Multi-Secotral HIV/AIDS Program

Abstract*

The Project for the Multi-Sectoral HIV/AIDS Project for Ghana will Reduce the new infection among vulnerable groups and the general population; Mitigate the impact o f the epidemic on the health and socio-economic systems as well as infected and affected persons; and Promote healthy life-styles, especially in the area o f sexual and reproductive health. Project components: Component 1) covers laws and policies on rights of the vulnerable groups operationalized... Show More

Development Objective

Restructure of the M-SHAP was approved on July 3, 2007. The new Project Development Objective seeks to increase access to HIV care, prevention and impact mitigations services for high risk groups, vulnerable populations and the general population.

Key Details

Project Details

Project ID
P088797
Status
Closed
Team Leader
Karima Saleh
Borrower 2
N/A

Country
Ghana
Disclosure Date
November 1, 2004
Approval Date
(as of board presentation)
November 15, 2005
Effective Date
March 15, 2006

Total Project Cost 1
US$ 35.30 million
Implementing Agency
N/A
Region
Western and Central Africa
Fiscal Year 3
2006

Commitment Amount
US$ 28.30 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
June 30, 2011

Last Stage Reached
BANK APPROVED
Last Update Date
January 15, 2013

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 Control33%
- FY17 - HIV/AIDS33%
FY17 - Gender16%
FY17 - Health Systems and Policies34%
- FY17 - Health System Strengthening17%
- FY17 - Reproductive and Maternal Health17%

FY17 - Social Development and Protection

FY17 - Social Inclusion17%
- FY17 - Participation and Civic Engagement17%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
UK: British Department for International Development (DFID)	8.30
Borrower/Recipient	7.00
IDA Credit	20.00

Total Project Financing (US$ Millions)

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

Lending Instrument
Grant Amount	8.30
Total Project Cost**	35.30

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

No data available.

