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Essential Health Services Access Project

Abstract*

The Essential health Services Access Project of Myanmar has an objective to increase coverage of essential health services of adequate quality, with a focus on maternal, newborn and child health. The project would thus contribute to Myanmar’s move towards UHC. It would also support a prompt and effective response to crises and emergencies. The project consists of three components. The first component strengthening Service Delivery at the Primary Health...

* 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 Project Development Objective (PDO) is to increase coverage of essential health services of adequate quality, with a focus on maternal, newborn and child health (MNCH), and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency.

Key Details

Project Details

  • P149960

  • Closed

  • Mahoko Kamatsuchi

  • Republic of the Union of Myanmar

  • Myanmar

  • April 4, 2014

  • (as of board presentation)

    October 14, 2014

  • April 8, 2015

  • US$ 100.00 million

  • Ministry of Health and Sports

  • East Asia and Pacific

  • 2015

  • US$ 100.00 million

  • B

  • February 6, 2024

  • September 30, 2024

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 100.00

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 N/A
Total Project Cost** 100.00

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$)
Jun 1, 2016 IDA-55420 Int Charges 39,728.19
Jun 1, 2016 IDA-55420 Int Charges 39,728.19
Jul 10, 2015 IDA-55420 Loan Disb 6,186,415.50
Jul 10, 2015 IDA-55420 Loan Disb 4,531,481.50
Jul 10, 2015 IDA-55420 Loan Disb 12,573,970.00
Dec 1, 2015 IDA-55420 Int Charges 31,385.99
Dec 1, 2015 IDA-55420 Int Charges 31,385.99
Dec 1, 2015 IDA-55420 Int Charges 35,536.04
Dec 28, 2023 IDA-55420 Int Charges 1,028.57
Dec 28, 2023 IDA-55420 Int Charges 1,028.57
Dec 28, 2023 IDA-55420 Int Charges 208,522.16
Dec 28, 2023 IDA-55420 Int Charges 208,522.16
Dec 1, 2023 IDA-55420 Loan Repay 13,770.15
May 29, 2020 IDA-66680 Loan Commitment 100,000,000.00
Oct 14, 2014 IDA-55420 Loan Commitment 100,000,000.00
Dec 1, 2020 IDA-55420 Int Charges 173,669.16
Aug 17, 2020 IDA-55420 Loan Disb 366,024.20
Jun 1, 2020 IDA-55420 Loan Disb 166,246.40
Jun 22, 2020 IDA-55420 Loan Disb 1,975,716.60
Jun 1, 2020 IDA-55420 Int Charges 2,207.52
Jun 1, 2020 IDA-55420 Int Charges 2,207.52
Jun 1, 2020 IDA-55420 Int Charges 176,363.27
Jun 1, 2020 IDA-55420 Int Charges 176,363.27
Jun 1, 2020 IDA-55420 Int Charges 88,398.70
Jun 1, 2020 IDA-55420 Int Charges 88,398.70
Apr 27, 2020 IDA-55420 Loan Disb 697,885.44
Dec 1, 2019 IDA-55420 Int Charges 81,981.16
Dec 1, 2019 IDA-55420 Int Charges 81,981.16
Dec 1, 2019 IDA-55420 Int Charges 181,216.60
