Health System Performance Reinforcement Project

Abstract*

The development objective of the Health System Performance Reinforcement Project for Cameroon is to increase utilization and improve the quality of health services with a particular focus on reproductive, maternal, child, and adolescent health and nutrition services. The project comprises of two components. The first component, strengthening of health service delivery consists of three sub-components: (i) payment of performance; (ii) support to the... Show More

Development Objective

The new Project Development Objective (PDO) is to: (i) increase utilization and improve the quality of health services with a particular focus on reproductive, maternal, child and adolescent health, and nutritional services for the population of Cameroon, including refugees and refugee host communities, and (ii) in the event of an Eligible Emergency, to provide immediate and effective response to said Eligible Emergency

Key Details

Project Details

Project ID
P156679
Status
Closed
Team Leader
Aissatou Diack
Borrower 2
Republic of Cameroon

Country
Cameroon
Disclosure Date
December 3, 2015
Approval Date
(as of board presentation)
May 3, 2016
Effective Date
December 13, 2016

Total Project Cost 1
US$ 163.00 million
Implementing Agency
Ministry of Public Health
Region
Western and Central Africa
Fiscal Year 3
2016

Commitment Amount
US$ 163.00 million
Environmental Category
B
Last Update Date
March 27, 2024
Closing Date
December 31, 2022

Consultant Services required
TBD
Last Stage Reached
BANK APPROVED

Associated Projects
P164954

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 Policies97%
- FY17 - Child Health2%
- FY17 - Health System Strengthening92%
- FY17 - Reproductive and Maternal Health3%
FY17 - Nutrition and Food Security2%
- FY17 - Food Security1%
- FY17 - Nutrition1%

FY17 - Private Sector Development

FY17 - Public Private Partnerships10%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Global Financing Facility	27.00
IDA Credit	106.00
IDA Grant	30.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	136.00
IBRD + IDA Commitment	136.00

