MA-Health Sector Support

Abstract*

The project development objective for the Improving Primary Health in Rural Areas Program-for-Results Project for Morocco is to expand access to primary healthcare in targeted rural areas in the program area. The program areas to be covered are regrouped under two components as follows: (1) Expanding equitable access to primary care in rural areas, which focuses on the following: a reduction of maternal, neonatal, and under five mortality, strengthening... Show More

Development Objective

The objective of the Program is to expand access to primary health care in targeted rural areas and to strengthen detection and case management to respond to the COVID-19 pandemic in the Program Area.

Key Details

Project Details

Project ID
P148017
Status
Closed
Team Leader
Fatima El Kadiri El Yamani
Borrower 2
Kingdom of Morocco

Country
Morocco
Disclosure Date
November 5, 2014
Approval Date
(as of board presentation)
April 24, 2015
Effective Date
September 21, 2015

Total Project Cost 1
US$ 100.00 million
Implementing Agency
Ministry of Health
Region
Middle East and North Africa
Fiscal Year 3
2015

Commitment Amount
US$ 100.00 million
Environmental Category
N/A
Last Update Date
September 7, 2023
Closing Date
September 30, 2021

Last Stage Reached
BANK APPROVED

Associated Projects
P173944

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 Control0%
- FY17 - Non-communicable diseases20%
- FY17 - Pandemic Response1%
FY17 - Health Systems and Policies80%
- FY17 - Health System Strengthening80%

FY17 - Private Sector Development

FY17 - Jobs100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	100.00

Total Project Financing (US$ Millions)

