Strengthening Primary Health Care for Results

Development Objective

The Program Development Objective is to improve the quality of primary health care (PHC) services nationwide with a focus on maternal, neonatal and child health (MNCH) services.

Key Details

Project Details

Project ID
P152736
Status
Closed
Team Leader
Peter Okwero
Borrower 2
United Republic of Tanzania

Country
Tanzania
Disclosure Date
April 14, 2015
Approval Date
(as of board presentation)
May 28, 2015
Effective Date
November 5, 2015

Total Project Cost 1
US$ 240.00 million
Implementing Agency
Ministry of Health, Community Development, Gender, Elderly and Children,President's Office Regional Administration and Local Government
Region
Eastern and Southern Africa
Fiscal Year 3
2015

Commitment Amount
US$ 240.00 million
Environmental Category
N/A
Last Update Date
September 8, 2023
Closing Date
June 30, 2021

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 - Health Systems and Policies85%
- FY17 - Child Health25%
- FY17 - Health System Strengthening35%
- FY17 - Reproductive and Maternal Health25%
FY17 - Nutrition and Food Security16%
- FY17 - Food Security8%
- FY17 - Nutrition8%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	200.00
Health Results-based Financing	40.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	200.00
IBRD + IDA Commitment	200.00

Lending Instrument
Grant Amount	40.00
Total Project Cost**	240.00

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

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
May 1, 2018	IDA-56430	Int Charges	3,723.88
May 1, 2018	IDA-56430	Int Charges	377,220.62
May 1, 2018	IDA-56430	Int Charges	377,220.62
Nov 1, 2018	IDA-56430	Int Charges	31,897.17
Nov 1, 2018	IDA-56430	Int Charges	31,897.17
Nov 1, 2018	IDA-56430	Int Charges	487,766.60
Nov 1, 2018	IDA-56430	Int Charges	487,766.60
May 1, 2019	IDA-56430	Int Charges	5,717.24
May 1, 2019	IDA-56430	Int Charges	5,717.24
Nov 1, 2016	IDA-56430	Int Charges	187,338.38
Nov 1, 2016	IDA-56430	Int Charges	187,338.38
Mar 7, 2016	IDA-56430	Loan Disb	25,101,272.00
Mar 25, 2016	IDA-56430	Loan Disb	10,690,603.00
Mar 25, 2016	IDA-56430	Loan Disb	14,665,361.00
Nov 1, 2016	IDA-56430	Int Charges	46,818.42
Nov 1, 2016	IDA-56430	Int Charges	46,818.42
Jun 23, 2017	IDA-56430	Loan Disb	10,001,592.00
Mar 7, 2017	IDA-56430	Loan Disb	34,671,732.00
May 1, 2017	IDA-56430	Int Charges	3,011.73
May 1, 2017	IDA-56430	Int Charges	3,011.73
May 3, 2017	IDA-56430	Int Charges	180,350.62
May 3, 2017	IDA-56430	Int Charges	180,350.62
Nov 2, 2017	IDA-56430	Int Charges	43,529.99
Nov 2, 2017	IDA-56430	Int Charges	43,529.99
Nov 2, 2017	IDA-56430	Int Charges	353,515.34
Nov 2, 2017	IDA-56430	Int Charges	353,515.34
Mar 1, 2018	IDA-56430	Loan Disb	28,481,006.00
Feb 28, 2018	IDA-56430	Loan Disb	2,089,060.90