Jul 7, 2023 IDA-55420 Int Charges 50,047.93
Jul 7, 2023 IDA-55420 Int Charges 50,047.93
Jul 7, 2023 IDA-55420 Loan Repay 1,363,334.50
Jul 7, 2023 IDA-55420 Int Charges 244,689.14
Jul 7, 2023 IDA-55420 Int Charges 244,689.14
Dec 1, 2022 IDA-55420 Int Charges 197,763.88
Dec 1, 2022 IDA-55420 Int Charges 197,763.88
Dec 1, 2022 IDA-55420 Loan Repay 37,901.99
Dec 1, 2022 IDA-55420 Loan Repay 1,311,851.90
Dec 1, 2022 IDA-55420 Int Charges 0.01
Dec 1, 2022 IDA-55420 Int Charges 0.01
Oct 27, 2017 IDA-55420 Loan Disb 1,839,857.00
Oct 27, 2017 IDA-55420 Loan Disb 5,892,676.00
Jun 1, 2017 IDA-55420 Int Charges 87,854.42
Jun 1, 2017 IDA-55420 Int Charges 87,854.42
Jun 1, 2017 IDA-55420 Int Charges 57,994.63
Jun 1, 2017 IDA-55420 Int Charges 57,994.63
May 31, 2017 IDA-55420 Loan Disb 1,839,857.00
Jun 1, 2017 IDA-55420 Int Charges 1,834.29
Jun 1, 2017 IDA-55420 Int Charges 1,834.29
May 31, 2017 IDA-55420 Loan Disb 5,892,676.00
Nov 18, 2016 IDA-55420 Loan Disb 3,902,721.50
Nov 18, 2016 IDA-55420 Loan Disb 12,499,618.00
Jun 1, 2016 IDA-55420 Int Charges 46,214.57
Jun 1, 2016 IDA-55420 Int Charges 46,214.57
Dec 1, 2016 IDA-55420 Int Charges 393.62
Dec 1, 2016 IDA-55420 Int Charges 393.62
Dec 1, 2016 IDA-55420 Int Charges 39,757.44
Dec 1, 2019 IDA-55420 Int Charges 181,216.60
Dec 1, 2019 IDA-55420 Int Charges 4,211.05
Dec 1, 2019 IDA-55420 Int Charges 4,211.05
Nov 8, 2019 IDA-55420 Loan Disb 154,668.94
Aug 12, 2019 IDA-55420 Loan Disb 88,279.11
Jun 1, 2019 IDA-55420 Int Charges 1,635.57
Jun 1, 2019 IDA-55420 Int Charges 1,635.57
Jun 1, 2019 IDA-55420 Int Charges 162,913.69
Jun 1, 2019 IDA-55420 Int Charges 162,913.69
Jun 1, 2019 IDA-55420 Int Charges 76,861.99
Jun 1, 2019 IDA-55420 Int Charges 76,861.99
Apr 19, 2019 IDA-55420 Loan Disb 5,313,435.00
Apr 19, 2019 IDA-55420 Loan Disb 1,659,002.00
Jun 26, 2019 IDA-55420 Loan Disb 158,583.31
Dec 1, 2018 IDA-55420 Int Charges 5,568.43
Dec 1, 2016 IDA-55420 Int Charges 39,757.44
Dec 1, 2016 IDA-55420 Int Charges 46,642.49
Dec 1, 2016 IDA-55420 Int Charges 46,642.49
Jun 1, 2016 IDA-55420 Int Charges 1,285.41
Jun 1, 2016 IDA-55420 Int Charges 1,285.41
Dec 31, 2021 IDA-55420 Loan Repay 707,081.20
Dec 31, 2021 IDA-55420 Int Charges 272,780.90
Dec 31, 2021 IDA-55420 Int Charges 272,780.90
Dec 1, 2018 IDA-55420 Int Charges 5,046.40
Dec 1, 2018 IDA-55420 Int Charges 5,046.40
Dec 1, 2018 IDA-55420 Int Charges 3,449.60
Dec 1, 2018 IDA-55420 Int Charges 3,449.60
Dec 1, 2018 IDA-55420 Int Charges 9,189.67
Dec 1, 2015 IDA-55420 Int Charges 35,536.04
Jun 1, 2018 IDA-55420 Int Charges 28,302.40
Jun 1, 2018 IDA-55420 Int Charges 28,302.40
Jun 1, 2018 IDA-55420 Int Charges 6,273.79
Jun 1, 2018 IDA-55420 Int Charges 6,273.79
Aug 27, 2018 IDA-55420 Loan Disb 2,430,004.20
