Integrated Health and Water Management Project (SWAP)

Abstract*

The objective of the Integrated Health and Water Management Project for Brazil are to: (i) increase access to clean water, sanitation and basic health care in at least 10 selected municipalities most affected by infectious intestinal diseases (IDD), and (ii) improve neonatal health care in 25 selected hospitals using a Barema indicator of quality and efficiency. The project will have two components and a total project cost of US$60 million: component... Show More

Development Objective

The objectives of the Project are to: (a) increase access to clean water, sanitation and basic health care in at least 10 SelectedMunicipalities most affected by infectious intestinal diseases (ID); and (b) improve Neonatal health care in 25 Selected Hospitals using a Barema indicator of quality and efficiency.

Key Details

Project Details

Project ID
P095171
Status
Closed
Team Leader
Daniela Pena De Lima
Borrower 2
Secretaria da Fazenda do Estado da Bahia (Secretariat of Finance) - SEFAZ

Country
Brazil
Disclosure Date
September 25, 2009
Approval Date
(as of board presentation)
November 2, 2010
Effective Date
August 30, 2012

Total Project Cost 1
US$ 60.00 million
Implementing Agency
Secretaria da Fazenda do Estado da Bahia (Secretariat of Finance) - SEFAZ
Region
Latin America and Caribbean
Fiscal Year 3
2011

Commitment Amount
US$ 60.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
October 31, 2017

Last Stage Reached
BANK APPROVED
Last Update Date
April 25, 2024

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 - Environment and Natural Resource Management

FY17 - Water Resource Management52%
- FY17 - Water Institutions, Policies and Reform52%

FY17 - Human Development and Gender

FY17 - Disease Control4%
FY17 - Health Systems and Policies43%
- FY17 - Child Health23%
- FY17 - Reproductive and Maternal Health20%

FY17 - Social Development and Protection

FY17 - Social Inclusion1%
- FY17 - Participation and Civic Engagement1%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	60.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	60.00
IDA Commitment	N/A
IBRD + IDA Commitment	60.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	60.00

