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LAO/035
Programme santé et nutrition

Information

Pays
Laos
Bureau régional de LuxDev
Bureau Asie

Secteur
Santé
PIC 5
2023 - 2027

Période d'exécution
Janvier 2023 - Décembre 2027
Durée totale
60 mois

Budget total
35 802 420 EUR
Répartition des contributions
  • Gouvernement luxembourgeois
    35 802 420 EUR

Fiches projets

Le Grand-Duché de Luxembourg appuie le secteur de la santé au Laos depuis le début de la coopération entre les deux pays en 1997.

Le programme sectoriel LAO/035 est la suite de deux précédentes initiatives dans le secteur de la santé nommées Programme lao-luxembourgeois de soutien au secteur de la santé (LAO/017 et LAO/027).

Les interventions dans le cadre du programme de santé sont fortement alignées sur les priorités du gouvernement du Laos, à savoir la mise en œuvre du 9e plan national quinquennal de développement socio-économique 2021-2025, la couverture sanitaire universelle d'ici 2025, la sortie du statut de pays le moins avancé en 2026 et la réalisation des objectifs de développement durable d'ici 2030.

Malgré des progrès remarquables en matière de santé, notamment l’augmentation de l'espérance de vie, des indicateurs clés tels que la mortalité infantile, la mortalité des enfants de moins de cinq ans et la mortalité maternelle dues à des causes évitables restent élevés et les indicateurs nutritionnels au niveau des villages progressent lentement.

L'objectif spécifique du programme précédent (LAO/027) visait à soutenir la mise en œuvre du cadre actualisé de réforme du secteur de la santé 2013-2025, avec un accent particulier sur la santé de la mère et de l'enfant, en encourageant et en soutenant les systèmes et les acteurs de la santé au niveau du district.

Le programme LAO/035 vise à s'appuyer sur les points forts du programme précédent et contribuera principalement à l'objectif de changement à long terme suivant : la population lao a accès à un ensemble de services de santé essentiels - y compris les services de santé reproductive, maternelle, néonatale, infantile et des adolescents ainsi que de nutrition - de qualité adéquate et abordables pour tous, en ne laissant personne de côté, ce qui implique que :

  • la population laotienne a "accès" à ces services de santé ;
  • ces services de santé sont abordables pour tous ; et
  • les services de santé fournis à la population laotienne sont de bonne qualité.

La durée du programme est de cinq ans, de janvier 2023 à décembre 2027, et le programme dispose d'un budget total de 32 443 388 EUR, dont 4 500 000 EUR pour Aide au Développement de la Santé, une organisation non gouvernementale luxembourgeoise travaillant depuis plus de 20 ans au Laos dans le domaine de la cardiologie.

Le programme se concentrera géographiquement sur tous les districts des trois provinces de Bolikhamxay, Khammouane et Vientiane, mais vise à approfondir les interventions afin d'améliorer l'efficacité et l'efficience globales. L'extension limitée à la province de Bokeo se fera en interface avec le programme de développement local (LAO/338) ainsi qu'avec le programme conjoint des Nations unies pour le développement des capacités et la fourniture de soins de santé primaires par le biais d'activités de proximité intégrées dans les domaines de la santé maternelle, néonatale et infantile et de la nutrition.

Les principaux bénéficiaires du programme sont la population des trois provinces appuyées par le programme, estimée à plus de 1 200 000 personnes réparties dans 28 districts (sur 148 au niveau national). En 2020, la population de la province de Bokeo était estimée à environ 203 000 personnes (2,8 % de la population totale), dont 59 % appartiennent à des groupes ethniques non Lao-Tai. Compte tenu de l'accent mis sur la santé reproductive, maternelle, néonatale, infantile et des adolescents, l'ensemble de la population de Bokeo, mais surtout les femmes en âge de procréer et les enfants de moins de cinq ans, seront ajoutés comme principaux bénéficiaires, ce qui portera le nombre total à près de 1 400 000 personnes.

