Mozambique Primary Health Care Strengthening Program

Abstract*

The objective of Primary Health Care Strengthening Program Project for Mozambique is to improve the utilization and quality of reproductive, maternal, child, and adolescent health and nutrition services, particularly in underserved areas. Program will focus on three thematic areasof the Investment Case (IC): (i) enhancing coverage, access, and quality of primary health care services, including high‐impact supply and demand‐side interventions, with... Show More

Development Objective

The Program Development Objective is to improve the utilization and quality of reproductive, maternal, child and adolescent health and nutrition services, particularly in underserved areas.

Key Details

Project Details

Project ID
P163541
Status
Closed
Team Leader
Humberto Cossa
Borrower 2
Ministry of Economy and Finance

Country
Mozambique
Disclosure Date
October 4, 2017
Approval Date
(as of board presentation)
December 20, 2017
Effective Date
April 18, 2018

Total Project Cost 1
US$ 930.00 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2018

Commitment Amount
US$ 105.00 million
Environmental Category
N/A
Last Update Date
March 12, 2024
Closing Date
December 31, 2023

Last Stage Reached
BANK APPROVED

Associated Projects
P168314

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 - Gender10%
FY17 - Health Systems and Policies100%
- FY17 - Adolescent Health10%
- FY17 - Child Health11%
- FY17 - Health Finance17%
- FY17 - Health System Strengthening44%
- FY17 - Reproductive and Maternal Health28%
FY17 - Nutrition and Food Security11%
- FY17 - Nutrition11%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	80.00
Borrower/Recipient	725.00
Global Financing Facility	25.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	80.00
IBRD + IDA Commitment	80.00

Lending Instrument
Grant Amount	25.00
Total Project Cost**	930.00

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

No data available.

Detailed Financial Activity as of February 28, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Mar 17, 2021	IDA-D2650	Loan Disb	4,270,806.00
Jun 4, 2020	IDA-D2650	Loan Disb	7,350,488.50
Nov 6, 2020	IDA-D2650	Loan Disb	15,444,221.00
May 4, 2020	IDA-D2650	Loan Disb	4,915,578.50
Jun 18, 2018	IDA-D2650	Loan Disb	20,109,600.00
Feb 10, 2022	IDA-D2650	Loan Disb	3,514,852.80
Jul 20, 2023	IDA-D2650	Loan Disb	6,156,690.50
Sep 29, 2022	IDA-D2650	Loan Disb	3,090,819.20
Dec 6, 2021	IDA-D2650	Loan Disb	3,483,506.50
Jun 2, 2022	IDA-D2650	Loan Disb	6,615,468.00
Mar 9, 2022	IDA-D2650	Loan Disb	2,105,364.00
Dec 20, 2017	IDA-D2650	Loan Commitment	80,000,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Overall Implementation Progress (IP)	Moderately Satisfactory	2023-10-25
Progress towards achievement of PDO	Moderately Satisfactory	2023-10-25
Monitoring and Evaluation	Moderately Satisfactory	2023-10-25

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-28-2024
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-12-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately 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	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of districts, out of the 42 identified as lagging in the Investment Case, with at least 85 percent institutional deliveries Value 28.00 37.00 0.00
Date December 31, 2020 December 31, 2022
Comment
Number of Couple Years of Protection Value 1722692.00 4336444.00 3450000.00
Date December 29, 2017 December 31, 2022 December 31, 2022
Comment

Percentage of children aged 0-24 months receiving a Nutrition Intervention Package in eight priority provinces (with the prevalenceof stunting of above 35 percent)	Value	0.00	80.00	40.00
	Date	December 29, 2017	December 31, 2023	December 31, 2022
	Comment

