Uganda Reproductive, Maternal and Child Health Services Improvement Project

Abstract*

The development objectives of the Reproductive, Maternal, and Child Health Services Improvement Project for Uganda are to: (a) improve utilization of essential health services with a focus on reproductive, maternal, newborn, child, and adolescent health services in target districts; and (b) scale-up birth and death registration services. The project comprises of four components. The first component, results-based financing (RBF) for primary health... Show More

Development Objective

The objectives of the Project are to: (a) improve utilization of essential health services with a focus on reproductive, maternal, newborn, child and adolescent health services in target Districts; (b) scale up birth and death registration services; and (c) to provide imediate and effective response to an eligible crisis or emergency

Key Details

Project Details

Project ID
P155186
Status
Closed
Team Leader
Rogers Ayiko , Collins Chansa, Julia Mensah
Borrower 2
Ministry of Finance, Planning and Economic Development

Country
Uganda
Disclosure Date
February 11, 2016
Approval Date
(as of board presentation)
August 4, 2016
Effective Date
May 26, 2017

Total Project Cost 1
US$ 159.54 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2017

Commitment Amount
US$ 159.54 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
September 30, 2023

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED
Last Update Date
May 31, 2024

Associated Projects
P174163
P163691

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 - Pandemic Response1%
FY17 - Health Systems and Policies100%
- FY17 - Adolescent Health44%
- FY17 - Child Health44%
- FY17 - Health Service Delivery97%
- FY17 - Health System Strengthening8%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	110.00
Global Financing Facility	30.00
Freestanding Tfs - Health, Nutrition & Population GP	19.54

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	110.00
IBRD + IDA Commitment	110.00

