Health System Support Project (KIRA)

Abstract*

The development objective of Health System Support Project for Burundi is to increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. This project has four components. 1) The first component, Use of Performance-based Payments to Support the Recipient’s Free Health Care (FHC)... Show More

Development Objective

To increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services, 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

Project ID
P156012
Status
Closed
Team Leader
Omer Zang Sidjou , Olivier Basenya
Borrower 2
MINISTRY OF FINANCE

Country
Burundi
Disclosure Date
November 23, 2016
Approval Date
(as of board presentation)
February 24, 2017
Effective Date
June 20, 2017

Total Project Cost 1
US$ 58.30 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2017

Commitment Amount
US$ 58.30 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
June 30, 2023

Consultant Services required
TBD
Last Stage Reached
BANK APPROVED
Last Update Date
February 28, 2024

Associated Projects
P173252
P166576

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 - Health Finance100%
- FY17 - Health Service Delivery98%
- FY17 - Health System Strengthening83%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Grant	50.00
Global Alliance for Vaccine and Immunization	8.30

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	8.30
Total Project Cost**	58.30

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Oct 13, 2023	IDA-D7900	Loan Disb	435,152.16
Mar 7, 2024	IDA-D7900	Loan Cancel	0.31
Jan 2, 2024	IDA-D7900	Loan Disb	-0.31
Jan 2, 2024	IDA-D7900	Loan Disb	-2,232.88
Mar 6, 2024	IDA-D1660	Loan Cancel	5,433.16
Mar 7, 2024	IDA-D7900	Loan Cancel	7,111.97
Jan 2, 2024	IDA-D1660	Loan Disb	-446.17
Jan 2, 2024	IDA-D7900	Loan Disb	-2,197.59
Jan 9, 2024	IDA-D1660	Loan Disb	-5,008.71
Apr 22, 2021	IDA-D7900	Loan Commitment	50,000,000.00
Feb 24, 2017	IDA-D1660	Loan Commitment	50,000,000.00
Jan 11, 2023	IDA-D7900	Loan Disb	2,816,212.20
Jun 9, 2023	IDA-D7900	Loan Disb	571,365.44
Jun 20, 2023	IDA-D7900	Loan Disb	790,307.20
Jun 22, 2023	IDA-D7900	Loan Disb	1,059,674.60
May 18, 2023	IDA-D7900	Loan Disb	1,183,674.80
Jun 12, 2023	IDA-D7900	Loan Disb	655,354.20
Sep 21, 2023	IDA-D7900	Loan Disb	-14,975.00
Dec 2, 2022	IDA-D7900	Loan Disb	600,000.00
Dec 2, 2022	IDA-D7900	Loan Disb	150,000.02
Nov 14, 2022	IDA-D7900	Loan Disb	204,140.00
Nov 1, 2022	IDA-D7900	Loan Disb	240,639.62
Sep 29, 2022	IDA-D7900	Loan Disb	1,225,702.40
Dec 16, 2022	IDA-D7900	Loan Disb	2,776,119.20
Sep 12, 2022	IDA-D7900	Loan Disb	1,162,722.10
Oct 31, 2022	IDA-D7900	Loan Disb	1,386,544.90
Mar 30, 2023	IDA-D7900	Loan Disb	2,837,778.80
Feb 15, 2023	IDA-D7900	Loan Disb	796,386.80
Apr 18, 2023	IDA-D7900	Loan Disb	604,440.56
Apr 26, 2023	IDA-D7900	Loan Disb	2,851,152.50
Oct 26, 2021	IDA-D7900	Loan Disb	750,000.00
Oct 26, 2021	IDA-D7900	Loan Disb	2,300,000.00
Sep 8, 2021	IDA-D1660	Loan Disb	20,089.79
Aug 27, 2021	IDA-D1660	Loan Disb	37,309.61
Apr 26, 2022	IDA-D7900	Loan Disb	443,785.66
May 24, 2022	IDA-D7900	Loan Disb	1,792,028.00
Jun 7, 2022	IDA-D7900	Loan Disb	2,255,200.00
