| Financier | Commitments |
|---|---|
| IDA Credit | 50.00 |
AFCC2/RI-3A EA PH Laboratory Networking Project Additional Financing
Development Objective
To establish a network of efficient, high quality, accessible public health laboratories for the diagnosis and surveillance of tuberculosis and other communicable diseases.
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 50.00 |
| IBRD + IDA Commitment | 50.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 50.00 |
Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025
No data available.
Detailed Financial Activity as of February 28, 2025
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Satellite laboratories awarded two star status under regional accreditation program based on WHO/AFRO five-step accreditation approa ch Value 0.00 26.00 20.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This indicator is used to track improvements in laboratoryprocesses and performance. Independent team of laboratory assessors determined whether the laboratory met at least 65% (two stars)based on the established standards by the Regional WHO AFRO Step wise Laboratory Improvement Process Towards Accreditation (SLIPTA)program. The country assessment of 2009 showed out of all supported laboratories, none of them had reached a two star status. In anassessment done in November 2013 in Kenya, Tanzania, Uganda, Rwanda and Burundi) 25 laboratories out of 32 or 77% of all theassessed laboratories, scored two stars and above and one laboratory in Uganda, the National TB reference laboratory attainedISO15189 accreditation. KENYA: 6RWANDA: 6TANZANIA: 5UGANDA: 6BURUNDI: 3 KENYA: 4RWANDA: 4TANZANIA: 5UGANDA: 4BURUNDI: 3 People receiving TB drug susceptibility tests among DOTS treated TB cases not responding to treatment Value 8056.00 9772.00 13380.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This indicator assesses two issues, surveillance for Drug-Resistant TB at national level and uptake of Drug Susceptibility Testing(DST) services at project sites. The regional target was to have 11,400 patients receiving DST by 2013 and 12,460 by 2014. Comparedto the baseline assessment done in 2009, the reports for 2011/12 and 2012/13 show that there has been increased number of DR-TBSuspects accessing DST services with the targets partly achieved. KENYA: 8568RWANDA: 198 TANZANIA: 170UGANDA: 812BURUNDI: 24 Outbreaks for which cross border investigations undertaken Value 0.00 2.00 16.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This indicator reflects the cross-border response to control communicable disease outbreaks in the border districts wheresatellitelaboratories are located. Compared to the baseline of 2009, the 2011/12 and 2012/13 reports showed that there has been anincreasednumber of cross border disease outbreak investigations in participating countries as shown in figure 6 below. But for the2013-2014only one cross border investigation was done between Tanzania and Burundi to address the cholera outbreak. No otheroutbreaks werereported during this period that would have necessitated a joint response. KENYA: 0RWANDA: 0TANZANIA: 1UGANDA: 0BURUNDI: 1 Direct project beneficiaries Value 144887.00 473465.00 182557.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This is a core indicator, and is used to track the number of people getting laboratory services at the facilities supported by theProject. The Regional target for year 2 was 156, 690 and for year 3 was 163, 190. The reports show that there has been an overallincrease in the number of beneficiaries at the sites, with countries surpassing their targets. The targets are currently underreview and may need adjustment. KENYA: 140,475RWANDA: 36,280TANZANIA: 71,145UGANDA: 225,565BURUNDI: NA Share of reported communicable disease outbreaks having laboratory confirmation of etiological agent Value 0.00 0.00 0.00 Date May 25, 2011 March 31, 2014 March 30, 2016 Comment This indicator measures the role of laboratory-based surveillance of outbreaks of communicable diseases of public healthimportance, such as cholera, malaria, hepatitis, salmonella, typhoid, and hemorrhagic fever. The regional target was to haveetiological agents