Lao PDR Health Governance and Nutrition Development Project

Abstract*

The objective of the Health Governance and Nutrition Development Project is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. There are five components to the project, the first component being health sector governance reform. This component will support: (a) development, implementation and maintenance of an improved health management information system (HMIS) of the MOH; and (b)... Show More

Development Objective

The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR, and to provide immediate and effective response in case of an Eligible Crisis or Emergency.

Key Details

Project Details

Project ID
P151425
Status
Closed
Team Leader
Tomo Morimoto
Borrower 2
Lao People's Democratic Republic

Country
Lao People's Democratic Republic
Disclosure Date
March 24, 2015
Approval Date
(as of board presentation)
June 23, 2015
Effective Date
October 12, 2015

Total Project Cost 1
US$ 26.40 million
Implementing Agency
Ministry of Health
Region
East Asia and Pacific
Fiscal Year 3
2015

Commitment Amount
US$ 41.40 million
Environmental Category
B
Last Update Date
October 16, 2023
Closing Date
December 31, 2021

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED

Associated Projects
P163949

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 - Health Systems and Policies60%
- FY17 - Adolescent Health1%
- FY17 - Child Health21%
- FY17 - Health Service Delivery3%
- FY17 - Health System Strengthening10%
- FY17 - Reproductive and Maternal Health25%
FY17 - Nutrition and Food Security40%
- FY17 - Food Security20%
- FY17 - Nutrition20%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Japan Policy and Human Resources Development Fund	1.00
Integrating Donor-Financed Health Programs	4.00
IDA Credit	36.40

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	36.40
IBRD + IDA Commitment	36.40

