Madagascar Sustainable Health System Development Project

Abstract*

The Madagascar Sustainable Health System Development Project (SHSDP) represents the next stage with respect to the World Bank and other development partners' support for the health sector. The project development objective of the SHSDP is to contribute to the strengthening of the health system and enhance the institutional capacity of the Ministry of Health to improve the access and utilization of health services, especially in rural and remote areas... Show More

Development Objective

The project development objective of Madagascar SHSDP is to contribute to the st rengthening of the health system and enhance the institutional capacity of the M inistry of Health to improve the access and utilization of health services, espe cially in rural and remote areas.

Key Details

Project Details

Project ID
P103606
Status
Closed
Team Leader
Maryanne Sharp
Borrower 2
N/A

Country
Madagascar
Disclosure Date
February 13, 2007
Approval Date
(as of board presentation)
May 22, 2007
Effective Date
April 6, 2007

Total Project Cost 1
US$ 15.00 million
Implementing Agency
N/A
Region
Eastern and Southern Africa
Fiscal Year 3
2007

Commitment Amount
US$ 10.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
December 31, 2009

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 Control22%
FY17 - Health Systems and Policies67%
- FY17 - Child Health23%
- FY17 - Health System Strengthening22%
- FY17 - Reproductive and Maternal Health22%

FY17 - Social Development and Protection

FY17 - Social Protection11%
- FY17 - Social Safety Nets11%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	5.00
IDA Credit	10.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	10.00
IBRD + IDA Commitment	10.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	15.00

