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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...

* 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 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

  • P128909

  • Closed

  • Kazumi Inden

  • Republic of Liberia

  • Liberia

  • September 18, 2012

  • (as of board presentation)

    May 30, 2013

  • June 16, 2014

  • US$ 15.00 million

  • Ministry of Health,MOH Project Implementation Unit

  • Western and Central Africa

  • 2013

  • US$ 15.00 million

  • B

  • N/A

  • November 30, 2021

  • Yes

  • BANK APPROVED

  • March 27, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
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

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

Detailed Financial Activity as of March 31, 2025

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No data available.
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

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 06-01-2022
OutcomesSubstantial
Risk to Development Outcome
Bank PerformanceSubstantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingSatisfactory N/a
Risk To Development OutcomeN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceN/a
Government PerformanceNot RatedN/a
Implementing AgencyN/a
Icr QualitySubstantialN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Average Quality of Care score of target PBF hospitalsValue0.0084.1065.00
    DateApril 30, 2017June 30, 2021April 1, 2019
    Comment
  • Maternal death audits carried out routinely by PBF target hospitals according to national maternal death audit guidelinesValue0.0069.0065.00
    DateJanuary 3, 2013June 30, 2021April 1, 2019
    Comment
  • Doctors, clinicians and other MoH-approved staff who receive hazard payment for provision of EVD-related services.Value0.0028537.0028537.00
    DateFebruary 27, 2015June 30, 2021January 30, 2017
    Comment
  • Neonatal death audits carried out routinely by PBF target hospitals according to national neonatal death audit guidelinesValue0.0068.4045.00
    DateJanuary 15, 2017June 30, 2021April 1, 2019
    Comment
  • Mothers who have a postpartum visit within 24 hours of deliveringValue0.0086.430.00
    DateDecember 31, 2015June 30, 2020
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Number of doctors receiving in-service training in obstetrics, pediatrics, surgery, and internal medicineValue0.0051.000.00
    DateApril 22, 2016June 30, 2021
    Comment
  • Number of PIU staff trainedValue0.0014.000.00
    DateMay 30, 2013June 30, 2021
    Comment
  • Number of births registered within one year of birth occurrenceValue0.00263945.0015000.00
    DateDecember 31, 2017June 30, 2021April 1, 2019
    Comment
  • Physicians who complete the post-graduate medical residency programValue0.0057.0040.00
    DateApril 22, 2016June 30, 2021April 1, 2019
    Comment
  • PBF hospitals reporting discussing grievances receivedValue0.0069.0050.00
    DateMay 30, 2013June 30, 2021April 1, 2019
    Comment
  • Number of new users of modern contraceptive methodsValue123165.001080048.000.00
    DateDecember 31, 2013June 30, 2021
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.001441051.001000000.00
    DateJanuary 3, 2013June 30, 2021April 1, 2019
    Comment
  • Number of children immunizedValue0.00769693.000.00
    DateJanuary 3, 2013June 30, 2021
    Comment
  • Number of deliveries attended by skilled health personnelValue0.00671358.000.00
    DateJanuary 3, 2013June 30, 2021
    Comment