Jun 1, 2018 IDA-55420 Int Charges 95,099.40
Jun 1, 2018 IDA-55420 Int Charges 95,099.40
Jun 1, 2018 IDA-55420 Int Charges 72,676.21
Dec 1, 2017 IDA-55420 Int Charges 3,321.17
Dec 1, 2017 IDA-55420 Int Charges 3,321.17
Dec 1, 2017 IDA-55420 Int Charges 67,819.97
Dec 1, 2017 IDA-55420 Int Charges 67,819.97
Dec 1, 2017 IDA-55420 Int Charges 113,728.69
Dec 1, 2017 IDA-55420 Int Charges 113,728.69
Feb 14, 2018 IDA-55420 Loan Disb 5,667.44
Jun 1, 2022 IDA-55420 Loan Repay 676,610.90
Jun 1, 2022 IDA-55420 Int Charges 415.33
Jun 1, 2022 IDA-55420 Int Charges 415.33
Jun 1, 2022 IDA-55420 Int Charges 257,778.23
Jun 1, 2022 IDA-55420 Int Charges 257,778.23
Jun 1, 2022 IDA-55420 Loan Repay 437,869.38
Jun 1, 2022 IDA-55420 Loan Repay 79,674.12
Jun 1, 2022 IDA-55420 Loan Repay 169,597.69
Jun 1, 2022 IDA-55420 Loan Repay 14,900.37
Jun 17, 2024 IDA-66680 Loan Cancel 96,571,280.00
Jun 7, 2024 IDA-55420 Loan Repay 1,355,609.10
Jun 7, 2024 IDA-55420 Int Charges 32,103.64
Jun 7, 2024 IDA-55420 Int Charges 32,103.64
Jun 7, 2024 IDA-55420 Int Charges 229,578.33
Jun 7, 2024 IDA-55420 Int Charges 229,578.33
Jun 7, 2024 IDA-55420 Int Charges 754.82
Jun 7, 2024 IDA-55420 Int Charges 754.82
Jun 17, 2024 IDA-55420 Loan Cancel 14,996,555.00
Dec 28, 2023 IDA-55420 Loan Repay 1,357,566.40
Dec 1, 2018 IDA-55420 Int Charges 9,189.67
Dec 1, 2018 IDA-55420 Int Charges 53,696.27
Dec 1, 2018 IDA-55420 Int Charges 53,696.27
Dec 1, 2018 IDA-55420 Int Charges 134,410.44
Dec 1, 2018 IDA-55420 Int Charges 134,410.44
Dec 1, 2018 IDA-55420 Int Charges 5,568.43
Nov 29, 2018 IDA-55420 Loan Disb 5,113,476.50
Nov 29, 2018 IDA-55420 Loan Disb 1,596,569.20
Jun 1, 2018 IDA-55420 Int Charges 72,676.21
Jun 1, 2018 IDA-55420 Int Charges 15,409.52
Jun 1, 2018 IDA-55420 Int Charges 15,409.52
Dec 1, 2021 IDA-55420 Loan Repay 98,807.97
Dec 1, 2021 IDA-55420 Loan Repay 447,798.06
Dec 2, 2021 IDA-55420 Int Charges 33,902.36
Dec 2, 2021 IDA-55420 Int Charges 33,902.36
Dec 2, 2021 IDA-55420 Loan Repay 176,599.69
Jun 1, 2021 IDA-55420 Int Charges 22,883.08
Jun 1, 2021 IDA-55420 Int Charges 22,883.08
Jun 1, 2021 IDA-55420 Loan Repay 426,481.97
Jun 1, 2021 IDA-55420 Int Charges 155,000.62
Jun 1, 2021 IDA-55420 Int Charges 155,000.62
Jun 1, 2021 IDA-55420 Loan Repay 843,242.90
Jun 8, 2021 IDA-55420 Int Charges 97,046.59
Jun 8, 2021 IDA-55420 Int Charges 97,046.59
Jun 1, 2021 IDA-55420 Loan Repay 206,915.19
Dec 1, 2020 IDA-55420 Int Charges 173,669.16
Dec 1, 2020 IDA-55420 Int Charges 1,605.62
Dec 1, 2020 IDA-55420 Int Charges 1,605.62
Dec 1, 2020 IDA-55420 Int Charges 91,683.50
Dec 1, 2020 IDA-55420 Int Charges 91,683.50
Dec 1, 2020 IDA-55420 Loan Repay 20,489.87
Dec 1, 2020 IDA-55420 Loan Repay 447,430.06
Dec 1, 2020 IDA-55420 Loan Repay 992,339.44