Lending Instrument
Grant Amount	49.54
Total Project Cost**	159.54

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Sep 22, 2020	IDA-58970	Loan Disb	5,000,000.00
Feb 19, 2021	IDA-58970	Loan Disb	4,000,000.00
Feb 1, 2021	IDA-58970	Int Charges	12,674.08
Feb 1, 2021	IDA-58970	Int Charges	12,674.08
Feb 1, 2021	IDA-58970	Int Charges	242,056.27
Feb 1, 2021	IDA-58970	Int Charges	242,056.27
Apr 8, 2021	IDA-58970	Loan Disb	2,500,000.00
Jun 22, 2021	IDA-58970	Loan Disb	22,000,000.00
Feb 1, 2019	IDA-58970	Int Charges	325.32
Feb 1, 2019	IDA-58970	Int Charges	325.32
Jun 11, 2019	IDA-58970	Loan Disb	12,030,000.00
Sep 24, 2019	IDA-58970	Loan Disb	3,120,000.00
Aug 1, 2019	IDA-58970	Int Charges	42,914.82
Aug 1, 2019	IDA-58970	Int Charges	429.27
Aug 1, 2019	IDA-58970	Int Charges	429.27
Aug 1, 2019	IDA-58970	Int Charges	42,914.82
Dec 9, 2019	IDA-58970	Loan Disb	2,023,000.00
Feb 11, 2020	IDA-58970	Loan Disb	10,000,000.00
Feb 1, 2020	IDA-58970	Int Charges	95,713.08
Feb 1, 2020	IDA-58970	Int Charges	95,713.08
Feb 1, 2020	IDA-58970	Int Charges	12,200.47
Feb 1, 2020	IDA-58970	Int Charges	12,200.47
Apr 8, 2020	IDA-58970	Loan Disb	10,000,000.00
Jun 4, 2020	IDA-58970	Loan Disb	6,000,000.00
Aug 14, 2017	IDA-58970	Loan Disb	5,827,000.00
Apr 19, 2018	IDA-58970	Loan Disb	4,500,000.00
Feb 1, 2018	IDA-58970	Int Charges	20,386.22
Feb 1, 2018	IDA-58970	Int Charges	20,386.22
Aug 1, 2018	IDA-58970	Int Charges	510.77
Aug 1, 2018	IDA-58970	Int Charges	510.77
Aug 1, 2018	IDA-58970	Int Charges	30,947.32
Aug 1, 2018	IDA-58970	Int Charges	30,947.32
Nov 15, 2018	IDA-58970	Loan Disb	1,500,000.00
Feb 1, 2019	IDA-58970	Int Charges	39,508.04
Feb 1, 2019	IDA-58970	Int Charges	39,508.04
Feb 2, 2024	IDA-58970	Loan Repay	1,634,787.00
Aug 1, 2024	IDA-58970	Int Charges	33.87
Aug 1, 2024	IDA-58970	Int Charges	33.87
Aug 1, 2024	IDA-58970	Int Charges	366,513.03
Aug 1, 2024	IDA-58970	Int Charges	366,513.03
Feb 2, 2024	IDA-58970	Int Charges	15,011.09
Feb 2, 2024	IDA-58970	Int Charges	15,011.09
Feb 15, 2024	IDA-68000	Int Charges	91.68
Feb 15, 2024	IDA-68000	Int Charges	91.68
Feb 15, 2024	IDA-68000	Int Charges	52,968.77
Feb 15, 2024	IDA-68000	Int Charges	52,968.77
May 26, 2024	IDA-58970	Loan Disb	1,623,647.00
Mar 31, 2024	IDA-68000	Loan Cancel	4,724.10
Jul 14, 2024	IDA-58970	Loan Disb	-215,559.00
May 26, 2024	IDA-58970	Loan Disb	-1,623,647.00
Dec 2, 2020	IDA-68000	Loan Commitment	15,000,000.00
Aug 4, 2016	IDA-58970	Loan Commitment	110,000,000.00
Nov 10, 2022	IDA-68000	Loan Disb	13,609,116.00
Oct 3, 2022	IDA-58970	Loan Disb	6,307,000.00
Feb 1, 2023	IDA-58970	Int Charges	342,695.60
Feb 1, 2023	IDA-58970	Int Charges	342,695.60
Feb 1, 2023	IDA-58970	Loan Repay	1,651,129.10
Feb 1, 2023	IDA-58970	Loan Repay	6,619.17
Feb 15, 2023	IDA-68000	Int Charges	28,108.77
Feb 15, 2023	IDA-68000	Int Charges	28,108.77
Aug 1, 2023	IDA-58970	Int Charges	46,090.19
Aug 1, 2023	IDA-58970	Int Charges	46,090.19
Aug 1, 2023	IDA-58970	Loan Repay	1,643,238.00
Aug 1, 2023	IDA-58970	Int Charges	373,123.03
Aug 1, 2023	IDA-58970	Int Charges	373,123.03
Aug 15, 2023	IDA-68000	Int Charges	53,442.72
Aug 15, 2023	IDA-68000	Int Charges	53,442.72
Aug 15, 2023	IDA-68000	Int Charges	138.24
Aug 15, 2023	IDA-68000	Int Charges	138.24
Jul 14, 2024	IDA-58970	Loan Disb	215,559.00
Aug 15, 2024	IDA-68000	Int Charges	52,131.08
Aug 15, 2024	IDA-68000	Int Charges	52,131.08
Aug 15, 2024	IDA-68000	Int Charges	720.79
Aug 15, 2024	IDA-68000	Int Charges	720.79
Aug 1, 2021	IDA-58970	Int Charges	277,880.44
Aug 1, 2021	IDA-58970	Int Charges	277,880.44
Aug 1, 2021	IDA-58970	Int Charges	1,646.81
Aug 1, 2021	IDA-58970	Int Charges	1,646.81
Feb 2, 2024	IDA-58970	Int Charges	379,231.84
Feb 2, 2024	IDA-58970	Int Charges	379,231.84
Aug 1, 2024	IDA-58970	Int Charges	848.32
Aug 1, 2024	IDA-58970	Int Charges	848.32
Aug 1, 2024	IDA-58970	Loan Repay	1,626,041.60
Mar 7, 2022	IDA-58970	Loan Disb	8,176,134.00
Aug 1, 2022	IDA-58970	Int Charges	406.47
Aug 1, 2022	IDA-58970	Int Charges	406.47
Aug 1, 2022	IDA-58970	Int Charges	359,115.25
Aug 1, 2022	IDA-58970	Int Charges	359,115.25
Feb 1, 2022	IDA-58970	Int Charges	14,440.10
Feb 1, 2022	IDA-58970	Int Charges	14,440.10
Feb 1, 2022	IDA-58970	Int Charges	354,542.22
Feb 1, 2022	IDA-58970	Int Charges	354,542.22
Dec 2, 2022	IDA-58970	Loan Disb	25,811.76
Dec 2, 2022	IDA-68000	Loan Disb	140,491.02
Oct 2, 2020	IDA-58970	Loan Disb	6,200,000.00
Aug 1, 2020	IDA-58970	Int Charges	165,711.34
Aug 1, 2020	IDA-58970	Int Charges	165,711.34
Aug 1, 2020	IDA-58970	Int Charges	2,573.67
Aug 1, 2020	IDA-58970	Int Charges	2,573.67

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Monitoring and Evaluation	Moderately Satisfactory	2023-09-29
Overall Implementation Progress (IP)	Moderately Satisfactory	2023-09-29
Project Management	Satisfactory	2023-09-29
Progress towards achievement of PDO	Moderately Satisfactory	2023-09-29
Procurement	Moderately Satisfactory	2023-09-29
Financial Management	Moderately Satisfactory	2023-09-29

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-03-2024
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 11-06-2024	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		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

Proportion of suspected COVID-19 cases that have undergone laboratory diagnosis and results provided within 72 hours of reporting. Value 25.00 95.00 95.00
Date April 1, 2020 June 30, 2023 June 30, 2023
Comment
Birth (deliveries) attended by skilled health personnel Value 50.00 91.00 71.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Deaths occurring in a specified year registered in the same year Value 1.00 15.50 10.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment

Proportion of suspected EVD cases that have undergone laboratory diagnosis and results provided within 48 hours of reporting.	Value	55.00	100.00	100.00
	Date	December 31, 2019	June 30, 2023	June 30, 2023
	Comment

