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Improving Community and Family Health Care Services Project

Abstract*

The objectives of the Improving Community and Family Health Care Services Project are to improve the access to, and the quality of, preventive and promotion health and nutrition services among poor and vulnerable populations of Nicaragua and to strengthen the operational capacity of the Nicaragua Ministry of Health through the rehabilitation of health centers as well as ensure financial support in case of a public health emergency. This project has...

* 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 objectives of the Project are to: (i) improve the access to, and the quality of, preventive and promotion health and nutrition services among poor and vulnerable populations in Nicaragua; (ii) strengthen the operational capacity of Nicaragua MoH through the rehabilitation of health centers; and (iii) ensure financial support in case of a public health emergency.

Key Details

Project Details

  • P106870

  • Closed

  • Amparo Gordillo-Tobar

  • Ministry of Health, Government of Nicaragua

  • Nicaragua

  • April 20, 2010

  • (as of board presentation)

    December 7, 2010

  • April 4, 2011

  • US$ 21.00 million

  • Ministry of Finance -- Uriel Perez,Ministry of Health

  • Latin America and Caribbean

  • 2011

  • US$ 21.00 million

  • B

  • April 25, 2024

  • May 31, 2016

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Grant 11.00
IDA Credit 10.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 21.00
IBRD + IDA Commitment 21.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 21.00