Lending Instrument
Grant Amount	27.00
Total Project Cost**	163.00

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$)
Mar 30, 2021	IDA-57900	Int Charges	218,129.38
Mar 30, 2021	IDA-57900	Int Charges	359,830.22
Apr 9, 2021	IDA-62250	Loan Disb	1,820,101.40
Apr 26, 2021	IDA-57900	Loan Disb	7,039,586.00
Apr 26, 2021	IDA-62250	Int Charges	599.19
Apr 26, 2021	IDA-62250	Int Charges	12,868.60
Apr 26, 2021	IDA-62250	Int Charges	12,868.60
Apr 26, 2021	IDA-62250	Int Charges	11,057.67
May 28, 2021	IDA-57900	Loan Disb	15,270,519.00
Oct 18, 2021	IDA-62250	Int Charges	420.14
Oct 18, 2021	IDA-62250	Int Charges	18,770.60
Oct 18, 2021	IDA-62250	Int Charges	16,768.42
Oct 18, 2021	IDA-62250	Int Charges	18,770.60
Oct 4, 2021	IDA-57900	Int Charges	9,540.78
Oct 4, 2021	IDA-57900	Loan Repay	1,688,316.20
Oct 4, 2021	IDA-57900	Int Charges	285,887.25
Oct 4, 2021	IDA-57900	Int Charges	285,887.25
Oct 4, 2021	IDA-57900	Int Charges	454,793.78
Apr 15, 2022	IDA-62250	Int Charges	17,504.22
Apr 15, 2022	IDA-62250	Int Charges	17,504.22
Apr 15, 2022	IDA-62250	Int Charges	15,637.12
Jun 30, 2022	IDA-57900	Loan Disb	8,079,023.00
May 10, 2022	IDA-62250	Loan Disb	218,518.60
Apr 27, 2020	IDA-57900	Int Charges	1,727.63
Apr 27, 2020	IDA-57900	Int Charges	141,507.10
Apr 27, 2020	IDA-57900	Int Charges	141,507.10
Apr 27, 2020	IDA-57900	Int Charges	230,552.78
May 19, 2020	IDA-57900	Loan Disb	3,819,214.80
Jun 19, 2020	IDA-62250	Loan Disb	2,294,470.80
Sep 28, 2020	IDA-62250	Loan Disb	861,648.75
Oct 19, 2020	IDA-62250	Int Charges	6,131.84
Oct 19, 2020	IDA-62250	Int Charges	6,131.84
Oct 19, 2020	IDA-62250	Int Charges	4,894.66
Oct 23, 2020	IDA-57900	Loan Disb	14,545,455.00
Sep 28, 2020	IDA-57900	Int Charges	5,458.31
Sep 28, 2020	IDA-57900	Int Charges	172,144.72
Sep 28, 2020	IDA-57900	Int Charges	172,144.72
Sep 28, 2020	IDA-57900	Int Charges	286,907.88
Mar 15, 2021	IDA-57900	Int Charges	3,536.52
Mar 15, 2021	IDA-57900	Int Charges	3,536.52
Jun 29, 2023	IDA-62250	Loan Disb	-324,408.60
Sep 19, 2023	IDA-57900	Int Charges	280,095.84
Sep 19, 2023	IDA-57900	Int Charges	280,095.84
Sep 19, 2023	IDA-57900	Int Charges	416,902.50
Sep 15, 2023	IDA-57900	Loan Repay	19,028.39
Sep 19, 2023	IDA-57900	Loan Repay	1,557,872.40
Sep 19, 2023	IDA-57900	Int Charges	591.34
Sep 19, 2023	IDA-57900	Int Charges	591.34
Sep 19, 2023	IDA-57900	Int Charges	985.58
Aug 28, 2023	IDA-57900	Loan Disb	-4,285.42
Aug 28, 2023	IDA-57900	Loan Disb	-19,202.30
Apr 5, 2022	IDA-57900	Loan Repay	1,643,924.90
Apr 5, 2022	IDA-57900	Int Charges	650.72
Apr 5, 2022	IDA-57900	Int Charges	650.72
Apr 5, 2022	IDA-57900	Int Charges	1,084.54
Apr 5, 2022	IDA-57900	Int Charges	300,085.66
Apr 5, 2022	IDA-57900	Int Charges	300,085.66
Apr 5, 2022	IDA-57900	Int Charges	450,761.50
Apr 5, 2022	IDA-57900	Int Charges	21,114.73
Dec 7, 2022	IDA-57900	Loan Disb	-5,413,305.50
Oct 21, 2022	IDA-62250	Loan Disb	-335,396.80
Sep 30, 2022	IDA-57900	Int Charges	45,927.43
Sep 30, 2022	IDA-57900	Loan Repay	1,528,944.60
Sep 30, 2022	IDA-57900	Int Charges	637.06
Dec 19, 2022	IDA-D3000	Loan Cancel	27,651,104.00
