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Nepal Health Sector Program Project

Abstract*

The Health Sector Program for Nepal seeks to address inequities and improve the health of the Nepalese as a means to develop healthy and capable human power to support poverty alleviation. The project has the following two components: Component 1) will support the expansion and/or strengthening of eleven priority cost-effective services by: (i) developing and implementing technical standards to improve service quality;(ii) providing in-service training...

* 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 development objective is to expand access to, and increase the use of, essential health care services, especially by underserved populations.

Key Details

Project Details

  • P040613

  • Closed

  • Albertus Voetberg

  • N/A

  • Nepal

  • May 29, 2003

  • (as of board presentation)

    September 9, 2004

  • February 25, 2005

  • US$ 498.28 million

  • N/A

  • South Asia

  • 2005

  • US$ 86.75 million

  • B

  • Not Applicable

  • July 15, 2010

  • BANK APPROVED

  • January 15, 2013

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Borrower/Recipient 285.61
IDA Credit 10.00
UK: British Department for International Development (DFID) 36.75
FOREIGN SOURCES (UNIDENTIFIED) 125.92
IDA GRANT FOR POOREST COUNTRY 40.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 50.00
IBRD + IDA Commitment 50.00
Lending Instrument
Grant Amount 36.75
Total Project Cost** 498.28