Apr 21, 2022	IDA-D7900	Loan Disb	2,270,268.00
Jun 21, 2022	IDA-D7900	Loan Disb	2,127,455.20
Mar 17, 2022	IDA-D7900	Loan Disb	2,296,691.80
Feb 18, 2022	IDA-D7900	Loan Disb	1,864,288.50
Jul 13, 2022	IDA-D7900	Loan Disb	2,298,963.50
Jan 25, 2022	IDA-D7900	Loan Disb	2,092,804.60
Jan 19, 2022	IDA-D7900	Loan Disb	515,847.00
Aug 25, 2022	IDA-D7900	Loan Disb	648,754.25
Aug 26, 2022	IDA-D7900	Loan Disb	1,517,203.10
Aug 23, 2022	IDA-D7900	Loan Disb	607,136.10
Sep 1, 2022	IDA-D7900	Loan Disb	688,933.44
Jun 18, 2020	IDA-D1660	Loan Disb	400,000.00
Jul 17, 2020	IDA-D1660	Loan Disb	534,137.56
Jul 27, 2020	IDA-D1660	Loan Disb	855,087.50
Nov 10, 2020	IDA-D1660	Loan Disb	357,502.00
Jan 26, 2021	IDA-D1660	Loan Disb	1,420,773.10
Jan 13, 2021	IDA-D1660	Loan Disb	1,086,493.20
Dec 21, 2020	IDA-D1660	Loan Disb	-150,698.55
Feb 26, 2021	IDA-D1660	Loan Disb	159,270.73
Dec 1, 2020	IDA-D1660	Loan Disb	968,787.60
Mar 22, 2019	IDA-D1660	Loan Disb	509,572.84
Jun 17, 2019	IDA-D1660	Loan Disb	742,504.40
Sep 17, 2019	IDA-D1660	Loan Disb	1,574,320.90
Sep 24, 2019	IDA-D1660	Loan Disb	657,523.25
May 24, 2019	IDA-D1660	Loan Disb	2,616,647.20
Nov 1, 2019	IDA-D1660	Loan Disb	2,970,268.20
Nov 19, 2019	IDA-D1660	Loan Disb	451,007.20
Oct 8, 2019	IDA-D1660	Loan Disb	2,994,171.50
Nov 26, 2019	IDA-D1660	Loan Disb	2,149,124.20
Mar 19, 2020	IDA-D1660	Loan Disb	880,832.60
Mar 13, 2020	IDA-D1660	Loan Disb	521,982.62
May 8, 2020	IDA-D1660	Loan Disb	804,558.06
Feb 6, 2020	IDA-D1660	Loan Disb	537,312.75
Jun 21, 2018	IDA-D1660	Loan Disb	2,279,463.50
Sep 13, 2018	IDA-D1660	Loan Disb	511,643.97
Jun 28, 2018	IDA-D1660	Loan Disb	296,335.10
Jun 8, 2018	IDA-D1660	Loan Disb	951,329.40
Jun 8, 2018	IDA-D1660	Loan Disb	726,149.90
May 21, 2018	IDA-D1660	Loan Disb	1,000,000.00
Nov 2, 2018	IDA-D1660	Loan Disb	314,093.12
Dec 12, 2018	IDA-D1660	Loan Disb	400,298.56
Feb 6, 2019	IDA-D1660	Loan Disb	368,026.70
Feb 7, 2019	IDA-D1660	Loan Disb	198,548.56
Sep 25, 2018	IDA-D1660	Loan Disb	254,656.00
Feb 21, 2019	IDA-D1660	Loan Disb	1,442,817.90
Mar 1, 2019	IDA-D1660	Loan Disb	1,296,919.40
Jul 11, 2019	IDA-D1660	Loan Disb	2,874,549.00
Jun 12, 2019	IDA-D1660	Loan Disb	748,775.40
Jun 26, 2019	IDA-D1660	Loan Disb	2,116,922.20
Apr 9, 2019	IDA-D1660	Loan Disb	2,916,658.00
Oct 13, 2017	IDA-D1660	Loan Disb	2,000,000.00
Mar 5, 2018	IDA-D1660	Loan Disb	400,724.78
Apr 20, 2018	IDA-D1660	Loan Disb	832,188.06
Mar 30, 2018	IDA-D1660	Loan Disb	1,144,767.40
Sep 1, 2017	IDA-D1660	Loan Disb	500,000.00
Apr 30, 2018	IDA-D1660	Loan Disb	500,000.00
Mar 13, 2018	IDA-D1660	Loan Disb	194,996.06
Jan 11, 2018	IDA-D1660	Loan Disb	379,775.50
Dec 22, 2017	IDA-D1660	Loan Disb	1,729,763.00
Jan 5, 2018	IDA-D1660	Loan Disb	341,333.72
Dec 7, 2017	IDA-D1660	Loan Disb	866,378.00
May 17, 2018	IDA-D1660	Loan Disb	1,280,192.60

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2023-06-29
Procurement	Moderately Satisfactory	2023-06-29
Financial Management	Moderately Satisfactory	2023-06-29
Overall Implementation Progress (IP)	Moderately Satisfactory	2023-06-29
Project Management	Satisfactory	2023-06-29
Monitoring and Evaluation	Satisfactory	2023-06-29

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 02-27-2024
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Highly Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 07-07-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	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

People who have received essential health, nutrition, and population (HNP) services Value 772087.00 31972364.00 33473918.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Number of children immunized Value 0.00 8171778.00 8884732.00
Date February 1, 2017 June 30, 2023 June 30, 2023
Comment
Number of women and children who have received basic nutrition services Value 0.00 20156912.00 22169131.00
Date February 1, 2017 June 30, 2023 June 30, 2023
Comment
Number of deliveries attended by skilled health personnel Value 0.00 3643674.00 2420055.00
Date February 1, 2017 June 30, 2023 June 30, 2023
Comment
Percentage of pregnant women who received four antenatal care visits Value 32.35 45.20 44.50
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
National quality average score of district hospital Value 80.00 82.90 89.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Contraceptive prevalence rate for modern methods Value 38.00 36.10 37.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Contraceptive prevalence rate among adolescents Value 3.10 4.90 5.20
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number visits to a health facility for Children under five years of age Value 2.20 3.80 2.60
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Pregnant women receiving antenatal care during a visit to a health provider Value 165504.00 2566168.00 1702288.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Number of years-protection couples for modern methods Value 553679.00 8525776.00 8533041.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Coverage of births attended by qualified personnel Value 77.30 89.00 95.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Pregnant women on ARV protocol for the prevention of mother-child transmission Value 3885.00 24013.00 20825.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Satisfaction rate of beneficiaries on health care delivered by health centers Value 58.00 92.30 99.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Public health facilities that offer FHC and use RBF Value 97.00 100.00 100.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Number of new Family Planning acceptors referred by Community Health Workers and who arrived at the health center Value 0.00 409752.00 337702.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Pregnant women referred for early antenatal care ANC1 (TRIM1) Value 0.00 481796.00 446374.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Total number of children aged 6-59 months tested and referred by community health workers for malnutrition Value 0.00 536324.00 516017.00
Date June 30, 2016 June 30, 2023 June 30, 2023
Comment
Children under 2 fully immunized Value 79.80 83.80 79.00
Date May 15, 2019 June 30, 2023 June 30, 2023
Comment
Grievances registered related to delivery of project benefits that are actually addressed Value 0.00 94.20 25.00
Date May 15, 2019 June 30, 2023 June 30, 2023
Comment
Sexual violence cases that arrive at a health facility and receive Post Exposition Prophylaxis within 72 hours Value 31.00 44.00 37.00
Date April 22, 2021 June 30, 2023 June 30, 2022
Comment
Laboratories having referred samples to excellence laboratories Value 0.00 50.00 25.00
Date April 22, 2021 June 30, 2023 June 30, 2022
Comment

Satellite laboratories awarded four-star status under regional accreditation program based on WHO/AFRO five-step accreditation approach	Value	7.00	8.00	8.00
	Date	April 22, 2021	June 30, 2023	June 30, 2022
	Comment

People who have received essential health, nutrition, and population (HNP) services	Value	772087.00	31972364.00	33473918.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Number of children immunized	Value	0.00	8171778.00	8884732.00
	Date	February 1, 2017	June 30, 2023	June 30, 2023
	Comment

Percentage of pregnant women who received four antenatal care visits	Value	32.35	45.20	44.50
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

National quality average score of district hospital	Value	80.00	82.90	89.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Contraceptive prevalence rate for modern methods	Value	38.00	36.10	37.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Contraceptive prevalence rate among adolescents	Value	3.10	4.90	5.20
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Number visits to a health facility for Children under five years of age	Value	2.20	3.80	2.60
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Pregnant women receiving antenatal care during a visit to a health provider	Value	165504.00	2566168.00	1702288.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Number of years-protection couples for modern methods	Value	553679.00	8525776.00	8533041.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Coverage of births attended by qualified personnel	Value	77.30	89.00	95.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Pregnant women on ARV protocol for the prevention of mother-child transmission	Value	3885.00	24013.00	20825.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Satisfaction rate of beneficiaries on health care delivered by health centers	Value	58.00	92.30	99.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Public health facilities that offer FHC and use RBF	Value	97.00	100.00	100.00
	Date	June 30, 2016	June 30, 2023	June 30, 2023
	Comment

Children under 2 fully immunized	Value	79.80	83.80	79.00
	Date	May 15, 2019	June 30, 2023	June 30, 2023
	Comment

Sexual violence cases that arrive at a health facility and receive Post Exposition Prophylaxis within 72 hours	Value	31.00	44.00	37.00
	Date	April 22, 2021	June 30, 2023	June 30, 2022
	Comment