Health System Support

Abstract*

The development objective of the Health System Support Project for Mauritania is to improve utilization and quality of reproductive maternal neonatal and child health (RMNCH) services in selected regions, and, in the event of an eligible crisis or emergency, to provide immediate and effective response to said eligible crisis or emergency. The project comprises of four components. The first component, support to improving utilization of quality RMNCH... Show More

Development Objective

The Project Development Objective is to improve utilization and quality of Reproductive, Maternal, Neonatal, and Child Health (RMNCH) services in selected regions.

Key Details

Project Details

Project ID
P156165
Status
Closed
Team Leader
Mariam Hema , Samuel Mills, Mohamed Taleb El Hassen
Borrower 2
Islamic Republic of Mauritania

Country
Mauritania
Disclosure Date
November 2, 2016
Approval Date
(as of board presentation)
May 19, 2017
Effective Date
November 15, 2017

Total Project Cost 1
US$ 19.00 million
Implementing Agency
Ministry of Health
Region
Western and Central Africa
Fiscal Year 3
2017

Commitment Amount
US$ 17.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
December 31, 2023

Consultant Services required
TBD
Last Stage Reached
BANK APPROVED
Last Update Date
February 19, 2024

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 Policies100%
- FY17 - Health Finance83%
- FY17 - Health Service Delivery100%

FY17 - Social Development and Protection

FY17 - Social Protection38%
- FY17 - Social Safety Nets38%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Grant	17.00
Borrower/Recipient	2.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	17.00
IBRD + IDA Commitment	17.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	19.00