Sep 30, 2022	IDA-57900	Int Charges	637.06
Sep 30, 2022	IDA-57900	Int Charges	1,061.78
Sep 30, 2022	IDA-57900	Int Charges	285,531.47
Sep 30, 2022	IDA-57900	Int Charges	285,531.47
Sep 30, 2022	IDA-57900	Int Charges	458,909.10
Oct 19, 2022	IDA-62250	Int Charges	16,495.19
Oct 19, 2022	IDA-62250	Int Charges	16,495.19
Oct 19, 2022	IDA-62250	Int Charges	14,735.70
Apr 3, 2023	IDA-57900	Int Charges	502.06
Mar 15, 2018	IDA-57900	Int Charges	34,337.41
Mar 15, 2018	IDA-57900	Int Charges	34,337.41
Mar 15, 2018	IDA-57900	Int Charges	61,493.36
Jul 5, 2018	IDA-57900	Loan Disb	15,269,121.00
Jun 22, 2018	IDA-57900	Loan Disb	3,123,073.50
Mar 30, 2021	IDA-57900	Int Charges	218,129.38
Oct 19, 2018	IDA-57900	Int Charges	507.58
Oct 19, 2018	IDA-57900	Int Charges	62,894.74
Oct 19, 2018	IDA-57900	Int Charges	62,894.74
Oct 19, 2018	IDA-57900	Int Charges	103,867.62
Mar 26, 2019	IDA-57900	Int Charges	103,833.53
Mar 26, 2019	IDA-57900	Int Charges	103,833.53
Mar 26, 2019	IDA-57900	Int Charges	170,903.06
Mar 26, 2019	IDA-57900	Int Charges	958.70
Nov 7, 2019	IDA-57900	Loan Disb	15,074,076.00
Oct 21, 2019	IDA-57900	Int Charges	169,620.20
Oct 21, 2019	IDA-57900	Int Charges	102,820.44
Oct 21, 2019	IDA-57900	Int Charges	102,820.44
Oct 21, 2019	IDA-57900	Int Charges	2,131.83
Jan 26, 2017	IDA-57900	Loan Disb	2,735,143.20
Jan 26, 2017	IDA-57900	Loan Disb	6,542,502.00
Sep 15, 2017	IDA-57900	Int Charges	9,925.07
Sep 15, 2017	IDA-57900	Int Charges	9,925.07
Sep 15, 2017	IDA-57900	Int Charges	16,541.80
Sep 15, 2017	IDA-57900	Int Charges	36,459.47
Sep 15, 2017	IDA-57900	Int Charges	36,459.47
Sep 15, 2017	IDA-57900	Int Charges	60,765.78
Mar 15, 2018	IDA-57900	Int Charges	2,876.96
Mar 15, 2018	IDA-57900	Int Charges	2,876.96
May 3, 2016	IDA-57900	Loan Commitment	100,000,000.00
May 1, 2018	IDA-62250	Loan Commitment	6,000,000.00
May 1, 2018	IDA-D3000	Loan Commitment	30,000,000.00
Oct 15, 2023	IDA-62250	Loan Repay	86,773.50
Oct 15, 2023	IDA-62250	Int Charges	15,803.51
Oct 15, 2023	IDA-62250	Int Charges	15,803.51
Oct 15, 2023	IDA-62250	Int Charges	14,117.84
Apr 15, 2024	IDA-62250	Loan Repay	87,920.25
Apr 15, 2024	IDA-62250	Int Charges	15,194.92
Apr 15, 2024	IDA-62250	Int Charges	15,194.92
Apr 15, 2024	IDA-62250	Int Charges	13,574.18
Mar 25, 2024	IDA-57900	Int Charges	217.28
Mar 25, 2024	IDA-57900	Int Charges	275,280.44
Mar 25, 2024	IDA-57900	Int Charges	275,280.44
Mar 25, 2024	IDA-57900	Int Charges	449,648.40
Mar 25, 2024	IDA-57900	Loan Repay	1,583,573.80
Mar 25, 2024	IDA-57900	Int Charges	130.39
Apr 3, 2023	IDA-57900	Int Charges	502.06
May 2, 2023	IDA-57900	Loan Disb	38,786.19
Apr 3, 2023	IDA-57900	Int Charges	836.78
Apr 3, 2023	IDA-57900	Int Charges	300,681.60
Apr 3, 2023	IDA-57900	Int Charges	300,681.60
Apr 3, 2023	IDA-57900	Int Charges	501,136.00
Apr 3, 2023	IDA-57900	Int Charges	17,838.98
Mar 25, 2024	IDA-57900	Int Charges	130.39
Mar 25, 2024	IDA-57900	Int Charges	50,134.56
Apr 3, 2023	IDA-57900	Loan Repay	1,606,605.60
Apr 15, 2023	IDA-62250	Int Charges	17,388.14
Apr 15, 2023	IDA-62250	Int Charges	17,388.14
Apr 15, 2023	IDA-62250	Int Charges	15,533.40