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$)
Apr 4, 2023	IDA-43050	Loan Repay	25,077.16
Oct 1, 2022	IDA-43050	Loan Repay	1,512.06
Oct 1, 2022	IDA-43050	Loan Repay	53,402.37
Oct 1, 2022	IDA-43050	Int Charges	27,699.70
Oct 1, 2022	IDA-43050	Int Charges	27,699.70
Oct 1, 2022	IDA-43050	Loan Repay	27,158.75
Apr 1, 2023	IDA-43050	Loan Repay	3,848.42
Apr 1, 2023	IDA-43050	Loan Repay	57,394.01
Apr 1, 2023	IDA-43050	Int Charges	28,790.53
Apr 1, 2023	IDA-43050	Int Charges	28,790.53
Oct 3, 2023	IDA-43050	Loan Repay	27,867.89
Oct 1, 2023	IDA-43050	Loan Repay	483.89
Oct 6, 2023	IDA-43050	Loan Repay	55,682.83
Oct 6, 2023	IDA-43050	Int Charges	1.52
Oct 6, 2023	IDA-43050	Int Charges	1.52
Oct 6, 2023	IDA-43050	Int Charges	27,766.37
Oct 6, 2023	IDA-43050	Int Charges	27,766.37
Apr 1, 2024	IDA-43050	Loan Repay	2,459.11
Apr 4, 2024	IDA-43050	Loan Repay	25,349.83
Apr 4, 2024	IDA-43050	Int Charges	7.03
Apr 4, 2024	IDA-43050	Int Charges	7.03
Apr 4, 2024	IDA-43050	Loan Repay	57,267.84
Apr 4, 2024	IDA-43050	Int Charges	27,758.17
Apr 4, 2024	IDA-43050	Int Charges	27,758.17
May 22, 2007	IDA-43050	Loan Commitment	10,000,000.00
Apr 2, 2020	IDA-43050	Int Charges	1,331.60
Oct 1, 2020	IDA-43050	Loan Repay	58,497.58
Oct 1, 2020	IDA-43050	Int Charges	1.88
Oct 1, 2020	IDA-43050	Int Charges	1.88
Oct 1, 2020	IDA-43050	Int Charges	31,883.79
Oct 1, 2020	IDA-43050	Int Charges	31,883.79
Oct 1, 2020	IDA-43050	Loan Repay	978.28
Oct 2, 2020	IDA-43050	Loan Repay	30,965.03
Apr 1, 2021	IDA-43050	Loan Repay	230.82
Apr 1, 2021	IDA-43050	Int Charges	31,681.09
Apr 1, 2021	IDA-43050	Int Charges	31,681.09
Apr 1, 2021	IDA-43050	Loan Repay	31,935.79
Apr 1, 2021	IDA-43050	Loan Repay	58,675.11
Apr 1, 2021	IDA-43050	Int Charges	0.65
Apr 1, 2021	IDA-43050	Int Charges	0.65
Oct 1, 2021	IDA-43050	Loan Repay	1,875.12
Oct 1, 2021	IDA-43050	Loan Repay	58,949.60
Oct 2, 2019	IDA-43050	Int Charges	2.30
Oct 2, 2019	IDA-43050	Int Charges	2.30
Oct 2, 2019	IDA-43050	Int Charges	1,287.07
Oct 2, 2019	IDA-43050	Int Charges	1,287.07
Oct 1, 2019	IDA-43050	Int Charges	30,156.31
Oct 1, 2019	IDA-43050	Int Charges	30,156.31
Oct 1, 2019	IDA-43050	Loan Repay	856.62
Apr 1, 2020	IDA-43050	Loan Repay	607.63
Apr 1, 2020	IDA-43050	Int Charges	29,872.01
Apr 1, 2020	IDA-43050	Int Charges	29,872.01
Apr 2, 2020	IDA-43050	Loan Repay	86,964.45
Apr 2, 2020	IDA-43050	Int Charges	1.80
Apr 2, 2020	IDA-43050	Int Charges	1.80
Apr 2, 2020	IDA-43050	Int Charges	1,331.60
Oct 10, 2014	IDA-43050	Int Charges	259.77
Oct 10, 2014	IDA-43050	Int Charges	259.77
Oct 10, 2014	IDA-43050	Int Charges	35,744.09
Oct 10, 2014	IDA-43050	Int Charges	35,744.09
Oct 1, 2013	IDA-43050	Int Charges	1,017.35
Oct 1, 2013	IDA-43050	Int Charges	1,017.35
Oct 1, 2013	IDA-43050	Int Charges	35,306.04
Oct 1, 2013	IDA-43050	Int Charges	35,306.04
Apr 1, 2014	IDA-43050	Int Charges	637.57
Apr 1, 2014	IDA-43050	Int Charges	637.57
Apr 1, 2014	IDA-43050	Int Charges	36,888.49
Apr 1, 2014	IDA-43050	Int Charges	36,888.49
Apr 9, 2015	IDA-43050	Int Charges	32,119.83
Apr 9, 2015	IDA-43050	Int Charges	32,119.83
Apr 1, 2015	IDA-43050	Int Charges	1,081.26
Apr 1, 2015	IDA-43050	Int Charges	1,081.26
Oct 1, 2015	IDA-43050	Int Charges	700.51
Oct 1, 2015	IDA-43050	Int Charges	700.51
Oct 2, 2015	IDA-43050	Int Charges	32,837.97
Oct 2, 2015	IDA-43050	Int Charges	32,837.97
Apr 12, 2016	IDA-43050	Int Charges	151.55
Apr 12, 2016	IDA-43050	Int Charges	151.55
Apr 12, 2016	IDA-43050	Int Charges	33,128.77
Apr 12, 2016	IDA-43050	Int Charges	33,128.77
Oct 11, 2016	IDA-43050	Int Charges	837.74
Oct 11, 2016	IDA-43050	Int Charges	837.74
Oct 11, 2016	IDA-43050	Int Charges	33,240.07
Oct 11, 2016	IDA-43050	Int Charges	33,240.07
Apr 1, 2017	IDA-43050	Int Charges	360.91
Apr 1, 2017	IDA-43050	Int Charges	360.91
Apr 6, 2017	IDA-43050	Int Charges	32,269.54
Apr 6, 2017	IDA-43050	Int Charges	32,269.54
Oct 1, 2021	IDA-43050	Int Charges	31,231.13
Oct 1, 2021	IDA-43050	Int Charges	31,231.13
Oct 4, 2021	IDA-43050	Loan Repay	29,734.10
Apr 1, 2022	IDA-43050	Loan Repay	1,440.12
Apr 1, 2022	IDA-43050	Loan Repay	87,077.68
Apr 1, 2022	IDA-43050	Int Charges	1.81
Apr 1, 2022	IDA-43050	Int Charges	1.81
Apr 1, 2022	IDA-43050	Int Charges	2,565.64
Apr 1, 2022	IDA-43050	Int Charges	2,565.64
Apr 1, 2022	IDA-43050	Int Charges	27,641.07
Apr 1, 2022	IDA-43050	Int Charges	27,641.07
Oct 5, 2017	IDA-43050	Int Charges	33,748.57
Oct 5, 2017	IDA-43050	Int Charges	33,748.57
Oct 10, 2017	IDA-43050	Int Charges	131.94
Oct 10, 2017	IDA-43050	Int Charges	131.94
Oct 10, 2017	IDA-43050	Loan Repay	90,408.40
Oct 1, 2017	IDA-43050	Loan Repay	145.51
Apr 6, 2018	IDA-43050	Int Charges	34,183.97
Apr 6, 2018	IDA-43050	Int Charges	34,183.97
Apr 4, 2018	IDA-43050	Int Charges	17.43
Apr 4, 2018	IDA-43050	Int Charges	292.36
Apr 4, 2018	IDA-43050	Int Charges	292.36
Apr 4, 2018	IDA-43050	Int Charges	17.43
Apr 4, 2018	IDA-43050	Loan Repay	93,024.50
Apr 1, 2018	IDA-43050	Loan Repay	58.50
Oct 1, 2018	IDA-43050	Int Charges	5.58
Oct 1, 2018	IDA-43050	Int Charges	5.58
Oct 1, 2018	IDA-43050	Int Charges	889.21
Oct 1, 2018	IDA-43050	Int Charges	889.21
Oct 1, 2018	IDA-43050	Loan Repay	89,079.95
Oct 1, 2018	IDA-43050	Loan Repay	425.39
Oct 12, 2018	IDA-43050	Int Charges	32,037.96
Oct 12, 2018	IDA-43050	Int Charges	32,037.96
Apr 1, 2019	IDA-43050	Loan Repay	32,011.85
Apr 1, 2019	IDA-43050	Loan Repay	608.00
Apr 3, 2019	IDA-43050	Loan Repay	56,424.25
Apr 3, 2019	IDA-43050	Int Charges	32,395.69
Apr 3, 2019	IDA-43050	Int Charges	32,395.69
Oct 2, 2019	IDA-43050	Loan Repay	86,539.09

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Monitoring and Evaluation	Satisfactory	2009-12-28
Overall Safeguards Rating	Moderately Satisfactory	2009-12-28
Project Management	Satisfactory	2009-12-28
Progress towards achievement of PDO	Moderately Satisfactory	2009-12-28
Procurement	Satisfactory	2009-12-28
Financial Management	Satisfactory	2009-12-28

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-26-2010
Outcomes
Risk to Development Outcome	Substantial
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 03-17-2011	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome	Significant	N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance	Satisfactory	N/a
Government Performance	Satisfactory	N/a
Implementing Agency	Satisfactory	N/a
Icr Quality	Satisfactory	N/a
M&e Quality	Modest	N/a

Results Framework