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$)
Jul 23, 2021	IDA-D5760	Loan Disb	113,488.38
Jul 23, 2021	IDA-D1890	Loan Disb	173,395.78
Apr 23, 2021	IDA-D5760	Loan Disb	265,354.97
Apr 23, 2021	IDA-D1890	Loan Disb	450,211.25
Jun 10, 2021	IDA-D5760	Loan Disb	117,297.94
May 28, 2020	IDA-D1890	Loan Disb	373,723.94
Sep 23, 2020	IDA-D1890	Loan Disb	303,009.22
Aug 28, 2020	IDA-D1890	Loan Disb	328,869.44
Oct 22, 2020	IDA-D1890	Loan Disb	247,845.81
Oct 26, 2020	IDA-D1890	Loan Disb	364,252.10
Aug 27, 2020	IDA-D1890	Loan Disb	340,210.03
Mar 15, 2021	IDA-D1890	Loan Disb	250,049.88
Jan 15, 2021	IDA-D5760	Loan Disb	298,335.84
Mar 15, 2019	IDA-D1890	Loan Disb	115,238.86
Apr 12, 2019	IDA-D1890	Loan Disb	16,186.14
Aug 7, 2019	IDA-D1890	Loan Disb	70,876.75
Jun 4, 2019	IDA-D1890	Loan Disb	18,699.44
Apr 1, 2019	IDA-D1890	Loan Disb	81,124.60
Nov 4, 2019	IDA-D1890	Loan Disb	426,941.72
Jul 26, 2019	IDA-D1890	Loan Disb	197,057.03
Jul 18, 2019	IDA-D1890	Loan Disb	52,799.06
Nov 27, 2019	IDA-D1890	Loan Disb	203,834.98
Dec 10, 2019	IDA-D1890	Loan Disb	70,053.55
Dec 10, 2019	IDA-D1890	Loan Disb	195,081.83
Jan 24, 2020	IDA-D1890	Loan Disb	429,680.38
Feb 19, 2020	IDA-D1890	Loan Disb	108,891.03
Feb 19, 2020	IDA-D1890	Loan Disb	446,642.30
Apr 29, 2020	IDA-D1890	Loan Disb	71,476.83
Apr 23, 2020	IDA-D1890	Loan Disb	524,031.50
Jun 17, 2020	IDA-D1890	Loan Disb	302,911.22
Dec 11, 2017	IDA-D1890	Loan Disb	1,000,000.00
Apr 25, 2018	IDA-D1890	Loan Disb	5,134.05
Mar 12, 2018	IDA-D1890	Loan Disb	4,124.97
Feb 12, 2018	IDA-D1890	Loan Disb	9,594.41
May 29, 2018	IDA-D1890	Loan Disb	7,820.67
Jun 11, 2018	IDA-D1890	Loan Disb	6,447.27
Jul 13, 2018	IDA-D1890	Loan Disb	19,619.60
Aug 9, 2018	IDA-D1890	Loan Disb	48,313.44
Sep 28, 2018	IDA-D1890	Loan Disb	26,003.76
Dec 13, 2018	IDA-D1890	Loan Disb	192,333.80
Oct 9, 2018	IDA-D1890	Loan Disb	47,046.72
Nov 13, 2018	IDA-D1890	Loan Disb	24,158.89
Jan 22, 2019	IDA-D1890	Loan Disb	80,133.15
Feb 19, 2019	IDA-D1890	Loan Disb	68,073.44
May 7, 2019	IDA-D1890	Loan Disb	182,575.42
Jun 18, 2019	IDA-D1890	Loan Disb	88,923.30
Jun 17, 2019	IDA-D1890	Loan Disb	228,888.98
May 21, 2019	IDA-D1890	Loan Disb	256,059.31
Mar 15, 2019	IDA-D1890	Loan Disb	219,797.11
May 19, 2017	IDA-D1890	Loan Commitment	17,000,000.00
Nov 16, 2023	IDA-D5760	Loan Disb	203,768.00
Nov 7, 2023	IDA-D5760	Loan Disb	205,057.73
Oct 10, 2023	IDA-D5760	Loan Disb	207,699.52
Oct 20, 2023	IDA-D5760	Loan Disb	182,223.48
Mar 22, 2024	IDA-D5760	Loan Disb	-156,254.34
Feb 21, 2024	IDA-D5760	Loan Disb	-278,058.20
Feb 21, 2024	IDA-D1890	Loan Disb	-14,445.14
Jun 15, 2023	IDA-D5760	Loan Disb	61,501.31
Sep 15, 2023	IDA-D5760	Loan Disb	107,309.14
Aug 2, 2023	IDA-D5760	Loan Disb	509,800.20
Aug 30, 2023	IDA-D5760	Loan Disb	342,933.62
Jun 5, 2023	IDA-D5760	Loan Disb	589,398.94
Nov 28, 2023	IDA-D5760	Loan Disb	206,945.33
Dec 5, 2023	IDA-D5760	Loan Disb	1,290,000.00
Oct 27, 2023	IDA-D5760	Loan Disb	210,830.98
Oct 7, 2022	IDA-D5760	Loan Disb	841,089.10
Oct 7, 2022	IDA-D1890	Loan Disb	242,301.95
Dec 12, 2022	IDA-D5760	Loan Disb	731,154.50
