CAR Health System Support and Strengthening (SENI) Project

Abstract*

The development objective of the Health System Support and Strengthening Project for Central African Republic is to increase utilization and improve the quality of essential health services in targeted areas in the territory of the recipient. The project comprises of three components. The first component, improving the quality and utilization of essential health services at facility and community levels through performance-based financing (PBF) consists... Show More

Development Objective

To increase utilization and improve the quality of essential health services in targeted areas in the territory of the Recipient.

Key Details

Project Details

Project ID
P164953
Status
Closed
Team Leader
Tomo Morimoto , Avril Kaplan
Borrower 2
Central African Republic

Country
Central African Republic
Disclosure Date
April 2, 2018
Approval Date
(as of board presentation)
September 27, 2018
Effective Date
February 7, 2019

Total Project Cost 1
US$ 54.00 million
Implementing Agency
Ministry of Public Health and Population
Region
Western and Central Africa
Fiscal Year 3
2019

Commitment Amount
US$ 53.00 million
Environmental Category
B
Last Update Date
March 27, 2024
Closing Date
January 31, 2023

Consultant Services required
TBD
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 - Human Development and Gender

FY17 - Disease Control65%
- FY17 - HIV/AIDS65%
- FY17 - Tuberculosis65%
FY17 - Gender35%
FY17 - Health Systems and Policies100%
- FY17 - Child Health100%
- FY17 - Health Finance65%
- FY17 - Health Service Delivery35%
- FY17 - Health System Strengthening35%
- FY17 - Reproductive and Maternal Health65%

FY17 - Private Sector Development

FY17 - Jobs35%
- FY17 - Job Creation35%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Grant	43.00
Global Financing Facility	10.00
Borrower/Recipient	1.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	43.00
IBRD + IDA Commitment	43.00

