DHAKA, Sept 11, 2025 (BSS) - The Asian Development Bank (ADB) has taken important steps to re-engage with the health sector across Asia and the Pacific. 

To build on this momentum and respond effectively to rising health demands, ADB should update its health strategic framework to provide a clearer vision and mandate, according to a new evaluation by ADB's Independent Evaluation Department (IED).

"ADB's ability to mobilize resources quickly and coordinate across sectors during the pandemic was a clear demonstration of its operational responsiveness," said IED Director General (DG) Emmanuel Jimenez. 

"At the same time, we've seen health increasingly prioritized in developing member countries and this is starting to reflect in country strategies. It's a valuable opportunity to build on progress," Jimenez added.

The report, covering 2011 to 2024, finds that the region has made significant health gains, including reduced child and maternal mortality, as well as expanded immunization, said an ADB press release.
 
However, health risks have evolved. Countries now face a surge in noncommunicable diseases (NCDs), rising public demand for universal access to affordable care and an aging population. 

The COVID-19 pandemic further exposed vulnerabilities and widened disparities, highlighting the urgent need for modern health systems to adapt to demographic and epidemiological shifts while preparing for future outbreaks.

"Our evaluation underscores that while ADB has demonstrated strengths, particularly during the recent pandemic, its legacy policies and operational mechanisms are not sufficient to navigate the complexity of current and future health challenges," said the report's team leader, Eungji Kim. 

"A clear, updated strategic framework is essential to guide ADB's growing role," Kim added. 

The report outlines a clear path forward. With targeted operational guidance, improved country diagnostics, and stronger knowledge sharing, ADB can build on its comparative advantages to become a more strategic and long-term partner in advancing health outcomes across Asia and the Pacific.

ADB's Independent Evaluation, reporting to the Board of Directors through the Development Effectiveness Committee, contributes to development effectiveness by providing feedback on ADB's policies, strategies, operations and special concerns in Asia and the Pacific.