Samoa Health System Strengthening Program

Abstract*

The development objective of Health System Strengthening Program for Results Project is to improve the quality and efficiency of noncommunicable disease (NCD) prevention and control in Samoa. The government of Samoa (GoS) noncommunicable disease (NCD) policy is founded on the government’s priorities articulated in its strategy for the development of Samoa (SDS) which identifies health as a priority and highlights the priorities of the health sector... Show More

Development Objective

The Program Development Objective (PDO) is to improve the quality and efficiency of NCD prevention and control in Samoa.

Key Details

Project Details

Project ID
P164382
Status
Active
Team Leader
Kari Hurt , Tonny Muthee
Borrower 2
Ministry of Finance,Ministry of Health

Country
Samoa
Disclosure Date
April 18, 2018
Approval Date
(as of board presentation)
December 5, 2019
Effective Date
May 27, 2020

Total Project Cost 1
US$ 40.54 million
Implementing Agency
Ministry of Health
Region
East Asia and Pacific
Fiscal Year 3
2020

Commitment Amount
US$ 9.30 million
Environmental Category
N/A
Last Update Date
January 29, 2024
Closing Date
December 31, 2027

Consultant Services required
No
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 change19%
- FY17 - Adaptation15%
- FY17 - Mitigation4%

FY17 - Human Development and Gender

FY17 - Disease Control100%
- FY17 - Non-communicable diseases100%
FY17 - Health Systems and Policies69%
- FY17 - Child Health23%
- FY17 - Health Finance8%
- FY17 - Health Service Delivery18%
- FY17 - Health System Strengthening20%
FY17 - Nutrition and Food Security23%
- FY17 - Nutrition23%

FY17 - Urban and Rural Development

FY17 - Rural Development11%
- FY17 - Rural Infrastructure and service delivery11%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
National Government	31.24
IDA Grant	9.30

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	9.30
IBRD + IDA Commitment	9.30

Lending Instrument
Grant Amount	N/A
Total Project Cost**	40.54

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$)
Jun 16, 2021	IDA-D5270	Loan Disb	271,567.12
Dec 5, 2019	IDA-D5270	Loan Commitment	9,300,000.00
Sep 3, 2020	IDA-D5270	Loan Disb	2,230,253.80
Apr 16, 2024	IDA-D5270	Loan Disb	721,585.90
Oct 5, 2023	IDA-D5270	Loan Disb	1,122,580.90

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Unsatisfactory	2025-03-19
Monitoring and Evaluation	Moderately Unsatisfactory	2025-03-19
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2025-03-19

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

1.Percentage of children ages 5-12 years, screened as overweight through school HEAL program, who are referred to and managed undera health promotion program	Value	0.00	0.00	80.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

7. Percentage of hypertensive patients, managed by rural health facilities, who have their condition under control following WHO definition	Value	19.00	27.00	60.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

4. Number of districts with PEN Fa’a Samoa rolled out according to the updated protocol (at least 70% of citizens, and at least 60%of men, aged 20 years old and older in the district screened)	Value	2.00	10.00	34.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

14. Percentage of health sector budget allocated to primary health care and health promotion	Value	15.00	0.20	Annual increase compared to previous year
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

5. Percentage of NCD high risk people, identified through Pen Fa’a Samoa screening, who are diagnosed within 60 days at designated health facility	Value	0.00	44.00	70.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

2. Percentage of residents in Pen Fa’ a Samoa districts with improved knowledge and awareness of NCD risk factors, disaggregated bygender	Value	0.00	97.00	70.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

15. Implementation completion rate of Annual Capacity Building Plan for NCD program approved by the HPAC Value 0.00 73.00 70.00
Date January 1, 2018 September 30, 2022 June 30, 2027
Comment
6. Percentage of non-NCD patients aged 20 and above, who present to a rural health facility, screened for NCD annually Value 0.00 0.00 65.00
Date January 1, 2018 September 30, 2022 June 30, 2027
Comment
8. Number of rural district hospitals/health centers with a multi-disciplinary team in place Value 0.00 3.00 8.00
Date January 1, 2018 September 30, 2022 June 30, 2024
Comment

3. Percentage of primary schools, identified in the previous year inspection as non-compliant with School Nutrition Standards, becoming compliant.	Value	0.00	60.00	50.00
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

16. Number of Healthcare Waste Management Implementation Plans developed and adopted by health facilities generating healthcare waste in Samoa	Value	0.00	0.00	40.00
	Date	September 30, 2022	September 30, 2022	June 30, 2027
	Comment

9. Percentage increase of the essential technologies list equipped in RDHs with MDTs in place Value to be defined in Y3 n/a Baseline +60%
Date September 30, 2022 September 30, 2022 June 30, 2027
Comment
17.Percentage of program-related grievances addressed within 30 days Value 0.00 0.00 70.00
Date November 30, 2022 November 30, 2022 June 30, 2027
Comment

10. Percentage of people, identified as high-risk through screening, tracked and managed by rural health facilities following standardized protocols	Value	0	not yet available	65
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

11. (Reduction of) Stock-outs (more than 2 weeks) of all essential drugs in rural health facilities Value 40.00 not yet available <20%
Date January 1, 2018 September 30, 2022 June 30, 2027
Comment

12. Percentage of patients in the diabetes registry tracked and managed by rural health facilities following standardized disease management protocols, disaggregated by gender	Value	35.00	0.00	65.00
	Date	September 30, 2022	September 30, 2022	June 30, 2027
	Comment

Of which females Value 35.00 0.00 0.00
Date
Comment
Of which males Value 35.00 0.00 0.00
Date
Comment

13. Percentage of diabetic patients, managed by rural health facilities, having their blood glucose under control following WHO definition, disaggregated by gender	Value	N/A	not yet available	40
	Date	January 1, 2018	September 30, 2022	June 30, 2027
	Comment

Of which females Value N/A N/A
Date
Comment
Of which males Value N/A N/A
Date
Comment
of which females Value 0.00 97.00 75.00
Date January 1, 2018 September 30, 2022 December 31, 2027
Comment
of which males Value 0.00 98.00 70.00
Date January 1, 2018 September 30, 2022 December 31, 2027
Comment

9. Percentage increase of the essential technologies list equipped in RDHs with MDTs in place	Value	to be defined in Y3	n/a	Baseline +60%
	Date	September 30, 2022	September 30, 2022	June 30, 2027
	Comment

of which females	Value	0.00	97.00	75.00
	Date	January 1, 2018	September 30, 2022	December 31, 2027
	Comment

of which males	Value	0.00	98.00	70.00
	Date	January 1, 2018	September 30, 2022	December 31, 2027
	Comment

Samoa Health System Strengthening Program

Abstract*

Development Objective

Key Details

Project Details

Sectors

Themes

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Project Map

Finances

Financing Plan (US$ Millions)

Total Project Financing (US$ Millions)

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

Detailed Financial Activity as of February 28, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS