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Afghanistan - Strengthening Health Activities for the Rural Poor (SHARP)

Development Objective

To support the Government in achieving the goal of the Health and Nutrition Sect or Strategy 2009-2013 to 'contribute to improving the health and nutritional sta tus of the people of Afghanistan, with a greate focus on women and children and undeserved areas of the country'.

Key Details

Project Details

  • P112446

  • Closed

  • Inaam Ul Haq

  • N/A

  • Afghanistan

  • October 27, 2008

  • (as of board presentation)

    March 24, 2009

  • April 22, 2009

  • US$ 137.65 million

  • B

  • Not Applicable

  • September 30, 2013

  • BANK APPROVED

  • April 23, 2015

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Grant from CRW 32.00
Health Results-based Financing 12.00
Japan Social Development Fund 17.65
IDA Credit 30.00
Afghanistan Resilience Trust Fund 46.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 62.00
IBRD + IDA Commitment 62.00
Lending Instrument
Grant Amount 75.65
Total Project Cost** 137.65

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

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of July 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jul 16, 2013 IDA-H5810 Loan Disb 1,909,846.20
Jul 17, 2013 IDA-H5810 Loan Disb 1,409,641.10
Oct 6, 2014 IDA-H5810 Loan Disb -1,264,648.20
Oct 6, 2014 IDA-H5810 Loan Disb -2,106,613.80
Mar 24, 2009 IDA-H4690 Loan Commitment 30,000,000.00
Jun 2, 2010 IDA-H5810 Loan Commitment 49,000,000.00
Jul 21, 2014 IDA-H4690 Loan Cancel 102,295.26
Jul 21, 2014 IDA-H4690 Loan Disb -102,295.26
Jul 21, 2014 IDA-H5810 Loan Disb -2,478,893.80
Jan 20, 2015 IDA-H5810 Loan Disb -132,050.44
Aug 11, 2014 IDA-H5810 Loan Disb -157,380.31
Jan 20, 2015 IDA-H5810 Loan Cancel 9,438,605.00
Jan 20, 2015 IDA-H5810 Loan Disb -3,308,607.50
Sep 23, 2013 IDA-H5810 Loan Disb 275,564.56
Sep 30, 2013 IDA-H4690 Loan Cancel 9,724.49
Sep 30, 2013 IDA-H5810 Loan Cancel 3,311,075.20
Jul 16, 2013 IDA-H5810 Loan Disb 1,157,135.60
Jul 8, 2013 IDA-H5810 Loan Disb 4,000,000.00
Sep 6, 2013 IDA-H5810 Loan Disb 5,500,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Financial Management Moderately Satisfactory 2013-06-26
Monitoring and Evaluation Moderately Satisfactory 2013-06-26
Procurement Moderately Satisfactory 2013-06-26
Project Management Moderately Satisfactory 2013-06-26
Progress towards achievement of PDO Satisfactory 2013-06-26
Counterpart Funding Moderately Satisfactory 2013-06-26
Overall Implementation Progress (IP) Moderately Satisfactory 2013-06-26
Overall Safeguards Rating Moderately Satisfactory 2013-06-26

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 03-27-2014
OutcomesSubstantial
Risk to Development OutcomeModest
Bank PerformanceSubstantial
Borrower PerformanceModerately Satisfactory
Government PerformanceModerately Satisfactory
Implementing AgencyModerately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 06-06-2014PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeModerateN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceModerately SatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySatisfactoryN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Pregnant women receiving antenatal care during a visit to a health provider (number)Value0.00131911.00119127.00
    DateJuly 1, 2009December 15, 2011September 30, 2013
    CommentBased on 32% coverage (2006 Household Survey) and on a population estimate of 219,852 pregnant women (4% of the total populationinthe intervention area as per CSO statistics 2008-9). The baseline number pregnant women receiving ANC is 70,353Based on 60% coverage (AMS 2010) and population estimate of 219,852 pregnant women (4% of the total population in theintervention area as per CSO statistics 2008-9). The total number of women receiving ANC is 131911.50% ANC coverage (based on an estimate of 238,255 pregnant women)
  • Children immunized (number)Value0.0088380.00142953.00
    DateDecember 31, 2006October 15, 2012September 30, 2013
    CommentDPT3 coverage was 34% in 2006. The numeric value (74750) is based on the estimated population in the provinces financed by the Bank.DPT3 coverage was 40.2% (MICS 2010/11). The numeric value (88380) is based on 4% of population in the intervention area as per CSOstatistics 2008-9).60% is the 2013 target. The numeric value is based on the estimated population in the provinces financed by the Bank.
  • Number of consultations per person per yearValue0.901.551.40
    DateDecember 31, 2007June 5, 2013September 30, 2013
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • People with access to a basic package of health, nutrition, or reproductive health services (number)Value4671600.004671855.005062917.00
    DateJuly 1, 2009October 10, 2009September 30, 2013
    Comment85% of the population has access to BPHS. The numerical value has been derived from an estimate of 5,496,300 population in 11 Bankfinanced provinces (as per CSO Afghanistan.85% of the population has access to BPHS. The numerical value has been derived from an estimate of 5,496,300 populaiton in 11 Bankfinanced provinces (as per CSO Afghanistan). Update not available, likely to be available in October 2011A target was not discussed with authorities during project preparation. The target presented here is based on the maintenance of a85% BPHS coverage throughout the project.
  • Births attended by skilled attendantsValue18.9038.6060.00
    DateDecember 31, 2006October 15, 2012September 30, 2013
    CommentAHS 2006 (Percentage)Based on MIICS 2010/11(percentage)
  • TB Treatment Success RateValue85.0089.0090.00
    DateDecember 31, 2008June 5, 2013September 30, 2013
    CommentHMIS 2008 (percentage)HMIS 2012 (percentatge)Target in percentage and is expected to be greater than 90% by end of the project)
  • Score on the balance scorecard examining quality of care in health facilitiesValue70.0061.1080.00
    DateDecember 31, 2007October 15, 2012September 30, 2013
    Comment2011/12 Balance Scorecard revised and updated and is not comparable with previous Scorecard.