Towards Zero Stunting and Responding to COVID-19 and Other Emergencies

Abstract*

The objective of the Towards Zero Stunting in Djibouti Project is to reduce stunting among children under five in Djibouti. There are four components to the project, the first component being high-impact health and nutrition services to reduce stunting. This component focuses on the delivery of services and interventions that address stunting at both the facility and community levels. This component includes two subcomponents: strengthening of health... Show More

Development Objective

The project development objective is to improve selected practices known to be key determinants in reducing chronic malnutrition and respond promptly and effectively to eligible crises and emergencies.

Key Details

Project Details

Project ID
P164164
Status
Closed
Team Leader
Ana Besarabic
Borrower 2
Republic of Djibouti

Country
Djibouti
Disclosure Date
April 2, 2018
Approval Date
(as of board presentation)
July 9, 2018
Effective Date
February 26, 2019

Total Project Cost 1
US$ 19.30 million
Implementing Agency
Ministry of Health
Region
Middle East and North Africa
Fiscal Year 3
2019

Commitment Amount
US$ 15.00 million
Environmental Category
B
Last Update Date
January 22, 2024
Closing Date
July 15, 2023

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED

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 - Environment and Natural Resource Management

FY17 - Climate change50%
- FY17 - Adaptation50%

FY17 - Human Development and Gender

FY17 - Disease Control0%
- FY17 - Pandemic Response1%
FY17 - Gender67%
FY17 - Health Systems and Policies60%
- FY17 - Child Health33%
- FY17 - Health Service Delivery13%
- FY17 - Health System Strengthening60%
- FY17 - Reproductive and Maternal Health13%
FY17 - Nutrition and Food Security100%
- FY17 - Nutrition100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	4.30
IDA Credit	15.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	15.00
IBRD + IDA Commitment	15.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	19.30

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$)
Apr 7, 2023	IDA-62900	Loan Disb	488,150.40
Feb 21, 2023	IDA-62900	Int Charges	42,042.29
Feb 21, 2023	IDA-62900	Int Charges	42,042.29
Jan 15, 2023	IDA-62900	Int Charges	209.84
Jan 15, 2023	IDA-62900	Int Charges	209.84
Jan 11, 2023	IDA-62900	Loan Disb	130,000.00
Jan 15, 2021	IDA-62900	Int Charges	40.00
Jan 15, 2021	IDA-62900	Int Charges	40.00
Jan 15, 2021	IDA-62900	Int Charges	17,819.13
Jan 15, 2021	IDA-62900	Int Charges	17,819.13
Jan 15, 2021	IDA-62900	Loan Disb	657,486.60
Jul 15, 2021	IDA-62900	Int Charges	256.03
Jul 15, 2021	IDA-62900	Int Charges	256.03
Jul 15, 2021	IDA-62900	Int Charges	27,253.13
Jul 15, 2021	IDA-62900	Int Charges	27,253.13
May 6, 2021	IDA-62900	Loan Disb	4,019,278.80
Nov 3, 2021	IDA-62900	Loan Disb	1,314,973.20
May 17, 2022	IDA-62900	Loan Disb	-1,898.87
May 9, 2022	IDA-62900	Loan Disb	669,879.80
Mar 17, 2022	IDA-62900	Loan Disb	415,863.00
Feb 26, 2020	IDA-62900	Loan Disb	650,000.00
Jul 28, 2020	IDA-62900	Loan Disb	4,350,000.00
Jul 16, 2020	IDA-62900	Int Charges	1,871.65
Jul 16, 2020	IDA-62900	Int Charges	1,871.65
Aug 2, 2022	IDA-62900	Int Charges	40,079.69
Jan 27, 2022	IDA-62900	Int Charges	37,330.78
Jan 27, 2022	IDA-62900	Int Charges	37,330.78
Dec 21, 2022	IDA-62900	Loan Disb	150,000.00
Feb 13, 2024	IDA-62900	Int Charges	756.59
Feb 13, 2024	IDA-62900	Int Charges	756.59
Feb 13, 2024	IDA-62900	Int Charges	50,367.17
Feb 13, 2024	IDA-62900	Int Charges	50,367.17
Jul 15, 2024	IDA-62900	Int Charges	17.75
Jul 15, 2024	IDA-62900	Int Charges	17.75
Jul 9, 2018	IDA-62900	Loan Commitment	15,000,000.00
Jul 15, 2023	IDA-62900	Int Charges	675.37
Jul 15, 2023	IDA-62900	Int Charges	675.37
Jul 15, 2023	IDA-62900	Int Charges	45,150.42
Jul 15, 2023	IDA-62900	Int Charges	45,150.42
Jun 30, 2023	IDA-62900	Loan Disb	732,232.60
Jun 13, 2023	IDA-62900	Loan Disb	200,000.02
Oct 25, 2023	IDA-62900	Loan Disb	873,325.06
Jul 24, 2024	IDA-62900	Int Charges	52,087.97
Jul 24, 2024	IDA-62900	Int Charges	52,087.97
Jul 15, 2022	IDA-62900	Int Charges	345.09
Jul 15, 2022	IDA-62900	Int Charges	345.09
Jan 15, 2022	IDA-62900	Int Charges	272.65
Jan 15, 2022	IDA-62900	Int Charges	272.65
Aug 2, 2022	IDA-62900	Int Charges	40,079.69

