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Saint Lucia Health System Strengthening Project

Abstract*

The development objective of the Health System Strengthening Project for Saint Lucia is to improve the accessibility, efficiency, and responsiveness of key health services. The project comprises of four components. The first component, design and implementation of an essential benefits package focuses on the demand side and includes the review of the design and implementation of the benefits package, including administration, purchasing and contracting...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

The development objective is to improve the accessibility, efficiency, and responsiveness of key health services, and provide a response in the event of eligible crises or emergencies.

Key Details

Project Details

  • P166783

  • Active

  • Edit Velenyi

  • Ministry of Finance, Economic Growth, Job Creation and External Affairs,Ministry of Finance, Economic Growth, Job Creation, and External Affairs

  • St. Lucia

  • March 23, 2018

  • (as of board presentation)

    September 28, 2018

  • January 15, 2019

  • US$ 20.00 million

  • Ministry of Health and Wellness and Elderly Affairs, Saint Lucia

  • Latin America and Caribbean

  • 2019

  • US$ 25.00 million

  • B

  • April 25, 2024

  • June 30, 2025

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 25.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 25.00
IBRD + IDA Commitment 25.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 20.00

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

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of February 28, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Sep 28, 2018 IDA-63160 Loan Commitment 20,000,000.00
Jun 26, 2020 IDA-67290 Loan Commitment 5,000,000.00
Jun 4, 2024 IDA-63160 Int Charges 487.96
Jun 4, 2024 IDA-63160 Int Charges 487.96
Jun 4, 2024 IDA-63160 Int Charges 80,041.38
Jun 4, 2024 IDA-63160 Int Charges 80,041.38
Jun 28, 2024 IDA-63160 Loan Disb 3,150,028.50
Oct 17, 2022 IDA-63160 Loan Disb 20,050.00
Jan 4, 2023 IDA-63160 Loan Disb 26,510.00
Jan 20, 2022 IDA-63160 Loan Disb 85,845.15
Jan 20, 2022 IDA-63160 Loan Disb 743,412.56
Dec 27, 2021 IDA-63160 Loan Disb 17,082.00
Jun 3, 2022 IDA-63160 Int Charges 27.51
Jun 3, 2022 IDA-63160 Int Charges 27.51
Oct 5, 2022 IDA-63160 Loan Disb 17,082.00
Oct 5, 2022 IDA-63160 Loan Disb 17,965.50
Dec 5, 2022 IDA-63160 Int Charges 56,118.59
Dec 5, 2022 IDA-63160 Int Charges 56,118.59
Dec 5, 2022 IDA-63160 Int Charges 68.55
Dec 5, 2022 IDA-63160 Int Charges 68.55
Oct 25, 2022 IDA-63160 Loan Disb 19,882.50
Jan 17, 2023 IDA-63160 Loan Disb 396,957.00
Mar 13, 2023 IDA-63160 Loan Disb 1,594,358.00
Mar 13, 2023 IDA-63160 Loan Disb 8,172.30
Jul 26, 2023 IDA-63160 Loan Disb 39,765.00
Aug 18, 2023 IDA-63160 Loan Disb 65,795.01
Jun 5, 2023 IDA-63160 Int Charges 135.50
Jun 5, 2023 IDA-63160 Int Charges 135.50
Jun 5, 2023 IDA-63160 Int Charges 63,586.20
Jun 5, 2023 IDA-63160 Int Charges 63,586.20
Nov 21, 2023 IDA-63160 Loan Disb 1,282,252.50