Mar 3, 2023	IDA-D1890	Loan Disb	147,256.84
Mar 3, 2023	IDA-D5760	Loan Disb	536,596.94
Feb 6, 2023	IDA-D5760	Loan Disb	814,765.90
Feb 6, 2023	IDA-D1890	Loan Disb	328,344.22
Apr 7, 2023	IDA-D5760	Loan Disb	322,929.84
May 9, 2023	IDA-D5760	Loan Disb	863,417.10
Jul 14, 2023	IDA-D5760	Loan Disb	403,952.62
Aug 14, 2023	IDA-D5760	Loan Disb	265,370.28
Aug 5, 2022	IDA-D1890	Loan Disb	265,850.06
Aug 5, 2022	IDA-D5760	Loan Disb	697,455.94
Jan 11, 2022	IDA-D1890	Loan Disb	192,803.27
Jan 11, 2022	IDA-D5760	Loan Disb	633,542.94
Sep 12, 2022	IDA-D1890	Loan Disb	230,678.53
Oct 21, 2022	IDA-D5760	Loan Disb	498,229.44
Dec 13, 2022	IDA-D1890	Loan Disb	294,777.56
Jan 6, 2023	IDA-D1890	Loan Disb	264,896.47
Jan 6, 2023	IDA-D5760	Loan Disb	654,261.00
Nov 4, 2022	IDA-D1890	Loan Disb	391,152.62
Nov 4, 2022	IDA-D5760	Loan Disb	879,092.80
Sep 12, 2022	IDA-D5760	Loan Disb	453,250.97
Jul 11, 2022	IDA-D1890	Loan Disb	244,468.52
May 9, 2022	IDA-D1890	Loan Disb	417,479.70
Dec 7, 2021	IDA-D5760	Loan Disb	617,209.06
Dec 7, 2021	IDA-D1890	Loan Disb	435,193.78
Jun 8, 2022	IDA-D5760	Loan Disb	495,490.60
Mar 2, 2022	IDA-D5760	Loan Disb	432,515.34
Mar 2, 2022	IDA-D1890	Loan Disb	332,717.53
Jul 28, 2022	IDA-D5760	Loan Disb	1,168,433.60
Feb 11, 2022	IDA-D1890	Loan Disb	388,058.06
Feb 11, 2022	IDA-D5760	Loan Disb	556,055.75
May 6, 2021	IDA-D1890	Loan Disb	498,719.60
Jun 10, 2021	IDA-D1890	Loan Disb	312,831.50
May 20, 2021	IDA-D5760	Loan Disb	176,839.22
May 24, 2021	IDA-D1890	Loan Disb	295,405.28
Jun 24, 2021	IDA-D1890	Loan Disb	127,545.74
Aug 18, 2021	IDA-D5760	Loan Disb	472,101.80
Nov 15, 2021	IDA-D1890	Loan Disb	247,788.95
Sep 7, 2021	IDA-D1890	Loan Disb	247,332.52
Oct 25, 2021	IDA-D5760	Loan Disb	214,509.31
Oct 4, 2021	IDA-D1890	Loan Disb	314,447.06
Oct 4, 2021	IDA-D5760	Loan Disb	283,674.60
Aug 16, 2021	IDA-D1890	Loan Disb	380,895.80
Nov 18, 2021	IDA-D1890	Loan Disb	196,298.55
Nov 18, 2021	IDA-D5760	Loan Disb	352,237.06
Aug 31, 2021	IDA-D5760	Loan Disb	1,124,319.20
Jun 10, 2022	IDA-D1890	Loan Disb	192,843.60
Jul 11, 2022	IDA-D5760	Loan Disb	228,704.23
Jul 11, 2022	IDA-D5760	Loan Disb	711,866.75
Apr 12, 2022	IDA-D5760	Loan Disb	549,789.44
Apr 12, 2022	IDA-D1890	Loan Disb	185,333.86
May 20, 2022	IDA-D5760	Loan Disb	532,449.80
Jan 15, 2021	IDA-D1890	Loan Disb	386,829.12
Feb 19, 2021	IDA-D1890	Loan Disb	321,494.62
Dec 10, 2020	IDA-D1890	Loan Disb	753,293.00
Nov 30, 2020	IDA-D1890	Loan Disb	171,735.20
Feb 19, 2021	IDA-D5760	Loan Disb	204,093.56
Nov 19, 2020	IDA-D5760	Loan Disb	1,000,000.00
Apr 30, 2024	IDA-D5760	Loan Disb	314,467.20
Apr 30, 2024	IDA-D5760	Loan Disb	49,777.45
Mar 30, 2020	IDA-D5760	Loan Commitment	23,000,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Counterpart Funding	Satisfactory	2023-12-22
Project Management	Satisfactory	2023-12-22
Progress towards achievement of PDO	Satisfactory	2023-12-22
Financial Management	Satisfactory	2023-12-22
Procurement	Satisfactory	2023-12-22
Monitoring and Evaluation	Satisfactory	2023-12-22
Overall Implementation Progress (IP)	Satisfactory	2023-12-22

