Health Cooperation

What's New

  • The Asian Development Bank approved the technical assistance Strengthening Regional Health Cooperation in the Greater Mekong Subregion – Phase 2 on 2 December 2024. This technical assistance supports the implementation of the new GMS Health Cooperation Strategy 2024-2030. Strengthening regional health cooperation will help realize a healthy and sustainable GMS community. The project aims to achieve this through three outputs: (i) operationalizing the strategic pillars of the new strategy; (ii) promoting and expanding knowledge support for regional health cooperation in the GMS; and (iii) strengthening operational support for the GMS Woking Group on Health Cooperation and its secretariat.

    Phase 1 of the technical assistance, which concluded on 17 May 2024, established the GMS Working Group on Health Cooperation and its secretariat and developed the GMS Health Cooperation Strategy 2019–2023.

  • 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. 

 

GMS-2030 Health Agenda

The GMS health agenda under the GMS Program Strategic Framework 2030 (GMS-2030) focuses 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 aims to accelerate its implementation through strengthening the performance of GMS health systems to prevent, detect, and respond to public health threats such as COVID-19 and other emerging diseases; support countries to comply with the World Health Organization’s International Health Regulations; apply a unified approach to environmental, animal, and human health (“One Health”); strengthen protection of vulnerable communities and migrants; build capacity and cross-border cooperation to address priority health issues; and advance in gender equality to build subregional health cooperation leadership and decision-making policy.

 

GMS Health Cooperation Strategy 2024–2030

Vision: Through collective efforts, the GMS Program aims to foster a healthy and sustainable GMS community, where the well-being of all citizens is pursued.

This vision is aligned with GMS-2030. Central to its attainment are two outcomes also aligned with the GMS-2030 and with the GMS-2030 Results Framework:

  1. Improved GMS health system performance in preparing for and responding to all hazards and acute public health threats
  2. Decreased disparities in health care access among different vulnerable groups

The GMS HCS 2024–2030 is underpinned by two pillars:

Strategic Pillar 1: Regional Health Security: The vulnerability of the GMS to health security risks is widely acknowledged. The GMS is particularly vulnerable to infectious diseases due to its high biodiversity, frequent human to animal interactions, and rapid urbanization, which facilitate the spread of zoonoses and other pathogens. Additionally, cross-border trade, intensive livestock farming, weak health systems, and environmental degradation further contribute to the region’s susceptibility to outbreaks and the rise of AMR; thus, it is critical for the GMS to align activities and technical areas that contribute to public health, preparedness, response, and resilience

Strategic Pillar 2: Health System Strengthening Toward Universal Health Coverage: Strengthening the health system with an emphasis on equity and resilience is vital for achieving Universal Health Coverage (UHC) and health security. This approach also supports broader socioeconomic advancement. According to UHC2030, it is the most effective and sustainable way to meet UHC and health security objectives. GMS-2030 aims to accelerate the implementation of UHC offering a chance for increased and more targeted investments in the core elements of health systems, particularly primary health care (PHC). Service accessibility, availability, and individual acceptability play important roles in facilitating or hindering vulnerable populations, including older people’s access to health care services. Addressing these factors is crucial for achieving UHC, since it ensures everyone—regardless of their vulnerabilities—can receive the health services they need without facing financial hardship. By prioritizing the unique needs of these groups, health systems can reduce disparities, improve health outcomes, and promote equity, ultimately leading to a more inclusive and resilient health care system.

The GMS HCS 2024–2030 will guide programming, foster innovation, increase engagement with the development and private sector partners, and mobilize new financing to support its implementation. In addition to its two strategic pillars, Its crosscutting themes are gender, climate change, and digital health.

 

GMS Health Cooperation Strategy 2019–2023

The 5-year strategy focused on three strategic pillars: (1) health security as a regional public good, (2) health impacts of connectivity and mobility, and (3) health workforce development.

 

GMS Working Group on Health Cooperation

Established under the Asian Development Bank (ADB)-funded technical assistance Strengthening Regional Health Cooperation in the Greater Mekong Subregion – Phase 1 in 2019, the GMS Working Group on Health Cooperation (WGHC) serves as a platform for addressing regional health challenges. It facilitates dialogue and supports the development of policies, strategies, and programmatic responses. WGHC operationalized, governed, and institutionalized the GMS Health Cooperation Strategy (HCS) 2019–2023, with nominated representatives from the six countries, terms of reference, and reporting systems endorsed by the respective health ministers

 

Functions of the GMS WGHC

  • Support the implementation of HCS 2024–2030
  • Maintain the GMS WGHC Secretariat
  • Convene annual GMS WGHC meetings to set policy directions for regional health cooperation
  • Conduct regional meetings as necessary to address unforeseen health needs

 

Strengthening Regional Health Cooperation in the Greater Mekong Subregion – Phase 2

Approved by ADB on 2 December 2024, this technical assistance supports the implementation of the new GMS HCS 2024-2030. Strengthening regional health cooperation will help realize a healthy and sustainable GMS community. The project aims to achieve this through three outputs: (i) operationalizing the strategic pillars of the new GMS HCS 2024-2030; (ii) promoting and expanding knowledge support for regional health cooperation in the GMS; and (iii) strengthening operational support for the GMS WGHC and its secretariat.