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

Lending Instrument
Grant Amount	N/A
Total Project Cost**	100.00

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$)
Jul 15, 2021	IBRD-85070	Int Charges	356,358.97
Jul 15, 2021	IBRD-85070	Int Charges	379,107.53
Jul 15, 2021	IBRD-85070	Loan Repay	1,857,700.40
Jul 15, 2021	IBRD-85070	Loan Repay	616,100.00
Oct 15, 2021	IBRD-91470	Int Charges	401,585.62
Oct 15, 2021	IBRD-91470	Int Charges	18,681.34
Nov 12, 2021	IBRD-85070	Loan Disb	-68,318,056.00
Nov 12, 2021	IBRD-85070	Loan Disb	68,318,056.00
Nov 12, 2021	IBRD-85070	Loan Disb	-68,705,888.00
Nov 12, 2021	IBRD-85070	Loan Disb	68,318,056.00
Jan 15, 2021	IBRD-85070	Int Charges	386,686.56
Jan 15, 2021	IBRD-85070	Loan Repay	1,507,630.00
Jan 15, 2021	IBRD-85070	Loan Repay	616,100.00
Jan 15, 2021	IBRD-85070	Int Charges	1,207.30
Mar 16, 2021	IBRD-85070	Loan Disb	13,019,974.00
Mar 5, 2021	IBRD-91470	Loan Disb	11,312,500.00
Jan 19, 2021	IBRD-91470	Loan Disb	13,100,000.00
Jan 19, 2021	IBRD-85070	Loan Disb	290,685.10
Jan 15, 2021	IBRD-85070	Int Charges	11,803.40
Jan 15, 2021	IBRD-85070	Int Charges	16,732.72
Jan 15, 2021	IBRD-85070	Int Charges	342,378.20
Apr 15, 2021	IBRD-91470	Loan Disb	-24,412,500.00
Apr 15, 2021	IBRD-91470	Loan Disb	24,412,500.00
Jun 18, 2020	IBRD-85070	Loan Disb	6,546,266.50
Sep 8, 2020	IBRD-91470	Loan Disb	7,812,500.00
Oct 15, 2020	IBRD-91470	Loan Disb	-10,587,500.00
Aug 26, 2020	IBRD-91470	Loan Disb	2,687,500.00
Oct 15, 2020	IBRD-91470	Loan Disb	10,587,500.00
Jul 15, 2020	IBRD-85070	Int Charges	23,478.23
Jul 15, 2020	IBRD-85070	Int Charges	717,470.56
Jul 15, 2020	IBRD-85070	Int Charges	394,142.40
Jul 15, 2020	IBRD-85070	Loan Repay	1,339,391.00
Jul 15, 2020	IBRD-85070	Loan Repay	616,100.00
Aug 14, 2020	IBRD-91470	Loan Disb	87,500.00
Aug 14, 2020	IBRD-91470	Fee Charges	87,500.00
Jan 15, 2020	IBRD-85070	Int Charges	841,693.80
Jan 15, 2020	IBRD-85070	Int Charges	405,262.50
Jan 15, 2020	IBRD-85070	Loan Repay	1,339,391.00
Mar 11, 2019	IBRD-85070	Loan Disb	17,380,624.00
Jan 15, 2018	IBRD-85070	Int Charges	79,109.52
Jan 15, 2018	IBRD-85070	Int Charges	92,869.26
Jan 15, 2018	IBRD-85070	Int Charges	400,212.47
Jul 15, 2018	IBRD-85070	Int Charges	37,698.19
Jul 15, 2018	IBRD-85070	Int Charges	60,134.58
Jul 15, 2018	IBRD-85070	Int Charges	348,340.75
Jul 15, 2018	IBRD-85070	Int Charges	401,475.00
Jul 15, 2018	IBRD-85070	Int Charges	4,734.31
Jan 15, 2017	IBRD-85070	Int Charges	93,967.67
Jan 15, 2017	IBRD-85070	Int Charges	218,103.88
Jul 15, 2017	IBRD-85070	Int Charges	92,669.54
Jul 15, 2017	IBRD-85070	Loan Disb	-25,250,000.00
Jul 15, 2017	IBRD-85070	Loan Disb	25,250,000.00
Aug 29, 2017	IBRD-85070	Loan Disb	10,883,470.00
Jul 15, 2017	IBRD-85070	Int Charges	262,789.38
Dec 1, 2017	IBRD-85070	Loan Disb	15,360,182.00
Sep 21, 2015	IBRD-85070	Loan Disb	250,000.00
Sep 21, 2015	IBRD-85070	Fee Charges	250,000.00
Jan 15, 2016	IBRD-85070	Int Charges	894.18
Jan 15, 2016	IBRD-85070	Int Charges	93,610.84
Feb 4, 2016	IBRD-85070	Loan Disb	25,000,000.00
Jul 15, 2016	IBRD-85070	Int Charges	96,342.20
Jul 15, 2016	IBRD-85070	Int Charges	174,058.77
Apr 15, 2021	IBRD-91470	Int Charges	45,376.94
Apr 15, 2021	IBRD-91470	Int Charges	127,050.00
Oct 15, 2021	IBRD-91470	Int Charges	127,050.00
Jul 15, 2021	IBRD-85070	Int Charges	5,358.64
Jan 15, 2020	IBRD-85070	Loan Repay	616,100.00
Jan 15, 2020	IBRD-85070	Int Charges	25,019.98
Jul 15, 2019	IBRD-85070	Int Charges	31,164.65
Jul 15, 2019	IBRD-85070	Int Charges	912,937.40
Jul 15, 2019	IBRD-85070	Int Charges	406,525.03
Oct 19, 2018	IBRD-85070	Loan Disb	11,268,797.00
Jan 15, 2019	IBRD-85070	Int Charges	54,339.12
Jan 15, 2019	IBRD-85070	Int Charges	533,544.56
Jan 15, 2019	IBRD-85070	Int Charges	403,999.97
Jan 15, 2024	IBRD-85070	Int Charges	330,219.47
Jan 15, 2024	IBRD-85070	Loan Repay	616,100.00
Jan 15, 2024	IBRD-85070	Int Charges	282,809.88
Jan 15, 2024	IBRD-85070	Loan Repay	1,765,823.80
Jul 15, 2024	IBRD-85070	Int Charges	324,148.90
Jul 15, 2024	IBRD-85070	Loan Repay	1,760,096.50
Jul 15, 2024	IBRD-85070	Int Charges	290,297.56
Jun 16, 2020	IBRD-91470	Loan Commitment	35,000,000.00
Apr 24, 2015	IBRD-85070	Loan Commitment	100,000,000.00
Jul 15, 2024	IBRD-85070	Loan Repay	616,100.00
Apr 15, 2023	IBRD-91470	Int Charges	127,050.00
Apr 15, 2023	IBRD-91470	Int Charges	401,585.62
Jan 15, 2023	IBRD-85070	Int Charges	0.02
Jan 15, 2023	IBRD-85070	Int Charges	-0.02
Jan 15, 2023	IBRD-85070	Int Charges	311,894.12
Jan 15, 2023	IBRD-85070	Loan Repay	1,744,286.20
Jan 15, 2023	IBRD-85070	Int Charges	350,242.75
Jan 15, 2023	IBRD-85070	Loan Repay	616,100.00
Jul 15, 2023	IBRD-85070	Int Charges	333,949.90
Jul 15, 2023	IBRD-85070	Loan Repay	616,100.00
Jul 15, 2023	IBRD-85070	Int Charges	309,285.75
Jul 15, 2023	IBRD-85070	Loan Repay	1,810,108.40
Oct 15, 2023	IBRD-91470	Int Charges	127,050.00
Oct 15, 2023	IBRD-91470	Int Charges	401,585.62
Apr 15, 2024	IBRD-91470	Int Charges	127,050.00
Apr 15, 2024	IBRD-91470	Int Charges	401,585.62
Apr 15, 2022	IBRD-91470	Int Charges	127,050.00
Apr 15, 2022	IBRD-91470	Int Charges	401,585.62
Jul 15, 2022	IBRD-85070	Loan Repay	616,100.00
Jul 15, 2022	IBRD-85070	Int Charges	298,303.56
Jul 15, 2022	IBRD-85070	Loan Repay	1,619,400.20
Jul 15, 2022	IBRD-85070	Int Charges	361,362.84
Jan 15, 2022	IBRD-85070	Int Charges	224,439.25
Jan 15, 2022	IBRD-85070	Int Charges	370,266.00
Jan 15, 2022	IBRD-85070	Loan Repay	616,100.00
Jan 15, 2022	IBRD-85070	Int Charges	126,757.67
Jan 15, 2022	IBRD-85070	Loan Repay	1,847,617.40
Oct 15, 2022	IBRD-91470	Int Charges	127,050.00
Oct 15, 2022	IBRD-91470	Int Charges	401,585.62
Jul 15, 2022	IBRD-85070	Int Charges	-298,303.56
Jul 15, 2022	IBRD-85070	Loan Repay	-1,619,400.20
Jul 15, 2022	IBRD-85070	Int Charges	294,898.03
Jul 15, 2022	IBRD-85070	Loan Repay	1,622,805.80
Apr 15, 2021	IBRD-91470	Int Charges	18,703.19