Detailed Financial Activity as of July 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Sep 1, 2013	IDA-41250	Int Charges	57,167.23
Sep 1, 2013	IDA-41250	Int Charges	57,167.23
Mar 27, 2014	IDA-41250	Int Charges	59,779.69
Mar 27, 2014	IDA-41250	Int Charges	59,779.69
Mar 27, 2014	IDA-41250	Int Charges	517.76
Mar 27, 2014	IDA-41250	Int Charges	517.76
Sep 1, 2015	IDA-41250	Int Charges	1,990.83
Sep 1, 2015	IDA-41250	Int Charges	1,990.83
Mar 5, 2015	IDA-41250	Int Charges	53,082.59
Mar 5, 2015	IDA-41250	Int Charges	53,082.59
Mar 1, 2015	IDA-41250	Int Charges	1,168.09
Mar 1, 2015	IDA-41250	Int Charges	1,168.09
Sep 1, 2014	IDA-41250	Int Charges	197.77
Sep 1, 2014	IDA-41250	Int Charges	197.77
Sep 1, 2014	IDA-41250	Int Charges	58,942.15
Sep 1, 2014	IDA-41250	Int Charges	58,942.15
Sep 1, 2016	IDA-41250	Int Charges	53,627.25
Sep 1, 2016	IDA-41250	Int Charges	53,627.25
Sep 1, 2016	IDA-41250	Loan Repay	143,936.56
Apr 4, 2023	IDA-41250	Int Charges	42,856.21
Apr 4, 2023	IDA-41250	Int Charges	42,856.21
Apr 4, 2023	IDA-41250	Int Charges	37.09
Apr 4, 2023	IDA-41250	Int Charges	37.09
Apr 4, 2023	IDA-41250	Loan Repay	118,202.90
Mar 1, 2023	IDA-41250	Loan Repay	16,683.53
Mar 1, 2023	IDA-41250	Loan Repay	4,451.64
Sep 14, 2022	IDA-41250	Int Charges	47.52
Sep 14, 2022	IDA-41250	Int Charges	43,816.93
Sep 14, 2022	IDA-41250	Int Charges	43,816.93
Sep 14, 2022	IDA-41250	Loan Repay	131,784.98
Sep 14, 2022	IDA-41250	Int Charges	47.52
Mar 1, 2022	IDA-41250	Loan Repay	118.57
Mar 18, 2022	IDA-41250	Loan Repay	142,863.23
Mar 18, 2022	IDA-41250	Int Charges	44.17
Mar 18, 2022	IDA-41250	Int Charges	44.17
Mar 18, 2022	IDA-41250	Int Charges	47,183.61
Mar 18, 2022	IDA-41250	Int Charges	47,183.61
Sep 16, 2021	IDA-41250	Loan Repay	145,634.05
Sep 16, 2021	IDA-41250	Int Charges	42.96
Sep 16, 2021	IDA-41250	Int Charges	42.96
Sep 16, 2021	IDA-41250	Int Charges	49,165.67
Sep 16, 2021	IDA-41250	Int Charges	49,165.67
Sep 1, 2021	IDA-41250	Loan Repay	1,679.01
Mar 15, 2021	IDA-41250	Int Charges	43.13
Mar 15, 2021	IDA-41250	Int Charges	49,907.12
Mar 15, 2021	IDA-41250	Int Charges	49,907.12
Mar 15, 2021	IDA-41250	Int Charges	5,606.33
Mar 15, 2021	IDA-41250	Int Charges	5,606.33
Sep 15, 2020	IDA-41250	Int Charges	44,483.54
Mar 15, 2021	IDA-41250	Loan Repay	147,872.89
Mar 15, 2021	IDA-41250	Int Charges	43.13
Sep 15, 2020	IDA-41250	Int Charges	2,333.12
Sep 15, 2020	IDA-41250	Int Charges	2,333.12
Sep 15, 2020	IDA-41250	Loan Repay	146,647.23
Sep 15, 2020	IDA-41250	Int Charges	23.97
Sep 15, 2020	IDA-41250	Int Charges	23.97
Sep 15, 2020	IDA-41250	Int Charges	44,483.54
Nov 15, 2005	IDA-41250	Loan Commitment	20,000,000.00
Mar 1, 2024	IDA-41250	Loan Repay	1,072.21
Apr 10, 2024	IDA-41250	Int Charges	43,282.33
Apr 10, 2024	IDA-41250	Int Charges	43,282.33
Apr 10, 2024	IDA-41250	Loan Repay	136,331.38
Apr 10, 2024	IDA-41250	Int Charges	28.63
Apr 10, 2024	IDA-41250	Int Charges	28.63
Sep 11, 2023	IDA-41250	Int Charges	79.71
Sep 11, 2023	IDA-41250	Int Charges	79.71
Sep 11, 2023	IDA-41250	Int Charges	43,631.23
Sep 11, 2023	IDA-41250	Int Charges	43,631.23
Sep 11, 2023	IDA-41250	Int Charges	2,112.26
Sep 11, 2023	IDA-41250	Int Charges	2,112.26
Sep 11, 2023	IDA-41250	Loan Repay	136,882.42
Sep 19, 2018	IDA-41250	Int Charges	3,705.93
Sep 19, 2018	IDA-41250	Int Charges	3,705.93
Sep 19, 2018	IDA-41250	Loan Repay	145,154.52
Sep 19, 2018	IDA-41250	Int Charges	60.48
Sep 19, 2018	IDA-41250	Int Charges	60.48
Sep 19, 2018	IDA-41250	Int Charges	51,711.29
Sep 19, 2018	IDA-41250	Int Charges	51,711.29
Mar 9, 2020	IDA-41250	Int Charges	47,685.09
Mar 9, 2020	IDA-41250	Loan Repay	142,137.48
Mar 9, 2020	IDA-41250	Int Charges	33.20
Mar 9, 2020	IDA-41250	Int Charges	33.20
Mar 1, 2020	IDA-41250	Loan Repay	2,710.13
Mar 9, 2020	IDA-41250	Int Charges	47,685.09
Sep 12, 2019	IDA-41250	Int Charges	445.71
Sep 12, 2019	IDA-41250	Int Charges	445.71
Sep 12, 2019	IDA-41250	Loan Repay	141,687.70
Sep 12, 2019	IDA-41250	Int Charges	55.83
Sep 12, 2019	IDA-41250	Int Charges	55.83
Sep 12, 2019	IDA-41250	Int Charges	49,413.56
Sep 12, 2019	IDA-41250	Int Charges	49,413.56
Sep 1, 2022	IDA-41250	Loan Repay	2,528.60
Mar 1, 2016	IDA-41250	Int Charges	74.21
Mar 1, 2016	IDA-41250	Int Charges	74.21
Mar 1, 2016	IDA-41250	Loan Repay	143,073.81
Mar 1, 2016	IDA-41250	Int Charges	53,652.65
Mar 1, 2016	IDA-41250	Int Charges	53,652.65
Sep 10, 2015	IDA-41250	Int Charges	52,439.77
Sep 10, 2015	IDA-41250	Int Charges	52,439.77
Mar 21, 2018	IDA-41250	Loan Repay	150,178.23
Mar 21, 2018	IDA-41250	Int Charges	43.80
Mar 21, 2018	IDA-41250	Int Charges	43.80
Mar 21, 2018	IDA-41250	Int Charges	50,229.98
Mar 21, 2018	IDA-41250	Int Charges	50,229.98
Mar 21, 2018	IDA-41250	Int Charges	4,671.66
Mar 21, 2018	IDA-41250	Int Charges	4,671.66
Sep 15, 2017	IDA-41250	Int Charges	49,028.03
Sep 15, 2017	IDA-41250	Int Charges	330.91
Sep 15, 2017	IDA-41250	Int Charges	330.91
Sep 15, 2017	IDA-41250	Loan Repay	147,389.47
Sep 15, 2017	IDA-41250	Int Charges	24.55
Sep 15, 2017	IDA-41250	Int Charges	24.55
Sep 15, 2017	IDA-41250	Int Charges	49,028.03
Mar 9, 2017	IDA-41250	Loan Repay	139,314.12
Mar 9, 2017	IDA-41250	Int Charges	50,913.15
Mar 9, 2017	IDA-41250	Int Charges	50,913.15
Mar 1, 2017	IDA-41250	Loan Repay	76.65
Sep 1, 2016	IDA-41250	Loan Repay	514.03
Mar 20, 2019	IDA-41250	Int Charges	50,414.15
Mar 20, 2019	IDA-41250	Int Charges	50,414.15
Mar 20, 2019	IDA-41250	Int Charges	54.12
Mar 20, 2019	IDA-41250	Int Charges	54.12
Mar 20, 2019	IDA-41250	Loan Repay	143,684.52
Mar 1, 2019	IDA-41250	Loan Repay	622.40
Sep 1, 2013	IDA-41250	Int Charges	1,146.82
Sep 1, 2013	IDA-41250	Int Charges	1,146.82