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Apr 15, 2024	IBRD-79510	Int Charges	1,477,737.20
Apr 15, 2024	IBRD-79510	Loan Repay	1,209,779.80
Oct 15, 2023	IBRD-79510	Loan Repay	1,209,779.80
Oct 15, 2023	IBRD-79510	Int Charges	24,900.44
Oct 15, 2023	IBRD-79510	Int Charges	1,396,835.90
Apr 15, 2023	IBRD-79510	Int Charges	49,488.63
Apr 15, 2023	IBRD-79510	Int Charges	1,160,291.00
Apr 15, 2023	IBRD-79510	Int Charges	5,164.74
Oct 15, 2014	IBRD-79510	Int Charges	44,776.56
Apr 15, 2014	IBRD-79510	Int Charges	46,786.62
Oct 15, 2013	IBRD-79510	Int Charges	51,011.25
Feb 6, 2017	IBRD-79510	Loan Disb	5,000,000.00
Aug 10, 2016	IBRD-79510	Loan Disb	5,000,000.00
Dec 14, 2016	IBRD-79510	Loan Disb	6,000,000.00
Oct 15, 2016	IBRD-79510	Int Charges	169,354.78
Oct 15, 2016	IBRD-79510	Loan Repay	266,530.00
Apr 15, 2016	IBRD-79510	Int Charges	3,102.00
Apr 15, 2016	IBRD-79510	Int Charges	110,210.45
Apr 15, 2016	IBRD-79510	Loan Repay	215,030.00
Dec 16, 2015	IBRD-79510	Loan Disb	2,400,000.00
Oct 15, 2015	IBRD-79510	Int Charges	67,986.68
Oct 15, 2015	IBRD-79510	Loan Repay	163,010.00
Apr 15, 2015	IBRD-79510	Int Charges	46,222.95
Apr 15, 2015	IBRD-79510	Loan Repay	111,500.00
Sep 1, 2015	IBRD-79510	Loan Disb	2,700,000.00
Jul 20, 2015	IBRD-79510	Loan Disb	1,600,000.00
Jun 10, 2015	IBRD-79510	Loan Disb	3,500,000.00
Apr 15, 2018	IBRD-79510	Int Charges	3,731.85
Apr 15, 2018	IBRD-79510	Loan Repay	603,104.00
Apr 3, 2018	IBRD-79510	Loan Disb	-75,707.43
Dec 8, 2017	IBRD-79510	Loan Disb	6,300,000.00
Apr 15, 2018	IBRD-79510	Int Charges	3,762.56
Apr 15, 2018	IBRD-79510	Int Charges	599,341.44
Apr 3, 2018	IBRD-79510	Loan Cancel	1,541,707.40
Jan 24, 2018	IBRD-79510	Loan Disb	140,000.00
Feb 21, 2018	IBRD-79510	Loan Disb	144,000.00
Nov 2, 2017	IBRD-79510	Loan Disb	3,700,000.00
Aug 7, 2017	IBRD-79510	Loan Disb	5,000,000.00
Oct 3, 2017	IBRD-79510	Loan Disb	2,400,000.00
Mar 3, 2017	IBRD-79510	Loan Disb	3,500,000.00
Oct 15, 2017	IBRD-79510	Int Charges	7,817.64
Oct 15, 2017	IBRD-79510	Int Charges	433,488.40
Oct 15, 2017	IBRD-79510	Loan Repay	470,180.00
Apr 15, 2017	IBRD-79510	Int Charges	297,646.60
Apr 15, 2017	IBRD-79510	Loan Repay	380,930.00
Apr 27, 2020	IBRD-79510	Int Charges	89.57
Apr 27, 2020	IBRD-79510	Int Charges	738,839.00
Apr 27, 2020	IBRD-79510	Loan Repay	1,209,779.80
Oct 17, 2019	IBRD-79510	Loan Repay	603,846.44
Oct 17, 2019	IBRD-79510	Int Charges	603,846.44
Oct 17, 2019	IBRD-79510	Int Charges	327,848.53
Apr 15, 2019	IBRD-79510	Loan Repay	603,846.44
Apr 15, 2019	IBRD-79510	Int Charges	936,769.44
Oct 15, 2018	IBRD-79510	Int Charges	409.01
Oct 15, 2018	IBRD-79510	Int Charges	900,671.25
Oct 15, 2018	IBRD-79510	Loan Repay	603,846.44
Oct 15, 2021	IBRD-79510	Int Charges	245,356.10
Oct 15, 2021	IBRD-79510	Loan Repay	1,209,779.80
Apr 15, 2021	IBRD-79510	Int Charges	249,825.66
Apr 15, 2021	IBRD-79510	Loan Repay	959,954.06
Apr 15, 2021	IBRD-79510	Loan Repay	249,825.66
Oct 15, 2020	IBRD-79510	Int Charges	774.26
Oct 15, 2020	IBRD-79510	Int Charges	519,492.47
Oct 15, 2020	IBRD-79510	Loan Repay	1,209,779.80
Apr 15, 2023	IBRD-79510	Loan Repay	1,209,779.80
Oct 15, 2022	IBRD-79510	Loan Repay	1,209,779.80
Oct 15, 2022	IBRD-79510	Int Charges	665,738.10
Apr 15, 2022	IBRD-79510	Int Charges	223,160.52
Apr 15, 2022	IBRD-79510	Loan Repay	986,619.20
Apr 15, 2022	IBRD-79510	Loan Repay	223,160.52
Nov 2, 2010	IBRD-79510	Loan Commitment	60,000,000.00
Apr 15, 2024	IBRD-79510	Int Charges	15,944.10

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Financial Management	Satisfactory	2017-10-30
Procurement	Moderately Satisfactory	2017-10-30
Project Management	Satisfactory	2017-10-30
Overall Safeguards Rating	Moderately Satisfactory	2017-10-30
Progress towards achievement of PDO	Moderately Satisfactory	2017-10-30
Monitoring and Evaluation	Moderately Satisfactory	2017-10-30
Overall Implementation Progress (IP)	Moderately Satisfactory	2017-10-30
Overall Safeguards Rating	Moderately Satisfactory	2017-10-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 04-24-2018
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 06-14-2018	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	Substantial	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