Dernières nouvelles

  • LAOS - Improving patient care: key takeaways from the 5G1S Annual Review Workshop

    Publié le 11 Mars 2025    Par Nicolas TASCH   EN

    The Ministry of Health (MOH) of Lao PDR successfully concluded its annual review workshop on the implementation of the "5 Goods 1 Satisfaction" (5G1S) policy, held on February 26-27, 2025, in Thalat, Vientiane Province. Participants included high-level representatives from the MOH Cabinet, the Department of Healthcare and Rehabilitation (DHR), as well as the Departments of Planning and Finance, and Hygiene and Health Promotion. Additionally, Provincial Health Departments, provincial hospitals, and international development partners took part in the discussions. The workshop proved to be a productive platform for reviewing progress, sharing best practices, and strategizing for future improvements in healthcare quality across the nation.

    The workshop was opened by Dr Bounfeng Phoumalaysith, Minister of Health, who underlined the importance of continuous quality improvement, particularly through the implementation of the 5G1S policy. He also acknowledged the recent endorsement of the Healthcare Quality Assessment Tool and its accompanying guidelines by the MOH in January 2025, highlighting their alignment with the Lao context and their role in standardising hospital practices. The workshop centered on the MOH's ongoing commitment to "Good quality health services are provided to Lao people". Participants engaged in discussions and presentations related to the 5G1S policy, infection prevention and control (IPC), healthcare quality assurance, and the newly endorsed Healthcare Quality Assessment Tool. Presentations from MOH departments provided a comprehensive overview of 5G1S implementation in 2024, highlighting both successes and challenges.

    Detailed discussions focused on identifying areas for improvement and developing actionable solutions for 2025. Provincial Health Departments (PHDs) and Provincial Hospitals shared valuable insights into their successful 5G1S coordination and quality improvement initiatives. These presentations showcased innovative approaches to committee structures, training activities, monitoring processes, and patient engagement. Participants received updates on relevant policies, quality improvement initiatives, and patient safety measures.

    The newly endorsed Healthcare Quality Assessment Tool was thoroughly presented and discussed, providing participants with a valuable resource for evaluating hospital quality. Doctors from the 5G1S committees at Khammouane and Champasak hospitals expressed confidence in the tool, noting that it is clear, practical, and aligned with established guidelines. They emphasized its applicability in hospital quality assessment and highlighted the importance of teamwork in developing effective quality improvement (QI) plans. The workshop also fostered open and collaborative discussions on the advantages, challenges, and solutions for quality improvement. Participants actively engaged in sharing their experiences and perspectives, contributing to a rich exchange of knowledge.

    The workshop successfully achieved its objectives, providing a valuable opportunity for enhanced understanding of 5G1S implementation progress, increased knowledge of best practices in healthcare quality improvement, improved coordination and collaboration among stakeholders, and effective dissemination of the Healthcare Quality Assessment Tool.

    This progress is evident at Bolikhamxay Hospital, where the 5G1S tool is being implemented step by step across departments. While staff now have a better understanding of the tool, some aspects require budget approval from hospital leadership. Regular medical audits and nursing SOPs have already been integrated using available resources. Efforts are being made to reinforce that 5G1S is part of routine work rather than an additional task. The sustained implementation is supported by the nurses embedded within the hospital through the LAO/035 programme, who are providing ongoing guidance, hands-on practice, and regular follow-ups with the hospital director to ensure long-term success.

    The workshop provided clear direction for the future of healthcare quality improvements within Lao PDR. The knowledge gained and connections made during the event will undoubtedly contribute to the continued improvement of healthcare services in Lao PDR.

    The Health and nutrition programme is cofinanced by the Government of the Lao PDR and the Grand Duchy of Luxembourg and jointly implemented by the Ministry of Health and LuxDev, the Luxembourg Development Cooperation Agency.

  • LAOS - Embedded health care professionals in partner provinces

    Publié le 30 Décembre 2024    Par Matt EVANS   EN

    The Health and nutrition programme, a collaborative effort between the Governments of Luxembourg and the Lao PDR, is dedicated to enhancing access to quality healthcare services across the Lao PDR. A crucial component of this initiative involves embedding highly skilled health care professionals within provincial health systems. These professionals focus on capacity building, technical assistance, and infrastructure development to improve health care services and patient outcomes.