Lending Instrument
Grant Amount	5.00
Total Project Cost**	26.40

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$)
May 15, 2024	IDA-56760	Loan Repay	150,988.42
May 15, 2024	IDA-56760	Int Charges	42,976.09
Sep 27, 2017	IDA-61450	Loan Commitment	10,000,000.00
May 16, 2023	IDA-56760	Loan Repay	44,663.60
May 16, 2023	IDA-56760	Loan Repay	152,527.33
Nov 15, 2023	IDA-56760	Int Charges	4.06
Nov 15, 2023	IDA-56760	Int Charges	4.06
Nov 15, 2023	IDA-56760	Int Charges	42,419.92
Nov 15, 2023	IDA-56760	Int Charges	42,419.92
Nov 15, 2023	IDA-56760	Int Charges	2,201.90
Nov 15, 2023	IDA-56760	Int Charges	2,201.90
Nov 15, 2023	IDA-56760	Loan Repay	43,543.95
Nov 15, 2023	IDA-56760	Loan Repay	151,142.84
Aug 15, 2024	IDA-61450	Int Charges	889.61
Aug 15, 2024	IDA-61450	Int Charges	889.61
Aug 15, 2024	IDA-61450	Loan Repay	154,338.40
Aug 15, 2024	IDA-61450	Int Charges	33,176.38
Aug 15, 2024	IDA-61450	Int Charges	33,176.38
Feb 15, 2023	IDA-61450	Int Charges	35,808.19
Feb 15, 2023	IDA-61450	Int Charges	58,437.19
Feb 15, 2023	IDA-61450	Loan Repay	93,817.84
Feb 15, 2023	IDA-61450	Loan Repay	1,201.54
Feb 15, 2023	IDA-61450	Loan Repay	62,536.57
Aug 15, 2023	IDA-61450	Int Charges	1,238.42
Aug 15, 2023	IDA-61450	Loan Repay	155,993.55
Aug 15, 2023	IDA-61450	Loan Repay	969.82
Aug 15, 2023	IDA-61450	Int Charges	35,084.91
Aug 15, 2023	IDA-61450	Int Charges	35,084.91
Aug 15, 2023	IDA-61450	Int Charges	58,474.79
May 16, 2023	IDA-56760	Int Charges	42,877.24
May 16, 2023	IDA-56760	Int Charges	42,877.24
May 16, 2023	IDA-56760	Int Charges	3,889.53
May 16, 2023	IDA-56760	Int Charges	3,889.53
Mar 1, 2022	IDA-61450	Int Charges	37,287.82
Mar 1, 2022	IDA-61450	Int Charges	37,287.82
Mar 1, 2022	IDA-61450	Int Charges	62,146.35
Mar 1, 2022	IDA-61450	Int Charges	1,013.79
Aug 16, 2022	IDA-61450	Int Charges	35,160.18
Aug 16, 2022	IDA-61450	Int Charges	35,160.18
Aug 16, 2022	IDA-61450	Int Charges	58,815.62
Apr 9, 2018	IDA-D0730	Loan Disb	228,766.16
Apr 9, 2018	IDA-56760	Loan Disb	498,049.00
Mar 29, 2018	IDA-61450	Loan Disb	414,092.00
Jun 21, 2018	IDA-56760	Loan Disb	686,305.70
Jun 14, 2018	IDA-56760	Loan Disb	503,955.80
Sep 5, 2018	IDA-61450	Loan Disb	359,563.00
Sep 5, 2018	IDA-D0730	Loan Disb	269,749.00
May 15, 2018	IDA-56760	Int Charges	7.64
May 15, 2018	IDA-56760	Int Charges	7.64
May 15, 2018	IDA-56760	Int Charges	10,481.44
May 15, 2018	IDA-56760	Int Charges	10,481.44
Aug 15, 2018	IDA-61450	Int Charges	2,136.06
Jun 14, 2018	IDA-56760	Loan Disb	247,322.08
Sep 5, 2018	IDA-56760	Loan Disb	429,620.00
Jan 27, 2016	IDA-D0730	Loan Disb	4,673,710.00
Jan 29, 2016	IDA-D0730	Loan Disb	492,838.50
Nov 24, 2015	IDA-D0730	Loan Disb	151,859.98
Feb 2, 2016	IDA-D0730	Loan Disb	26,178.59
Mar 30, 2016	IDA-D0730	Loan Disb	1,537,280.40
Mar 14, 2017	IDA-D0730	Loan Disb	4,235,220.50
Mar 14, 2017	IDA-56760	Loan Disb	251,705.70
May 15, 2017	IDA-56760	Int Charges	320.07
May 15, 2017	IDA-56760	Int Charges	320.07
May 12, 2017	IDA-D0730	Loan Disb	741,349.70
Feb 27, 2018	IDA-61450	Loan Disb	49,490.70
Jun 23, 2015	IDA-56760	Loan Commitment	13,200,000.00