Pregnant women who received IPT2 Value 53.00 78.20 80.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Births registered among children under 1 year Value 13.00 57.50 30.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Couple Years of Protection Value 2196713.00 5188908.00 5100000.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Children under one year immunized with 3rd dose of pneumococcal conjugate vaccine Value 79.00 92.60 92.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services Value 5176639.00 10335595.00 8652902.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Number of children immunized Value 1027305.00 1463154.00 1522902.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Number of women and children who have received basic nutrition services Value 1668207.00 7459586.00 5680000.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Number of deliveries attended by skilled health personnel Value 921511.00 1412855.00 1450000.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Pregnant women receiving the first antenatal care within the 1st trimester Value 19.10 35.00 37.00
Date June 30, 2017 June 30, 2023 June 30, 2023
Comment
Health facilities with placed orders that are fully filled by National Medical Stores Value 72.00 92.00 86.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Reported maternal deaths that are audited Value 33.00 89.10 75.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Percentage of designated Points of Entry (PoE) that are actively screening travelers for COVID-19 and viral hemorrhagic fevers Value 0.00 95.00 95.00
Date December 31, 2019 June 30, 2023 June 30, 2023
Comment
RBF health facilities with functional HUMCs with citizen representation Value 45.00 84.30 100.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Health facilities constructed/renovated Value 0.00 74.00 81.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Reported Perinatal deaths that are reviewed Value 3.80 41.30 32.00
Date June 28, 2019 June 30, 2023 June 30, 2023
Comment
Cumulative total number of tests done for investigating COVID-19 with GeneXpert and PCR tests Value 0.00 3459096.00 3300000.00
Date March 27, 2020 June 30, 2023 June 30, 2023
Comment
Health Center IVs offering caesarian section Value 50.00 86.00 84.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Health facilities equipped Value 0.00 646.00 545.00
Date June 28, 2019 June 30, 2023 June 30, 2023
Comment
Proportion of HC IVs using MVRS for Births and Deaths Notification Value 0.00 86.00 75.00
Date June 28, 2019 June 30, 2023 June 30, 2023
Comment
Health personnel receiving training Value 0.00 1606.00 1159.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Clients expressing satisfaction with health services Value 25.00 31.00 33.00
Date June 28, 2019 June 30, 2023 June 30, 2023
Comment
Approved posts in public facilities filled by qualified health workers Value 65.00 75.00 75.00
Date June 30, 2015 June 30, 2023 June 30, 2023
Comment
Proportion of Health Facilities that have 95% of the basket of essential commodities (RMNCAH) in the previous three months Value 52.00 15.00 78.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment

Proportion of suspected COVID-19 cases that have undergone laboratory diagnosis and results provided within 72 hours of reporting.	Value	25.00	95.00	95.00
	Date	April 1, 2020	June 30, 2023	June 30, 2023
	Comment

Birth (deliveries) attended by skilled health personnel	Value	50.00	91.00	71.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Deaths occurring in a specified year registered in the same year	Value	1.00	15.50	10.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Pregnant women who received IPT2	Value	53.00	78.20	80.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Births registered among children under 1 year	Value	13.00	57.50	30.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Couple Years of Protection	Value	2196713.00	5188908.00	5100000.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Children under one year immunized with 3rd dose of pneumococcal conjugate vaccine	Value	79.00	92.60	92.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

People who have received essential health, nutrition, and population (HNP) services	Value	5176639.00	10335595.00	8652902.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Number of children immunized	Value	1027305.00	1463154.00	1522902.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Number of women and children who have received basic nutrition services	Value	1668207.00	7459586.00	5680000.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Cumulative total number of tests done for investigating COVID-19 with GeneXpert and PCR tests	Value	0.00	3459096.00	3300000.00
	Date	March 27, 2020	June 30, 2023	June 30, 2023
	Comment

Number of deliveries attended by skilled health personnel	Value	921511.00	1412855.00	1450000.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Pregnant women receiving the first antenatal care within the 1st trimester	Value	19.10	35.00	37.00
	Date	June 30, 2017	June 30, 2023	June 30, 2023
	Comment

Health facilities with placed orders that are fully filled by National Medical Stores	Value	72.00	92.00	86.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Reported maternal deaths that are audited	Value	33.00	89.10	75.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

RBF health facilities with functional HUMCs with citizen representation	Value	45.00	84.30	100.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Health facilities constructed/renovated	Value	0.00	74.00	81.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Reported Perinatal deaths that are reviewed	Value	3.80	41.30	32.00
	Date	June 28, 2019	June 30, 2023	June 30, 2023
	Comment

Health facilities equipped	Value	0.00	646.00	545.00
	Date	June 28, 2019	June 30, 2023	June 30, 2023
	Comment

Health personnel receiving training	Value	0.00	1606.00	1159.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment

Approved posts in public facilities filled by qualified health workers	Value	65.00	75.00	75.00
	Date	June 30, 2015	June 30, 2023	June 30, 2023
	Comment