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

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No data available.
Period Financier Transaction Type Amount (US$)
Dec 15, 2017 IDA-39800 Int Charges 2,260.39
Jun 15, 2020 IDA-39800 Int Charges 1,228.74
Jun 15, 2020 IDA-39800 Int Charges 1,228.74
Jun 15, 2020 IDA-39800 Loan Repay 95,175.15
Jun 15, 2020 IDA-39800 Int Charges 30,580.87
Jun 15, 2020 IDA-39800 Int Charges 30,580.87
Dec 15, 2019 IDA-39800 Loan Repay 664.47
Dec 15, 2019 IDA-39800 Loan Repay 94,837.74
Dec 15, 2019 IDA-39800 Int Charges 30,999.03
Dec 15, 2019 IDA-39800 Int Charges 30,999.03
Jun 15, 2019 IDA-39800 Int Charges 32,572.19
Jun 15, 2019 IDA-39800 Int Charges 32,572.19
Jun 15, 2015 IDA-39800 Loan Repay 94,726.23
Jun 15, 2015 IDA-39800 Int Charges 32,967.57
Jun 15, 2015 IDA-39800 Int Charges 32,967.57
Jun 15, 2015 IDA-39800 Loan Repay 2,177.37
Jun 15, 2014 IDA-39800 Int Charges 181.91
Jun 15, 2014 IDA-39800 Int Charges 181.91
Jun 15, 2014 IDA-39800 Int Charges 39,835.08
Jun 15, 2014 IDA-39800 Int Charges 39,835.08
Dec 15, 2014 IDA-39800 Int Charges 37,813.47
Dec 15, 2014 IDA-39800 Int Charges 37,813.47
Dec 15, 2014 IDA-39800 Loan Repay 100,614.45
Dec 15, 2014 IDA-39800 Loan Repay 221.46
Dec 19, 2013 IDA-39800 Int Charges 448.72
Dec 19, 2013 IDA-39800 Int Charges 448.72
Dec 19, 2013 IDA-39800 Int Charges 39,587.23
Dec 19, 2013 IDA-39800 Int Charges 39,587.23
Dec 15, 2016 IDA-39800 Loan Repay 92,444.82
Jun 15, 2016 IDA-39800 Loan Repay 2,324.68
Jun 15, 2016 IDA-39800 Int Charges 35,235.76
Jun 15, 2016 IDA-39800 Int Charges 35,235.76
Jun 15, 2016 IDA-39800 Loan Repay 94,703.81
Dec 15, 2015 IDA-39800 Loan Repay 96,174.27
Dec 15, 2015 IDA-39800 Int Charges 2,985.21
Dec 15, 2015 IDA-39800 Int Charges 2,985.21
Dec 15, 2015 IDA-39800 Int Charges 35,344.04
Dec 15, 2015 IDA-39800 Int Charges 35,344.04
Dec 15, 2017 IDA-39800 Int Charges 34,393.47
Dec 15, 2017 IDA-39800 Int Charges 34,393.47
Dec 15, 2017 IDA-39800 Loan Repay 97,570.14
Jun 15, 2023 IDA-39800 Int Charges 28,662.81
Jun 15, 2023 IDA-39800 Int Charges 28,662.81
Jun 15, 2023 IDA-39800 Int Charges 4,941.97
Jun 15, 2023 IDA-39800 Int Charges 4,941.97
Jun 15, 2023 IDA-39800 Loan Repay 92,089.47
Jun 15, 2021 IDA-39800 Int Charges 2,452.98
Jun 15, 2021 IDA-39800 Int Charges 2,452.98
Jun 15, 2021 IDA-39800 Loan Repay 99,302.73
Jun 15, 2021 IDA-39800 Int Charges 31,412.17
Jun 15, 2021 IDA-39800 Int Charges 31,412.17
Dec 15, 2020 IDA-39800 Loan Repay 99,220.62
Dec 15, 2020 IDA-39800 Int Charges 1,234.12
Dec 15, 2020 IDA-39800 Int Charges 1,234.12
Dec 15, 2020 IDA-39800 Int Charges 30,291.85
Dec 15, 2020 IDA-39800 Int Charges 30,291.85
Dec 15, 2022 IDA-39800 Int Charges 23,997.33
Dec 15, 2022 IDA-39800 Int Charges 23,997.33
Dec 15, 2022 IDA-39800 Loan Repay 3,146.55
Dec 15, 2022 IDA-39800 Loan Repay 88,679.34
Dec 15, 2021 IDA-39800 Int Charges 956.11
Dec 15, 2021 IDA-39800 Int Charges 956.11
Dec 15, 2021 IDA-39800 Loan Repay 96,361.26
Dec 15, 2021 IDA-39800 Int Charges 31,076.51
Dec 15, 2021 IDA-39800 Int Charges 31,076.51
Jun 15, 2022 IDA-39800 Loan Repay 1,410.32
Jun 15, 2022 IDA-39800 Loan Repay 90,485.26
Jun 15, 2022 IDA-39800 Int Charges 29,291.68
Jun 15, 2022 IDA-39800 Int Charges 29,291.68
May 6, 2008 IDA-H3680 Loan Commitment 50,000,000.00
Sep 9, 2004 IDA-H1250 Loan Commitment 40,000,000.00
Sep 9, 2004 IDA-39800 Loan Commitment 10,000,000.00
Jun 15, 2024 IDA-39800 Int Charges 27,500.59
Jun 15, 2024 IDA-39800 Int Charges 27,500.59
Jun 15, 2024 IDA-39800 Int Charges 2,736.89
Jun 15, 2024 IDA-39800 Int Charges 2,736.89
Jun 15, 2024 IDA-39800 Loan Repay 90,915.78
Dec 15, 2023 IDA-39800 Loan Repay 90,634.70
Dec 15, 2023 IDA-39800 Int Charges 25,663.19
Dec 15, 2023 IDA-39800 Int Charges 25,663.19
Dec 15, 2023 IDA-39800 Loan Repay 1,879.81
Jun 15, 2017 IDA-39800 Loan Repay 3,648.23
Jun 15, 2017 IDA-39800 Int Charges 31,766.70
Jun 15, 2017 IDA-39800 Int Charges 31,766.70
Jun 15, 2017 IDA-39800 Loan Repay 91,723.57
Dec 15, 2016 IDA-39800 Int Charges 55.56
Dec 15, 2016 IDA-39800 Int Charges 55.56
Dec 15, 2016 IDA-39800 Int Charges 33,280.14
Dec 15, 2016 IDA-39800 Int Charges 33,280.14
Jun 15, 2019 IDA-39800 Loan Repay 1,750.30
Jun 15, 2019 IDA-39800 Loan Repay 93,699.47
Dec 15, 2018 IDA-39800 Int Charges 32,826.86
Dec 15, 2018 IDA-39800 Int Charges 32,826.86
Dec 15, 2018 IDA-39800 Loan Repay 4,036.17
Dec 15, 2018 IDA-39800 Loan Repay 91,114.14
Jun 15, 2018 IDA-39800 Loan Repay 67.39
Jun 15, 2018 IDA-39800 Loan Repay 97,295.06
Jun 15, 2018 IDA-39800 Int Charges 33,955.11
Jun 15, 2018 IDA-39800 Int Charges 33,955.11
Dec 15, 2017 IDA-39800 Int Charges 2,260.39

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Financial Management Moderately Satisfactory 2010-02-24
Procurement Moderately Satisfactory 2010-02-24
Overall Safeguards Rating Moderately Satisfactory 2010-02-24
Progress towards achievement of PDO Satisfactory 2010-02-24
Counterpart Funding Highly Satisfactory 2010-02-24
Project Management Satisfactory 2010-02-24
Monitoring and Evaluation Satisfactory 2010-02-24
Overall Implementation Progress (IP) Satisfactory 2010-02-24