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$)
Aug 15, 2024 IDA-48300 Int Charges 29,384.15
Aug 15, 2024 IDA-48300 Int Charges 29,384.15
Aug 15, 2024 IDA-48300 Loan Repay 1,628.40
Aug 15, 2024 IDA-53680 Loan Repay 100,000.00
Aug 15, 2024 IDA-53680 Int Charges 70,000.00
Aug 15, 2024 IDA-53680 Int Charges 70,000.00
Aug 15, 2024 IDA-48300 Loan Repay 88,055.79
Feb 15, 2024 IDA-48300 Loan Repay 88,420.74
Feb 15, 2024 IDA-48300 Int Charges 31,241.70
Feb 15, 2024 IDA-48300 Int Charges 31,241.70
Feb 15, 2024 IDA-48300 Loan Repay 208.20
Feb 15, 2024 IDA-53680 Int Charges 70,000.00
Feb 15, 2024 IDA-53680 Int Charges 70,000.00
Dec 7, 2010 IDA-48300 Loan Commitment 10,000,000.00
Feb 24, 2014 IDA-53680 Loan Commitment 10,000,000.00
Dec 7, 2010 IDA-H6220 Loan Commitment 11,000,000.00
Feb 15, 2022 IDA-48300 Loan Repay 1,732.40
Feb 15, 2022 IDA-48300 Loan Repay 92,123.88
Feb 15, 2022 IDA-48300 Int Charges 34,098.20
Feb 15, 2022 IDA-48300 Int Charges 34,098.20
Aug 15, 2022 IDA-53680 Int Charges 70,000.00
Aug 15, 2022 IDA-53680 Int Charges 70,000.00
Aug 15, 2022 IDA-48300 Int Charges 371.36
Aug 15, 2022 IDA-48300 Int Charges 371.36
Aug 15, 2022 IDA-48300 Loan Repay 88,466.13
Aug 15, 2022 IDA-48300 Int Charges 32,179.52
Aug 15, 2022 IDA-48300 Int Charges 32,179.52
Feb 15, 2023 IDA-53680 Int Charges 70,000.00
Feb 15, 2023 IDA-53680 Int Charges 70,000.00
Feb 15, 2023 IDA-48300 Loan Repay 1,047.58
Feb 15, 2023 IDA-48300 Loan Repay 88,556.88
Feb 15, 2023 IDA-48300 Int Charges 31,658.95
Feb 15, 2023 IDA-48300 Int Charges 31,658.95
Aug 15, 2023 IDA-48300 Int Charges 31,801.52
Aug 15, 2023 IDA-53680 Int Charges 70,000.00
Aug 15, 2023 IDA-53680 Int Charges 70,000.00
Aug 15, 2023 IDA-48300 Int Charges 596.40
Aug 15, 2023 IDA-48300 Int Charges 596.40
Aug 15, 2023 IDA-48300 Loan Repay 89,267.45
Aug 15, 2023 IDA-48300 Int Charges 31,801.52
Feb 15, 2021 IDA-48300 Int Charges 778.84
Feb 15, 2021 IDA-48300 Int Charges 778.84
Feb 15, 2021 IDA-48300 Loan Repay 96,530.25
Feb 15, 2021 IDA-48300 Int Charges 35,942.16
Feb 15, 2021 IDA-48300 Int Charges 35,942.16
Feb 15, 2021 IDA-53680 Int Charges 70,000.00
Feb 15, 2021 IDA-53680 Int Charges 70,000.00
Aug 15, 2021 IDA-48300 Int Charges 253.05
Aug 15, 2021 IDA-48300 Int Charges 253.05
Aug 15, 2021 IDA-48300 Loan Repay 95,163.45
Aug 15, 2021 IDA-53680 Int Charges 70,000.00
Aug 15, 2021 IDA-53680 Int Charges 70,000.00
Aug 15, 2021 IDA-48300 Int Charges 35,329.39
Aug 15, 2021 IDA-48300 Int Charges 35,329.39
Feb 15, 2022 IDA-53680 Int Charges 70,000.00
Feb 15, 2022 IDA-53680 Int Charges 70,000.00
Aug 15, 2019 IDA-53680 Int Charges 70,000.00
Aug 15, 2019 IDA-53680 Int Charges 70,000.00
Aug 15, 2013 IDA-48300 Int Charges 17,690.83
Aug 13, 2013 IDA-48300 Loan Disb 1,200,000.00
Aug 15, 2019 IDA-48300 Int Charges 34,531.55
Aug 15, 2019 IDA-48300 Int Charges 34,531.55
Aug 15, 2019 IDA-48300 Int Charges 188.79
Aug 15, 2019 IDA-48300 Int Charges 188.79
Feb 15, 2020 IDA-53680 Int Charges 70,000.00
Feb 15, 2020 IDA-53680 Int Charges 70,000.00
Feb 15, 2020 IDA-48300 Int Charges 34,132.84
Feb 15, 2020 IDA-48300 Int Charges 34,132.84
Feb 15, 2020 IDA-48300 Int Charges 225.84
Feb 15, 2020 IDA-48300 Int Charges 225.84
Aug 15, 2020 IDA-53680 Int Charges 70,000.00
Aug 15, 2020 IDA-53680 Int Charges 70,000.00
Aug 15, 2020 IDA-48300 Int Charges 416.57
Aug 15, 2020 IDA-48300 Int Charges 416.57
Aug 15, 2020 IDA-48300 Int Charges 34,239.59
Aug 15, 2020 IDA-48300 Int Charges 34,239.59
Aug 15, 2017 IDA-48300 Int Charges 34,723.03
Aug 15, 2017 IDA-48300 Int Charges 34,723.03
Aug 15, 2017 IDA-53680 Int Charges 70,000.00
Aug 15, 2017 IDA-53680 Int Charges 70,000.00
Feb 15, 2018 IDA-48300 Int Charges 35,508.10
Feb 15, 2018 IDA-48300 Int Charges 660.07
Feb 15, 2018 IDA-48300 Int Charges 660.07
Feb 15, 2018 IDA-48300 Int Charges 35,508.10
Feb 15, 2018 IDA-53680 Int Charges 70,000.00
Feb 15, 2018 IDA-53680 Int Charges 70,000.00
Aug 15, 2018 IDA-48300 Int Charges 1,080.24