Jun 23, 2015	IDA-D0730	Loan Commitment	13,200,000.00
Aug 15, 2024	IDA-61450	Int Charges	52,886.70
Aug 15, 2024	IDA-61450	Loan Repay	3,357.74
May 15, 2024	IDA-56760	Int Charges	42,976.09
Feb 15, 2024	IDA-61450	Loan Repay	63,267.82
Feb 15, 2024	IDA-61450	Int Charges	34,249.56
Feb 15, 2024	IDA-61450	Int Charges	34,249.56
Feb 15, 2024	IDA-61450	Int Charges	57,082.57
Feb 15, 2024	IDA-61450	Loan Repay	92,142.01
Feb 15, 2024	IDA-61450	Loan Repay	430.82
May 15, 2024	IDA-56760	Int Charges	1,381.48
May 15, 2024	IDA-56760	Int Charges	1,381.48
May 15, 2024	IDA-56760	Loan Repay	43,253.63
Nov 15, 2022	IDA-56760	Loan Repay	36,851.23
Nov 15, 2022	IDA-56760	Loan Repay	148,963.72
Nov 15, 2022	IDA-56760	Int Charges	7.84
Nov 15, 2022	IDA-56760	Int Charges	7.84
Nov 15, 2022	IDA-56760	Int Charges	41,100.36
Nov 15, 2022	IDA-56760	Int Charges	41,100.36
Nov 15, 2022	IDA-56760	Loan Repay	7,348.23
Feb 15, 2023	IDA-61450	Int Charges	35,808.19
Nov 29, 2021	IDA-56760	Int Charges	3,488.77
Nov 29, 2021	IDA-56760	Int Charges	45,762.53
Nov 29, 2021	IDA-56760	Int Charges	45,762.53
Nov 29, 2021	IDA-56760	Int Charges	617.86
Nov 29, 2021	IDA-56760	Int Charges	617.86
Nov 29, 2021	IDA-56760	Loan Repay	205,337.12
Jun 28, 2022	IDA-61450	Loan Disb	-21,625.72
May 17, 2022	IDA-56760	Int Charges	10,995.96
May 17, 2022	IDA-56760	Int Charges	10,995.96
May 15, 2022	IDA-56760	Loan Repay	5,104.00
May 17, 2022	IDA-56760	Int Charges	35,439.30
May 17, 2022	IDA-56760	Int Charges	57.36
May 17, 2022	IDA-56760	Int Charges	57.36
May 17, 2022	IDA-56760	Loan Repay	191,535.80
May 31, 2022	IDA-56760	Loan Cancel	7,625.21
May 26, 2022	IDA-D0730	Loan Cancel	2,440.22
May 17, 2022	IDA-56760	Int Charges	35,439.30
Aug 15, 2022	IDA-61450	Int Charges	129.64
Aug 15, 2022	IDA-61450	Int Charges	129.64
Jul 26, 2022	IDA-61450	Loan Cancel	78,989.44
Nov 15, 2020	IDA-56760	Int Charges	22.72
Nov 15, 2020	IDA-56760	Int Charges	22.72
May 17, 2021	IDA-D0730	Loan Disb	5,249.42
Jun 30, 2021	IDA-61450	Loan Disb	343,506.25
Jul 30, 2021	IDA-61450	Loan Disb	566,671.60
Jun 28, 2021	IDA-61450	Loan Disb	202,446.23
Oct 8, 2021	IDA-61450	Loan Disb	128,991.65
May 26, 2021	IDA-56760	Int Charges	49,832.57
May 26, 2021	IDA-56760	Int Charges	49,832.57
May 26, 2021	IDA-56760	Int Charges	1,095.74
May 26, 2021	IDA-56760	Int Charges	1,095.74
Sep 7, 2021	IDA-61450	Int Charges	15.43
Sep 7, 2021	IDA-61450	Int Charges	33,972.03
Sep 7, 2021	IDA-61450	Int Charges	33,972.03
Sep 7, 2021	IDA-61450	Int Charges	55,583.59
May 26, 2022	IDA-D0730	Loan Disb	-0.05
May 26, 2022	IDA-D0730	Loan Disb	0.05
Nov 29, 2021	IDA-56760	Int Charges	3,488.77
May 15, 2020	IDA-56760	Int Charges	43,015.69
May 15, 2020	IDA-56760	Int Charges	43,015.69
Sep 15, 2020	IDA-61450	Int Charges	24,568.77
Sep 15, 2020	IDA-61450	Int Charges	24,568.77
Sep 15, 2020	IDA-61450	Int Charges	39,863.90
Jun 23, 2020	IDA-56760	Loan Disb	159,635.08
Aug 15, 2020	IDA-61450	Int Charges	398.01
Aug 15, 2020	IDA-61450	Int Charges	398.01
Oct 13, 2020	IDA-56760	Loan Disb	448,629.00
Feb 17, 2021	IDA-61450	Int Charges	1,777.42
