| Financier | Commitments |
|---|---|
| Health Results-based Financing | 20.00 |
| IDA Credit | 41.00 |
Kenya Health Sector Support Project - Additional Financing
Development Objective
To improve (i) the delivery of quality essential health and nutrition services and utilization by women and children, especially among the poor and drought affected populations; and (ii) the effectiveness of planning, financing and procurement of pharmaceuticals and medical supplies.
Key Details
Project Details
P144197
Closed
Gandham Ramana
N/A
November 11, 2013
(as of board presentation)
December 30, 2013
N/A
US$ 61.00 million
N/A
2014
US$ 61.00 million
B
Not Applicable
June 30, 2018
Yes
BANK APPROVED
July 8, 2020
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 41.00 |
| IBRD + IDA Commitment | 41.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | 20.00 |
| 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.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Female beneficiaries Value 14229369.00 21263422.00 17500100.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Beneficiaries from drought affected areas Value 0.00 7820890.00 5500000.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Source: HIS source: District Health Information System Cumulative target valueSource: HIS Share of planned procurement from EMMS pool completed by KEMSA in the financial year as per GOK guidelines Value 0.00 0.00 60.00 Date October 25, 2013 December 31, 2016 Comment Women receiving free delivery services meeting the quality norms at public health facilities Value 453857.00 0.00 550000.00 Date July 31, 2013 December 31, 2016 Comment The HMIS data requires to be validated before confirming with results. Poor households receiving health insurance subsidies Value 0.00 0.00 30000.00 Date October 25, 2013 December 31, 2016 Comment The health insurance subsidy for the poor program will start with about 15000 households and will be scaled-up subsequently. Children immunized (number) Value 1188698.00 1090751.00 1298058.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Children under 1 year fully immunized. Source: HIMS. Source: Data from District HMIS report covering FY 2011-12. Due to introduction of new program, the reporting rates were only 65% End target date changed Level 2 and 3 HSSF facilities displaying information as per GoK guidelines Value 0.00 0.00 90.00 Date July 5, 2010 March 31, 2015 Comment Source: Project data, DHMT facility supervision report. Information to be obtained from the new supervision checklist The government has removed user fee and the emphasis will shift from performance reporting and verification. Severly malnourished children under five receiving treatment recovered Value 0.00 70.10 60.00 Date February 12, 2013 December 31, 2016 Comment Baseline to be established January 2012. Source: Nutrition Monitoring Reports Source: Nutrition Monitoring Reports Date for end target changed. Direct project beneficiaries Value 25896000.00 38327054.00 35000000.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Source: Based on 12 months HMIS data of FY 2011-12. The new HMIS is still being established and these data needs to be carefullychecked Date and end target changed. Despite achieving the target, the utilization is expected to go down during the early phase ofdevolution. Value fill rate of orders for commodities for Primary Health Care facilities received by KEMSA either from Counties or facilities Value 73.00 56.00 80.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Source: KEMSA ERP The low value fill rate is due to transition and this is now picking up with supplies being reached at KEMSA warehouses Indicator revised to align with the devolved health system where Counties will have resources and flexibility to place orders HSSF facilities meeting the core financial management requirements of the fund. Value 0.00 97.30 90.00 Date July 5, 2010 February 12, 2013 March 31, 2015 Comment Percentage of facilities receiving HSSF funds.Source: Quarterly reports of Independent Integrated Fiduciary Review Agency The HSSF funds are released to 774 health centers and 2389 dispensaries which constitute 97% of eligible government healthfacilities (3229) Not relevant in the devolved health system. Fiduciary irregularities reported from HSSF and KEMSA acted upon (during the previous quarter) Value 0.00 100.00 100.00 Date July 5, 2010 February 12, 2013 March 31, 2015 Comment Source: Ministries of Health based on IIFRA reports and KEMSA complaints database Ministry of health acted on 27 complaints and KEMSA on 8 complaints receivedSource: SWAp Secretariat and KEMSA complaints database Counties will now be responsible for this function which is difficult to monitor from the National level. However, the IIFRA willinform any irregularity in use of funds to county authorities for action which will be monitored by MoH through intergovernmentalforum.
