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DJ Improving Health Sector Performance

Abstract*

The objective of the Improving Health Sector Performance Project for Djibouti is to improve the utilization of quality health care services for maternal and child health and communicable disease control programs (HIV/AIDS, tuberculosis and malaria). The project has 3 components. (1) Improving health services delivery performance component will support the delivery of improvements in: (i) child health services such as immunization, Integrated Management...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

The project development objective is to improve the utilization of quality maternal and child health services.

Key Details

Project Details

  • P131194

  • Closed

  • Fatima El Kadiri El Yamani

  • Republic of Djibouti

  • Djibouti

  • May 13, 2012

  • (as of board presentation)

    April 2, 2013

  • July 11, 2013

  • US$ 14.00 million

  • B

  • September 7, 2023

  • November 30, 2021

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Health Results-based Financing 7.00
IDA Credit 7.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 7.00
IBRD + IDA Commitment 7.00
Lending Instrument
Grant Amount 7.00
Total Project Cost** 14.00

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Apr 9, 2024 IDA-52160 Int Charges 130.28
Oct 23, 2023 IDA-52160 Loan Repay 97,632.14
Oct 23, 2023 IDA-52160 Int Charges 18,901.18
Oct 23, 2023 IDA-52160 Int Charges 18,901.18
Oct 23, 2023 IDA-52160 Int Charges 31,501.99
Apr 9, 2024 IDA-52160 Loan Repay 95,953.24
Apr 9, 2024 IDA-52160 Int Charges 78.17
Apr 9, 2024 IDA-52160 Int Charges 18,736.78
Apr 9, 2024 IDA-52160 Int Charges 18,736.78
Apr 9, 2024 IDA-52160 Int Charges 31,227.92
Mar 21, 2022 IDA-52160 Loan Repay 103,598.51
Mar 21, 2022 IDA-52160 Int Charges 30.21
Mar 21, 2022 IDA-52160 Int Charges 30.21
Mar 21, 2022 IDA-52160 Int Charges 50.34
Mar 21, 2022 IDA-52160 Int Charges 21,079.17
Mar 21, 2022 IDA-52160 Int Charges 21,079.17
Mar 21, 2022 IDA-52160 Int Charges 35,131.98
Apr 21, 2022 IDA-64080 Loan Cancel 202,724.56
Nov 29, 2022 IDA-64080 Int Charges 3,037.34
Nov 29, 2022 IDA-64080 Int Charges 3,037.34
Nov 22, 2021 IDA-52160 Loan Cancel 1,353.99
Nov 15, 2022 IDA-64080 Int Charges -65.09
Nov 15, 2022 IDA-64080 Int Charges 65.09
Nov 15, 2022 IDA-64080 Int Charges 126.98
Sep 29, 2022 IDA-52160 Int Charges 19.93
Sep 29, 2022 IDA-52160 Int Charges 19,099.08
Sep 29, 2022 IDA-52160 Loan Repay 93,823.21
Sep 29, 2022 IDA-52160 Int Charges 11.95
Sep 29, 2022 IDA-52160 Int Charges 19,099.08
Sep 29, 2022 IDA-52160 Int Charges 31,831.85
Sep 29, 2022 IDA-52160 Int Charges 11.95
Sep 15, 2022 IDA-52160 Loan Repay 3,037.22
Nov 15, 2022 IDA-64080 Int Charges 126.98
Sep 15, 2023 IDA-52160 Loan Repay 1,976.23
Mar 15, 2023 IDA-52160 Int Charges 47.59
Mar 15, 2023 IDA-52160 Int Charges 19,549.02
Mar 15, 2023 IDA-52160 Int Charges 19,549.02