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 10-01-2024
Outcomes
Risk to Development Outcome
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 04-16-2025	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		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

Births attended by skilled health staff Value 12278.00 160021.00 96600.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Births attended by skilled health staff among the refugee population Value 0.00 0.00 0.00
Date
Comment
Pregnant women completing four antenatal care visits to a health facility during pregnancy Value 4444.00 81307.00 53557.00
Date December 29, 2017 December 31, 2023 August 19, 2022
Comment
Pregnant women completing four antenatal care visits to a health facility among the refugee population Value 0.00 0.00 0.00
Date
Comment
Children 12-23 months fully immunized Value 9046.00 63289.00 84540.00
Date December 29, 2017 December 29, 2027 December 31, 2022
Comment
Children 12-23 months fully immunized among the refugee population Value 0.00 0.00 0.00
Date
Comment
Average score of the quality of care checklist Value 0.00 60.00 45.00
Date December 29, 2017 June 22, 2023 December 31, 2021
Comment
Refugee populations benefiting from preventive and curative interventions provided by the FOSA (PMA + PCA) Value 0.00 562874.00 66020.00
Date April 22, 2019 December 31, 2023 December 31, 2021
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Women accepting modern family planning methods Value 8960.00 242254.00 99300.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Pregnant women referred for ANC1 by community health workers (cumulative) Value 0.00 16580.00 7720.00
Date December 29, 2017 December 31, 2023 August 19, 2022
Comment
Health facilities transmitting complete HMIS reports on time Value 0.00 99.00 50.00
Date December 29, 2017 December 31, 2023
Comment
Districts that implement the community health strategy Value 0.00 17.00 6.00
Date April 22, 2019 December 31, 2023
Comment
Health facilities with a functional CoSa health committee (%) (Percentage) Value 39.70 100.00 90.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Women refugees accepting modern family planning methods Value 0.00 0.00 0.00
Date
Comment
People who have received essential health, nutrition, and population (HNP) services Value 94427.00 746328.00 345750.00
Date December 29, 2017 December 31, 2023 April 22, 2019
Comment

The proportion of households eligible for conditional cash transfers that have fulfilled the conditions during the year and received the tranches for which they are eligible	Value	0.00	81.00	80.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

Grievances registered related to delivery of project benefits satisfactorily addressed Value 0.00 100.00 70.00
Date April 22, 2019 December 31, 2023 December 31, 2021
Comment
Number of home visits received by children 0-5 years old (cumulative) Value 0.00 84553.00 6000.00
Date April 22, 2019 December 31, 2023 December 31, 2022
Comment
Number of children immunized Value 9046.00 203860.00 117470.00
Date December 29, 2017 December 31, 2023 April 22, 2019
Comment
Number of women and children who have received basic nutrition services Value 4885.00 746328.00 52880.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Number of deliveries attended by skilled health personnel Value 12278.00 160021.00 135360.00
Date December 29, 2017 December 31, 2023 April 22, 2019
Comment
Health facilities without essential medicines stockouts over the last three months Value 0.00 58.00 50.00
Date December 29, 2017 December 31, 2023
Comment
Basic equipment availability Value 19.90 72.00 0.00
Date December 29, 2017 December 31, 2023
Comment
Visits by under-5 children to health facilities Value 68185.00 1175317.00 577110.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Post-natal consultation visits Value 2568.00 94531.00 35740.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
Post-natal consultation visits among the refugee population Value 0.00 0.00 0.00
Date
Comment
User satisfaction with health care services Value 0.00 98.00 65.00
Date December 29, 2017 December 31, 2023 December 31, 2021
Comment
User satisfaction with health care services among the refugee population Value 0.00 0.00 0.00
Date
Comment
Number of poor people and / or eligible refugees who have benefited from free curative consultations Value 0.00 879373.00 15860.00
Date April 22, 2019 December 31, 2023 December 31, 2021
Comment

Births attended by skilled health staff	Value	12278.00	160021.00	96600.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

Pregnant women completing four antenatal care visits to a health facility during pregnancy	Value	4444.00	81307.00	53557.00
	Date	December 29, 2017	December 31, 2023	August 19, 2022
	Comment

Children 12-23 months fully immunized	Value	9046.00	63289.00	84540.00
	Date	December 29, 2017	December 29, 2027	December 31, 2022
	Comment

Women accepting modern family planning methods	Value	8960.00	242254.00	99300.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

Health facilities with a functional CoSa health committee (%) (Percentage)	Value	39.70	100.00	90.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

People who have received essential health, nutrition, and population (HNP) services	Value	94427.00	746328.00	345750.00
	Date	December 29, 2017	December 31, 2023	April 22, 2019
	Comment

Number of children immunized	Value	9046.00	203860.00	117470.00
	Date	December 29, 2017	December 31, 2023	April 22, 2019
	Comment

Number of women and children who have received basic nutrition services	Value	4885.00	746328.00	52880.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

Basic equipment availability	Value	19.90	72.00	0.00
	Date	December 29, 2017	December 31, 2023
	Comment

Visits by under-5 children to health facilities	Value	68185.00	1175317.00	577110.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment

Post-natal consultation visits	Value	2568.00	94531.00	35740.00
	Date	December 29, 2017	December 31, 2023	December 31, 2021
	Comment