Swaziland Health, HIV/AIDS and TB Project

Abstract*

The objectives of the Health, HIV/AIDS and TB Project are to (i) to improve access to and quality of health services in Swaziland with a particular focus on primary health care, maternal health and Tuberculosis (TB), and (ii) to increase social safety net access for orphans and vulnerable children (OVC). The project comprises of three main components: (i) strengthening the capacity of the health sector, (ii) facility-level support to improve access... Show More

Development Objective

The project development objectives (PDOs) are: (i) to improve access to and quality of health services in Swaziland with a particular focus on primary health care, maternal health and TB, and (ii) to increase social safety net access for OVC.

Key Details

Project Details

Project ID
P110156
Status
Closed
Team Leader
Edit Velenyi , Christine Pena
Borrower 2
Ministry of Finance

Country
Eswatini
Disclosure Date
October 15, 2008
Approval Date
(as of board presentation)
March 10, 2011
Effective Date
May 9, 2012

Total Project Cost 1
US$ 41.00 million
Implementing Agency
Deputy Prime Minister's Office,Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2011

Commitment Amount
US$ 20.00 million
Environmental Category
B
Last Update Date
July 8, 2020
Closing Date
September 30, 2018

Last Stage Reached
BANK APPROVED

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Fiscal Year” is the fiscal year in which the project was approved (or dropped if the status is dropped). The World Bank's fiscal year is from July 1 - June 30. For example, a fiscal year of 1996 corresponds to July 1, 1995 - June 30, 1996.

Sectors

Themes

FY17 - Human Development and Gender

FY17 - Disease Control41%
- FY17 - HIV/AIDS16%
- FY17 - Tuberculosis25%
FY17 - Health Systems and Policies40%
- FY17 - Health System Strengthening16%
- FY17 - Reproductive and Maternal Health24%

FY17 - Social Development and Protection

FY17 - Social Protection19%
- FY17 - Social Safety Nets19%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	2.00
International Bank for Reconstruction and Development	20.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	20.00
IDA Commitment	N/A
IBRD + IDA Commitment	20.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	41.00

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

No data available.

