Liberia Health Systems Strengthening

Abstract*

The development objective of the Health Systems Strengthening Project (HSSP) for Liberia is to improve the quality of maternal health, child health, and infectious disease services in selected secondary-level health facilities. This project has three components: The first component is strengthening the institutional capacity to improve the quality of selected health interventions at Performance-based Financing (PBF) health facilities. This component... Show More

Development Objective

The new proposed PDO is to improve the quality of primary and secondary health care services, with a focus on maternal, neonatal and child health.

Key Details

Project Details

Project ID
P128909
Status
Closed
Team Leader
Kazumi Inden
Borrower 2
Republic of Liberia

Country
Liberia
Disclosure Date
September 18, 2012
Approval Date
(as of board presentation)
May 30, 2013
Effective Date
June 16, 2014

Total Project Cost 1
US$ 15.00 million
Implementing Agency
Ministry of Health,MOH Project Implementation Unit
Region
Western and Central Africa
Fiscal Year 3
2013

Commitment Amount
US$ 15.00 million
Environmental Category
B
Environmental and Social Risk
N/A
Closing Date
November 30, 2021

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED
Last Update Date
March 27, 2024

Associated Projects
P162477

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 - Education24%
- FY17 - Access to Education6%
- FY17 - Science and Technology6%
- FY17 - Standards, Curriculum and Textbooks6%
- FY17 - Teachers6%
FY17 - Health Systems and Policies75%
- FY17 - Health System Strengthening75%

FY17 - Private Sector Development

FY17 - Jobs100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	10.00
Health Results-based Financing	5.00

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	5.00
Total Project Cost**	15.00