Mar 15, 2023 IDA-52160 Int Charges 32,581.67
Mar 15, 2023 IDA-52160 Loan Repay 3,827.38
Sep 29, 2021 IDA-52160 Int Charges 21,965.05
Sep 29, 2021 IDA-52160 Int Charges 21,965.05
Apr 21, 2022 IDA-D4590 Loan Cancel 514,403.78
May 19, 2022 IDA-64080 Int Charges 3,316.56
May 19, 2022 IDA-64080 Int Charges 3,316.56
Sep 2, 2021 IDA-D4590 Loan Disb 189,791.23
Sep 2, 2021 IDA-64080 Loan Disb 38,872.90
Mar 22, 2022 IDA-64080 Loan Disb -19,533.00
Mar 22, 2022 IDA-D4590 Loan Disb -95,367.00
Mar 15, 2022 IDA-52160 Loan Repay 1,283.81
Mar 30, 2022 IDA-D4590 Loan Disb -44,502.51
Mar 30, 2022 IDA-64080 Loan Disb -9,114.98
Dec 8, 2021 IDA-D4590 Loan Disb 183,963.47
May 15, 2022 IDA-64080 Int Charges 16.54
May 15, 2022 IDA-64080 Int Charges 16.54
Dec 8, 2021 IDA-64080 Loan Disb 37,679.26
Apr 17, 2019 IDA-52160 Int Charges 6.60
Apr 17, 2019 IDA-52160 Int Charges 6.60
Apr 17, 2019 IDA-52160 Int Charges 10.98
Apr 17, 2019 IDA-52160 Int Charges 22,464.27
Apr 17, 2019 IDA-52160 Int Charges 22,464.27
Apr 17, 2019 IDA-52160 Int Charges 37,427.55
Oct 10, 2019 IDA-52160 Loan Disb 10,000.00
Sep 19, 2019 IDA-52160 Int Charges 12.74
Sep 19, 2019 IDA-52160 Loan Repay 104,068.77
Sep 19, 2019 IDA-52160 Int Charges 22,820.10
Sep 19, 2019 IDA-52160 Int Charges 22,820.10
Sep 19, 2019 IDA-52160 Int Charges 38,033.47
Sep 19, 2019 IDA-52160 Int Charges 69.38
Sep 19, 2019 IDA-52160 Int Charges 69.38
Sep 19, 2019 IDA-52160 Int Charges 115.63
Mar 15, 2020 IDA-52160 Loan Repay 102,963.34
Mar 15, 2020 IDA-52160 Int Charges 8.72
Mar 15, 2020 IDA-52160 Int Charges 8.72
Mar 15, 2020 IDA-52160 Int Charges 14.53
Mar 15, 2020 IDA-52160 Int Charges 22,577.36
Mar 15, 2020 IDA-52160 Int Charges 22,577.36
Mar 15, 2020 IDA-52160 Int Charges 37,628.92
Mar 15, 2020 IDA-52160 Loan Repay 1,639.00
Jul 1, 2015 IDA-52160 Loan Disb 143,883.06
Aug 12, 2015 IDA-52160 Loan Disb 146,471.38
Jan 5, 2016 IDA-52160 Loan Disb 243,514.12
Apr 30, 2015 IDA-52160 Loan Disb 244,531.27
Oct 6, 2015 IDA-52160 Int Charges 6,964.17
Oct 6, 2015 IDA-52160 Int Charges 6,964.17
Oct 6, 2015 IDA-52160 Int Charges 11,731.08
Dec 21, 2015 IDA-52160 Loan Disb 504,821.47
Sep 15, 2015 IDA-52160 Int Charges 284.20
Sep 15, 2015 IDA-52160 Int Charges 284.20
Mar 15, 2016 IDA-52160 Int Charges 0.01
Nov 9, 2015 IDA-52160 Loan Disb 188,916.02
Feb 11, 2016 IDA-52160 Loan Disb 104,460.85
Feb 25, 2016 IDA-52160 Loan Disb 78,722.95
Mar 24, 2016 IDA-52160 Int Charges 345.28
Mar 24, 2016 IDA-52160 Int Charges 10,056.00
Mar 24, 2016 IDA-52160 Int Charges 10,056.00
Mar 24, 2016 IDA-52160 Int Charges 16,240.50
Sep 15, 2016 IDA-52160 Int Charges 521.18
Sep 15, 2016 IDA-52160 Int Charges 13,488.28
Sep 15, 2016 IDA-52160 Int Charges 13,488.28
Sep 15, 2016 IDA-52160 Int Charges 22,067.16
Apr 7, 2016 IDA-52160 Loan Disb 113,485.98
Apr 7, 2016 IDA-52160 Loan Disb 131,493.56
Aug 17, 2016 IDA-52160 Loan Disb 159,471.45
Apr 8, 2020 IDA-D4590 Loan Disb 830,000.00
