1. What We Do

GUATEMALA Maternal and Infant Health and Nutrition

Abstract*

The Maternal-Infant Health and Nutrition Project for Guatemala aims to: (a) improve maternal and infant health in the project's 40 areas of intervention; and (b) reduce chronic malnutrition among children younger than 2 years of age in the rural areas of the 70 municipalities targeted by the project. The project has the following components: (1) This component will support the development of a Maternal and Infant Health Referral Network, promote the...

* 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 proposed Project aims to support the Government of Guatemala to: (a) improve maternal and infant health in the project's 40 areas of intervention; and (b) reduce chronic malnutrition among children younger than 2 years of age in the rural areas of the 70 municipalities targeted by the project.

Key Details

Project Details

  • P077756

  • Closed

  • Christine Pena

  • N/A

  • Guatemala

  • July 28, 2005

  • (as of board presentation)

    January 19, 2006

  • June 26, 2007

  • US$ 49.00 million

  • B

  • January 15, 2013

  • May 30, 2013

  • BANK APPROVED

  • Notes

Sectors

Created with Highstock 5.0.14FY17 - Central Government(Central Agencies)FY17 - Central Government (Central Agencies)FY17 - HealthFY17 - Social Protection

Themes

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 49.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 49.00
IDA Commitment N/A
IBRD + IDA Commitment 49.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 49.00

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

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

Detailed Financial Activity as of February 28, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jan 19, 2006 IBRD-73570 Loan Commitment 49,000,000.00
Nov 15, 2019 IBRD-73570 Int Charges 202,755.00
Nov 15, 2019 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2019 IBRD-73570 Int Charges 249,696.02
May 15, 2019 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2020 IBRD-73570 Int Charges 131,288.20
May 15, 2020 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2022 IBRD-73570 Int Charges 9,566.84
May 15, 2022 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2021 IBRD-73570 Int Charges 13,414.53
Nov 15, 2021 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2020 IBRD-73570 Int Charges 47,374.29
Nov 15, 2020 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2021 IBRD-73570 Int Charges 20,024.98
May 15, 2021 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2022 IBRD-73570 Int Charges 22,177.46
Nov 15, 2022 IBRD-73570 Loan Repay 1,963,377.20
May 15, 2016 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2017 IBRD-73570 Int Charges 181,994.58
May 15, 2017 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2017 IBRD-73570 Int Charges 189,782.97
Nov 15, 2017 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2018 IBRD-73570 Int Charges 254,410.94
Nov 15, 2018 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2018 IBRD-73570 Int Charges 187,761.38
May 15, 2018 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2015 IBRD-73570 Int Charges 93,243.32
May 15, 2015 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2015 IBRD-73570 Int Charges 101,113.76
Nov 15, 2015 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2016 IBRD-73570 Int Charges 153,990.14
Nov 15, 2016 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2016 IBRD-73570 Int Charges 120,208.98
Nov 15, 2014 IBRD-73570 Int Charges 98,983.45
Nov 15, 2014 IBRD-73570 Loan Repay 2,000,789.60
Nov 15, 2013 IBRD-73570 Int Charges 648.99
Nov 15, 2013 IBRD-73570 Int Charges 135,241.05
Dec 23, 2013 IBRD-73570 Loan Disb -885,239.25
Dec 23, 2013 IBRD-73570 Loan Cancel 1,400,191.00
Nov 15, 2013 IBRD-73570 Loan Repay 2,050,020.80
May 15, 2014 IBRD-73570 Int Charges 110,908.86
May 15, 2014 IBRD-73570 Loan Repay 2,000,789.60
May 15, 2014 IBRD-73570 Int Charges 134.04
Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Counterpart Funding Moderately Satisfactory 2013-05-29
Monitoring and Evaluation Moderately Satisfactory 2013-05-29
Overall Implementation Progress (IP) Moderately Satisfactory 2013-05-29
Progress towards achievement of PDO Moderately Unsatisfactory 2013-05-29
Procurement Moderately Satisfactory 2013-05-29
Project Management Moderately Satisfactory 2013-05-29
Financial Management Moderately Satisfactory 2013-05-29
Overall Safeguards Rating Moderately Satisfactory 2013-05-29
Overall Safeguards Rating Moderately Satisfactory 2013-05-29