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Satisfactory	2021-05-04
Overall Implementation Progress (IP)	Satisfactory	2021-05-04
Monitoring and Evaluation	Moderately Satisfactory	2021-05-04

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-23-2022
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
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

Increase in number of pregnant women receiving antenatal care during a visit to a rural ESSP in the Program Area	Value	161829	189178	5.83% increase from baseline
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment

Number of Polymerase Chain Reaction (PCR) tests conducted to diagnose COVID-19 Value 94.00 2364454.00 629000.00
Date March 20, 2020 September 30, 2021 December 31, 2020
Comment

Increase in number of deliveries of rural women attended by skilled health personnel in public health facilities in the Program Area	Value	180812	181372	181734
	Date	December 31, 2014	September 30, 2021	June 9, 2022
	Comment

Number health care facilities designated COVID-19 facilities and equipped as per MoH guidelines Value 0.00 72.00 50.00
Date March 20, 2020 September 30, 2021 December 31, 2020
Comment

Increase in number of new visits of children under 5 to a rural ESSP in the Program Area for curative care	Value	1013436	1078295	5.00% increase from baseline
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment

Increase in number of patients with diabetes diagnosed and treated at a rural ESSP in the Program Area	Value	136238	225474	17.63% increase from baseline
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Increase in number of visits to rural ESSPs in the Program Area Value 3794877 4098247 4.30% increase from baseline
Date December 31, 2014 September 30, 2021 December 31, 2020
Comment

% of rural health centers with delivery services (CSCAs) in the Program Area that participate in the main biennial quality assessment (concours qualité)	Value	13%	43.4	NA
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment

Number of designated laboratories with COVID-19 diagnostic capacities established per MoH guidelines Value 2 111 111
Date March 20, 2020 September 30, 2021 December 31, 2020
Comment
Number of patients with hypertension diagnosed and treated in rural ESSPs Value 180000.00 312326.00 287000.00
Date December 31, 2014 September 30, 2021 December 31, 2020
Comment
Number of resuscitation units established as per MoH guidelines Value 0 0 55
Date March 20, 2020 September 30, 2021 December 31, 2020
Comment

Establishment of a comprehensive GRM	Value	GRM not established	Pilot GRM evaluated Implementation Manual reviewed	Roll out of the comprehensive GRM
	Date	December 31, 2014	September 30, 2021	December 31, 2018
	Comment

Definition of an HR incentive mechanism in rural ESSPs	Value	Diagnostic not completed	diagnostic study completed	Implementation mechanism defined, including target
	Date	December 31, 2014	September 30, 2021	June 30, 2020
	Comment

Establishment of an HMIS in the Program Area	Value	HMIS not established	he SMIPF-SC has been operationalized in the 100% o	The SMIPF-SC has been operationalized in the 100%
	Date	December 31, 2014	September 30, 2021	June 30, 2020
	Comment

People who have received essential health, nutrition, and population (HNP) services Value 0.00 181372.00 193939.00
Date December 31, 2014 September 30, 2021 June 30, 2020
Comment
Number of deliveries attended by skilled health personnel Value 0.00 181372.00 193939.00
Date December 31, 2014 September 30, 2021 June 30, 2020
Comment

Number of Polymerase Chain Reaction (PCR) tests conducted to diagnose COVID-19	Value	94.00	2364454.00	629000.00
	Date	March 20, 2020	September 30, 2021	December 31, 2020
	Comment

Number health care facilities designated COVID-19 facilities and equipped as per MoH guidelines	Value	0.00	72.00	50.00
	Date	March 20, 2020	September 30, 2021	December 31, 2020
	Comment

Increase in number of visits to rural ESSPs in the Program Area	Value	3794877	4098247	4.30% increase from baseline
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment

Number of patients with hypertension diagnosed and treated in rural ESSPs	Value	180000.00	312326.00	287000.00
	Date	December 31, 2014	September 30, 2021	December 31, 2020
	Comment