 

Strengthening Regional Health Cooperation in the Greater Mekong Subregion – Phase 1

This technical assistance, approved by ADB on 22 August 2018 and concluded on 17 May 2024, supported the establishment of the GMS Working Group on Health Cooperation and its secretariat and supported annual meetings of the WGHC; developed the (a) GMS Health Cooperation Strategy 2019–2023, and (b) GMS Health Cooperation Strategy 2024–2030; supported annual meetings of the GMS WGHC and annual health cooperation workplans; produced knowledge products, including on migration, health, and One Health; and yielded six new GMS health sector investment projects.

 



Health

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 

  • Rowena Sancio 
    Regional Cooperation and Integration Unit
    Southeast Asia Department/GMS Secretariat

Send inquiries to GMS Secretariat. 



Sample infographic materials distributed by the Ministry of Health, Viet Nam from the country's COVID-19-dedicated website.

Viet Nam's Prime Minister Shares Five Lessons Learned from COVID-19, Highlights Importance of Communication in Pandemic

Viet Nam's Prime Minister Nguyen Xuan Phuc delivered a report on how the coronavirus disease (COVID-19) was contained and managed in the country, and solutions to restart the economy, at the opening ceremony of the country’s 14th National Assembly’s 9th working session on 20 May 2020. 

A frontline healthworker at the Thailand Bamrasnaradura Infectious Disease Institute, Ministry of Public Health. Photo by UN Women Asia and the Pacific.

Building Pandemic Preparedness in the Greater Mekong Subregion

Cambodia, the Lao People’s Democratic Republic (PDR), Myanmar and Viet Nam, CLMV countries in the Greater Mekong Subregion (GMS), have experienced a relatively smaller number of reported cases and fatalities of the coronavirus disease (COVID-19). As of 22 June, Cambodia reported 129 confirmed cases, Lao PDR reported 19 confirmed cases, and Viet Nam reported 349 confirmed cases. All three countries recorded 0 deaths from COVID-19. In Myanmar, while there have been 6 deaths, only 286 confirmed cases were reported.

 

A 24/7 automatic dispensing machine provides free rice for people out of work following the lockdown. This was spearheaded by a Vietnamese entrepreneur in Ho Chi Minh City. Photo by Reuters on Twitter.

Initiative Gathers Mekong Innovations Spurred by the COVID-19 Pandemic

An initiative by the Mekong Tourism Coordinating Office (MTCO), Destination Mekong, and the Mekong Institute (MI) taps individuals' help in crowdsourcing newly-spotted innovations on how the coronavirus disease (COVID-19) is being managed and/or overcome in the Greater Mekong Subregion (GMS).

Officials view trolley robots donated by the Ministry of Education while smaller photo shows a drone with a loud speaker. Photo: Eleven Myanmar

Myanmar Universities Invent Robots that Reduce Contact between Health Workers and COVID-19 Patients

Robots are helping keep medical workers in Myanmar safer and lowering the risk of further spreading the coronavirus disease (COVID-19) by reducing contact with COVID-19 and COVID-19-suspected patients.  

GMS Supports Lower Mekong Countries in Rapid Delivery of Essential Medical Equipment

As the region works to overcome the ongoing COVID-19 pandemic, the Asian Development Bank (ADB) through the GMS Health Security Project is supporting reinforcement of public health security and readiness of health systems in Cambodia, the Lao People’s Democratic Republic (PDR), Myanmar, and Viet Nam, to face the threats of COVID-19.

Keeping the Goods Moving to Beat the COVID-19 Pandemic

Mr. Steven Beck of the Asian Development Bank (ADB) wrote in a blog post that “the COVID-19 pandemic underscores the need to support trade to not only move medical supplies but also to bolster economies.” His post asked (i) how we can maintain trade flows at a time when everyone’s attention seems to be focused on tightening borders, and (ii) how we can keep goods moving when the financial systems that companies rely on are under stress. 

Study of the Quality Systems including Equipment Infrastructure at the District Laboratories in Lao PDR

This study which was undertaken under Loan 3465/G0516-Lao: Health Security Project was able to establish the baseline data as well as the critical focus areas where quality improvement strategies should be developed towards a district-based laboratory quality improvement program model.