Afghanistan: System Enhancement for Health Action in Transition Project

Development Objective

The project development objectives are to expand the scope, quality and coverage of health services provided to the population,particularly for the poor, in the project areas, and to enhance the stewardship functions of the Ministry of Public Health.

Key Details

Project Details

Project ID
P129663
Status
Closed
Team Leader
Ghulam Sayed , Mohammad Hashemi
Borrower 2
Ministry of Finance, Afghanistan

Country
Afghanistan
Disclosure Date
December 21, 2012
Approval Date
(as of board presentation)
February 28, 2013
Effective Date
December 20, 2009

Total Project Cost 1
US$ 407.00 million
Implementing Agency
Ministry of Public Health
Region
South Asia
Fiscal Year 3
2013

Commitment Amount
US$ 377.00 million
Environmental Category
B
Last Update Date
September 14, 2023
Closing Date
June 30, 2018

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED

Associated Projects
P152122

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 - Disease Control15%
FY17 - Health Systems and Policies65%
- FY17 - Child Health10%
- FY17 - Health System Strengthening40%
- FY17 - Reproductive and Maternal Health15%
FY17 - Nutrition and Food Security20%
- FY17 - Food Security10%
- FY17 - Nutrition10%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Afghanistan Resilience Trust Fund	270.00
IDA Credit	100.00
Borrower/Recipient	30.00
Health Results-based Financing	7.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	100.00
IBRD + IDA Commitment	100.00

Lending Instrument
Grant Amount	277.00
Total Project Cost**	407.00

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 23, 2016	IDA-H8290	Loan Disb	1,229,884.20
Jun 21, 2016	IDA-H8290	Loan Disb	832,231.25
May 10, 2016	IDA-H8290	Loan Disb	118,845.09
Nov 8, 2016	IDA-H8290	Loan Disb	763,255.20
Dec 19, 2016	IDA-H8290	Loan Disb	4,477,208.00
Oct 3, 2016	IDA-H8290	Loan Disb	503,396.60
Apr 6, 2018	IDA-H8290	Loan Disb	-1,316,861.80
Jan 23, 2019	IDA-H8290	Loan Cancel	6,547,946.50
Jan 23, 2019	IDA-H8290	Loan Disb	-3,937,824.80
Dec 19, 2018	IDA-H8290	Loan Disb	-1,067,685.10
Mar 2, 2020	IDA-H8290	Loan Cancel	391.00
Mar 2, 2020	IDA-H8290	Loan Disb	-391.00
Feb 28, 2013	IDA-H8290	Loan Commitment	100,000,000.00
Dec 30, 2013	IDA-H8290	Loan Disb	836,604.06
Feb 12, 2014	IDA-H8290	Loan Disb	3,704,785.20
Dec 30, 2013	IDA-H8290	Loan Disb	948,319.90
Dec 30, 2013	IDA-H8290	Loan Disb	782,098.00
Jan 7, 2014	IDA-H8290	Loan Disb	686,782.94
Sep 17, 2013	IDA-H8290	Loan Disb	5,000,000.00
Nov 24, 2014	IDA-H8290	Loan Disb	1,209,364.60
Nov 24, 2014	IDA-H8290	Loan Disb	211,615.11
Nov 18, 2014	IDA-H8290	Loan Disb	1,130,044.40
Dec 15, 2014	IDA-H8290	Loan Disb	6,057,348.00
Nov 4, 2014	IDA-H8290	Loan Disb	2,142,746.20
May 5, 2014	IDA-H8290	Loan Disb	1,730,456.80
Jun 16, 2014	IDA-H8290	Loan Disb	10,000,000.00
Jun 17, 2014	IDA-H8290	Loan Disb	1,912,380.00
Jun 24, 2014	IDA-H8290	Loan Disb	125,006.78
Jun 2, 2014	IDA-H8290	Loan Disb	2,103,840.50
Jun 2, 2014	IDA-H8290	Loan Disb	522,648.10
Jun 2, 2014	IDA-H8290	Loan Disb	344,897.47
Jun 2, 2014	IDA-H8290	Loan Disb	838,009.90
Jun 2, 2014	IDA-H8290	Loan Disb	1,612,560.10
Jun 2, 2014	IDA-H8290	Loan Disb	1,500,313.50
Jan 5, 2015	IDA-H8290	Loan Disb	2,222,157.20
Jan 27, 2015	IDA-H8290	Loan Disb	3,324,368.80
Jan 27, 2015	IDA-H8290	Loan Disb	3,440,757.80
Jun 30, 2015	IDA-H8290	Loan Disb	1,288,244.10
Mar 16, 2015	IDA-H8290	Loan Disb	1,323,490.10
Sep 10, 2014	IDA-H8290	Loan Disb	5,954,102.50
Jul 14, 2015	IDA-H8290	Loan Disb	6,056,892.00
Jul 1, 2015	IDA-H8290	Loan Disb	1,024,107.50
Nov 16, 2015	IDA-H8290	Loan Disb	857,782.56
Apr 22, 2015	IDA-H8290	Loan Disb	271,103.06
May 26, 2015	IDA-H8290	Loan Disb	1,121,248.50
Dec 14, 2015	IDA-H8290	Loan Disb	795,080.00
Dec 8, 2015	IDA-H8290	Loan Disb	2,069,901.00
Dec 8, 2015	IDA-H8290	Loan Disb	926,103.90
Dec 30, 2015	IDA-H8290	Loan Disb	4,655,988.50
Oct 19, 2015	IDA-H8290	Loan Disb	2,276,109.20
Dec 1, 2015	IDA-H8290	Loan Disb	2,022,792.00
Dec 7, 2015	IDA-H8290	Loan Disb	2,205,487.50
Dec 2, 2015	IDA-H8290	Loan Disb	988,400.80
Jan 19, 2016	IDA-H8290	Loan Disb	1,462,235.40
Sep 15, 2015	IDA-H8290	Loan Disb	533,322.20
Mar 14, 2016	IDA-H8290	Loan Disb	49,357.97
Nov 28, 2016	IDA-H8290	Loan Disb	-1,799,900.00
Apr 19, 2016	IDA-H8290	Loan Disb	-5,144.00
Apr 19, 2016	IDA-H8290	Loan Disb	5,144.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Project Management	Satisfactory	2018-06-30
Procurement	Satisfactory	2018-06-30
Counterpart Funding	Moderately Unsatisfactory	2018-06-30
Progress towards achievement of PDO	Satisfactory	2018-06-30
Financial Management	Satisfactory	2018-06-30
Monitoring and Evaluation	Satisfactory	2018-06-30
Overall Implementation Progress (IP)	Moderately Satisfactory	2018-06-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 01-29-2019
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 01-09-2020	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	High	N/a
M&e Quality	High	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

