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... Show More

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

Project ID
P106870
Status
Closed
Team Leader
Amparo Gordillo-Tobar
Borrower 2
Ministry of Health, Government of Nicaragua

Country
Nicaragua
Disclosure Date
April 20, 2010
Approval Date
(as of board presentation)
December 7, 2010
Effective Date
April 4, 2011

Total Project Cost 1
US$ 21.00 million
Implementing Agency
Ministry of Finance -- Uriel Perez,Ministry of Health
Region
Latin America and Caribbean
Fiscal Year 3
2011

Commitment Amount
US$ 21.00 million
Environmental Category
B
Last Update Date
April 25, 2024
Closing Date
May 31, 2016

Last Stage Reached
BANK APPROVED

Associated Projects
P146880

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 - Health Systems and Policies80%
- FY17 - Child Health30%
- FY17 - Health System Strengthening30%
- FY17 - Reproductive and Maternal Health20%
FY17 - Nutrition and Food Security20%
- FY17 - Food Security10%
- FY17 - Nutrition10%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

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

No data available.

Detailed Financial Activity as of February 28, 2025

Download:

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

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 11-29-2016
Outcomes	Substantial
Risk to Development Outcome	Negligible
Bank Performance	Substantial
Borrower Performance	Substantial
Government Performance	Substantial
Implementing Agency	Substantial

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 06-16-2017	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Satisfactory	N/a
Risk To Development Outcome	Negligible	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	Substantial	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage increase in the provision of first time consultations during the year Value P 13%AF1 5%AF 2 14% P 29% AF1 31% AF2 26% P 20%AF1 9%AF2 18%
Date December 30, 2011 May 20, 2016 May 31, 2016
Comment

Percentage increase in the provision of follow-up health consultations provided during the year for each health facility.	Value	P 22%AF1 23%AF2 47%	P 32% AF1 69% AF2 74%	P 30%AF3 32%AF4 51%
	Date	December 30, 2011	May 20, 2016	May 31, 2016
	Comment

Percentage of Pregnancy among adolescent women in the municipalities Value P 27.5%AF 26% P 24% AF 22% P 27%AF 25%
Date December 30, 2011 May 20, 2016 May 31, 2016
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of Municipal Agreements evaluated satisfactory by the social consultations Value P 0%AF 0% P 100% AF 100% P 85%AF 75%
Date May 20, 2016 May 31, 2016
Comment
Percentage of pregnant women receiving four prenatal checkups in targeted municipal health networks Value P 50%AF 74% P 74%, AF 70% P 75%AF 76%
Date November 2, 2010 May 20, 2016 May 31, 2016
Comment

Percentage of children less than one year old immunized with the Pentavalent vaccine in targeted municipal health networks	Value	P 88%AF 93%	P 100%, AF 97%	P 98.5%AF 96%
	Date	November 2, 2010	May 20, 2016	May 31, 2016
	Comment

Percentage of Municipal Agreements with the municipal health networks that have achieved at least 7 of 10 of the performance goals Value 0.00 84.00 84.00
Date November 2, 2010 May 20, 2016 May 31, 2016
Comment
At least 3 hospitals implement the hospital waste management plan satisfactory. Value P 0 P 9 P 3
Date November 2, 2010 May 20, 2016 May 31, 2016
Comment

Percentage of post-partum women receiving postnatal care within 10 days of delivery in targeted municipal health networks.	Value	P 32%AF 50%	P 65%, AF 73%	P 55%AF 55%
	Date	November 2, 2010	May 20, 2016	May 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 capacity	Value	P 0AF 0	P 12 Hosp, 32 MHN34 MHN	P 12 Hosp32 MHNAF 16 MHN34 MHN
	Date	November 2, 2010	May 20, 2016	May 31, 2016
	Comment

Percentage of institutional deliveries in targeted municipal health networks. Value P 72%AF 73% P 93%, AF 88% P 90%AF 75%
Date November 2, 2012 May 20, 2016 May 31, 2016
Comment
Establishment of two mobile regional maintenance centers for medical and nonmedical equipment Value P 0 P 2 P 2
Date November 2, 2010 May 20, 2016 May 31, 2016
Comment

Percentage of health units with inter-sectoral plans for comprehensive development of adolescent health in all targeted municipalities	Value	P 0	P 56%	P 25%
	Date	November 2, 2010	May 20, 2016	May 31, 2016
	Comment

Percentage increase in the provision of first time consultations during the year	Value	P 13%AF1 5%AF 2 14%	P 29% AF1 31% AF2 26%	P 20%AF1 9%AF2 18%
	Date	December 30, 2011	May 20, 2016	May 31, 2016
	Comment

Percentage of Pregnancy among adolescent women in the municipalities	Value	P 27.5%AF 26%	P 24% AF 22%	P 27%AF 25%
	Date	December 30, 2011	May 20, 2016	May 31, 2016
	Comment

Percentage of Municipal Agreements evaluated satisfactory by the social consultations	Value	P 0%AF 0%	P 100% AF 100%	P 85%AF 75%
	Date		May 20, 2016	May 31, 2016
	Comment

Percentage of pregnant women receiving four prenatal checkups in targeted municipal health networks	Value	P 50%AF 74%	P 74%, AF 70%	P 75%AF 76%
	Date	November 2, 2010	May 20, 2016	May 31, 2016
	Comment

Percentage of Municipal Agreements with the municipal health networks that have achieved at least 7 of 10 of the performance goals	Value	0.00	84.00	84.00
	Date	November 2, 2010	May 20, 2016	May 31, 2016
	Comment

Percentage of institutional deliveries in targeted municipal health networks.	Value	P 72%AF 73%	P 93%, AF 88%	P 90%AF 75%
	Date	November 2, 2012	May 20, 2016	May 31, 2016
	Comment