    Senior nurse trainer advisors

    A team of senior nurse trainer advisors is strategically placed in four provincial hospitals: Bokeo, Vientiane, Bolikhamxay, and Khammouane. These dedicated professionals bring a wealth of experience and diverse skill sets to their roles, working to improve nursing care standards throughout the programme’s partner provinces.

    International nurse trainers play a multifaceted role in continuous medical education at the provincial hospital level. By building sustainable capacities and training clinical educators, they create a long-term impact by ensuring these educators can serve as trainers for health professionals at district hospitals and health centers. Furthermore, senior nurse trainer advisors actively mentor nurses in all clinical areas, conduct essential supervision visits to district hospitals, and actively support the implementation of the national 5 Goods, 1 Satisfaction (5G1S) Quality Improvement framework. This framework, encompassing five key areas – Cleanliness, Reception, Comfort/Convenience, Diagnosis, and Treatment – aims to enhance the overall patient-experience.

    Working in close collaboration with the programme's Quality Healthcare Advisor, the senior nurse trainer advisors receive expert guidance on raising clinical standards within the healthcare system. Beyond the 5G1S framework, the team actively coordinates Infection Prevention and Control initiatives and effectively utilises the Kaizen methodology (Sort, Set-up and Order, Shine, Standardise, Sustain) to optimise processes, enhance efficiency, and minimise waste.

    Senior midwife trainer advisors

    Three senior midwife zrainer advisors are currently working in the Provincial Hospitals of Bolikhamxay, Khammouane, and Vientiane Province, with Bokeo soon to follow. These advisors bring extensive experience in improving Maternal and Child Health outcomes.

    Their responsibilities include long-term mentoring and coaching of nurses and midwives, providing bedside teaching in areas such as antenatal care, vaccinations, the delivery room, and Neonatal Intensive Care Unit. They focus on consistently improving and maintaining clinical standards, building upon the work of previous Lao-Luxembourg Health sector support programmes.

    Impact and outcomes

    The embedded teams of senior nurse trainer advisors and senior midwife trainer advisors are having a significant impact on the quality of healthcare in partner provinces. Through their mentorship, training, and direct support of healthcare professionals, they are strengthening local capacity and promoting sustainable improvements in clinical practice. This includes enhancing infection prevention and control measures, improving patient care pathways, and implementing evidence-based best practices in maternal and child health. These efforts contribute to better patient outcomes, increased staff competency, and a more robust and resilient healthcare system overall. The focus on cascading knowledge and training to district level facilities ensures a wider impact on the quality of healthcare services across the provinces, including at the district level.

    The combined skills, energy, and unwavering enthusiasm of both the senior nurse trainer advisors and senior midwife trainer advisors are invaluable assets to the Health and nutrition programme. Their dedication to excellence is driving significant improvements in healthcare standards across the target provinces, ultimately benefiting the Lao people.

    The Health and nutrition programme is financed by the Grand Duchy of Luxembourg and the Lao PDR and jointly implemented by the Ministry of Health and LuxDev, the Luxembourg Development Cooperation Agency.

  • LAOS - Successful conclusion of the four Provincial Coordination Committee Meetings for the 5th Indicative Cooperation Programme

    Publié le 23 Décembre 2024    Par Nicolas TASCH   EN

    We are pleased to announce the successful completion of the four Provincial Coordination Committee (PCC) Meetings for the 5th Lao-Luxembourg Indicative Cooperation Programme 2023-2027 (ICP V) for this year. The PCC meetings have taken place across several provinces, starting with Bokeo in May. Subsequent meetings were held in Vientiane Province in October and Bolikhamxay province in November. This final meeting, held in Khammouane province this December, marks the culmination of a productive year of activities across our partner provinces in Lao PDR.

    About the PCC Meetings

    The provincial coordination committee meetings proved particularly valuable for provincial authorities. Participants had the opportunity to gain in-depth insights into the four multisectoral programmes at provincial level (progress, working plans, budgets) and actively engage in valuable exchanges with officials from other provinces, fostering collaboration and knowledge-sharing.

    Strengthening coordination and alignment

    These PCC Meetings play a crucial role in:

    • strengthening coordination across the four ICP V programmes;
    • and ensuring alignment with district and provincial five-year socio-economic development plans.