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

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Apr 28, 2016	IDA-52440	Int Charges	248.22
Apr 28, 2016	IDA-52440	Int Charges	248.22
Apr 28, 2016	IDA-52440	Int Charges	20,279.49
Apr 28, 2016	IDA-52440	Int Charges	20,279.49
Dec 7, 2016	IDA-52440	Loan Disb	594,289.80
Dec 28, 2015	IDA-52440	Loan Disb	160,964.02
Nov 16, 2015	IDA-52440	Loan Disb	32,968.00
Oct 1, 2015	IDA-52440	Int Charges	80.43
Oct 1, 2015	IDA-52440	Int Charges	80.43
Oct 19, 2015	IDA-52440	Int Charges	19,760.56
Oct 19, 2015	IDA-52440	Int Charges	19,760.56
Apr 8, 2015	IDA-52440	Int Charges	2,058.42
Apr 8, 2015	IDA-52440	Int Charges	2,058.42
Apr 1, 2018	IDA-52440	Int Charges	15.85
Apr 1, 2018	IDA-52440	Int Charges	15.85
Mar 16, 2018	IDA-52440	Loan Disb	-3,834.25
Jan 22, 2018	IDA-52440	Loan Disb	230,254.88
Apr 7, 2017	IDA-52440	Int Charges	22,522.42
Apr 7, 2017	IDA-52440	Int Charges	22,522.42
Apr 1, 2017	IDA-52440	Int Charges	17.48
Apr 1, 2017	IDA-52440	Int Charges	17.48
Oct 1, 2017	IDA-52440	Int Charges	124.70
Oct 1, 2017	IDA-52440	Int Charges	124.70
Jul 24, 2017	IDA-52440	Loan Disb	268,407.28
Jul 14, 2016	IDA-52440	Loan Disb	234,902.40
Oct 1, 2016	IDA-52440	Int Charges	524.36
Oct 1, 2016	IDA-52440	Int Charges	524.36
Oct 1, 2016	IDA-52440	Int Charges	21,253.05
Oct 1, 2016	IDA-52440	Int Charges	21,253.05
Apr 12, 2017	IDA-52440	Loan Disb	200,094.30
Apr 1, 2024	IDA-52440	Loan Repay	582.26
Apr 23, 2024	IDA-52440	Loan Repay	-86,960.48
Apr 23, 2024	IDA-52440	Int Charges	-91.04
Apr 23, 2024	IDA-52440	Int Charges	-91.04
Apr 23, 2024	IDA-52440	Int Charges	-32,498.73
Apr 23, 2024	IDA-52440	Int Charges	-32,498.73
May 9, 2024	IDA-52440	Loan Repay	87,223.11
May 9, 2024	IDA-52440	Int Charges	91.32
May 9, 2024	IDA-52440	Int Charges	91.32
May 9, 2024	IDA-52440	Int Charges	32,596.88
May 9, 2024	IDA-52440	Int Charges	32,596.88
May 30, 2013	IDA-52440	Loan Commitment	10,000,000.00
Nov 21, 2023	IDA-52440	Loan Repay	88,667.50
Nov 21, 2023	IDA-52440	Int Charges	33,297.48
Nov 21, 2023	IDA-52440	Int Charges	33,297.48
Oct 1, 2023	IDA-52440	Loan Repay	124.09
Apr 23, 2024	IDA-52440	Loan Repay	86,960.48
Apr 23, 2024	IDA-52440	Int Charges	91.04
Apr 23, 2024	IDA-52440	Int Charges	91.04
Apr 23, 2024	IDA-52440	Int Charges	32,498.73
Apr 23, 2024	IDA-52440	Int Charges	32,498.73
Nov 15, 2022	IDA-52440	Int Charges	32,423.32
Nov 15, 2022	IDA-52440	Int Charges	32,423.32
Apr 8, 2015	IDA-52440	Int Charges	17,957.98
Apr 8, 2015	IDA-52440	Int Charges	17,957.98
Sep 3, 2014	IDA-52440	Loan Disb	2,548,500.00
Sep 17, 2014	IDA-52440	Loan Disb	1,629,098.10
Sep 17, 2014	IDA-52440	Loan Disb	957,574.40
Mar 6, 2015	IDA-52440	Loan Disb	474,864.30
Jul 8, 2015	IDA-52440	Loan Disb	141,908.02
Oct 8, 2020	IDA-52440	Int Charges	33,636.10
Oct 8, 2020	IDA-52440	Int Charges	33,636.10
Oct 1, 2020	IDA-52440	Int Charges	159.64
Oct 1, 2020	IDA-52440	Int Charges	159.64
Aug 7, 2020	IDA-52440	Loan Disb	49,426.50
Jun 26, 2019	IDA-52440	Loan Disb	157,790.22
May 16, 2019	IDA-52440	Int Charges	28,306.63
May 16, 2019	IDA-52440	Int Charges	28,306.63
Apr 1, 2019	IDA-52440	Int Charges	420.48
Apr 1, 2019	IDA-52440	Int Charges	420.48
Oct 17, 2019	IDA-52440	Int Charges	29,252.43
Oct 17, 2019	IDA-52440	Int Charges	29,252.43
Oct 15, 2019	IDA-52440	Loan Disb	145,940.75
Oct 1, 2019	IDA-52440	Int Charges	341.09
Oct 1, 2019	IDA-52440	Int Charges	341.09
Oct 1, 2018	IDA-52440	Int Charges	403.99
Oct 1, 2018	IDA-52440	Int Charges	403.99
Oct 25, 2018	IDA-52440	Int Charges	27,814.96
Oct 25, 2018	IDA-52440	Int Charges	27,814.96
May 2, 2019	IDA-52440	Int Charges	28,382.01
May 2, 2019	IDA-52440	Int Charges	28,382.01
Apr 4, 2019	IDA-52440	Loan Disb	191,841.92
May 2, 2019	IDA-52440	Int Charges	-28,382.01
May 2, 2019	IDA-52440	Int Charges	-28,382.01
Jun 20, 2018	IDA-52440	Loan Disb	-42,443.03
Jun 28, 2018	IDA-52440	Loan Disb	224,818.19
Nov 26, 2018	IDA-52440	Loan Disb	104,538.68
Oct 26, 2017	IDA-52440	Int Charges	25,298.34
Oct 26, 2017	IDA-52440	Int Charges	25,298.34
Dec 6, 2017	IDA-52440	Loan Disb	381,652.30
May 1, 2018	IDA-52440	Int Charges	27,783.89
May 1, 2018	IDA-52440	Int Charges	27,783.89
Oct 1, 2022	IDA-52440	Int Charges	441.69
Oct 1, 2022	IDA-52440	Int Charges	441.69
Apr 1, 2023	IDA-52440	Int Charges	231.81
Apr 1, 2023	IDA-52440	Int Charges	231.81
May 11, 2023	IDA-52440	Int Charges	33,395.32
May 11, 2023	IDA-52440	Int Charges	33,395.32
Apr 14, 2022	IDA-52440	Loan Disb	-55,800.08
May 30, 2022	IDA-52440	Loan Cancel	54,887.96
Apr 1, 2022	IDA-52440	Int Charges	34,253.58
Apr 1, 2022	IDA-52440	Int Charges	34,253.58
Apr 1, 2022	IDA-52440	Int Charges	428.47
Apr 1, 2022	IDA-52440	Int Charges	428.47
Jul 6, 2020	IDA-52440	Loan Disb	636,011.00
Apr 29, 2021	IDA-52440	Int Charges	18.53
Apr 29, 2021	IDA-52440	Int Charges	35,968.72
Apr 29, 2021	IDA-52440	Int Charges	35,968.72
Apr 29, 2021	IDA-52440	Int Charges	18.53
Jul 1, 2021	IDA-52440	Loan Disb	40,794.47
Oct 1, 2021	IDA-52440	Int Charges	14.02
Oct 1, 2021	IDA-52440	Int Charges	14.02
Oct 1, 2021	IDA-52440	Int Charges	35,378.59
Oct 1, 2021	IDA-52440	Int Charges	35,378.59
Mar 3, 2020	IDA-52440	Loan Disb	169,150.28
Dec 17, 2019	IDA-52440	Loan Disb	87,780.96
Apr 29, 2020	IDA-52440	Loan Disb	40,432.29
May 26, 2020	IDA-52440	Loan Disb	48,543.85
May 19, 2020	IDA-52440	Int Charges	135.65
May 19, 2020	IDA-52440	Int Charges	135.65
May 19, 2020	IDA-52440	Int Charges	30,578.49
May 19, 2020	IDA-52440	Int Charges	30,578.49