Detailed Financial Activity as of February 28, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Jun 3, 2014	IBRD-80190	Int Charges	9,193.02
Mar 26, 2015	IBRD-80190	Loan Disb	214,000.88
Jan 28, 2015	IBRD-80190	Loan Disb	618,403.60
May 15, 2015	IBRD-80190	Int Charges	295.88
May 15, 2015	IBRD-80190	Int Charges	14,670.51
Aug 14, 2015	IBRD-80190	Loan Disb	750,000.00
Jan 12, 2016	IBRD-80190	Loan Disb	80,000.00
Nov 15, 2015	IBRD-80190	Int Charges	216.96
Jun 15, 2015	IBRD-80190	Loan Disb	110,670.00
Oct 15, 2014	IBRD-80190	Loan Disb	82,209.27
Oct 15, 2014	IBRD-80190	Loan Disb	415,765.62
Nov 15, 2014	IBRD-80190	Int Charges	10,629.19
Jul 23, 2013	IBRD-80190	Loan Disb	755,175.00
Nov 15, 2013	IBRD-80190	Int Charges	8,585.51
May 15, 2024	IBRD-80190	Int Charges	2,039.66
May 15, 2024	IBRD-80190	Int Charges	311,990.72
May 15, 2024	IBRD-80190	Loan Repay	688,324.80
Mar 10, 2011	IBRD-80190	Loan Commitment	20,000,000.00
May 15, 2023	IBRD-80190	Int Charges	279,671.03
May 15, 2023	IBRD-80190	Loan Repay	688,324.80
May 15, 2023	IBRD-80190	Int Charges	170.75
May 15, 2023	IBRD-80190	Int Charges	16,438.80
Nov 15, 2023	IBRD-80190	Int Charges	6,609.45
Nov 15, 2023	IBRD-80190	Int Charges	316,091.10
Nov 15, 2023	IBRD-80190	Loan Repay	688,324.80
Nov 17, 2022	IBRD-80190	Int Charges	180,709.22
Nov 17, 2022	IBRD-80190	Loan Repay	688,324.80
Nov 15, 2021	IBRD-80190	Int Charges	54,892.90
Nov 15, 2021	IBRD-80190	Loan Repay	688,324.80
May 15, 2022	IBRD-80190	Int Charges	53,655.72
May 15, 2022	IBRD-80190	Loan Repay	688,324.80
May 15, 2021	IBRD-80190	Int Charges	58,915.08
May 15, 2021	IBRD-80190	Loan Repay	688,324.80
Nov 15, 2019	IBRD-80190	Int Charges	259,420.16
Nov 15, 2019	IBRD-80190	Loan Repay	690,933.56
Nov 15, 2019	IBRD-80190	Int Charges	89.93
Nov 15, 2019	IBRD-80190	Int Charges	892.87
May 15, 2020	IBRD-80190	Int Charges	193,132.05
May 15, 2020	IBRD-80190	Loan Repay	690,933.56
May 26, 2020	IBRD-80190	Loan Disb	-47,459.59
Nov 15, 2020	IBRD-80190	Int Charges	93,974.33
Nov 15, 2020	IBRD-80190	Loan Repay	688,324.80
May 26, 2020	IBRD-80190	Loan Cancel	767,267.80
May 26, 2020	IBRD-80190	Loan Disb	-7,397.57
Sep 10, 2018	IBRD-80190	Loan Disb	594,000.00
Dec 3, 2018	IBRD-80190	Int Charges	562.93
Dec 3, 2018	IBRD-80190	Int Charges	739.75
Dec 3, 2018	IBRD-80190	Int Charges	248,029.28
Dec 3, 2018	IBRD-80190	Loan Repay	659,916.94
Jul 26, 2018	IBRD-80190	Loan Disb	380,580.00
Jul 26, 2018	IBRD-80190	Loan Disb	128,400.00
Oct 3, 2018	IBRD-80190	Loan Disb	800,000.00
May 16, 2019	IBRD-80190	Loan Disb	-32,570.75
Mar 28, 2019	IBRD-80190	Loan Disb	-19,550.54
May 31, 2019	IBRD-80190	Int Charges	2,952.67
May 31, 2019	IBRD-80190	Int Charges	1,138.35
May 31, 2019	IBRD-80190	Int Charges	288,824.88
May 31, 2019	IBRD-80190	Loan Repay	693,196.94
Nov 20, 2017	IBRD-80190	Loan Disb	360,000.00
Aug 9, 2017	IBRD-80190	Loan Disb	415,000.00
Nov 15, 2017	IBRD-80190	Loan Repay	489,942.88
Sep 6, 2017	IBRD-80190	Loan Disb	156,800.00
Oct 23, 2017	IBRD-80190	Loan Disb	700,000.00
Jul 25, 2017	IBRD-80190	Loan Disb	392,000.00
Dec 4, 2017	IBRD-80190	Loan Disb	263,700.00
Sep 6, 2017	IBRD-80190	Loan Disb	255,000.00
Nov 15, 2017	IBRD-80190	Int Charges	487.49
Nov 15, 2017	IBRD-80190	Int Charges	127,420.50
Feb 2, 2018	IBRD-80190	Loan Disb	700,000.00
Jan 29, 2018	IBRD-80190	Loan Disb	180,000.00
Apr 5, 2018	IBRD-80190	Loan Disb	80,400.00
Apr 26, 2018	IBRD-80190	Loan Disb	320,000.00
Jun 5, 2018	IBRD-80190	Loan Disb	156,000.00
May 30, 2018	IBRD-80190	Int Charges	889.97
May 30, 2018	IBRD-80190	Int Charges	159,356.56
May 30, 2018	IBRD-80190	Loan Repay	574,564.94
Jul 23, 2018	IBRD-80190	Loan Disb	322,200.00
Sep 4, 2018	IBRD-80190	Loan Disb	152,220.00
Jun 27, 2016	IBRD-80190	Loan Disb	588,000.00
Aug 24, 2016	IBRD-80190	Loan Disb	106,800.00
Nov 15, 2016	IBRD-80190	Int Charges	67.67
Nov 15, 2016	IBRD-80190	Int Charges	58,376.85
Nov 15, 2016	IBRD-80190	Loan Repay	304,899.66
Nov 29, 2016	IBRD-80190	Loan Disb	123,000.00
Jan 18, 2017	IBRD-80190	Loan Disb	520,000.00
Jan 18, 2017	IBRD-80190	Loan Disb	155,000.00
Aug 26, 2016	IBRD-80190	Loan Disb	680,000.00
Jun 28, 2017	IBRD-80190	Loan Disb	320,000.00
Jun 28, 2017	IBRD-80190	Loan Disb	161,000.00
May 15, 2017	IBRD-80190	Int Charges	1,288.77
May 15, 2017	IBRD-80190	Int Charges	94,777.36
May 15, 2017	IBRD-80190	Loan Repay	398,005.28
May 12, 2017	IBRD-80190	Loan Disb	575,000.00
Feb 21, 2017	IBRD-80190	Loan Disb	380,000.00
Apr 6, 2017	IBRD-80190	Loan Disb	210,000.00
Oct 7, 2015	IBRD-80190	Loan Disb	400,000.00
Nov 17, 2015	IBRD-80190	Loan Disb	710,000.00
Nov 15, 2015	IBRD-80190	Int Charges	21,187.77
Jan 19, 2016	IBRD-80190	Loan Disb	380,000.00
Mar 18, 2016	IBRD-80190	Loan Disb	40,000.00
Feb 29, 2016	IBRD-80190	Loan Disb	800,000.00
Oct 24, 2016	IBRD-80190	Loan Disb	500,000.00
Dec 12, 2016	IBRD-80190	Loan Disb	350,000.00
May 15, 2016	IBRD-80190	Int Charges	364.01
May 15, 2016	IBRD-80190	Int Charges	37,475.08
May 15, 2016	IBRD-80190	Loan Repay	256,230.55
Oct 7, 2016	IBRD-80190	Loan Disb	580,000.00
Jun 19, 2014	IBRD-80190	Loan Disb	126,393.59
Jun 19, 2014	IBRD-80190	Loan Disb	502,443.47

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Project Management	Moderately Satisfactory	2019-06-14
Financial Management	Satisfactory	2019-06-14
Progress towards achievement of PDO	Moderately Satisfactory	2019-06-14
Procurement	Satisfactory	2019-06-14
Monitoring and Evaluation	Moderately Satisfactory	2019-06-14
Overall Implementation Progress (IP)	Moderately Satisfactory	2019-06-14
Counterpart Funding	Satisfactory	2019-06-14

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 03-30-2019
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 06-05-2019	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance		N/a
Government Performance	Not Rated	N/a
Implementing Agency		N/a
Icr Quality	Substantial	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Health facilities that provide at least five public health services: (i) family planning (modern methods);(ii) postnatal care, (iii) management of STI/HIV, (iv)immunization; and (iv) growth monitoring	Value	56.30	77.37	75.00
	Date	December 31, 2010	September 30, 2018	September 30, 2018
	Comment

OVC beneficiaries that receive cash transfers quarterly (as defined in the Implementation Manual) Value 0.00 199.00 75.00
Date January 1, 2011 June 15, 2018 September 30, 2018
Comment
Caesarean deliveries as a percentage of institutional deliveries at health facilities Value 10.15 13.47 12.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment
TB treatment success rate among bacteriologically confirmed cases Value 71.00 89.00 85.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Nurses or midwives enrolled at nursing training institutions supported by the project Value 581.00 2242.00 1442.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment
OVC directly supported through this cash transfer pilot Value 0.00 15920.00 8000.00
Date January 1, 2011 June 15, 2018 September 30, 2018
Comment
Pregnant women receiving antenatal care during a visit to a health provider (number) Value 13963.00 177704.00 132186.00
Date December 31, 2012 September 30, 2018 September 30, 2018
Comment
Generation of quarterly payment lists to support regular and predictable cash transfers to beneficiaries Value No Yes Yes
Date June 22, 2017 June 15, 2018 September 30, 2018
Comment
People who have received essential health, nutrition, and population (HNP) services Value 25400.00 167081.00 153703.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment
Percentage of grievance and redress cases resolved in 45 days of its receipt/registration into the MIS system Value 50.00 75.00 75.00
Date June 22, 2017 June 15, 2018 September 30, 2018
Comment
Number of deliveries attended by skilled health personnel Value 25400.00 167081.00 153703.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment

People receiving tuberculosis treatment in accordance with the WHO-recommended “Directly Observed Treatment Strategy” (DOTS) (number)	Value	9180.00	2760.00	6100.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment

Health personnel receiving training (number) Value 22.00 1789.00 1150.00
Date December 31, 2012 September 30, 2018 September 30, 2018
Comment
HIV Positive TB Patients (adults and children) who are initiated on antiretroviral therapy Value 50.70 97.61 90.00
Date December 31, 2011 September 30, 2018 September 30, 2018
Comment
Health facilities constructed, renovated, and/or equipped (number) Value 0.00 14.00 15.00
Date January 1, 2011 September 30, 2018 September 30, 2018
Comment

OVC beneficiaries that receive cash transfers quarterly (as defined in the Implementation Manual)	Value	0.00	199.00	75.00
	Date	January 1, 2011	June 15, 2018	September 30, 2018
	Comment

Caesarean deliveries as a percentage of institutional deliveries at health facilities	Value	10.15	13.47	12.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment

TB treatment success rate among bacteriologically confirmed cases	Value	71.00	89.00	85.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment

Nurses or midwives enrolled at nursing training institutions supported by the project	Value	581.00	2242.00	1442.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment

Pregnant women receiving antenatal care during a visit to a health provider (number)	Value	13963.00	177704.00	132186.00
	Date	December 31, 2012	September 30, 2018	September 30, 2018
	Comment

People who have received essential health, nutrition, and population (HNP) services	Value	25400.00	167081.00	153703.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment

Percentage of grievance and redress cases resolved in 45 days of its receipt/registration into the MIS system	Value	50.00	75.00	75.00
	Date	June 22, 2017	June 15, 2018	September 30, 2018
	Comment

Health personnel receiving training (number)	Value	22.00	1789.00	1150.00
	Date	December 31, 2012	September 30, 2018	September 30, 2018
	Comment

HIV Positive TB Patients (adults and children) who are initiated on antiretroviral therapy	Value	50.70	97.61	90.00
	Date	December 31, 2011	September 30, 2018	September 30, 2018
	Comment