognizing these challenges, the Asian Development Bank contracted a local-based civil society organization, Raks Thai Foundation, to implement a project aimed at addressing the plight of migrant workers in three provinces. It emphasized community-led prevention, the establishment of social protection systems, and economic support for jobless migrant workers.
Farmers are playing a pivotal role in Quảng Ninh, Viet Nam’s restructured vision for its agricultural sector for 2022-2025. The vision aims to expand agricultural markets, establish supply chains that integrate technology, and create a cohesive and sustainable agricultural economic ecosystem. Farmers are key drivers as the Government provides support, committing substantial resources to strengthen local farmers' capacity. Initiatives have included
The Fifth Meeting of the GMS Working Group on Health Cooperation (WGHC-5) was held on 13–14 December 2022 in Siem Reap, Cambodia. WGHC-5 was co-organized by the Ministry of Health of Cambodia and ADB.
Thailand’s unemployment rate dropped to 1.05%, its lowest in three years, as the country’s tourism industry rebounds.
The Kim Thanh International Border Gate between Lao Cai (Viet Nam) and Yunnan Province (PRC) plays a vital role in the GMS northern corridor. Photo by ADB.
The Asian Economic Integration Report 2023 highlights the continued growth of integration in subregional initiatives and programs in Southeast Asia, including both in the GMS and the ASEAN, from 2006 to 2020.
Greater Mekong Subregion Secretariat
Regional Cooperation and Operations Coordination Division,
Southeast Asia Department, Asian Development Bank
Address: 6 ADB Avenue, Mandaluyong City 1550, Metro Manila, Philippines
Telephone: +63 2 8632 4444 Fax: +63 2 8636 2226