Apr 8, 2020 IDA-D4590 Loan Disb 332,000.00
Jun 4, 2020 IDA-52160 Loan Disb 3,000.00
Sep 21, 2020 IDA-52160 Loan Repay 106,874.95
Sep 21, 2020 IDA-52160 Int Charges 22,762.49
Sep 21, 2020 IDA-52160 Int Charges 22,762.49
Sep 21, 2020 IDA-52160 Int Charges 35,213.69
Sep 15, 2020 IDA-52160 Loan Repay 394.69
Dec 29, 2020 IDA-D4590 Loan Disb 310,727.62
Feb 12, 2021 IDA-D4590 Loan Disb 20,926.76
Dec 30, 2020 IDA-64080 Loan Disb 169,999.98
Dec 29, 2020 IDA-64080 Loan Disb 63,643.00
Sep 17, 2020 IDA-64080 Loan Disb 68,000.00
Jan 28, 2021 IDA-D4590 Loan Disb 673,584.44
Jan 28, 2021 IDA-64080 Loan Disb 137,963.08
Feb 26, 2021 IDA-D4590 Loan Disb 147,447.17
Feb 26, 2021 IDA-64080 Loan Disb 30,200.02
Feb 16, 2021 IDA-64080 Loan Disb 4,286.20
Mar 22, 2021 IDA-52160 Int Charges 22,614.40
Mar 22, 2021 IDA-52160 Int Charges 22,614.40
Mar 22, 2021 IDA-52160 Int Charges 37,690.64
Mar 22, 2021 IDA-52160 Int Charges 2,754.10
Mar 22, 2021 IDA-52160 Loan Repay 108,463.38
Feb 13, 2017 IDA-52160 Loan Disb 147,135.84
Feb 13, 2017 IDA-52160 Loan Disb 393,555.80
Feb 13, 2017 IDA-52160 Loan Disb 38,454.14
Jul 12, 2016 IDA-52160 Loan Disb 92,509.50
Nov 10, 2016 IDA-52160 Loan Disb 101,234.47
Mar 15, 2017 IDA-52160 Int Charges 20,865.42
Mar 15, 2017 IDA-52160 Int Charges 398.32
May 15, 2017 IDA-52160 Loan Disb 266,540.75
Mar 15, 2017 IDA-52160 Int Charges 14,456.59
Mar 15, 2017 IDA-52160 Int Charges 14,456.59
Mar 21, 2017 IDA-52160 Int Charges 2,249.30
Oct 12, 2017 IDA-52160 Int Charges 1,047.29
Oct 12, 2017 IDA-52160 Int Charges 17,825.73
Oct 12, 2017 IDA-52160 Int Charges 17,825.73
Oct 12, 2017 IDA-52160 Int Charges 28,880.16
Nov 14, 2017 IDA-52160 Loan Disb 299,076.28
Nov 28, 2017 IDA-52160 Loan Disb 187,097.94
Nov 13, 2017 IDA-52160 Loan Disb 400,000.00
Apr 4, 2018 IDA-52160 Int Charges 851.06
Feb 12, 2018 IDA-52160 Loan Disb 47,822.61
Apr 4, 2018 IDA-52160 Int Charges 20,933.92
Apr 4, 2018 IDA-52160 Int Charges 34,076.00
Apr 4, 2018 IDA-52160 Int Charges 20,933.92
May 29, 2018 IDA-52160 Loan Disb 19,580.70
Jul 27, 2018 IDA-52160 Loan Disb 23,645.29
Apr 9, 2018 IDA-52160 Loan Disb 19,580.76
Sep 18, 2018 IDA-52160 Int Charges 36,017.43
Sep 18, 2018 IDA-52160 Int Charges 785.69
Sep 18, 2018 IDA-52160 Loan Repay 106,357.91
Sep 18, 2018 IDA-52160 Int Charges 21,625.62
Sep 18, 2018 IDA-52160 Int Charges 21,625.62
Aug 29, 2018 IDA-52160 Loan Disb 50,000.00
Nov 27, 2018 IDA-52160 Loan Disb 400,000.00
Jan 17, 2019 IDA-52160 Loan Disb 184,773.77
Apr 17, 2019 IDA-52160 Int Charges 25.08
Apr 17, 2019 IDA-52160 Loan Repay 105,532.88
Feb 11, 2015 IDA-52160 Loan Disb 103,543.82
Dec 16, 2014 IDA-52160 Loan Disb 182,225.08
Sep 25, 2013 IDA-52160 Loan Disb 400,000.00
Jan 27, 2014 IDA-52160 Loan Disb 111,754.95
Jul 15, 2014 IDA-52160 Loan Disb 111,124.90
Jul 15, 2014 IDA-52160 Loan Disb 600,000.00
Jun 11, 2014 IDA-52160 Loan Disb 117,747.42
Apr 1, 2014 IDA-52160 Loan Disb 75,070.60