Dec 1, 2023 IDA-63160 Int Charges 70,981.94
Dec 1, 2023 IDA-63160 Int Charges 70,981.94
Oct 28, 2020 IDA-63160 Loan Disb 7,000.00
Oct 28, 2020 IDA-63160 Loan Disb 11,388.00
Oct 28, 2020 IDA-63160 Loan Disb 11,977.00
Jul 29, 2020 IDA-63160 Loan Disb 7,000.00
Jul 6, 2020 IDA-63160 Loan Disb 7,000.00
May 10, 2021 IDA-63160 Loan Disb 19,076.70
Dec 1, 2020 IDA-63160 Loan Disb 1,614,157.50
Mar 9, 2021 IDA-63160 Loan Disb 7,000.00
Feb 1, 2021 IDA-63160 Loan Disb 7,000.00
Feb 24, 2021 IDA-63160 Loan Disb 17,082.00
Feb 24, 2021 IDA-63160 Loan Disb 17,965.50
Dec 2, 2020 IDA-63160 Int Charges 27,120.66
Dec 2, 2020 IDA-63160 Int Charges 27,120.66
Dec 4, 2020 IDA-63160 Loan Disb 7,000.00
Dec 2, 2020 IDA-63160 Int Charges 2,334.39
Dec 2, 2020 IDA-63160 Int Charges 2,334.39
Aug 30, 2021 IDA-63160 Loan Disb 17,082.00
Aug 30, 2021 IDA-63160 Loan Disb 520,677.06
Oct 1, 2021 IDA-63160 Loan Disb 7,000.00
Jun 9, 2021 IDA-63160 Loan Disb 545,466.80
Jun 25, 2021 IDA-63160 Loan Disb 28,615.05
Jun 7, 2021 IDA-63160 Int Charges 52.52
Jun 8, 2021 IDA-63160 Loan Disb 7,000.00
Jun 7, 2021 IDA-63160 Int Charges 40,709.97
Jun 7, 2021 IDA-63160 Int Charges 40,709.97
Jun 7, 2021 IDA-63160 Int Charges 52.52
Jul 26, 2021 IDA-63160 Loan Disb 7,000.00
May 12, 2021 IDA-63160 Loan Disb 7,000.00
Apr 2, 2021 IDA-63160 Loan Disb 7,000.00
Sep 14, 2021 IDA-63160 Loan Disb 7,000.00
Aug 3, 2021 IDA-63160 Loan Disb 15,037.50
Dec 2, 2021 IDA-63160 Int Charges 36.02
Dec 2, 2021 IDA-63160 Int Charges 36.02
Dec 2, 2021 IDA-63160 Int Charges 46,975.30
Dec 2, 2021 IDA-63160 Int Charges 46,975.30
Nov 30, 2021 IDA-63160 Loan Disb 15,037.50
Nov 30, 2021 IDA-63160 Loan Disb 17,965.50
Aug 12, 2021 IDA-63160 Loan Disb 7,000.00
Jul 7, 2022 IDA-63160 Loan Disb 17,965.50
Apr 6, 2022 IDA-63160 Loan Disb 17,965.50
Feb 22, 2022 IDA-63160 Loan Disb 57,230.10
Aug 9, 2021 IDA-63160 Loan Disb 17,965.50
Apr 20, 2022 IDA-63160 Loan Disb 17,082.00
Nov 1, 2021 IDA-63160 Loan Disb 9,000.00
Jun 3, 2022 IDA-63160 Int Charges 53,976.05
Jun 3, 2022 IDA-63160 Int Charges 53,976.05
May 18, 2022 IDA-63160 Loan Disb 8,696.50
Dec 15, 2021 IDA-63160 Loan Disb 9,000.00
May 1, 2019 IDA-63160 Loan Disb 154,682.61
Dec 4, 2019 IDA-63160 Int Charges 176.60
Dec 4, 2019 IDA-63160 Int Charges 176.60
Dec 4, 2019 IDA-63160 Int Charges 2,657.45
Dec 4, 2019 IDA-63160 Int Charges 2,657.45
Mar 12, 2020 IDA-63160 Loan Disb 7,000.00
Mar 30, 2020 IDA-63160 Loan Disb 7,000.00
Dec 31, 2019 IDA-63160 Loan Disb 10,025.00
Mar 4, 2020 IDA-63160 Loan Disb 20,050.00
Mar 5, 2020 IDA-63160 Loan Disb 101,517.08
Sep 13, 2019 IDA-63160 Loan Disb 538,301.20
Oct 7, 2020 IDA-63160 Loan Disb 7,000.00
Jun 4, 2020 IDA-63160 Int Charges 5,240.45
Aug 28, 2020 IDA-63160 Loan Disb 7,000.00
Jun 16, 2020 IDA-63160 Loan Disb 7,000.00
Jun 15, 2020 IDA-63160 Loan Disb 292,868.90
Jun 4, 2020 IDA-63160 Int Charges 5,240.45
May 12, 2020 IDA-63160 Loan Disb 20,050.00
Apr 30, 2020 IDA-63160 Loan Disb 7,000.00
May 8, 2020 IDA-63160 Loan Disb 2,641,016.20
Dec 29, 2020 IDA-63160 Loan Disb 9,000.00
Sep 22, 2020 IDA-63160 Loan Disb 422,802.44