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Project Management	Moderately Unsatisfactory	2022-12-22
Monitoring and Evaluation	Moderately Satisfactory	2022-12-22
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2022-12-22
Procurement	Moderately Unsatisfactory	2022-12-22
Financial Management	Unsatisfactory	2022-12-22
Progress towards achievement of PDO	Moderately Unsatisfactory	2022-12-22

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 11-15-2023
Outcomes	Unsatisfactory
Risk to Development Outcome
Bank Performance	Moderately Unsatisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 06-27-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	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	Modest	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

People who have received essential health, nutrition, and population (HNP) services Value 0.00 7771066.00 6020987.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 1461781.00 0.00
Date
Comment
Number of children immunized Value 0.00 1381354.00 737048.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
Number of women and children who have received basic nutrition services Value 0.00 5509371.00 4570560.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
Number of deliveries attended by skilled health personnel Value 0.00 868025.00 713379.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
Average score of the quality of care checklist Value 30.00 76.84 50.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment

Number of refugees who have received healthcare (curative and preventive) at health facilities in the three Northern regions (Adamawa, North and Far North) and the East	Value	0.00	600000.00	0.00
	Date	July 2, 2018	December 30, 2022
	Comment

Number of acceptors of modern contraception in the three Northern regions (Adamawa, North and Far North) and the East Value 4232.00 1292020.00 0.00
Date December 31, 2019 December 30, 2022
Comment
Number of acceptors of modern contraception among adolescents in the three Northern regions (Adamawa, North and Far North) and the East Value 0.00 42596.00 0.00
Date
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of children and pregnant women dewormed Value 0.00 3520000.00 0.00
Date July 2, 2018 December 31, 2022
Comment
Percentage of facilities with 100% tracer drugs available in targeted health facilities on the day of the visit Value 20.00 59.03 40.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment

Number of COVID-19 designated healthcare facilities with required equipment for treatment of critical patients as per approved national protocol	Value	0.00	11.00	0.00
	Date	March 27, 2020	December 31, 2022
	Comment

Number of refugee children and pregnant women dewormed Value 0.00 637000.00 0.00
Date July 2, 2018 December 31, 2022
Comment
Percentage of reported maternal deaths audited in PBF districts Value 0.00 53.87 25.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment

Number of pregnant women receiving at least 4 antenatal care visits in the three Northern regions (Adamawa, North and Far North) and the East	Value	0.00	840517.00	814656.00
	Date	June 30, 2016	September 30, 2022	December 31, 2022
	Comment

Number of children aged 6-59 months who received a vitamin A supplement in the last six months Value 0.00 3708867.00 3128788.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment

Number of children under 24 months being weighed for growth monitoring in the three Northern regions (Adamawa, North, Far North) and the East	Value	0.00	3689641.00	0.00
	Date	March 31, 2020	December 30, 2022
	Comment

Number of consultations provided to the poor and vulnerable free of charge Value 0.00 1224221.00 1502057.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
Patients/people referred to the health facilities by community health workers Value 0.00 1480159.00 1403217.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment
Percentage of the national population covered by the PBF program Value 25.00 100.00 95.00
Date June 30, 2016 September 30, 2022 December 31, 2022
Comment

Number of children immunized	Value	0.00	1381354.00	737048.00
	Date	June 30, 2016	September 30, 2022	December 31, 2022
	Comment

Number of acceptors of modern contraception in the three Northern regions (Adamawa, North and Far North) and the East	Value	4232.00	1292020.00	0.00
	Date	December 31, 2019	December 30, 2022
	Comment

Percentage of facilities with 100% tracer drugs available in targeted health facilities on the day of the visit	Value	20.00	59.03	40.00
	Date	June 30, 2016	September 30, 2022	December 31, 2022
	Comment

Percentage of the national population covered by the PBF program	Value	25.00	100.00	95.00
	Date	June 30, 2016	September 30, 2022	December 31, 2022
	Comment