Apr 8, 2014 IDA-52160 Int Charges 1,541.20
Apr 8, 2014 IDA-52160 Int Charges 1,541.20
Apr 8, 2014 IDA-52160 Int Charges 2,241.60
Mar 23, 2015 IDA-52160 Int Charges 1,925.71
Mar 23, 2015 IDA-52160 Int Charges 5,527.03
Mar 23, 2015 IDA-52160 Int Charges 5,527.03
Mar 23, 2015 IDA-52160 Int Charges 9,211.70
Sep 22, 2014 IDA-52160 Int Charges 316.43
Sep 22, 2014 IDA-52160 Int Charges 3,203.40
Sep 22, 2014 IDA-52160 Int Charges 3,203.40
Sep 22, 2014 IDA-52160 Int Charges 3,263.58
Sep 17, 2014 IDA-52160 Loan Disb 103,447.96
Jun 4, 2024 IDA-64080 Int Charges 36.20
Jun 4, 2024 IDA-64080 Int Charges 36.20
Jun 4, 2024 IDA-64080 Int Charges 3,240.12
Jun 4, 2024 IDA-64080 Int Charges 3,240.12
Apr 9, 2024 IDA-52160 Int Charges 78.17
Mar 15, 2024 IDA-52160 Loan Repay 4,784.90
May 3, 2019 IDA-64080 Loan Commitment 1,000,000.00
May 3, 2019 IDA-D4590 Loan Commitment 5,000,000.00
Apr 2, 2013 IDA-52160 Loan Commitment 7,000,000.00
Nov 28, 2023 IDA-64080 Int Charges 28.14
Nov 28, 2023 IDA-64080 Int Charges 3,222.19
Nov 28, 2023 IDA-64080 Int Charges 3,222.19
May 15, 2023 IDA-64080 Int Charges 48.46
May 15, 2023 IDA-64080 Int Charges 48.46
May 15, 2023 IDA-64080 Int Charges 3,252.67
May 15, 2023 IDA-64080 Int Charges 3,252.67
Nov 28, 2023 IDA-64080 Int Charges 28.14
Mar 15, 2023 IDA-52160 Loan Repay 97,189.23
Mar 15, 2023 IDA-52160 Int Charges 28.56
Mar 15, 2023 IDA-52160 Int Charges 28.56
Mar 22, 2021 IDA-52160 Int Charges 13.50
Mar 22, 2021 IDA-52160 Int Charges 13.50
Mar 22, 2021 IDA-52160 Int Charges 22.51
Mar 29, 2021 IDA-64080 Loan Disb 14,673.09
Apr 30, 2021 IDA-64080 Loan Disb 86,839.61
May 12, 2021 IDA-64080 Loan Disb 37,425.19
Mar 29, 2021 IDA-D4590 Loan Disb 71,639.18
Apr 30, 2021 IDA-D4590 Loan Disb 423,981.72
May 12, 2021 IDA-D4590 Loan Disb 182,723.02
Jun 1, 2021 IDA-D4590 Loan Disb 73,661.76
Jun 1, 2021 IDA-64080 Loan Disb 15,087.36
May 26, 2021 IDA-64080 Int Charges 84.07
May 26, 2021 IDA-64080 Int Charges 84.07
May 26, 2021 IDA-64080 Int Charges 1,272.18
May 26, 2021 IDA-64080 Int Charges 1,272.18
Apr 27, 2021 IDA-52160 Loan Disb -670.23
Jul 15, 2021 IDA-D4590 Loan Disb 198,805.42
Jul 15, 2021 IDA-D4590 Loan Disb 427,968.25
Jul 15, 2021 IDA-64080 Loan Disb 40,719.18
Jul 15, 2021 IDA-64080 Loan Disb 87,656.15
Nov 12, 2021 IDA-D4590 Loan Disb 221,577.38
Oct 27, 2021 IDA-64080 Loan Disb 40,289.99
Oct 27, 2021 IDA-D4590 Loan Disb 196,710.00
Sep 15, 2021 IDA-52160 Loan Repay 1,365.00
Sep 29, 2021 IDA-52160 Int Charges 36,608.41
Oct 29, 2021 IDA-64080 Loan Disb 42,132.64
Oct 29, 2021 IDA-D4590 Loan Disb 205,706.38
Nov 12, 2021 IDA-64080 Loan Disb 45,383.33
Sep 29, 2021 IDA-52160 Loan Repay 105,934.62
Sep 29, 2021 IDA-52160 Int Charges 15.65
Sep 29, 2021 IDA-52160 Int Charges 15.65
Nov 16, 2021 IDA-64080 Int Charges 59.12
Nov 16, 2021 IDA-64080 Int Charges 59.12
Nov 16, 2021 IDA-64080 Int Charges 2,698.97
Nov 16, 2021 IDA-64080 Int Charges 2,698.97
Sep 29, 2021 IDA-52160 Int Charges 26.08