Lending Instrument
Grant Amount	10.00
Total Project Cost**	54.00

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$)
Sep 14, 2020	IDA-D3750	Loan Disb	2,356,019.00
Sep 14, 2020	IDA-D3750	Loan Disb	418,146.90
Jan 26, 2021	IDA-D3750	Loan Disb	1,303,111.50
Jan 4, 2021	IDA-D3750	Loan Disb	-57,040.92
Feb 16, 2021	IDA-D3750	Loan Disb	20,355.00
Feb 16, 2021	IDA-D3750	Loan Disb	20,355.00
Feb 16, 2021	IDA-D3750	Loan Disb	24,780.01
Mar 23, 2021	IDA-D3750	Loan Disb	511,526.72
Jan 19, 2021	IDA-D3750	Loan Disb	14,014.99
Mar 9, 2021	IDA-D3750	Loan Disb	115,449.76
Jun 30, 2021	IDA-D3750	Loan Disb	26,107.49
Jun 30, 2021	IDA-D3750	Loan Disb	20,355.00
Jul 14, 2021	IDA-D3750	Loan Disb	1,640,907.10
Jul 23, 2021	IDA-D3750	Loan Disb	1,773,734.50
Apr 13, 2021	IDA-D3750	Loan Disb	20,354.99
Sep 27, 2018	IDA-D3750	Loan Commitment	43,000,000.00
Mar 14, 2023	IDA-D3750	Loan Disb	191,009.73
Jun 14, 2023	IDA-D3750	Loan Disb	48,689.39
Jun 8, 2023	IDA-D3750	Loan Disb	255,663.77
Jun 7, 2023	IDA-D3750	Loan Disb	-44,980.28
Jun 7, 2023	IDA-D3750	Loan Disb	-227,850.94
Nov 8, 2023	IDA-D3750	Loan Cancel	270,027.47
Jan 11, 2022	IDA-D3750	Loan Disb	1,426,346.90
Jan 21, 2022	IDA-D3750	Loan Disb	94,311.28
Jan 21, 2022	IDA-D3750	Loan Disb	55,495.29
Sep 7, 2022	IDA-D3750	Loan Disb	808,996.20
Sep 21, 2022	IDA-D3750	Loan Disb	-34,206.02
Sep 23, 2022	IDA-D3750	Loan Disb	-28,135.43
Jan 10, 2023	IDA-D3750	Loan Disb	390,789.62
Jan 10, 2023	IDA-D3750	Loan Disb	1,354,304.20
Jan 10, 2023	IDA-D3750	Loan Disb	888,880.94
Sep 15, 2022	IDA-D3750	Loan Disb	1,145,688.60
Sep 26, 2022	IDA-D3750	Loan Disb	473,313.38
Sep 26, 2022	IDA-D3750	Loan Disb	551,543.70
Sep 23, 2022	IDA-D3750	Loan Disb	-126,685.91
Apr 28, 2023	IDA-D3750	Loan Disb	192,641.48
May 11, 2023	IDA-D3750	Loan Disb	70,618.01
Apr 11, 2023	IDA-D3750	Loan Disb	117,521.63
Apr 11, 2023	IDA-D3750	Loan Disb	124,970.63
Apr 12, 2021	IDA-D3750	Loan Disb	25,929.99
Aug 6, 2021	IDA-D3750	Loan Disb	765,587.60
Mar 25, 2021	IDA-D3750	Loan Disb	1,785,555.00
Aug 30, 2021	IDA-D3750	Loan Disb	24,780.00
Oct 27, 2021	IDA-D3750	Loan Disb	21,066.53
Oct 25, 2021	IDA-D3750	Loan Disb	24,780.00
Sep 8, 2021	IDA-D3750	Loan Disb	318,098.62
Aug 25, 2021	IDA-D3750	Loan Disb	22,669.28
Nov 2, 2021	IDA-D3750	Loan Disb	1,149,246.90
Oct 20, 2021	IDA-D3750	Loan Disb	215,844.48
Apr 20, 2022	IDA-D3750	Loan Disb	430,007.78
Sep 2, 2021	IDA-D3750	Loan Disb	177,124.38
Mar 15, 2022	IDA-D3750	Loan Disb	1,044,356.30
Apr 29, 2022	IDA-D3750	Loan Disb	1,217,273.90
Jun 9, 2022	IDA-D3750	Loan Disb	887,330.80
Dec 7, 2021	IDA-D3750	Loan Disb	1,416,065.20
Mar 23, 2022	IDA-D3750	Loan Disb	1,184,099.50
Aug 19, 2022	IDA-D3750	Loan Disb	650,494.70
Aug 16, 2022	IDA-D3750	Loan Disb	179,758.06
Feb 2, 2022	IDA-D3750	Loan Disb	928,548.30
Dec 29, 2021	IDA-D3750	Loan Disb	21,066.54
Dec 29, 2021	IDA-D3750	Loan Disb	24,780.01
Aug 18, 2022	IDA-D3750	Loan Disb	312,640.75
Aug 1, 2022	IDA-D3750	Loan Disb	161,655.84
Aug 1, 2022	IDA-D3750	Loan Disb	205,968.60
Apr 5, 2019	IDA-D3750	Loan Disb	2,570,694.00
Sep 26, 2019	IDA-D3750	Loan Disb	1,683,091.10
Oct 29, 2019	IDA-D3750	Loan Disb	34,113.21
Nov 27, 2019	IDA-D3750	Loan Disb	37,170.00
Oct 24, 2019	IDA-D3750	Loan Disb	370,668.00
Dec 11, 2019	IDA-D3750	Loan Disb	898,985.10
Jan 21, 2020	IDA-D3750	Loan Disb	85,287.48
Dec 11, 2019	IDA-D3750	Loan Disb	239,344.60
Dec 31, 2019	IDA-D3750	Loan Disb	1,656,956.40
Jan 24, 2020	IDA-D3750	Loan Disb	223,803.25
Mar 11, 2020	IDA-D3750	Loan Disb	24,956.99
Mar 20, 2020	IDA-D3750	Loan Disb	1,959,448.20
Dec 20, 2019	IDA-D3750	Loan Disb	26,285.00
Jan 2, 2020	IDA-D3750	Loan Disb	1,243,125.00
Dec 20, 2019	IDA-D3750	Loan Disb	24,780.00
Apr 16, 2020	IDA-D3750	Loan Disb	162,519.52
Apr 13, 2020	IDA-D3750	Loan Disb	694,295.80
May 22, 2020	IDA-D3750	Loan Disb	18,717.75
Aug 19, 2020	IDA-D3750	Loan Disb	369,466.40
Jul 9, 2020	IDA-D3750	Loan Disb	503,289.44
Nov 9, 2020	IDA-D3750	Loan Disb	36,143.00
Aug 18, 2020	IDA-D3750	Loan Disb	36,143.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Counterpart Funding	Moderately Satisfactory	2023-01-31
Overall Implementation Progress (IP)	Moderately Satisfactory	2023-01-31
Procurement	Moderately Satisfactory	2023-01-31
Progress towards achievement of PDO	Moderately Satisfactory	2023-01-31
Project Management	Moderately Satisfactory	2023-01-31
Financial Management	Moderately Satisfactory	2023-01-31
Monitoring and Evaluation	Moderately Satisfactory	2023-01-31
Overall Safeguards Rating	Moderately Satisfactory	2023-01-31