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Level 2-3 facilities implementing results based financing initiatives (number) Value 0.00 26.00 1331.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Source: HIS and HRH database.Indicator defined as: number of level 2-3 health facilities receiving bonus payments based on theRBFinitiative. Currently 0%. Currently 26 facilities in Samburu are implementing PBF which is being expanded to 3 more counties End target value and date revised. Facilities under pull system sending their orders during the previous quarter Value 0.00 67.00 0.00 Date November 30, 2011 February 12, 2013 Comment TBD Source: KEMSA database. The process is still evolving. Timely reimbursement to KEMSA documented claims by Ministries of Health (Percent) Value 0.00 75.00 100.00 Date November 30, 2011 June 30, 2012 March 31, 2015 Comment Done for 3 quarters Source: SWAp Secretariat No longer relevant as Ministries of Health no longer hold these funds. Counties placing orders for Essential Medicines and Medical Supplies with KEMSA Value 16.00 0.00 30.00 Date October 25, 2013 December 31, 2016 Comment Facilities receiving HSSF Funds within 15 days of the beginning of the quarter (percent). Value 0.00 0.00 90.00 Date July 5, 2010 February 12, 2013 March 31, 2015 Comment Source: HMIS Reports of HSSF Secretariat Even though funds are being released every quarters there are still delays.Source: HSSF Secretariat No longer relevant as this will be linked to Counties sending requests for HSSF releases to MOH and account for funds andperformance. Facility management committees having quarterly meetings with minutes of meetings (levels 2 and 3) (percent) Value 27.00 92.00 90.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Level 2=27% (2004)- Source: The IIRA reports provide this data based on the sample facilities visited. Management Committees havemet quarterly and minutes of meetings are available. Reports of the Independent fiduciary agency. End target date changed. Counties will be responsible for this function. Health personnel receiving training (number) Value 0.00 9884.00 14899.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Number of staff receiving new or refresher training in preceding 18 months.Source: Project data/HSSF Secretariat. Number of health staff trained in HSSF and commodity management at facility level.Source: Project data/HSSF Secretariat. Scope includes the health facility management committee members. In addition, target and date for end target revised. Level 2 and 3 facilities meeting staffing norms (percent). Value 3.00 0.00 40.00 Date July 5, 2010 March 31, 2015 Comment Level 2 = 3%Level 3 = 34%Source: HIS and HRH database. Staffing at levels 2 & 3 facilities will be the responsibility of counties. Performance contract between KEMSA and MOMS, and a client service agreement between KEMSA and MOPHS, established and monitored on aquarterly basis (yes/no). Value No Draft contracts shared for feedback from all key s Yes Date July 5, 2010 March 20, 2012 March 31, 2015 Comment Source: Project data/Project M&E Officer/SWAp Secretariat. Indicator defined as: Four quarterly reports submitted timely everyyear. Source: Project data/Project M&E Officer/SWAp Secretariat. Under the new dispensation the responsibility for placing orders for medicines will be with counties and not Ministries of Health. People with access to a basic package of health, nutrition, or reproductive health services (number) Value 0.00 38935800.00 39495000.00 Date July 5, 2010 February 12, 2013 December 31, 2016 Comment Estimated population in Catchment areas of facilities (levels 2 & 3) benefiting from HSSF.Source: Based on the catchment population covered by the facilities receiving HSSF Date and end target changed Number of beneficiaries receiving supplementary feeding in the drought affected areas. (Moderately malnourished children under fiveand moderately malnourished pregnant and lactating women) Value 157413.00 204785.00 285210.00 Date December 31, 2011 June 30, 2012 December 31, 2016 Comment Source: MOH Nutrition reporting and UNICEF Source: MOH nutrition reporting and UNICEF End target date changed