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Unsatisfactory	2011-06-27
Procurement	Moderately Satisfactory	2011-06-27
Counterpart Funding	Moderately Satisfactory	2011-06-27
Project Management	Moderately Unsatisfactory	2011-06-27
Monitoring and Evaluation	Unsatisfactory	2011-06-27
Overall Implementation Progress (IP)	Unsatisfactory	2011-06-27
Financial Management	Satisfactory	2011-06-27

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 12-22-2011
Outcomes	Unsatisfactory
Risk to Development Outcome	High
Bank Performance	Moderately Unsatisfactory
Borrower Performance	Moderately Unsatisfactory
Government Performance	Moderately Unsatisfactory
Implementing Agency	Moderately Unsatisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 01-09-2013	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Highly Unsatisfactory	N/a
Risk To Development Outcome	High	N/a
Bank Performance	Unsatisfactory	N/a
Borrower Performance	Unsatisfactory	N/a
Government Performance	Moderately Unsatisfactory	N/a
Implementing Agency	Unsatisfactory	N/a
Icr Quality	Satisfactory	N/a
M&e Quality	Negligible	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

% of infants born to HIV-infected mothers who are infected.	Value	30%	5.2%	15%
	Date	December 1, 2004	February 24, 2011	June 30, 2011
	Comment		Source: Programmatic data from the National AIDS Control Program (NACP), MOH, 2010. Sentinel site (hospital) survey found that424infants of HIV/AIDS positive mothers were tested, and 22 infants aged 18 months (born in 2007-8) were HIV/AIDS positive.