May 28, 2015	IDA-56430	Loan Commitment	200,000,000.00
May 7, 2024	IDA-56430	Loan Repay	2,692,806.00
May 7, 2024	IDA-56430	Int Charges	607,760.40
May 7, 2024	IDA-56430	Int Charges	607,760.40
May 1, 2024	IDA-56430	Loan Repay	53,862.23
Nov 1, 2023	IDA-56430	Int Charges	612,322.25
Nov 1, 2023	IDA-56430	Int Charges	612,322.25
Nov 1, 2023	IDA-56430	Int Charges	-110,227.61
Nov 1, 2023	IDA-56430	Int Charges	110,227.61
Nov 1, 2023	IDA-56430	Int Charges	36,754.82
Nov 1, 2023	IDA-56430	Int Charges	36,754.82
Nov 1, 2023	IDA-56430	Loan Repay	2,721,432.00
Oct 30, 2021	IDA-56430	Loan Cancel	15,860,844.00
Nov 1, 2022	IDA-56430	Loan Repay	139,156.70
Nov 1, 2022	IDA-56430	Loan Repay	2,773,780.00
Nov 1, 2022	IDA-56430	Int Charges	623,228.75
Nov 1, 2022	IDA-56430	Int Charges	623,228.75
May 1, 2023	IDA-56430	Loan Repay	3,008,759.00
May 1, 2023	IDA-56430	Int Charges	603,975.25
May 1, 2023	IDA-56430	Int Charges	603,975.25
May 1, 2023	IDA-56430	Loan Repay	44,555.83
Sep 23, 2021	IDA-56430	Loan Disb	2,940,951.80
Nov 1, 2021	IDA-56430	Int Charges	699,196.75
Nov 1, 2021	IDA-56430	Int Charges	699,196.75
May 1, 2022	IDA-56430	Int Charges	663,050.60
May 1, 2022	IDA-56430	Loan Repay	32,000.71
May 1, 2022	IDA-56430	Loan Repay	3,013,679.00
May 1, 2022	IDA-56430	Int Charges	663,050.60
May 1, 2020	IDA-56430	Int Charges	588,557.30
May 1, 2020	IDA-56430	Int Charges	588,557.30
Nov 1, 2020	IDA-56430	Int Charges	1,723.44
Nov 1, 2020	IDA-56430	Int Charges	1,723.44
Nov 1, 2020	IDA-56430	Int Charges	655,958.10
Nov 1, 2020	IDA-56430	Int Charges	655,958.10
May 1, 2021	IDA-56430	Int Charges	662,063.40
May 1, 2021	IDA-56430	Int Charges	662,063.40
Apr 9, 2021	IDA-56430	Loan Disb	11,113,142.00
May 1, 2021	IDA-56430	Int Charges	5,544.20
May 1, 2021	IDA-56430	Int Charges	5,544.20
Nov 1, 2021	IDA-56430	Loan Repay	3,196,389.00
Nov 1, 2021	IDA-56430	Int Charges	4,719.69
Nov 1, 2021	IDA-56430	Int Charges	4,719.69
Mar 25, 2019	IDA-56430	Loan Disb	4,842,696.00
May 1, 2019	IDA-56430	Int Charges	493,681.88
May 1, 2019	IDA-56430	Int Charges	493,681.88
Mar 21, 2019	IDA-56430	Loan Disb	2,529,507.00
Mar 21, 2019	IDA-56430	Loan Disb	4,015,095.50
Apr 3, 2019	IDA-56430	Loan Disb	9,259,553.00
Nov 15, 2019	IDA-56430	Loan Disb	4,978,724.00
Nov 13, 2019	IDA-56430	Int Charges	11,802.43
Nov 13, 2019	IDA-56430	Int Charges	11,802.43
Nov 13, 2019	IDA-56430	Int Charges	569,256.90
Nov 13, 2019	IDA-56430	Int Charges	569,256.90
Apr 15, 2020	IDA-56430	Loan Disb	1,238,490.20
Apr 15, 2020	IDA-56430	Loan Disb	3,155,773.00
Apr 20, 2020	IDA-56430	Loan Disb	8,361,282.00
May 1, 2020	IDA-56430	Int Charges	1,829.95
May 1, 2020	IDA-56430	Int Charges	1,829.95
Feb 28, 2018	IDA-56430	Loan Disb	2,620,675.80
May 4, 2018	IDA-56430	Loan Disb	2,359,267.00
Dec 20, 2018	IDA-56430	Loan Disb	3,122,384.50
May 1, 2018	IDA-56430	Int Charges	3,723.88