1. Number of people served by simplified water supply systems, and basic sanitation in at least 10 selected municipalities prioritized by the Project	Value	29326.00	58326.00	53449.00
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

2. Percentage of annually investigated hospitalizations of children under five, due to intestinal infectious diseases, in 25 hospitals.	Value	0.00	50.00	50.00
	Date	November 2, 2010	October 31, 2017	December 31, 2015
	Comment

3. Percentage of the overall Barema indicators improved in all 25 reference hospitals. Value 40.00 85.00 91.60
Date November 2, 2010 October 31, 2017 August 31, 2017
Comment
4. Number of the 25 hospitals that have achieved at least 80% of the Barema indicators Value 0.00 18.00 22.00
Date November 2, 2010 October 31, 2017 August 31, 2017
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

7. Percentage of live births in the 25 selected hospitals in relation to the number of births in the State of Bahia Value 37.00 46.00
Date November 2, 2010 September 30, 2017
Comment

1. Number of simplified water supply systems constructed and operating in at least 10 selected municipalities and in areas of influence of the 25 hospitals with the highest IDD hospitalizations	Value	215.00	435.00	435.00
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

2. Number of rural sanitary pilot modules built in at least 10 selected municipalities Value 19.00 1019.00 1109.00
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment

3. Number of River Basin Plans prepared and approved by the River Basin Committee including studies for classifying water bodies	Value	0.00	4.00	2.00
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

4. Number of Community Voluntary Agents Trained and operational Value 0.00 900.00 916.00
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
5. Percentage of coverage of first and second applied doses of oral vaccine against human rotavirus in children under 5 Value 76.00 82.00 55.99
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
6. Population coverage by family health teams in the state of Bahia Value 53.20 68.00 72.37
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
9. Percentage of hospital neonatal deaths occurring in the selected maternity hospitals investigated Value 40.00 80.00 80.00
Date November 2, 2010 October 31, 2017 September 30, 2017
Comment
10. Number of public officials certified in public management in the involved secretariats Value 0.00 100.00 220.00
Date November 2, 2010 October 31, 2017 December 31, 2015
Comment
11. Number of strategic agendas in the health sector that prioritize maternal and child health. Value 0.00 5.00 7.00
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
12. Creation of a geographic information system (SIG) unit within CERB Value 0.00 1.00 1.00
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
13. Studies for restructuring of Riverine Riparian Forests Program elaborated and under implementation Value 0.00 4.00 5.00
Date November 2, 2010 October 31, 2017 October 31, 2017
Comment
8. Percentage of low-risk deliveries in the high complexity maternity hospitals Roberto Santos and Jose Maria Magalhaes Value 51.00 25.00
Date November 2, 2010 October 31, 2017
Comment

3. Percentage of the overall Barema indicators improved in all 25 reference hospitals.	Value	40.00	85.00	91.60
	Date	November 2, 2010	October 31, 2017	August 31, 2017
	Comment

7. Percentage of live births in the 25 selected hospitals in relation to the number of births in the State of Bahia	Value	37.00	46.00
	Date	November 2, 2010	September 30, 2017
	Comment

2. Number of rural sanitary pilot modules built in at least 10 selected municipalities	Value	19.00	1019.00	1109.00
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

5. Percentage of coverage of first and second applied doses of oral vaccine against human rotavirus in children under 5	Value	76.00	82.00	55.99
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

6. Population coverage by family health teams in the state of Bahia	Value	53.20	68.00	72.37
	Date	November 2, 2010	October 31, 2017	October 31, 2017
	Comment

8. Percentage of low-risk deliveries in the high complexity maternity hospitals Roberto Santos and Jose Maria Magalhaes	Value	51.00	25.00
	Date	November 2, 2010	October 31, 2017
	Comment