Health Service Delivery & System Support Project

Abstract*

The development objectives of Health Service Delivery and System Support Project for Sierra Leone are to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. This project has three components. 1) The first component, Health Service Delivery, will contribute to improving... Show More

Development Objective

The project development objective (PDO) of the Health Service Delivery and System Support Project is to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) 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

Project ID
P153064
Status
Closed
Team Leader
Yohana Dukhan , Nicolas Rosemberg, Olga Guerrero Horas
Borrower 2
Republic of Sierra Leone

Country
Sierra Leone
Disclosure Date
October 23, 2015
Approval Date
(as of board presentation)
June 23, 2016
Effective Date
November 2, 2016

Total Project Cost 1
US$ 15.50 million
Implementing Agency
Ministry of Health and Sanitation
Region
Western and Central Africa
Fiscal Year 3
2016

Commitment Amount
US$ 15.50 million
Environmental Category
B
Last Update Date
March 27, 2024
Closing Date
December 31, 2022

Consultant Services required
TBD
Last Stage Reached
BANK APPROVED

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 Policies101%
- FY17 - Adolescent Health3%
- FY17 - Child Health8%
- FY17 - Health Service Delivery5%
- FY17 - Health System Strengthening50%
- FY17 - Reproductive and Maternal Health35%

FY17 - Private Sector Development

FY17 - Jobs100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	10.00
Ebola Recovery and Reconstruction MPF	5.50

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	10.00
IBRD + IDA Commitment	10.00

Lending Instrument
Grant Amount	5.50
Total Project Cost**	15.50

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$)
Sep 15, 2020	IDA-58460	Int Charges	22,282.95
Sep 15, 2020	IDA-58460	Int Charges	284.56
Sep 15, 2020	IDA-58460	Int Charges	284.56
Sep 10, 2020	IDA-58460	Loan Disb	415,324.84
Feb 8, 2019	IDA-58460	Loan Disb	969,080.94
Mar 15, 2019	IDA-58460	Int Charges	3.98
Mar 15, 2019	IDA-58460	Int Charges	3.98
Mar 15, 2019	IDA-58460	Int Charges	7,220.46
Mar 15, 2019	IDA-58460	Int Charges	7,220.46
Jul 16, 2019	IDA-58460	Loan Disb	946,383.50
Jun 5, 2019	IDA-58460	Loan Disb	224,278.25
Nov 15, 2019	IDA-58460	Loan Disb	445,638.06
Sep 15, 2019	IDA-58460	Int Charges	11,257.47
Sep 15, 2019	IDA-58460	Int Charges	11,257.47
Sep 15, 2019	IDA-58460	Int Charges	722.41
Sep 15, 2019	IDA-58460	Int Charges	722.41
Mar 17, 2020	IDA-58460	Int Charges	16,276.56
Mar 17, 2020	IDA-58460	Int Charges	16,276.56
Feb 11, 2020	IDA-58460	Loan Disb	619,044.10
Jul 24, 2017	IDA-58460	Loan Disb	500,000.00
Mar 15, 2018	IDA-58460	Int Charges	550.16
Mar 15, 2018	IDA-58460	Int Charges	550.16
Mar 15, 2018	IDA-58460	Int Charges	1,906.83
Sep 15, 2022	IDA-58460	Loan Repay	142,998.28
Mar 15, 2023	IDA-58460	Loan Repay	1,980.85
Mar 15, 2023	IDA-58460	Loan Repay	145,703.60
Mar 15, 2023	IDA-58460	Int Charges	34,884.59
Mar 15, 2023	IDA-58460	Int Charges	34,884.59
Feb 12, 2021	IDA-58460	Loan Disb	356,274.50
Mar 18, 2021	IDA-58460	Int Charges	2,659.73
Mar 18, 2021	IDA-58460	Int Charges	2,659.73
Mar 18, 2021	IDA-58460	Int Charges	1,308.43
Mar 18, 2021	IDA-58460	Int Charges	1,308.43
Apr 16, 2021	IDA-58460	Int Charges	35,677.07
Apr 16, 2021	IDA-58460	Int Charges	35,677.07
Sep 15, 2021	IDA-58460	Int Charges	37,920.23
Sep 15, 2021	IDA-58460	Int Charges	37,920.23
Sep 15, 2021	IDA-58460	Int Charges	2.92
Sep 15, 2021	IDA-58460	Int Charges	2.92
Mar 17, 2020	IDA-58460	Int Charges	1,052.60
Mar 17, 2020	IDA-58460	Int Charges	1,052.60
Apr 27, 2020	IDA-58460	Loan Disb	419,302.78
Aug 3, 2020	IDA-58460	Loan Disb	2,455,983.00
Jun 29, 2020	IDA-58460	Loan Disb	1,107,999.00
Sep 15, 2020	IDA-58460	Int Charges	22,282.95
Mar 15, 2018	IDA-58460	Int Charges	1,906.83
Apr 20, 2018	IDA-58460	Loan Disb	488,676.97
Jan 26, 2018	IDA-58460	Loan Disb	1,000,000.00
Sep 15, 2018	IDA-58460	Int Charges	1,017.39
Sep 15, 2018	IDA-58460	Int Charges	1,017.39
Sep 15, 2018	IDA-58460	Int Charges	6,910.30
Sep 15, 2018	IDA-58460	Int Charges	6,910.30
Jun 23, 2016	IDA-58460	Loan Commitment	10,000,000.00
Sep 15, 2023	IDA-58460	Loan Repay	2,354.73
May 16, 2023	IDA-58460	Loan Cancel	1,578.69
Apr 11, 2024	IDA-58460	Loan Repay	140,304.33
Oct 4, 2023	IDA-58460	Loan Repay	142,886.66
Oct 4, 2023	IDA-58460	Int Charges	33,764.70
Oct 4, 2023	IDA-58460	Int Charges	33,764.70
Mar 15, 2024	IDA-58460	Loan Repay	6,165.05
Apr 11, 2024	IDA-58460	Int Charges	57.03
Apr 11, 2024	IDA-58460	Int Charges	57.03
Apr 11, 2024	IDA-58460	Int Charges	33,492.62
Apr 11, 2024	IDA-58460	Int Charges	33,492.62
Mar 30, 2022	IDA-58460	Int Charges	36.68
Mar 30, 2022	IDA-58460	Int Charges	36.68
Mar 30, 2022	IDA-58460	Int Charges	36,824.01
Mar 30, 2022	IDA-58460	Int Charges	36,824.01
Sep 15, 2022	IDA-58460	Int Charges	34,471.28
Sep 15, 2022	IDA-58460	Loan Repay	655.79
Sep 15, 2022	IDA-58460	Int Charges	34,471.28