Number of lagging districts (as defined in the IC) that provide four doses of intermittent preventive treatment of malaria to at least 60 percent of pregnant women	Value	10.00	30.00	0.00
	Date	December 31, 2020	December 31, 2022
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of health facilities providing Comprehensive Emergency Obstetric and Newborn Care Value 33.00 60.00 0.00
Date December 30, 2014 December 31, 2022
Comment
Health sub-account expenditures in 28 historically underserved districts Value 0.00 400000000.00 0.00
Date December 29, 2017 December 31, 2021
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 19760000.00 5100000.00
Date December 29, 2017 December 31, 2022 December 30, 2022
Comment
Number of primary health care facilities that have at least two maternal child health nurses Value 638.00 768.00 0.00
Date December 31, 2018 December 31, 2022
Comment
Number of technical staff assigned to type II rural health centers Value 3787.00 6325.00 0.00
Date December 29, 2017 December 31, 2022
Comment
Number of children immunized Value 0.00 7971824.00 0.00
Date December 29, 2017 December 31, 2023
Comment
Number of women and children who have received basic nutrition services Value 0.00 9720000.00 0.00
Date December 29, 2017 December 31, 2022
Comment

Percentage of secondary and technical schools offering sexual and reproductive health services (information and contraceptive methods)	Value	0.00	60.00	50.00
	Date	December 31, 2018	December 31, 2022	December 31, 2022
	Comment

Number of deliveries attended by skilled health personnel Value 0.00 4940000.00 0.00
Date December 29, 2017 December 31, 2022
Comment
Number of provinces meeting annual Couple Years of Protection growth targets Value 7.00 11.00 0.00
Date December 31, 2019 December 31, 2022
Comment

Percentage of deaths in eligible health facilities certified by a doctor or qualified clinician with cause of death coded using ICD10, and the death record captured in the SISMA MGDH	Value	0.00	70.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Domestic health expenditures as a percentage of total domestic government expenditures Value 7.90 9.50 0.00
Date December 29, 2017 December 31, 2022
Comment

Number of district and rural hospitals that received performance-based allocations in accordance with a minimum of one scorecard assessment in the previous fiscal year	Value	0.00	44.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Number of active community health workers Value 3380.00 8800.00 0.00
Date December 29, 2017 December 31, 2022
Comment
Percentage of women who had at least four antenatal visits during their pregnancy Value 42.00 66.30 0.00
Date December 29, 2017 December 31, 2022
Comment
Percentage of deaths registered, certified and captured in the civil registration system (SiRCEV) within one year of their occurrence Value 0.00 25.00 0.00
Date December 31, 2017 December 31, 2022
Comment
Health sub-account expenditures in 3 historically underserved provinces (Nampula, Zambezia, and Tete) Value 0.00 9000000.00 0.00
Date December 29, 2017 December 31, 2021
Comment

Number of health centers in priority districts that received performance-based allocations in accordance with at least one scorecard assessment with community consultations in the previous FY	Value	0.00	391.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Number of technical health personnel assigned to the primary health care network Value 11970.00 17153.00 0.00
Date December 29, 2017 December 31, 2022
Comment

Number of districts, out of the 42 identified as lagging in the Investment Case, with at least 85 percent institutional deliveries	Value	28.00	37.00	0.00
	Date	December 31, 2020	December 31, 2022
	Comment

Number of Couple Years of Protection	Value	1722692.00	4336444.00	3450000.00
	Date	December 29, 2017	December 31, 2022	December 31, 2022
	Comment

Number of health facilities providing Comprehensive Emergency Obstetric and Newborn Care	Value	33.00	60.00	0.00
	Date	December 30, 2014	December 31, 2022
	Comment

Number of primary health care facilities that have at least two maternal child health nurses	Value	638.00	768.00	0.00
	Date	December 31, 2018	December 31, 2022
	Comment

Number of technical staff assigned to type II rural health centers	Value	3787.00	6325.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Number of children immunized	Value	0.00	7971824.00	0.00
	Date	December 29, 2017	December 31, 2023
	Comment

Number of provinces meeting annual Couple Years of Protection growth targets	Value	7.00	11.00	0.00
	Date	December 31, 2019	December 31, 2022
	Comment

Domestic health expenditures as a percentage of total domestic government expenditures	Value	7.90	9.50	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Number of active community health workers	Value	3380.00	8800.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Percentage of women who had at least four antenatal visits during their pregnancy	Value	42.00	66.30	0.00
	Date	December 29, 2017	December 31, 2022
	Comment

Number of technical health personnel assigned to the primary health care network	Value	11970.00	17153.00	0.00
	Date	December 29, 2017	December 31, 2022
	Comment