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2021-06-30
Monitoring and Evaluation	Moderately Satisfactory	2021-06-30
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2021-06-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 03-30-2022
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW:	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	High	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

PHC facilities with 3- Star Ratings and Above Value 0.00 50.00 30.00
Date August 25, 2015 June 30, 2020 January 30, 2020
Comment
Pregnant women attending 4 or more ante-natal care (ANC) visits Value 41.20 90.00 68.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
ANC attendees receiving at least 2 doses of intermittent preventive treatment (IPT2) for malaria Value 42.52 79.00 80.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Institutional deliveries Value 44.72 83.00 70.00
Date August 25, 2015 December 31, 2020 June 30, 2020
Comment
Proportion of children 12-59 months receiving at least one dose of Vitamin A during the previous year Value 51.00 100.00 90.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Share of health in total government budget Value 8.50 7.00 9.75
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Councils with unqualified opinion in the annual external audit report Value 80.00 95.00 92.00
Date August 25, 2015 December 31, 2020 December 30, 2020
Comment
Completion of “Star rating" assessment of PHC facilities as per the two-year cycle Value 0.00 0.00 50.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
RBF facilities receiving timely RBF payment on the basis of verified results every quarter Value 0.00 0.00 100.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
LGAs with functional Council Health Service Boards Value 86.30 100.00 100.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Health facilities with continuous availability of the tracer medicines in the past year based on MoHCDGEC medicine list Value 30.60 89.40 80.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Health facilities with functional CEmOC Value 79.00 160.00 160.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Completeness of quarterly HMIS data entered in DHIS by LGA (by the end of month after quarter ends) Value 89.50 97.00 96.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
RHMT’s required biannual data quality audits (DQA) for LGAs that meets national DQA standards Value 0.00 91.00 80.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Completion of annual capacity building activities compared to agreed annual plans Value 0.00 81.00 100.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment
Dispensaries with skilled HRH Value 91.00 99.60 100.00
Date August 25, 2015 December 31, 2020 January 30, 2020
Comment

RHMTs conduct quarterly supportive supervision visits for the LGAs that meets national supervision standards and is reported in DHIS2	Value	0.00	93.00	100.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

People who have received essential health, nutrition, and population (HNP) services Value 0.00 37435355.00 0.00
Date May 28, 2015 December 31, 2020
Comment
Number of children immunized Value 0.00 10935355.00 0.00
Date May 28, 2015 December 31, 2020
Comment
Number of women and children who have received basic nutrition services Value 0.00 19500000.00 0.00
Date May 28, 2015 December 31, 2020
Comment
Number of deliveries attended by skilled health personnel Value 0.00 7000000.00 0.00
Date May 28, 2015 December 31, 2020
Comment

Pregnant women attending 4 or more ante-natal care (ANC) visits	Value	41.20	90.00	68.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

ANC attendees receiving at least 2 doses of intermittent preventive treatment (IPT2) for malaria	Value	42.52	79.00	80.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Institutional deliveries	Value	44.72	83.00	70.00
	Date	August 25, 2015	December 31, 2020	June 30, 2020
	Comment

Proportion of children 12-59 months receiving at least one dose of Vitamin A during the previous year	Value	51.00	100.00	90.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Share of health in total government budget	Value	8.50	7.00	9.75
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

LGAs with functional Council Health Service Boards	Value	86.30	100.00	100.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Health facilities with continuous availability of the tracer medicines in the past year based on MoHCDGEC medicine list	Value	30.60	89.40	80.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Health facilities with functional CEmOC	Value	79.00	160.00	160.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Completeness of quarterly HMIS data entered in DHIS by LGA (by the end of month after quarter ends)	Value	89.50	97.00	96.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Dispensaries with skilled HRH	Value	91.00	99.60	100.00
	Date	August 25, 2015	December 31, 2020	January 30, 2020
	Comment

Number of children immunized	Value	0.00	10935355.00	0.00
	Date	May 28, 2015	December 31, 2020
	Comment