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Financial Management Satisfactory 2025-03-04
Monitoring and Evaluation Satisfactory 2025-03-04
Progress towards achievement of PDO Moderately Satisfactory 2025-03-04
Project Management Moderately Satisfactory 2025-03-04
Overall Implementation Progress (IP) Moderately Satisfactory 2025-03-04
Procurement Moderately Unsatisfactory 2025-03-04

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Draft Health Financing Policy & Strategy developed for public consultations and published on MOHWEA website (Yes/No)ValueNoNoYes
    DateFebruary 7, 2023December 11, 2023October 31, 2024
    Comment
  • Percentage of persons in the ATP living with Hypertension who are managed by the PBF facilities, according to OM protocolsValue0.003.6060.00
    DateFebruary 7, 2023December 11, 2023October 31, 2024
    Comment
  • Compliance with 2005 International Health Regulations (IHR) by maintaining a trained Rapid Response Team (RRT) to respond to eventsthat may constitute a public health emergencyValueYesYesYes
    DateJune 22, 2018December 11, 2023October 31, 2024
    Comment
  • Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagentsValue1.001.001.00
    DateMay 18, 2020December 11, 2023October 31, 2024
    Comment
  • Percentage of persons in the ATP living with Hypertension who are managed by the PBF facilities, according to OM protocols (women)Value0.000.000.00
    Date
    Comment
  • Percentage of persons in the ATP living with Diabetes who are managed by the PBF facilities, according to OM protocolsValue0.002.2060.00
    DateMay 24, 2018December 11, 2023October 31, 2024
    Comment
  • Percentage of persons in the ATP living with Diabetes who are managed by the PBF facilities, according to OM protocols (women)Value0.000.000.00
    Date
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of Primary Health Care (PHC) facilities that have implemented exit surveys with service users in a one-year period and presenting results to the MOHWValue0.000.0060.00
    DateJune 22, 2018December 11, 2023October 31, 2024
    Comment
  • Number of persons in the ATP not diagnosed with Hypertension screened at the PBF participating facilities based on national protocols (women)Value0.000.000.00
    Date
    Comment
  • Number of persons in the ATP not diagnosed with diabetes screened at the PBF participating facilities based on national protocolsValue200.001810.0010000.00
    DateFebruary 7, 2023December 11, 2023October 31, 2024
    Comment
  • Number of persons in the ATP not diagnosed with diabetes screened at the PBF participating facilities based on national protocols (Women)Value0.000.000.00
    Date
    Comment
  • Percentage of Primary Health Care facilities participating in the Performance Based Financing (PBF) scheme that have developed an action plan based on the results of the quarterly satisfaction surveysValue0.000.0060.00
    DateJune 22, 2018December 11, 2023October 31, 2024
    Comment
  • Number of diabetes and hypertension outreach campaigns successfully conducted by public primary health facilitiesValue0.008.0040.00
    DateFebruary 7, 2023December 11, 2023October 31, 2024
    Comment
  • Number of public primary care health facilities equipped for diabetes and hypertension managementValue0.0024.0030.00
    DateMay 24, 2018December 11, 2023October 31, 2024
    Comment
  • Number of equipped health facilities with isolation capacityValue0.001.001.00
    DateMay 18, 2020December 11, 2023October 31, 2024
    Comment
  • Number of public sector providers registered under the PBF schemeValue0.008.0017.00
    DateJune 18, 2018December 11, 2023October 31, 2024
    Comment
  • Number of persons in the ATP not diagnosed with Hypertension screened at the PBF participating facilities based on national protocolsValue400.006520.0015000.00
    DateFebruary 7, 2023December 11, 2023October 31, 2024
    Comment