Feb 17, 2021	IDA-61450	Int Charges	29,300.13
Feb 17, 2021	IDA-61450	Int Charges	29,300.13
Feb 17, 2021	IDA-61450	Int Charges	48,817.95
Feb 18, 2021	IDA-61450	Loan Disb	794,299.50
Oct 1, 2020	IDA-61450	Loan Disb	854,672.00
Dec 30, 2020	IDA-56760	Int Charges	47,153.01
Dec 30, 2020	IDA-56760	Int Charges	47,153.01
Feb 18, 2021	IDA-56760	Loan Disb	248,342.95
May 18, 2021	IDA-61450	Loan Disb	149,997.00
Dec 1, 2020	IDA-61450	Loan Disb	103,259.33
Nov 21, 2019	IDA-56760	Int Charges	1,913.10
Nov 21, 2019	IDA-56760	Int Charges	1,913.10
Nov 27, 2019	IDA-61450	Loan Disb	2,202,240.00
Dec 5, 2019	IDA-61450	Loan Disb	557,795.10
Mar 27, 2020	IDA-61450	Loan Disb	1,467,666.80
Mar 27, 2020	IDA-56760	Loan Disb	566,182.10
Nov 21, 2019	IDA-56760	Int Charges	37,916.44
Nov 21, 2019	IDA-56760	Int Charges	37,916.44
Feb 15, 2020	IDA-61450	Int Charges	19,924.18
Feb 15, 2020	IDA-61450	Int Charges	949.85
Feb 15, 2020	IDA-61450	Int Charges	11,954.49
Feb 15, 2020	IDA-61450	Int Charges	11,954.49
Apr 13, 2020	IDA-D0730	Loan Disb	27,531.00
May 15, 2020	IDA-56760	Int Charges	154.54
May 15, 2020	IDA-56760	Int Charges	154.54
Jul 1, 2019	IDA-D0730	Loan Disb	423,104.88
Jul 1, 2019	IDA-56760	Loan Disb	224,461.52
Jul 12, 2019	IDA-56760	Loan Disb	661,717.00
Nov 20, 2019	IDA-56760	Loan Disb	211,710.52
Dec 2, 2019	IDA-56760	Loan Disb	603,721.70
Nov 4, 2019	IDA-61450	Loan Disb	1,161,725.50
Aug 15, 2019	IDA-61450	Int Charges	3,348.48
Aug 15, 2019	IDA-61450	Int Charges	4,626.20
Sep 5, 2019	IDA-61450	Loan Disb	200,657.72
Aug 15, 2019	IDA-61450	Int Charges	41.16
Nov 4, 2019	IDA-56760	Loan Disb	230,335.95
Aug 15, 2019	IDA-61450	Int Charges	3,348.48
Aug 15, 2018	IDA-61450	Int Charges	1,281.63
Aug 15, 2018	IDA-61450	Int Charges	1,281.63
Feb 15, 2019	IDA-61450	Int Charges	68.37
Feb 15, 2019	IDA-61450	Int Charges	68.37
Feb 15, 2019	IDA-61450	Int Charges	2,780.27
Feb 15, 2019	IDA-61450	Int Charges	4,706.20
Nov 15, 2018	IDA-56760	Int Charges	180.75
Nov 15, 2018	IDA-56760	Int Charges	180.75
Nov 15, 2018	IDA-56760	Int Charges	23,121.40
Nov 15, 2018	IDA-56760	Int Charges	23,121.40
May 15, 2019	IDA-56760	Int Charges	354.68
May 15, 2019	IDA-56760	Int Charges	354.68
May 15, 2019	IDA-56760	Int Charges	24,881.24
May 15, 2019	IDA-56760	Int Charges	24,881.24
Feb 15, 2019	IDA-61450	Int Charges	2,780.27
Apr 8, 2019	IDA-56760	Loan Disb	2,738,250.80
Jul 15, 2019	IDA-56760	Loan Disb	229,436.02
Jul 1, 2019	IDA-61450	Loan Disb	415,824.66
Feb 14, 2018	IDA-D0730	Loan Disb	96,422.37
Nov 15, 2017	IDA-56760	Int Charges	988.83
Nov 15, 2017	IDA-56760	Int Charges	988.83
Nov 15, 2017	IDA-56760	Int Charges	5.09
Nov 15, 2017	IDA-56760	Int Charges	5.09
Jan 30, 2018	IDA-56760	Loan Disb	4,335,649.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Satisfactory	2022-01-08
Financial Management	Moderately Satisfactory	2022-01-08
Progress towards achievement of PDO	Satisfactory	2022-01-08
Project Management	Satisfactory	2022-01-08
Monitoring and Evaluation	Satisfactory	2022-01-08
Overall Implementation Progress (IP)	Satisfactory	2022-01-08

