Health Sector Development Support Project

Development Objective

The Project Development Objective is to increase coverage and quality of an integrated package of Reproductive, Maternal, Neonatal, Child, Adolescent health and nutrition (RMNCAH-N) services, as well as strengthen COVID-19 response and institutional capacity to manage performance-based contracts consistent with the Recipients’ ongoing health initiatives.

Key Details

Project Details

Project ID
P125229
Status
Closed
Team Leader
Fernando Montenegro Torres , Carol Obure
Borrower 2
Republic of Zimbabwe

Country
Zimbabwe
Disclosure Date
May 25, 2011
Approval Date
(as of board presentation)
September 29, 2011
Effective Date
December 8, 2011

Total Project Cost 1
US$ 61.00 million
Implementing Agency
Stichting Cordaid
Region
Eastern and Southern Africa
Fiscal Year 3
2012

Commitment Amount
US$ 50.00 million
Environmental Category
B
Last Update Date
February 29, 2024
Closing Date
March 31, 2024

Last Stage Reached
BANK APPROVED

Associated Projects
P173132
P168734
P163976
P156879
P144532

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 - Health System Strengthening40%
- FY17 - Reproductive and Maternal Health40%

FY17 - Social Development and Protection

FY17 - Social Inclusion20%
- FY17 - Participation and Civic Engagement20%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Global Financing Facility	5.00
Borrower/Recipient	11.00
Health Results-based Financing	45.00

Total Project Financing (US$ Millions)

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

Lending Instrument
Grant Amount	50.00
Total Project Cost**	61.00

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

No data available.

Detailed Financial Activity as of March 31, 2025

No data available.

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Financial Management	Satisfactory	2024-08-01
Progress towards achievement of PDO	Moderately Satisfactory	2024-08-01
Procurement	Satisfactory	2024-08-01
Monitoring and Evaluation	Moderately Satisfactory	2024-08-01
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-08-01
Project Management	Satisfactory	2024-08-01

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 10-13-2021
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW:	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Satisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	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

Percentage of health facilities managed under RBF contracts by the MOHCC Program Coordination Unit in participating rural districts	Value	0.00	23.00	80.00
	Date	December 31, 2012	March 15, 2021	April 30, 2023
	Comment

Percentage of close contacts of confirmed COVID-19 cases followed up based on national guidelines Value 0.00 80.00 0.00
Date February 28, 2020 June 30, 2021
Comment

Percentage of women who had their first ANC visit during the first twelve weeks of pregnancy in participating rural districts	Value	10.00	22.00	32.00
	Date	December 31, 2012	December 31, 2020	April 30, 2023
	Comment

Percentage of participating district, provincial and central hospitals that have registered an increase in quality scores since last quarter	Value	25.00	50.00	0.00
	Date	December 31, 2019	April 30, 2023
	Comment

Percentage of children 6 to 59 months with vitamin A supplementation in participating rural districts. Value 40.00 50.00 0.00
Date December 31, 2019 April 30, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of health personnel and community health workers (CHWs) receiving training on RBF in participating districts Value 0.00 4222.00 5792.00
Date December 31, 2012 March 15, 2021 April 30, 2023
Comment
Cumulative number of health facilities enrolled in RBF program in participating districts Value 0.00 424.00 1155.00
Date December 31, 2012 March 15, 2021 April 30, 2023
Comment
Percentage of health facilities implementing Continuous Quality Improvement model in the participating rural districts. Value 0.00 17.00 70.00
Date September 1, 2015 March 15, 2021 April 30, 2023
Comment
Percentage of health facilities with minimum package of PPE Value 5.00 70.00 0.00
Date January 31, 2020 December 31, 2020
Comment
Percentage of affected people including health workers reached with clinical and psycho-social support Value 0.00 80.00 0.00
Date February 28, 2020 December 31, 2020
Comment

Number of District Health Executives (DHEs) in participating districts using updated quality checklist with the COVID-19 componentfor supervision of health facilities.	Value	0.00	0.00	20.00
	Date	April 27, 2020	March 15, 2021	April 30, 2023
	Comment

Number of health workers that received first time training or refresher training on Emergency Obstetrics and Neonatal Care using skill labs Value 0.00 280.00 0.00
Date April 27, 2020 April 30, 2023
Comment
Number of isolation centers complying with infection prevention control (IPC) guidelines Value 0.00 0.00 0.00
Date January 31, 2020 March 15, 2021
Comment
Process evaluation to examine the institutionalization of RBF in the government system as a viable approach to sustainability of RBF Value No Yes
Date April 27, 2020 April 30, 2023
Comment
Percentage of MOHCC cost centers utilizing resource allocation formula in line with the whole Government Management Performance System Value 0.00 100.00 0.00
Date January 1, 2020 April 30, 2023
Comment

Process evaluation to examine the effectiveness of quality focused RBF at provincial hospitals in improving the quality of maternaland neonatal care for improved outcomes.	Value	No	Yes
	Date	April 27, 2020	July 29, 2022
	Comment

Percentage of resources allocated to primary health care (PHC) Value 5.00 8.00 0.00
Date January 31, 2020 April 30, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 4046300.00 4847512.00
Date December 31, 2012 January 31, 2021 April 30, 2023
Comment
Number of COVID treatment centers with oxygen therapy Value 0 0
Date January 31, 2020 March 15, 2021
Comment
Percentage of grievances addressed within 4 weeks of initial complaint being recorded Value 0.00 65.00 0.00
Date January 31, 2020 April 30, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 1919939.00 0.00
Date
Comment
Number of children immunized Value 0.00 817556.00 929004.00
Date December 31, 2012 January 31, 2021 April 30, 2023
Comment
Number of women and children who have received basic nutrition services Value 0.00 2244678.00 2768670.00
Date December 31, 2012 January 31, 2021 April 30, 2023
Comment
Number of deliveries attended by skilled health personnel Value 0.00 984066.00 1149839.00
Date December 31, 2012 January 31, 2021 April 30, 2023
Comment

Cumulative number of children under 5 who had their Mid Upper Arm Circumference and Height measured by Community Health Workers (CHWs) as part of growth monitoring.	Value	0.00	121500.00	0.00
	Date	April 27, 2020	April 30, 2023
	Comment

Percentage of 15-49-year-old women who are new acceptors of long term, reversible family planning methods in participating districts Value 21.40 30.00 0.00
Date December 31, 2019 April 30, 2023
Comment

Percentage of children 6 to 59 months with vitamin A supplementation in participating rural districts.	Value	40.00	50.00	0.00
	Date	December 31, 2019	April 30, 2023
	Comment

Number of children immunized	Value	0.00	817556.00	929004.00
	Date	December 31, 2012	January 31, 2021	April 30, 2023
	Comment

Percentage of 15-49-year-old women who are new acceptors of long term, reversible family planning methods in participating districts	Value	21.40	30.00	0.00
	Date	December 31, 2019	April 30, 2023
	Comment

Percentage of close contacts of confirmed COVID-19 cases followed up based on national guidelines	Value	0.00	80.00	0.00
	Date	February 28, 2020	June 30, 2021
	Comment

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Value	0.00	1919939.00	0.00
	Date
	Comment