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Monitoring and Evaluation Satisfactory 2024-02-11
Overall Implementation Progress (IP) Moderately Satisfactory 2024-02-11
Progress towards achievement of PDO Moderately Satisfactory 2024-02-11
Project Management Moderately Satisfactory 2024-02-11
Procurement Moderately Satisfactory 2024-02-11
Financial Management Moderately Satisfactory 2024-02-11

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Deliveries with skilled birth attendantValue74.0086.0087.00
    DateJune 1, 2014June 30, 2020January 31, 2024
    Comment
  • Deliveries which are followed by adequate postnatal care within 2 days of birthValue65.8070.0069.00
    DateApril 1, 2019June 30, 2020January 31, 2024
    Comment
  • Townships in which the township hospital and at least 60% of other Health Facilities have met a minimum readiness level of 14 out of 20 to provide essential MNCH services (DLI#1)Value0.00168.00180.00
    DateJune 1, 2014June 30, 2020December 31, 2019
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.0010930615.0019500000.00
    DateDecember 31, 2014June 30, 2020January 31, 2024
    Comment
  • Number of children immunizedValue0.004408365.007900000.00
    DateDecember 31, 2014June 30, 2020January 31, 2024
    Comment
  • Number of women and children who have received basic nutrition servicesValue0.002322440.004600000.00
    DateDecember 31, 2014January 31, 2024January 31, 2024
    Comment
  • Number of deliveries attended by skilled health personnelValue0.003497500.007000000.00
    DateDecember 31, 2014January 31, 2024January 31, 2024
    Comment
  • Children immunized of measles rubella at age of 9 monthsValue87.8090.2091.00
    DateDecember 31, 2018June 30, 2019January 31, 2024
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Townships in which the township hospital and at least 80% of other health facilities have received Health Facility Grants in accordance with Project Operations Manual (DLI#2)Value0.00325.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Training package for safe delivery and early essential newborn care and care for small babies and neonatal resuscitation updated (AF DLI #1a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Township Health Investment Plans developed with engagement of community and involvement of ethnic providers and non-government organizationsValue0.000.0019.00
    DateOctober 1, 2020October 1, 2020April 1, 2022
    Comment
  • Service readiness scorecard implementedValueNoYesYes
    DateJune 1, 2014September 30, 2015December 30, 2015
    Comment
  • Information communication technology (ICT)-based innovations in health piloted or scaled upValue0.000.004.00
    DateJanuary 31, 2020January 31, 2020January 31, 2024
    Comment
  • Quality readiness criteria developed and endorsed by MOHS (AF DLI #1b)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Health facilities in selected townships that have been re-constructed or renovated, and equipped/ furnished to specified standard.Value0.000.00250.00
    DateOctober 1, 2020October 1, 2020June 28, 2024
    Comment
  • Health Care Waste Management guidelines and policy developed and implementedValueNoYesYes
    DateJune 1, 2014March 1, 2018June 30, 2019
    Comment
  • Grievance Redress Mechanism using ICT platform initiatedValueNoNoYes
    DateJanuary 31, 2020January 31, 2020June 30, 2021
    Comment
  • Townships in which at least 80% of required number antenatal and postnatal visits and deliveries have been carried out by basic health staff (DLI#3)Value0.00180.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Improved fund flows (recurrent) to front line health facilities--Training on guidelines developedValueNoYesYes
    DateJune 1, 2014September 1, 2015April 1, 2015
    Comment
  • Registered pregnancies in health facilities in selected townshipsValue52500.0052500.0060000.00
    DateJanuary 31, 2020January 31, 2020January 31, 2024
    Comment
  • Skilled birth attendants (SBAs) in Ayeyarwady Region & Shan State trained using updated training package for essential maternal newborn child health (MNCH) care (AF DLI #1c)Value0.000.0060.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Townships in which the Township Health Departments have prepared an integrated and inclusive Township Health Plans (DLI#4)Value0.00129.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Improved supervision (supervision standards and checklists developed)ValueNoYesYes
    DateJune 1, 2014September 30, 2015December 31, 2015
    Comment
  • Townships in which all rural health centers and at least 50% of subcenters have been supervised at least twice in a fiscal year by Township Health Department using checklist (DLI#5)Value0.00130.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Beneficiary satisfaction with health services delivered in facilities selected for fully functional health service delivery infrastructure (FFHSDI) investmentValue0.000.0065.00