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2022-12-31
Monitoring and Evaluation	Moderately Satisfactory	2022-12-31
Overall Implementation Progress (IP)	Satisfactory	2022-12-31
Procurement	Moderately Satisfactory	2022-12-31
Project Management	Satisfactory	2022-12-31
Financial Management	Satisfactory	2022-12-31

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-26-2023
Outcomes	Moderately Unsatisfactory
Risk to Development Outcome
Bank Performance	Moderately Unsatisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 03-25-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Unsatisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	Moderately Unsatisfactory	N/a
Borrower Performance		N/a
Government Performance		N/a
Implementing Agency		N/a
Icr Quality	Substantial	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of pregnant women attended 4 or more times by skilled health personnel Value 78.90 91.00 89.00
Date December 31, 2013 December 31, 2022 December 31, 2018
Comment
Percentage of public health emergencies responded within a week's time and with good quality Value 50.00 85.00 0.00
Date October 30, 2019 December 31, 2022
Comment
Percentage of births attended by skilled health personnel (doctors, midwives, nurses and MCH Assistants) Value 72.40 83.00 81.00
Date December 31, 2013 December 31, 2022 December 31, 2018
Comment

Child 0-23 months fully immunized for age with all the recommended vaccines (BCG, OPV 0-3, Penta 1-3, PCV 1-3, Rota 1-2, MCV1, YF &MCV2)	Value	49.00	86.00	60.00
	Date	June 30, 2016	December 31, 2022	December 31, 2022
	Comment