COMPLETION RATINGS

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

Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). Value 60281.00 86386.00 84393.00
Date October 1, 2015 December 31, 2021 December 31, 2021
Comment
Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). Value 56292.00 84187.00 78809.00
Date October 1, 2015 December 31, 2021 December 31, 2021
Comment
Number of children 6-11 months who received first dose of Vitamin A Value 123389.00 90285.00 0.00
Date September 30, 2017 December 31, 2021
Comment
Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). Value 186556.00 212186.00 0.00
Date September 30, 2017 December 31, 2021
Comment
Direct project beneficiaries Value 216532.00 1627636.00 0.00
Date May 31, 2017 December 31, 2021
Comment
Female beneficiaries Value 0.00 86.49 0.00
Date October 1, 2015 May 31, 2018
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of new born children provided with birth notification in target provinces Value 20224.00 78296.00 0.00
Date December 31, 2017 December 31, 2021
Comment
Number of immunization target districts that have increased their coverage of IPV Value 0.00 30.00 45.00
Date September 30, 2017 December 31, 2021 December 31, 2021
Comment
Children age 0-6 months in target high priority nutrition districts exclusively breastfed. Value 56.20 83.90 0.00
Date September 29, 2017 December 31, 2021
Comment
QPS pilot tests in selected health centers in 4 nutrition convergence provinces completed Value No Yes
Date April 1, 2020 December 31, 2021
Comment
Number of health centers directly entering DHIS2 data Value 17.00 893.00 0.00
Date September 30, 2017 December 31, 2021
Comment
Number of women in Target Provinces who receive free maternity health care services (DLI C4). Value 453350 619394
Date May 31, 2017 December 31, 2021
Comment
Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts Value 0.00 2080.00 0.00
Date October 1, 2015 December 31, 2021
Comment
Number of health centers in selected districts trained on FM Value 0.00 100.00 0.00
Date April 1, 2020 December 31, 2021
Comment

Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation	Value	54.10	93.75	60.00
	Date	October 1, 2015	December 31, 2021
	Comment

Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored everysix months of the Year (DLI P6).	Value	0.00	64.50	0.00
	Date	October 1, 2015	December 31, 2021
	Comment

Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4).	Value	0.00	78591.00	0.00
	Date	December 31, 2015	December 31, 2021
	Comment

Number of villages in Zones 2 and 3 in which complete Integrated Outreach Sessions are conducted at least three times during the year (DLI P5).	Value	0.00	895.00	0.00
	Date	October 1, 2015	December 31, 2021
	Comment

Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. Value 0.00 514.00 0.00
Date October 1, 2015 December 31, 2021
Comment

Number of immunization target districts which have increased their coverage of Pentavalent (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8)	Value	29.00	34.00	0.00
	Date	September 30, 2017	December 31, 2021
	Comment

People who have received essential health, nutrition, and population (HNP) services Value 0.00 1700698.00 0.00
Date October 31, 2018 December 31, 2021
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 740227.00 0.00
Date
Comment
Number of children immunized Value 0.00 643846.00 0.00
Date October 31, 2018 December 31, 2021
Comment
Number of women and children who have received basic nutrition services Value 0.00 408939.00 0.00
Date October 31, 2018 December 31, 2021
Comment
Number of deliveries attended by skilled health personnel Value 60281.00 526086.00 0.00
Date October 1, 2015 December 31, 2021
Comment

Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1).	Value	60281.00	86386.00	84393.00
	Date	October 1, 2015	December 31, 2021	December 31, 2021
	Comment

Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2).	Value	56292.00	84187.00	78809.00
	Date	October 1, 2015	December 31, 2021	December 31, 2021
	Comment

Number of children 6-11 months who received first dose of Vitamin A	Value	123389.00	90285.00	0.00
	Date	September 30, 2017	December 31, 2021
	Comment

Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3).	Value	186556.00	212186.00	0.00
	Date	September 30, 2017	December 31, 2021
	Comment

Direct project beneficiaries	Value	216532.00	1627636.00	0.00
	Date	May 31, 2017	December 31, 2021
	Comment

Female beneficiaries	Value	0.00	86.49	0.00
	Date	October 1, 2015	May 31, 2018
	Comment

Number of new born children provided with birth notification in target provinces	Value	20224.00	78296.00	0.00
	Date	December 31, 2017	December 31, 2021
	Comment

Children age 0-6 months in target high priority nutrition districts exclusively breastfed.	Value	56.20	83.90	0.00
	Date	September 29, 2017	December 31, 2021
	Comment

Number of health centers directly entering DHIS2 data	Value	17.00	893.00	0.00
	Date	September 30, 2017	December 31, 2021
	Comment

Number of women in Target Provinces who receive free maternity health care services (DLI C4).	Value	453350	619394
	Date	May 31, 2017	December 31, 2021
	Comment

Number of children immunized	Value	0.00	643846.00	0.00
	Date	October 31, 2018	December 31, 2021
	Comment