Aug 15, 2018 IDA-48300 Int Charges 1,080.24
Aug 15, 2018 IDA-48300 Int Charges 34,757.42
Aug 15, 2018 IDA-48300 Int Charges 34,757.42
Aug 15, 2018 IDA-53680 Int Charges 70,000.00
Aug 15, 2018 IDA-53680 Int Charges 70,000.00
Feb 15, 2019 IDA-48300 Int Charges 716.82
Feb 15, 2019 IDA-48300 Int Charges 33,930.30
Feb 15, 2019 IDA-48300 Int Charges 33,930.30
Feb 15, 2019 IDA-48300 Int Charges 716.82
Feb 15, 2019 IDA-53680 Int Charges 70,000.00
Feb 15, 2019 IDA-53680 Int Charges 70,000.00
Apr 28, 2016 IDA-H6220 Loan Disb 36,866.99
Jul 13, 2016 IDA-48300 Loan Disb 122,966.17
May 31, 2016 IDA-48300 Loan Disb 1,509.55
May 18, 2016 IDA-53680 Loan Disb 631,692.20
May 26, 2016 IDA-53680 Loan Disb 326,623.62
Jul 13, 2016 IDA-H6220 Loan Disb 52,067.84
Aug 15, 2016 IDA-53680 Int Charges 64,463.56
Aug 15, 2016 IDA-53680 Int Charges 64,463.56
Aug 15, 2016 IDA-48300 Int Charges 271.13
Aug 15, 2016 IDA-48300 Int Charges 271.13
Aug 15, 2016 IDA-48300 Int Charges 34,597.99
Aug 15, 2016 IDA-48300 Int Charges 34,597.99
Aug 15, 2016 IDA-53680 Int Charges 2,701.97
Aug 15, 2016 IDA-53680 Int Charges 2,701.97
Feb 15, 2017 IDA-48300 Int Charges 183.03
Feb 15, 2017 IDA-48300 Int Charges 183.03
Feb 15, 2017 IDA-48300 Int Charges 33,478.96
Feb 15, 2017 IDA-48300 Int Charges 33,478.96
Feb 15, 2017 IDA-53680 Int Charges 70,000.00
Feb 15, 2017 IDA-53680 Int Charges 70,000.00
Aug 15, 2017 IDA-48300 Int Charges 265.33
Aug 15, 2017 IDA-48300 Int Charges 265.33
Aug 15, 2015 IDA-53680 Int Charges 87.49
Aug 15, 2015 IDA-53680 Int Charges 87.49
Aug 15, 2015 IDA-53680 Int Charges 20,827.38
Aug 15, 2015 IDA-53680 Int Charges 20,827.38
Apr 23, 2015 IDA-53680 Loan Disb 700,000.00
Aug 15, 2015 IDA-48300 Int Charges 875.97
Aug 15, 2015 IDA-48300 Int Charges 875.97
Aug 15, 2015 IDA-48300 Int Charges 27,640.10
Aug 15, 2015 IDA-48300 Int Charges 27,640.10
Jun 9, 2015 IDA-48300 Loan Disb 900,000.00
Aug 27, 2015 IDA-53680 Loan Disb 900,000.00
May 21, 2015 IDA-H6220 Loan Disb 1,204,407.40
May 13, 2015 IDA-53680 Loan Disb 298,692.72
Nov 16, 2015 IDA-53680 Loan Disb 1,200,000.00
Oct 22, 2015 IDA-53680 Loan Disb 600,000.00
Dec 14, 2015 IDA-48300 Loan Disb 1,030,000.00
Dec 17, 2015 IDA-53680 Loan Disb 700,000.00
Nov 30, 2015 IDA-H6220 Loan Disb 1,195,534.50
Dec 21, 2015 IDA-53680 Loan Disb 298,692.72
Jan 28, 2016 IDA-53680 Loan Disb 750,000.00
Nov 9, 2015 IDA-H6220 Loan Disb 802,938.25
Dec 22, 2015 IDA-H6220 Loan Disb 797,023.06
Feb 15, 2016 IDA-48300 Int Charges 31,734.15
Feb 15, 2016 IDA-48300 Int Charges 31,734.15
Apr 25, 2016 IDA-53680 Loan Disb 650,000.00
Feb 22, 2016 IDA-53680 Loan Disb 534,000.00
Apr 15, 2016 IDA-48300 Loan Disb 66,299.99
Apr 15, 2016 IDA-53680 Loan Disb 23,181.39
Feb 15, 2016 IDA-48300 Int Charges 15.44
Feb 15, 2016 IDA-48300 Int Charges 15.44
Feb 15, 2016 IDA-53680 Int Charges 36,370.68
Feb 15, 2016 IDA-53680 Int Charges 36,370.68
Feb 15, 2014 IDA-48300 Int Charges 27.11
Feb 15, 2014 IDA-48300 Int Charges 27.11
Feb 15, 2014 IDA-48300 Int Charges 24,572.32
Feb 15, 2014 IDA-48300 Int Charges 24,572.32
Apr 4, 2014 IDA-48300 Loan Disb 1,000,000.00
Feb 15, 2015 IDA-48300 Int Charges 186.70
Feb 15, 2015 IDA-48300 Int Charges 186.70
Jan 30, 2015 IDA-53680 Loan Disb 150,000.00
Feb 15, 2015 IDA-53680 Int Charges 11,281.19
Feb 15, 2015 IDA-53680 Int Charges 11,281.19
Aug 15, 2014 IDA-48300 Int Charges 98.84
Aug 15, 2014 IDA-48300 Int Charges 98.84
Feb 15, 2015 IDA-48300 Int Charges 26,833.10
Feb 15, 2015 IDA-48300 Int Charges 26,833.10
Sep 12, 2014 IDA-53680 Loan Disb 1,000,000.00
Aug 15, 2014 IDA-48300 Int Charges 27,167.79
Aug 15, 2014 IDA-48300 Int Charges 27,167.79
Aug 26, 2014 IDA-53680 Loan Disb 50,000.00
Oct 8, 2013 IDA-H6220 Loan Disb 1,200,000.00
Sep 26, 2014 IDA-53680 Loan Disb 300,000.00
Oct 17, 2014 IDA-48300 Loan Disb 400,000.00
Nov 7, 2014 IDA-53680 Loan Disb 887,117.40
Aug 15, 2013 IDA-48300 Int Charges 1,035.80
Aug 15, 2013 IDA-48300 Int Charges 1,035.80
Aug 15, 2013 IDA-48300 Int Charges 17,690.83