confirmed in 40% of outbreaks. Compared to baseline this indicator ranges from 33% in Tanzania to 100% inBurundi. KENYA: 33%RWANDA: 50%TANZANIA: 33%UGANDA: 75%BURUNDI: 100% KENYA: 60%RWANDA: 70%TANZANIA: 55%UGANDA: 50% Average turn-around time for TB liquid culture tests Value 0.00 0.00 0.00 Date May 25, 2010 November 26, 2013 March 30, 2016 Comment This indicator is used to track the efficiency of TB diagnostic services (liquid culture) to facilitate timely patient management.Each country had set its own target with regard to turn around time. The most recent reports indicate that there has beenexcellentprogress in reducing turnaround time (TAT) for TB liquid culture test at most participating laboratories supported underthe projectin all countries with patients receiving results in a more timely fashion. KENYA: 56 daysRWANDA: 35 daysTANZANIA: naUGANDA: 42 days KENYA: 15 daysRWANDA: 21 daysTANZANIA: 21 daysUGANDA: 35 days Female beneficiaries Value 76790.00 232516.00 96755.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Quartely publication of a regional surveillance bulletin by East Africa integrated disease surveillance network with country-specific data (yes/no) Value No Yes Yes Date May 25, 2010 March 31, 2014 March 30, 2016 Comment The EAC has been producing regular quarterly publications of the EAIDSNet Bulletin. Health facilities constructed, renovated, and/or equipped (number) Value 0.00 29.00 31.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This is a core indicator for the project. In total 29 facilities has been equipped. In terms of civil works, 4 sites have beencompleted in Rwanda (Gisenyi, Gihundwe, Byumba and Nyagatare); in Kenya construction works are at 70% completed; in Ugandaconstruction has started at the NTRL; and in Tanzania and Burundi the civil works are still at the design stage. Kenya:7Rwanda: 5Tanzania:6Uganda:6Burundi: 5 CUMULATIVE TOTALS:Kenya: 7Rwanda: 5Tanzania: 7Uganda: 6Burundi: 6 Health personnel receiving training (number) Value 0.00 856.00 10067.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment Building capacity in various aspects of laboratory service delivery is important to quality clinical care and public healthfunctions. The project supported training of laboratory and other health personnel. The overall regional target for trainingexceeded in 2012-2013 with an overall achievement of 133% in comparison to targets. The partial results through March 2014 shows aroughly 50% achievement rate. KENYA: 78RWANDA: 45TANZANIA: 453UGANDA: 240BURUNDI: 40 CUMULATIVE TOTALS:Kenya: 3638Rwanda: 1010Tanzania: 4887Uganda: 532Burundi:363 Proportion of lab staff trained in liquid culture testing found to be proficient (percentage) Value 0.00 0.00 0.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This indicator complements IOI#8 and measures the quality of the training provided to laboratory staff in conducting TB liquidculture. This indicator aims to capture the ability of personnel to accurately conduct this critical test. The 2013-2014 partialreportsshows there is an increased proportion of laboratory staff who are trained and found to be proficient in liquid culturetests in Rwanda and high continuing level in Uganda, compared to the other countries. Kenya: 80%Rwanda: 100%Tanzania: 44%Uganda: 100%Burundi: 10% KENYA: 80%RWANDA: 90%TANZANIA: 90%UGANDA: 80% Share of National and satellite laboratories that comply with Biomedical Waste Management requirements (number, percent) Value 0.00 27.00 26.00 Date May 25, 2010 March 31, 2014 March 30, 2016 Comment This indicator captures compliance with environmental safeguards, and is also an important indicator of laboratory quality. Theregional target for 2013-2014 is to have 16 (48%) laboratories in compliance with biomedical waste management requirements. Thecountries agreed to use results from the November 2013 regional peer assessment which provides standardized data. The reportsshowed that 27 laboratories out of 32 (84%) laboratories from both national and satellite sites supported by the project compliedwith the biomedical waste management requirements. KENYA: 6RWANDA: 5TANZANIA: 7UGANDA: 5BURUNDI: 4 KENYA: 7RWANDA: 6TANZANIA: 7UGANDA: 6