PENTA3 coverage among children aged between 12 -23 months in lowest income quintile Value 28.90 60.00 45.00
Date January 28, 2011 February 28, 2013 June 30, 2018
Comment
Contraceptive prevalence rate (any modern method) Value 18.00 30.00 16.30
Date January 25, 2011 February 28, 2013 June 30, 2018
Comment
Proportion of children under five years with severe acute malnutrition who are treated Value 24.00 55.00 77.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Score on the balanced scorecard examining quality of care in SCs, BHCs and CHCs Value 55.00 70.00 59.30
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
The accreditation for procurement of goods and works achieved and maintained Value No Yes No
Date February 28, 2013 February 29, 2012 June 30, 2018
Comment
Births (deliveries) attended by skilled health personnel (number) Value 429305.00 566683.00 890240.00
Date December 15, 2012 May 29, 2015 June 30, 2018
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Health Facility Utilization Rate: consultation per person per year Value 1.60 2.00 1.90
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Score on the hospital balanced scorecard that examines quality of care in public hospitals delivering EPHS Value 69.00 77.00 78.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Percentage of pregnant and lactating women who received counseling on infant and young child feeding (IYCF) Value 0.00 50.00 58.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
NGO contracts for BPHS/EPHS service delivery signed and properly managed as per agreed timeline Value 27.00 27.00 76.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
TB treatment success rate Value 89.00 90.00 90.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Percentage of IDUs reached by Needle Syringe Program Value 27.00 50.00 0.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Number of national hospitals with full budgetary autonomy Value 0.00 15.00 0.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Proportion of budget from the Provincial Budgeting Initiative executed Value 0.00 70.00 0.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Capacity of drug quality control lab developed Value No Yes Yes
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Proportion of MOPH core development budget executed Value 54.00 75.00 87.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
HIS annual report prepared and disseminated Value Yes Yes Yes
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment
Pregnant women receiving antenatal care during a visit to a health provider (number) Value 723614.00 40.00 1461781.00
Date February 28, 2013 February 28, 2013 June 30, 2018
Comment

PENTA3 coverage among children aged between 12 -23 months in lowest income quintile	Value	28.90	60.00	45.00
	Date	January 28, 2011	February 28, 2013	June 30, 2018
	Comment

Contraceptive prevalence rate (any modern method)	Value	18.00	30.00	16.30
	Date	January 25, 2011	February 28, 2013	June 30, 2018
	Comment

Proportion of children under five years with severe acute malnutrition who are treated	Value	24.00	55.00	77.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

Births (deliveries) attended by skilled health personnel (number)	Value	429305.00	566683.00	890240.00
	Date	December 15, 2012	May 29, 2015	June 30, 2018
	Comment

Health Facility Utilization Rate: consultation per person per year	Value	1.60	2.00	1.90
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

Score on the hospital balanced scorecard that examines quality of care in public hospitals delivering EPHS	Value	69.00	77.00	78.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

Percentage of pregnant and lactating women who received counseling on infant and young child feeding (IYCF)	Value	0.00	50.00	58.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

NGO contracts for BPHS/EPHS service delivery signed and properly managed as per agreed timeline	Value	27.00	27.00	76.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

TB treatment success rate	Value	89.00	90.00	90.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

Proportion of MOPH core development budget executed	Value	54.00	75.00	87.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment

Pregnant women receiving antenatal care during a visit to a health provider (number)	Value	723614.00	40.00	1461781.00
	Date	February 28, 2013	February 28, 2013	June 30, 2018
	Comment