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Moderately Satisfactory	2021-06-03
Financial Management	Moderately Satisfactory	2021-06-03
Overall Implementation Progress (IP)	Satisfactory	2021-06-03
Progress towards achievement of PDO	Satisfactory	2021-06-03
Project Management	Satisfactory	2021-06-03
Monitoring and Evaluation	Moderately Satisfactory	2021-06-03

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-01-2022
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	Moderately 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

Average Quality of Care score of target PBF hospitals Value 0.00 84.10 65.00
Date April 30, 2017 June 30, 2021 April 1, 2019
Comment
Maternal death audits carried out routinely by PBF target hospitals according to national maternal death audit guidelines Value 0.00 69.00 65.00
Date January 3, 2013 June 30, 2021 April 1, 2019
Comment
Doctors, clinicians and other MoH-approved staff who receive hazard payment for provision of EVD-related services. Value 0.00 28537.00 28537.00
Date February 27, 2015 June 30, 2021 January 30, 2017
Comment
Neonatal death audits carried out routinely by PBF target hospitals according to national neonatal death audit guidelines Value 0.00 68.40 45.00
Date January 15, 2017 June 30, 2021 April 1, 2019
Comment
Mothers who have a postpartum visit within 24 hours of delivering Value 0.00 86.43 0.00
Date December 31, 2015 June 30, 2020
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of doctors receiving in-service training in obstetrics, pediatrics, surgery, and internal medicine Value 0.00 51.00 0.00
Date April 22, 2016 June 30, 2021
Comment
Number of PIU staff trained Value 0.00 14.00 0.00
Date May 30, 2013 June 30, 2021
Comment
Number of births registered within one year of birth occurrence Value 0.00 263945.00 15000.00
Date December 31, 2017 June 30, 2021 April 1, 2019
Comment
Physicians who complete the post-graduate medical residency program Value 0.00 57.00 40.00
Date April 22, 2016 June 30, 2021 April 1, 2019
Comment
PBF hospitals reporting discussing grievances received Value 0.00 69.00 50.00
Date May 30, 2013 June 30, 2021 April 1, 2019
Comment
Number of new users of modern contraceptive methods Value 123165.00 1080048.00 0.00
Date December 31, 2013 June 30, 2021
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 1441051.00 1000000.00
Date January 3, 2013 June 30, 2021 April 1, 2019
Comment
Number of children immunized Value 0.00 769693.00 0.00
Date January 3, 2013 June 30, 2021
Comment
Number of deliveries attended by skilled health personnel Value 0.00 671358.00 0.00
Date January 3, 2013 June 30, 2021
Comment

Average Quality of Care score of target PBF hospitals	Value	0.00	84.10	65.00
	Date	April 30, 2017	June 30, 2021	April 1, 2019
	Comment

Number of PIU staff trained	Value	0.00	14.00	0.00
	Date	May 30, 2013	June 30, 2021
	Comment

Number of new users of modern contraceptive methods	Value	123165.00	1080048.00	0.00
	Date	December 31, 2013	June 30, 2021
	Comment

Number of children immunized	Value	0.00	769693.00	0.00
	Date	January 3, 2013	June 30, 2021
	Comment

Doctors, clinicians and other MoH-approved staff who receive hazard payment for provision of EVD-related services.	Value	0.00	28537.00	28537.00
	Date	February 27, 2015	June 30, 2021	January 30, 2017
	Comment