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 11-26-2013
OutcomesModerately Satisfactory
Risk to Development OutcomeSubstantial
Bank PerformanceModerately Satisfactory
Borrower PerformanceModerately Satisfactory
Government PerformanceModerately Satisfactory
Implementing AgencyModerately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 12-08-2015PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeSignificantN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceModerately UnsatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySatisfactoryN/a
M&e QualityModestN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Indigenous/non indigenous infant mortality ratio in project area.Value1.21.22Reduce by 10 percent with respect to the baseline.
    DateDecember 31, 2007December 31, 2010May 30, 2013
    CommentFinal target not achieved. Latest available reliable data is from 2010. Improved from 2009 but slightly higher than 2007 data.
  • Indigenous/non indigenous maternal mortality ratio in project area.Value3.21.24Reduce by 10 percent with respect to the baseline.
    DateJune 30, 2006December 31, 2012May 30, 2013
    CommentSource: SIGSATarget surpassed. indigenous to non-indigenous MMR reduced to less than half of baseline. Latest available reliable informationsource from National Center of Epidemiology. Most recently available comparable information from SIGSA also show target has beensurpassed in 2010 and 2011 with the ratios being 1.59 and 1.44, respectively.
  • Percentage of institutional deliveries in the areas of intervention.Value22.3%42%Increase by 20 percent with respect to the baselin
    DateJune 30, 2006December 31, 2012May 30, 2013
    CommentTarget surpassed (increase is 88%). Data from MOH SIGSA.
  • Percentage of children under 2 with weight for age <-2Z in project areas.Value21.9 (2008 cohort) and 27.4 (2009 cohort)NA until July 2013reduce by 5 percentage points relative to 2011 bas
    DateMarch 31, 2011April 19, 2013March 31, 2013
    CommentTo be updated after nutrition survey analysis is completed by July 2013
  • Percentage of children under 2 with height for age <-2Z in project areas.Value68.2 (2008 cohort) and 78.3% (2009 cohort)Not available until July 2013reduce by 5 percentage points with respect to 2011
    DateMarch 31, 2011April 19, 2013March 31, 2013
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Number of Secondary level services with cartera ampliada and operating room fully operational.Value0810 areas
    DateJune 30, 2006July 1, 2013May 30, 2013
    CommentIncreased.Target revised from 8 to 10 to take into account final Project restructuring.
  • Number of secondary level services with cartera ampliada, but without operating room, fully operational.Value02727 areas
    DateJune 30, 2006April 19, 2013May 30, 2013
    CommentTarget achieved. The Project supported the rehabilitation of an additional CAP that will only be 80% complete by end of Projectdate which will bring total to 27.8%.Target revised from 32 to 27 to support more areas with more CAIMI to improve access to surgical services than CAP whilemaintaining the total number of rehabilitated health facilities.
  • Percentage of pregnant women with at least one prenatal care in project areas.Value54.2%89%90%
    DateJune 30, 2006December 31, 2012May 30, 2013
    CommentTarget almost achieved. Source: SIGSATarget revised to 90% as part of approved restructuring.
  • Percentage of mothers receiving post-natal case within 10 days of delivery in the areas of intervention (information to be gatheredfrom CAIMI and PEC).Value0%31%20%
    DateJune 30, 2006December 31, 2012May 30, 2013
    CommentEarlier ISR had listed this as 45.54% but that was a typographical error. The PAD and other project docs indicate that this shouldbe 0Target surpassed.source: SIGSA
  • Percentage of children under 2 years old who participate in the weighing sessions in the areas of intervention.Value55%78%80 percent
    DateJune 30, 2006December 31, 2011May 30, 2013
    Commenttarget almost achieved. This is the latest available updated information.Target revised to 80% as part of approved Project restructuring
  • Percentage of children for whom change in weight is measured in the areas of intervention.Value0%78%80 percent
    DateJune 30, 2006December 31, 2011May 30, 2013
    Commenttarget almost achieved. This is the latest available updated information.Target revised to 80% as part of approved Project restructuring
  • Percentage of families attended by Creciendo Bien in areas of intervention.Value0%28%30% of total beneficiaries
    DateJune 30, 2006December 31, 2010December 31, 2012
    CommentTarget nearly achieved.
  • Integrated strategy for the implementation of the three programs.ValueN/AAvailableAvailable
    DateJune 30, 2006May 30, 2013December 31, 2012
    CommentTarget achieved for the 3 programs (AINM-C, PEC, and Cresciendo Bien) especially in terms of an integrated communications strategyand incorporation of the community educators trained in AINM-C in the PEC.As part of the approved restructuring, the 3 programs (PEC, AINM-C, and Cresciendo Bien) were specified.
  • Number of jurisdictions with AINM-C.Value0142 jurisdictions (community based) and 8 district112 jurisdictions.
    DateJune 30, 2006December 31, 2012December 31, 2012
    CommentTarget surpassed. Government supported 142 jurisdictions with AINM-C by financing community educators who link health staff andcommunities through the PEC and the Project continued to support 8 districts with AINM-C "institicional" or with MOH mobile healthteams instead of NGOs
  • People with access to a basic package of health, nutrition, or reproductive health services (number)Value0.00950000.000.00
    DateNovember 4, 2009December 30, 2011May 30, 2013
    CommentTotal number of people with access is 950,000, of which 159,604 are children less than 5 years old.Target: Increase since Project start date per approved Project restructuring
  • Health facilities constructed, renovated, and/or equipped (number)Value0.0035.0037.00
    DateNovember 4, 2009April 19, 2013May 30, 2013
    CommentTarget almost achieved but by end of Project, remaining CAIMI will be 76% rehabilitated and remaining CAP will be 80% rehabilitated.Target reduced to 37 per approved Project restructuring
  • Health personnel receiving training (number)Value0.003064.002000.00
    DateNovember 4, 2009December 31, 2012December 31, 2012
    CommentTarget surpassed.Yearly target specified per the approved Project restructuring
  • Monitoring and evaluation of the Project done with regular reports providing required dataValue0.002.002.00
    DateDecember 31, 2012May 30, 2013
    Commenttarget achievedrevised description and target based on approved Project Restructuring.