    Participants from local authorities gained a clearer understanding of the interconnectedness of the four ICP V programmes:

    • health and nutrition;
    • skills for tourism, agriculture and forestry;
    • rule of law, access to justice and good governance;
    • local development.

    This improved understanding highlights how these programmes collectively address the socio-economic needs of Lao PDR, especially in our four partner provinces.

    Valuable feedback and enhanced collaboration

    The meetings also provide a vital platform for LuxDev to:

    • receive valuable feedback on programme implementation;
    • strengthen collaboration;
    • and promote cross-sector implementation;

    This feedback mechanism is essential for ensuring the effectiveness and responsiveness of the programmes to local needs.

    Key objectives and outcomes

    The 4th PCC Meetings achieved several key objectives, including:

    • providing a comprehensive overview of the ICP V programmes and their impact;
    • facilitating knowledge sharing and collaboration among provincial authorities;
    • gathering crucial feedback for LuxDev to improve programme implementation;
    • developing practical recommendations to be presented to the annual Project Steering Committees.

    This successful conclusion of the 4th meeting wraps up a year of significant progress and reinforces the commitment of all stakeholders to the continued success of the ICP V programmes in Lao PDR. We look forward to continuing this important work in the coming year.

  • LAOS - Luxembourg Cooperation supports Lao Red Cross with high-tech blood cold chain equipment

    Publié le 16 Septembre 2024    Par Nicolas TASCH   EN

    Luxembourg has handed over state-of-the-art blood cold chain equipment to the Lao Red Cross, valued at approximately 2 million Euros. This significant contribution aims to strengthen the Lao PDR’s blood transfusion services and ensure a reliable and safe supply of blood products across Laos.

    The handover ceremony took place in Vientiane Capital and was attended by key dignitaries, including H.E. Mr Khamlavanh Chanthalavanh, President of the Lao Red Cross, H.E. Dr. Phaivanh Keopaseuth, Vice-Minister of Health, Mr. Thomas Lammar, Chargé d'affaires of the Luxembourg Embassy in Laos, Dr Chanthala Souksakhone, Director of the National Blood Transfusion Institute, Mr. Robert de Waha, Resident Representative of LuxDev Asia office, as well as representatives from the Lao Government and LuxDev, the Luxembourg Development Cooperation Agency.

    The high-tech blood cold chain equipment, provided through the Health and Nutrition Programme, implemented by the Ministry of Health and LuxDev, will be distributed at central, provincial and district levels. This investment will play a crucial role in maintaining the integrity of the blood cold chain across the country, while responding the ambitious goals in terms of increased blood donations across the country. It will ensure that blood products are stored and transported safely from donation centers to hospitals and health facilities to help and rescue emergency cases timely and effectively nation-wide.

    The equipment includes a range of 243 essential components, such as freezers, storage units, digital control devices, and mobile cold chain units for outreach campaigns and safe transportation of blood products at district and village levels. Furthermore, the contract includes an extended warranty period and preventive maintenance and training to ensure the effective utilisation and maintenance of the equipment.

    H.E. Mr Khamlavanh Chanthalavanh, the President of the Lao Red Cross, emphasised the importance of this donation: "The Lao Red Cross is grateful for the generous support from Luxembourg Aid & Development. This equipment will enable us to increase our blood products storage by 50% and ensure a reliable supply of blood products to those in need nationwide."

    Mr. Thomas Lammar, Chargé d'affaires of the Luxembourg Embassy, expressed his satisfaction with this partnership: "Luxembourg is proud to continue its longstanding support for Laos in enhancing healthcare services. Building upon our successful collaboration over two decades ago, we are pleased to once again provide high-quality blood cold chain equipment from Luxembourg. This investment reaffirms our commitment to delivering high quality, durable and reliable solutions tailored to the specific needs of our partners."

    The handover of this high-tech blood cold chain equipment marks a significant milestone in the collaboration between Luxembourg and Laos in the health sector. It demonstrates Luxembourg's dedication to supporting sustainable development and improving the lives and health of people in Laos.

    The Health and Nutrition Programme is financed by the Grand Duchy of Luxembourg, and implemented by the Lao Ministry of Health and LuxDev, the Luxembourg Development Cooperation Agency.