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 01-14-2011
OutcomesSubstantial
Risk to Development OutcomeModest
Bank PerformanceModerately Satisfactory
Borrower PerformanceSubstantial
Government PerformanceSubstantial
Implementing AgencyModerately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 04-12-2012PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingSatisfactory N/a
Risk To Development OutcomeModerateN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceSatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySatisfactoryN/a
M&e QualityModestN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Increased contraceptive prevalence rate (CPR) modern method from 35% to 48% in 2010. For low income quintile (measured periodicallyby DHS), increase from 24 to 35% .Value35% (low income 24%): DHS45.1%: Mid Term Survey NFHP 2009 (low income: 40.648% (low income35%): Next DHS
    DateJuly 31, 2001January 11, 2010July 15, 2010
    CommentPreliminary midterm survey report from 40 districts NFHP 2009Up from 35% at baseline (2001)
  • Skilled attendance at birth will have increased from 11% to 35%. For low income quintile (measured periodically by DHS), increase from 2.5 to 10%.Value11% (low income 2.5%): DHS32.6%: MTS NFHP 2009 (low income 8.5%)35% (low income 8.5%): Next DHS
    DateJuly 31, 2001January 11, 2010July 15, 2010
    Comment Up from 11% at baseline (2001)
  • Percentage of Children immunized against DPT3 will have increased from 72% to 90%. For low income quintile (measured periodically by DHS), increase from 62 to 80% .Value72% (low income 62%): DHS89.8%: MTS NFHP 2009 (low income 83%)90% (low income 80%): Next DHS
    DateJuly 31, 2001November 1, 2010July 15, 2010
    Comment Up from baseline of 72% (2001)
  • Proportion of women and men who can correctly identify on method of preventing HIV infection from 37.6% of women and 50.8% of men (DHS 2001) to 75% and 85% respectively.ValueWomen: 38%Men: 67%DHS 2001Women: 88.1% : MTS NFHP 2009 Men: 81% DHS 2006Women: 75%Men: 85%Next DHS
    DateJuly 31, 2001January 11, 2010July 15, 2010
    Comment Up from baseline Women: 38% and Men 67% (2001) Not available for Men in 2009 survey data.

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Contracts signed with non-state hospitals/clinics in 5 districts to provide CEOC by 2010.ValueNoneContracts signed in 5 districts5
    DateApril 30, 2008June 30, 2009July 15, 2010
    Comment Up from 3 during previous ISR
  • MOHP provides formula-based block grants to District Health Offices with 5-year plans to supplement grants to DDCs from MOLD to address local health needsValueNoneDiscussions under way to design a pilot program to28
    DateApril 30, 2008December 31, 2008June 30, 2010
    Comment Only feasible if local body elections would take place well before project closing
  • Proportion of Health posts and sub-health posts in which more than 5 essential drugs are missing is less than 10%. Data from the independent trimester surveyValueHP: 40%SHP: 47%First trimester survey preliminary HP 29.8% SHP 35.2%10%
    DateDecember 1, 2008December 1, 2008June 30, 2010
    Comment Trimester survey report December 1, 2009
  • 25% increase in number of clients attending health and sub-health posts by 2010 measured by average # of person served per day. Data from HMIS.Valueaverage HP: 13average SHP: 7(average for Fy 2006/2average HP: 17 average SHP: 9 (average for Fy 20HP: 17SHP: 9
    DateJuly 1, 2007July 1, 2008July 15, 2010
    Comment
  • Direct project beneficiariesValue28100000.0028100000.000.00
    DateJanuary 11, 2010January 1, 2010July 15, 2010
    Comment Program indicator: total population
  • Health personnel receiving trainingValue0.00285.001400.00
    DateJanuary 1, 2010January 11, 2010July 15, 2010
    Comment Target for FY 2009/2010
  • Health facilities constructed, renovated, and/or equippedValue0.001843.003000.00
    DateJanuary 1, 2010January 1, 2010July 15, 2010
    Comment Program indicator: all constructions and renovations completed only. Value is for calendar year 2009 only.cumulative figure
  • Children immunizedValue0.0035161.00450000.00
    DateJanuary 1, 2010January 1, 2010July 15, 2010
    Comment 14% of all children who were vaccinated with BCG in 2009Cumalative Figure
  • Pregnant women receiving antenatal care during a visit to a health providerValue0.00733964.001400000.00
    DateJanuary 1, 2010January 1, 2010July 15, 2010
    Comment Program indicator: all women who received ante-natal care in FY 2008/2009Cumalative Figure
  • Children receiving a dose of vitamin AValue0.0056964.00110000.00
    DateJanuary 1, 2010January 1, 2010July 15, 2010
    Comment Program indicator: all children who received Vit A supplementation during FY 2008/2009Cumalative Target
  • Female beneficiariesValue0.0014050000.000.00
    DateJanuary 11, 2010January 1, 2010July 15, 2010
    Comment Program indicator: total population