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2023-07-22
Procurement	Satisfactory	2023-07-22
Project Management	Satisfactory	2023-07-22
Financial Management	Moderately Satisfactory	2023-07-22
Monitoring and Evaluation	Satisfactory	2023-07-22
Overall Implementation Progress (IP)	Satisfactory	2023-07-22
Counterpart Funding	Satisfactory	2023-07-22

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 01-22-2024
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 08-01-2024	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

Infants 0-5 months exclusively breastfed Value 51.50 0.00 70.00
Date April 30, 2019 April 30, 2023 December 29, 2023
Comment
Number of COVID-19 patients treated according to the MoH procedures Value 5323.00 6000.00 6000.00
Date December 31, 2020 December 29, 2023 December 31, 2022
Comment
Number of health facilities receiving consumables, medicines and equipment financed by the project Value 0.00 20.00 20.00
Date April 30, 2020 December 29, 2023 December 31, 2022
Comment
Women who attended at least four antenatal care visits during their most recent pregnancy Value 23.00 50.00 35.00
Date December 31, 2012 December 29, 2023
Comment
Area sprayed to control locusts Value 0.00 2500.00 2500.00
Date January 31, 2020 December 29, 2023 December 31, 2022
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Women referred by CHWs and registered at the health facility within 4 months of pregnancy (DLI 1A) Value 0.00 29618.00 3375.00
Date March 31, 2018 April 30, 2023 December 29, 2023
Comment
A multi-sectoral nutrition coordinating mechanism is in place (DLI 2) Value No Yes Roadmap validated and action plan ratified by rele
Date March 31, 2018 December 29, 2023 December 31, 2022
Comment

Number of households having benefited from sensitization on hygiene, drinking water, good storage and handling practices of water at home	Value	0.00	600.00	600.00
	Date	April 30, 2020	December 29, 2023	December 31, 2022
	Comment

Women referred by CHWs, who completed at least 3 antenatal visits at the health facility (DLI 1B) Value 0.00 19906.00 3800.00
Date March 31, 2018 April 30, 2023 December 29, 2023
Comment
Number of PCR tests conducted for COVID-19 Value 0.00 200000.00 180000.00
Date April 30, 2020 December 29, 2023 December 31, 2022
Comment
Women referred by CHWs, who completed at least 2 postnatal visits at the health facility (DLI 1C) Value 0.00 5696.00 2375.00
Date March 31, 2018 April 30, 2023 December 29, 2023
Comment
Number of health facilities with intensive care units rehabilitated and equipped Value 0.00 3.00 2.00
Date April 30, 2020 December 29, 2023 December 31, 2022
Comment

Percentage of grievances that are addressed and responded to within a timeline that has been specified and publicly communicated bythe project	Value	0.00	60.00	50.00
	Date	November 30, 2020	December 29, 2023	December 31, 2022
	Comment

Percentage of children 6-23 months having received micronutrient powder supplement Value 32.00 61.00 60.00
Date December 31, 2016 April 30, 2023 December 29, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 115821.00 75000.00
Date March 31, 2018 April 30, 2023 December 29, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 0.00 25000.00
Date March 31, 2018 September 27, 2018 December 31, 2022
Comment
Number of women and children who have received basic nutrition services Value 0.00 115821.00 75000.00
Date March 31, 2018 April 30, 2023 December 29, 2023
Comment
Number of health structures with a waste management system within the framework of the project Value 0.00 70.00 60.00
Date April 30, 2020 December 29, 2023 December 31, 2022
Comment

Infants 0-5 months exclusively breastfed	Value	51.50	0.00	70.00
	Date	April 30, 2019	April 30, 2023	December 29, 2023
	Comment

Number of COVID-19 patients treated according to the MoH procedures	Value	5323.00	6000.00	6000.00
	Date	December 31, 2020	December 29, 2023	December 31, 2022
	Comment

Women who attended at least four antenatal care visits during their most recent pregnancy	Value	23.00	50.00	35.00
	Date	December 31, 2012	December 29, 2023
	Comment

Area sprayed to control locusts	Value	0.00	2500.00	2500.00
	Date	January 31, 2020	December 29, 2023	December 31, 2022
	Comment

A multi-sectoral nutrition coordinating mechanism is in place (DLI 2)	Value	No	Yes	Roadmap validated and action plan ratified by rele
	Date	March 31, 2018	December 29, 2023	December 31, 2022
	Comment

Percentage of children 6-23 months having received micronutrient powder supplement	Value	32.00	61.00	60.00
	Date	December 31, 2016	April 30, 2023	December 29, 2023
	Comment