In December 2008, ADB approved the Government of Pakistan’s request for support to attain Punjab’s Millennium Development Goals (MDGs), especially MDGs 4 and 5 relating to children and women’s health. The expected outcome of the program was to improve access to quality health services and make them more equitable. The program was designed as a cluster of three subprograms. Subprogram 1 was approved in December 2008 for a single tranche loan of $100 million. Subprogram 2, originally scheduled to be implemented between November 2008 and November 2009, was approved in June 2010 for a single tranche loan of $150 million. Subprogram 3, however, did not materialize as the International Monetary Fund (IMF) terminated its Stand-By Arrangement with Pakistan in October 2011 because the government failed to meet its commitments on implementing certain agreed reforms. The IMF country assessment letter for Pakistan, a prerequisite for ADB program loans, was not issued. After delays in moving the IMF program forward, ADB and the government agreed to cancel Subprogram 3 and the program was terminated.
This report validates the completion report’s assessment of the project. IED overall assessment: Unsuccessful.