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Overall Safeguards Rating Satisfactory 2016-05-31
Overall Implementation Progress (IP) Satisfactory 2016-05-31
Overall Safeguards Rating Satisfactory 2016-05-31
Progress towards achievement of PDO Satisfactory 2016-05-31
Financial Management Moderately Satisfactory 2016-05-31
Monitoring and Evaluation Satisfactory 2016-05-31
Procurement Satisfactory 2016-05-31
Project Management Satisfactory 2016-05-31

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 11-29-2016
OutcomesSubstantial
Risk to Development OutcomeNegligible
Bank PerformanceSubstantial
Borrower PerformanceSubstantial
Government PerformanceSubstantial
Implementing AgencySubstantial

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 06-16-2017PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingSatisfactory N/a
Risk To Development OutcomeNegligibleN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceSatisfactoryN/a
Government PerformanceSatisfactoryN/a
Implementing AgencySatisfactoryN/a
Icr QualitySubstantialN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage increase in the provision of first time consultations during the yearValueP 13%AF1 5%AF 2 14%P 29% AF1 31% AF2 26%P 20%AF1 9%AF2 18%
    DateDecember 30, 2011May 20, 2016May 31, 2016
    Comment
  • Percentage increase in the provision of follow-up health consultations provided during the year for each health facility.ValueP 22%AF1 23%AF2 47%P 32% AF1 69% AF2 74%P 30%AF3 32%AF4 51%
    DateDecember 30, 2011May 20, 2016May 31, 2016
    Comment
  • Percentage of Pregnancy among adolescent women in the municipalitiesValueP 27.5%AF 26%P 24% AF 22%P 27%AF 25%
    DateDecember 30, 2011May 20, 2016May 31, 2016
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of Municipal Agreements evaluated satisfactory by the social consultationsValueP 0%AF 0%P 100% AF 100%P 85%AF 75%
    DateMay 20, 2016May 31, 2016
    Comment
  • Percentage of pregnant women receiving four prenatal checkups in targeted municipal health networksValueP 50%AF 74%P 74%, AF 70%P 75%AF 76%
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Percentage of children less than one year old immunized with the Pentavalent vaccine in targeted municipal health networksValueP 88%AF 93%P 100%, AF 97%P 98.5%AF 96%
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Percentage of Municipal Agreements with the municipal health networks that have achieved at least 7 of 10 of the performance goalsValue0.0084.0084.00
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • At least 3 hospitals implement the hospital waste management plan satisfactory.ValueP 0P 9P 3
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Percentage of post-partum women receiving postnatal care within 10 days of delivery in targeted municipal health networks.ValueP 32%AF 50%P 65%, AF 73%P 55%AF 55%
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Number of facilities in the national Health Networks that completed the process of replacing medical and nonmedical equipment required to re-establish operating capacityValueP 0AF 0P 12 Hosp, 32 MHN34 MHNP 12 Hosp32 MHNAF 16 MHN34 MHN
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Percentage of institutional deliveries in targeted municipal health networks.ValueP 72%AF 73%P 93%, AF 88%P 90%AF 75%
    DateNovember 2, 2012May 20, 2016May 31, 2016
    Comment
  • Establishment of two mobile regional maintenance centers for medical and nonmedical equipmentValueP 0P 2P 2
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment
  • Percentage of health units with inter-sectoral plans for comprehensive development of adolescent health in all targeted municipalitiesValueP 0P 56%P 25%
    DateNovember 2, 2010May 20, 2016May 31, 2016
    Comment