Average Health Facility Quality of Care Score Value 37.00 40.00 36.50
Date December 29, 2017 December 31, 2022 June 29, 2018
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of hard-to-reach communities with at least one active CHW present Value 37.00 56.00 90.00
Date October 31, 2015 December 31, 2022 December 31, 2022
Comment
percentage of public health emergencies responded within a week's time adn with good quality Value 50.00 85.00 0.00
Date November 30, 2016 December 31, 2022
Comment
Number of outpatient visits per 10,000 population Value 5709.00 8832.00 6950.00
Date December 31, 2013 December 31, 2022 December 31, 2022
Comment
Percentage of routine/HMIS reporting units submitting timely and complete reports according to national guidelines Value 75.00 76.00 95.00
Date December 31, 2015 December 31, 2022 December 31, 2022
Comment
Percentage of maternal deaths reviewed among suspected maternal deaths Value 0.00 100.00 90.00
Date December 31, 2013 September 30, 2022 December 31, 2022
Comment
Percentage of health facilities that comply with medical waste management guidelines Value 0.00 83.00 80.00
Date June 29, 2018 December 31, 2020 December 31, 2022
Comment
Percentage of SLA applications approved (or recommended for resubmission) within 6 weeks from the date of submission Value 0.00 71.00 100.00
Date December 31, 2013 December 31, 2022 December 31, 2022
Comment
Percentage of pregnant women receiving Tetanus Toxoid (TT) 2 or more times Value 89.30 67.00 96.00
Date December 31, 2013 December 31, 2022 December 31, 2022
Comment
Number of graduates for midwifery Value 0.00 124.00 120.00
Date November 29, 2013 December 31, 2022 December 31, 2022
Comment
percentage of inspected households with improved sanitation facilities Value 15.00 54.60 30.00
Date June 30, 2018 December 31, 2020 December 31, 2022
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 4206087.00 8046931.00
Date June 30, 2016 December 31, 2022 December 31, 2022
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 79184.00 0.00
Date
Comment
Number of children immunized Value 0.00 282428.00 251335.00
Date June 30, 2016 December 31, 2022 December 31, 2022
Comment
Number of women and children who have received basic nutrition services Value 0.00 61120.00 0.00
Date December 31, 2018 December 31, 2022
Comment
Number of deliveries attended by skilled health personnel Value 0.00 280717.00 0.00
Date June 30, 2016 December 31, 2022
Comment

Percentage of pregnant women attended 4 or more times by skilled health personnel	Value	78.90	91.00	89.00
	Date	December 31, 2013	December 31, 2022	December 31, 2018
	Comment

Percentage of public health emergencies responded within a week's time and with good quality	Value	50.00	85.00	0.00
	Date	October 30, 2019	December 31, 2022
	Comment

Percentage of births attended by skilled health personnel (doctors, midwives, nurses and MCH Assistants)	Value	72.40	83.00	81.00
	Date	December 31, 2013	December 31, 2022	December 31, 2018
	Comment

Average Health Facility Quality of Care Score	Value	37.00	40.00	36.50
	Date	December 29, 2017	December 31, 2022	June 29, 2018
	Comment

Number of outpatient visits per 10,000 population	Value	5709.00	8832.00	6950.00
	Date	December 31, 2013	December 31, 2022	December 31, 2022
	Comment

Percentage of routine/HMIS reporting units submitting timely and complete reports according to national guidelines	Value	75.00	76.00	95.00
	Date	December 31, 2015	December 31, 2022	December 31, 2022
	Comment

Percentage of pregnant women receiving Tetanus Toxoid (TT) 2 or more times	Value	89.30	67.00	96.00
	Date	December 31, 2013	December 31, 2022	December 31, 2022
	Comment

Number of graduates for midwifery	Value	0.00	124.00	120.00
	Date	November 29, 2013	December 31, 2022	December 31, 2022
	Comment

percentage of inspected households with improved sanitation facilities	Value	15.00	54.60	30.00
	Date	June 30, 2018	December 31, 2020	December 31, 2022
	Comment

Number of children immunized	Value	0.00	282428.00	251335.00
	Date	June 30, 2016	December 31, 2022	December 31, 2022
	Comment

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Value	0.00	79184.00	0.00
	Date
	Comment