    DateJanuary 31, 2020January 31, 2020January 31, 2024
    Comment
  • Primary healthcare (PHC) facilities with labor room in FFHSDI townships that meet readiness criteria per agreed checklist (AF DLI #1d)Value0.000.0050.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Communications strategy developed and implementedValueNoYesYes
    DateJune 1, 2014March 31, 2016June 30, 2019
    Comment
  • Township in which township health department has been supervised at least twice in a fiscal year by State/Region Health Department officials using checklist (DLI#6)Value0.00218.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Deliveries with skilled birth attendant in AyeyarwadyValue81.7081.7086.00
    DateDecember 31, 2019December 31, 2019January 31, 2024
    Comment
  • Policy on CBHWs endorsed and disseminated by MOHS (AF DLI #2a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Health Financing Strategy for UHC developed, approved, and communicatedValueNoYesYes
    DateJune 1, 2014March 29, 2019December 31, 2018
    Comment
  • Townships in which at least 60% of midwives have been trained to deliver BeMOC and IMCI (DLI#7)Value0.00193.00180.00
    DateJune 1, 2014January 31, 2020December 31, 2019
    Comment
  • Deliveries with skilled birth attendant in ShanValue71.6071.6076.00
    DateDecember 31, 2019December 31, 2019January 31, 2024
    Comment
  • Mapping of CBHWs (community based health workers) in Ayeyarwady and Shan completed (AF DLI #2b)ValueNoNoYes
    DateJanuary 31, 2020September 30, 2020September 30, 2020
    Comment
  • Essential Package of Health Services including quality standards defined, costed, approved, and publicly communicatedValueNoYesYes
    DateJune 1, 2014October 31, 2016March 31, 2016
    Comment
  • Training curriculum of CBHWs updated (AF DLI #2c)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Villages in Ayeyarwady and Shan with at least one CBHW trained, registered, and equipped (AF DLI #2d)Value0.000.0035.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Training of trainers on Infection Prevention and Control (IPC) and Health Care Waste Management (HCWM) completed in all Regions/States (AF DLI #3a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Townships where 80% of relevant basic health staff have been trained in IPC, including HCWM (AF DLI #3b)Value0.000.00130.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Townships where 100% of township hospitals and station hospitals are implementing IPC and HCWM, and 50% of rural health centers areimplementing HCWM (AF DLI #3c)Value0.000.0085.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Guidelines developed for Region/State multi-stakeholder annual planning and review meetings and Township biannual review meetings (AF DLI #4a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Regions/States with multi-stakeholder platform for Annual Planning and Review and meeting minutes shared with all participants (AF DLI #4b)Value0.000.0015.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • FFHSDI townships organizing multi-stakeholder biannual reviews and sharing meeting minutes with participants (AF DLI #4c)Value0.000.00100.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Sub-national level training conducted with finance staff from all 17 Regions/States on electronic budget implementation reporting system (AF DLI #5a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Electronic database system established at the union level for ministry-wide budget and expenditure tracking (AF DLI #5b)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Region/State Health Departments and township health departments maintaining financial data in secure, designated computer system and sending electronic copies of budget execution reports (AF DLI #5c)Value0.000.0017.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • MOHS Departments enter and analyze the annual budget and expenditure data (AF DLI #5d)Value0.000.007.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • FFHSDI townships preparing township health investment plan and receiving annual operational budget based on the plan (AF DLI #5e)ValueNoNoYes
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment
  • Procurement and Supply Chain Management (PSCM) Operational Plan, including a performance monitoring framework, developed and approved (AF DLI #6a)ValueNoNoYes
    DateJanuary 31, 2020January 31, 2020September 30, 2020
    Comment
  • Region/State Health Departments with electronic Logistics Management Information Systems (AF DLI #6b)Value0.000.009.00
    DateSeptember 30, 2020September 30, 2020June 30, 2024
    Comment