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 07-31-2023
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 01-16-2024	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

People who have received essential health, nutrition, and population (HNP) services Value 0.00 710093.00 450640.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Number of children immunized Value 0.00 142601.00 98186.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Number of women and children who have received basic nutrition services Value 0.00 301633.00 179658.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Number of deliveries attended by skilled health personnel Value 0.00 265859.00 172796.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Quality average score of health centers in targeted areas Value 0.00 51.00 80.00
Date September 28, 2018 January 31, 2022 January 31, 2023
Comment
Quality average score of district hospitals Value 74.00 81.00 85.00
Date September 28, 2018 March 4, 2022 January 31, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Completeness of country health data in health management information system Value 3.00 86.00 80.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Ante-natal care visits (at least 4) received by pregnant women Value 0.00 80398.00 251613.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Districts hospitals with integrated GBV services Value 0.00 5.00 3.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Availability of tracer drugs at health centers Value 84.00 91.00 85.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Health professionals employed in health facilities Value 1239.00 1272.00 1506.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Post-natal care visits received by women Value 0.00 241955.00 89979.00
Date September 28, 2018 January 31, 2023 January 31, 2023
Comment
Pregnant women receiving two doses of intermittent preventive treatment (SP) for malaria Value 0.00 71075.00 69887.00
Date September 28, 2018 January 31, 2022 January 31, 2023
Comment
People receiving health services free of charge Value 0.00 2928737.00 372351.00
Date September 30, 2018 January 31, 2023 January 31, 2023
Comment
Quality satisfaction score of beneficiaries for health services in district hospitals. Value 70.00 61.00 80.00
Date December 31, 2017 January 31, 2022 January 31, 2023
Comment
Facilities receiving performance payments Value 0.00 100.00 80.00
Date September 28, 2018 January 31, 2022 January 31, 2023
Comment

People who have received essential health, nutrition, and population (HNP) services	Value	0.00	710093.00	450640.00
	Date	September 28, 2018	January 31, 2023	January 31, 2023
	Comment

Number of children immunized	Value	0.00	142601.00	98186.00
	Date	September 28, 2018	January 31, 2023	January 31, 2023
	Comment

Quality average score of district hospitals	Value	74.00	81.00	85.00
	Date	September 28, 2018	March 4, 2022	January 31, 2023
	Comment

Completeness of country health data in health management information system	Value	3.00	86.00	80.00
	Date	September 28, 2018	January 31, 2023	January 31, 2023
	Comment

Availability of tracer drugs at health centers	Value	84.00	91.00	85.00
	Date	September 28, 2018	January 31, 2023	January 31, 2023
	Comment

Health professionals employed in health facilities	Value	1239.00	1272.00	1506.00
	Date	September 28, 2018	January 31, 2023	January 31, 2023
	Comment

Quality satisfaction score of beneficiaries for health services in district hospitals.	Value	70.00	61.00	80.00
	Date	December 31, 2017	January 31, 2022	January 31, 2023
	Comment