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Satisfactory 2021-09-22
Financial Management Moderately Satisfactory 2021-09-22
Monitoring and Evaluation Moderately Satisfactory 2021-09-22
Project Management Moderately Satisfactory 2021-09-22
Procurement Satisfactory 2021-09-22
Overall Implementation Progress (IP) Moderately Satisfactory 2021-09-22

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 11-02-2022
OutcomesSubstantial
Risk to Development Outcome
Bank PerformanceModerately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 04-28-2023PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceN/a
Government PerformanceN/a
Implementing AgencyN/a
Icr QualityModestN/a
M&e QualityModestN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Number of women completing 2 or more prenatal visitsValue6100.00111987.0095700.00
    DateApril 13, 2015March 31, 2021April 5, 2019
    Comment
  • Average facility qualityValue29.0045.0065.00
    DateApril 13, 2015March 31, 2021April 9, 2019
    Comment
  • Percentage of children fully immunized before their first birthdayValue32.0062.0085.00
    DateApril 13, 2015December 31, 2020April 5, 2019
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Number of WCBA visiting the public system to obtain modern family planning (oral contraceptives and injections)Value7304.00145840.00130000.00
    DateNovember 1, 2014March 31, 2021April 9, 2019
    Comment
  • Community survey conducted and results shared with contracted facilitiesValueNoYesNo
    DateDecember 31, 2018March 31, 2021
    Comment
  • Number of new curative care visits per person per year in the public systemValue0.200.440.65
    DateMarch 7, 2013March 31, 2021April 9, 2019
    Comment
  • Number of health care providers trained on DHIS2Value0.00306.000.00
    DateDecember 31, 2018December 31, 2020
    Comment
  • Percentage of beneficiaries satisfied with health servicesValue0.0050.000.00
    DateDecember 31, 2018March 31, 2021
    Comment
  • People receiving tuberculosis treatment in accordance with the WHO-recommended “Directly Observed Treatment Strategy” (DOTS)Value300.004724.002800.00
    DateDecember 1, 2012March 31, 2021April 9, 2019
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.00428925.000.00
    DateApril 9, 2019March 31, 2021
    Comment
  • People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)Value0.0086438.0015371.00
    Date
    Comment
  • Number of children immunizedValue0.0049711.004030.00
    DateNovember 1, 2014March 31, 2021
    Comment
  • Number of women and children who have received basic nutrition servicesValue0.00348453.0020000.00
    DateNovember 1, 2014March 31, 2020
    Comment
  • Number of deliveries attended by skilled health personnelValue0.0067589.003356.00
    DateNovember 1, 2014March 31, 2021
    Comment
  • Number of HIV positive pregnant women receiving treatment according to protocolValue12.00443.00300.00
    DateMarch 1, 2013March 31, 2021April 13, 2015
    Comment
  • Number of displaced persons (refugees, asylum seekers and migrants) receiving services at health facilitiesValue0.0033394.000.00
    DateDecember 31, 2018March 31, 2021
    Comment
  • Percentage of pregnant women receiving at least two doses of tetanus toxoid (TT2)Value20.0062.0045.00
    DateDecember 1, 2012December 31, 2020April 13, 2015
    Comment