Median age at first sex	Value	F-18.3 yrs M-20.2 yrs	F=18.4 years, M=20.1 years	F-19 yrs M-20.5 yrs
	Date	December 1, 2003	February 24, 2011	June 30, 2011
	Comment		Source: GDHS, 2008Additional data will not be collected. Such information does not change frequently.

% of women and men who have had higher risk sex in the past 12 months.	Value	F-50%, M-83% (youth, 15-24);F=21%, M=38% (adults,	F=52.3%, M=86.4% (youth, 15-24);F=16%, M=26% (adu	F-38%, M-26% (youth, 15-49 -- 25% reduction from b
	Date	December 1, 2004	February 24, 2011	June 30, 2011
	Comment		Source: GDHS, 2008Baseline and target data were provided for youth instead of adults. GAC has asked that the baseline be givenforadults to reflect adults and not youth, as the indicator was not clearly defined in the PAD and credit agreement.

% of men and women aged 15-49 reporting the use of a condom during higher risk sex.	Value	Adults: F-33%, M-52% Youth: F-32%, M-52%	Adults=25.4 (F), 44.7 (M)Youth= 28.2 (F), 464. (M	Adults: F-42%, M-65% Youth: F-40%, M-65% (25% incr
	Date	December 1, 2003	February 24, 2011	June 30, 2011
	Comment		Source: GDHS, 2008Requires household survey, and no additional survey is planned until next GDHS, 2013

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Ratio of current school attendance among orphans to that among non-orphans, aged 10-14.	Value	0.80	0.8	0.90
	Date	December 1, 2003	February 24, 2011	June 30, 2011
	Comment		Source: GDHS, 2008Wording for this indicator is defined in GDHS as:"Ratio of school attendance of children (10-14 years) whoseparents are dead to those whose parents are living, and the child resides with at least one parent" Requires household survey, andnoadditional survey is planned until next GDHS, 2013

% of people with advanced HIV infection receiving antiretroviral combination therapy.	Value	3.2%	38.6% (adults), 20.9% (children)	66%
	Date	September 30, 2005	February 24, 2011	June 30, 2011
	Comment		Source: Programmatic data from National AIDS Control Program (NACP), MOH (2010). Data is as of June 2009.Not likely to meettargetof 66% by June 2011.

% of total national HIV/AIDS funds spent on prevention activities for selected vulnerable groups (commercial sex workers, men having sex with men, and prisoners).	Value	0.4%	0.9%	10%
	Date	December 31, 2003	February 24, 2011	June 30, 2011
	Comment		Source: National AIDS Spending Assessment (NASA) Study, 2010Spending on prevention was 17% (2009). Spending on MARPs was <1%(2009). Spending on prevention for MARPS was 5%.

Execution rate of total HIV/AIDS allocation of the key ministries, departments and agencies (MOE, MOMP, MOLG, Dept. of Social Welfare, MOWAC).	Value	70%	??	90%
	Date	September 30, 2005	February 24, 2011	June 30, 2011
	Comment		2009 data not yet available -- pending update from GAC. It is likely not to be available at project closing or at ICR.

Pregnant women living with HIV who received antiretrovirals to reduce the risk of MTCT	Value	0.00	36.00	0.00
	Date	December 31, 2003	November 2, 2009	June 30, 2011
	Comment	PAD P22 #20 mentioned explicitly this indicator. However, no values are available at the time of retrofitting.	PAD P22 #20 mentioned explicitly this indicator. However, no values are available at the time of retrofitting. Note: % of HIVpositive pregnant women who receive a complete course of ART to prevent mother to child transmission in the last 12 months Source: NACP, MOH, 2008	PAD P22 #20 mentioned explicitly this indicator. However, no values are available at the time of retrofitting.