Mozambique Primary Health Care Strengthening Additional Financing

Abstract*

The development objective of the 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. The additional financing (AF) will help finance the scope expansion of the program to incorporate additional contributions from the Government of Canada and United Kingdom’s Department for International... 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
P168314
Status
Closed
Team Leader
Humberto Cossa , Lorena Vinuela
Borrower 2
Ministry of Economy and Finance

Country
Mozambique
Disclosure Date
September 19, 2018
Approval Date
(as of board presentation)
February 28, 2019
Effective Date
N/A

Total Project Cost 1
US$ 90.16 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2019

Commitment Amount
US$ 90.16 million
Environmental Category
N/A
Last Update Date
September 8, 2023
Closing Date
December 31, 2023

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED
Parent Projects
P163541

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 - Health Systems and Policies92%
- FY17 - Adolescent Health9%
- FY17 - Health Service Delivery50%
- FY17 - Health System Strengthening82%
- FY17 - Reproductive and Maternal Health27%
FY17 - Nutrition and Food Security8%
- FY17 - Nutrition8%

FY17 - Public Sector Management

FY17 - Public Administration11%
- FY17 - Civil Registration and Identification11%

FY17 - Urban and Rural Development

FY17 - Rural Development26%
- FY17 - Rural Infrastructure and service delivery26%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Mozambique Primary Health Care Strengthening Program MDTF	90.16

Total Project Financing (US$ Millions)

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

Lending Instrument
Grant Amount	90.16
Total Project Cost**	90.16

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

No data available.

Detailed Financial Activity as of March 31, 2025

No data available.

Footnotes

Ratings

IMPLEMENTATION RATINGS

No data available.

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of institutional deliveries in 42 lagging districts (Percentage) Value 71.00 71.00 85.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment

Adherence to clinical diagnostic guidelines for five tracer conditions at health centers and district Hospitals (percentage)	Value	37.40	37.40	75.00
	Date	December 31, 2014	September 17, 2018	December 30, 2022
	Comment

Number of Couple Years of Protection (CYPs) (Number) Value 1722692.00 2447185.00 2982599.00
Date December 29, 2017 June 29, 2018 December 30, 2022
Comment

Adherence to clinical treatment guidelines for maternal and neonatal complications at health centers and district hospitals (Percentage)	Value	29.00	29.00	80.00
	Date	December 31, 2014	September 17, 2018	December 30, 2022
	Comment

% of children aged 0-24 months of age receiving the Nutrition Intervention Package (NIP) in 8 priority provinces with the prevalence of stunting of above 35 percent (Percentage)	Value	0.00	0.00	70.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of deaths certified in hospitals with data on cause of death coded per ICD 10 reported in SISMA and registered	Value	0.00	0.00	100.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Percentage of deaths certified in health centers with data on cause of death coded per ICD 10 reported in SISMA and registered	Value	0.00	0.00	100.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Health sub-account expenditures in 3 historically underserved provinces (Nampula, Zambezia, and Tete) Value 0.00 0.00 36000000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment

Number of Rural Health Centers in priority districts that received PBA in accordance with a minimum of 2 scorecard assessments withcommunity consultations in the previous FY	Value	0.00	0.00	391.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Number of technical health personnel assigned to the primary health care network Value 11970.00 14015.00 17662.00
Date December 29, 2017 August 31, 2018 December 30, 2022
Comment
Percentage of children between 0-24 receiving deworming tablets Value 65.80 65.80 72.60
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Number of health facilities providing Comprehensive Emergency Obstetric and Newborn Care (CEmONC) Value 33.00 33.00 60.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Health sub-account expenditures in 28 historically underserved districts Value 0.00 0.00 16000000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 0.00 5100000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Percentage of district hospitals with uninterrupted water supply Value 87.00 87.00 95.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Percentage of district hospitals with uninterrupted electricity supply Value 54.00 54.00 85.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Availability of essential reproductive and maternal health medicines in district and rural hospital Value 66.00 66.00 90.00
Date June 1, 2015 September 17, 2018 December 30, 2022
Comment

Percentage of secondary and technical schools offering sexual and reproductive health services (information and contraceptive methods)	Value	0.00	0.00	80.00
	Date	December 31, 2018	December 31, 2018	December 30, 2022
	Comment

Number of Technical staff assigned to Type II Rural Health Centers in particular Value 3787.00 4956.00 5311.00
Date December 29, 2017 August 31, 2018 December 30, 2022
Comment
Number of children immunized Value 0.00 0.00 5100000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Number of women and children who have received basic nutrition services Value 0.00 0.00 9720000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Number of deliveries attended by skilled health personnel Value 0.00 0.00 4940000.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Number of Technical staff assigned to Type II Rural Health Centers Value 3787.00 4956.00 6325.00
Date December 29, 2017 August 31, 2018 December 30, 2022
Comment
Average availability of tracer essential maternal and reproductive health medicines at primary health care facilities Value 62.00 62.00 85.00
Date December 31, 2018 December 31, 2018 December 29, 2023
Comment
Number of primary health care facilities that have at least two MCH nurses Value 638.00 638.00 838.00
Date June 29, 2018 December 31, 2018 December 30, 2022
Comment
Number of health facilities providing Basic Emergency Obstetric and Newborn Care (BEmONC) Value 68.00 68.00 300.00
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Percentage of pregnant women who had 4 or more antenatal visits Value 54.60 54.60 66.30
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment
Number of trained and active APEs Value 3380.00 4680.00 8800.00
Date December 29, 2017 August 31, 2018 December 30, 2022
Comment

Percentage of district/rural hospitals that received performance-based allocations (PBA) in accordance with a minimum of 2 scorecard assessments in the previous fiscal year (FY)	Value	0.00	0.00	100.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Domestic health expenditures as a percentage of total domestic government expenditures Value 7.90 7.90 9.50
Date December 29, 2017 September 17, 2018 December 30, 2022
Comment

Percentage of institutional deliveries in 42 lagging districts (Percentage)	Value	71.00	71.00	85.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Number of Couple Years of Protection (CYPs) (Number)	Value	1722692.00	2447185.00	2982599.00
	Date	December 29, 2017	June 29, 2018	December 30, 2022
	Comment

Number of technical health personnel assigned to the primary health care network	Value	11970.00	14015.00	17662.00
	Date	December 29, 2017	August 31, 2018	December 30, 2022
	Comment

Percentage of children between 0-24 receiving deworming tablets	Value	65.80	65.80	72.60
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Number of health facilities providing Comprehensive Emergency Obstetric and Newborn Care (CEmONC)	Value	33.00	33.00	60.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Percentage of district hospitals with uninterrupted water supply	Value	87.00	87.00	95.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Percentage of district hospitals with uninterrupted electricity supply	Value	54.00	54.00	85.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Availability of essential reproductive and maternal health medicines in district and rural hospital	Value	66.00	66.00	90.00
	Date	June 1, 2015	September 17, 2018	December 30, 2022
	Comment

Number of Technical staff assigned to Type II Rural Health Centers in particular	Value	3787.00	4956.00	5311.00
	Date	December 29, 2017	August 31, 2018	December 30, 2022
	Comment

Number of children immunized	Value	0.00	0.00	5100000.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Average availability of tracer essential maternal and reproductive health medicines at primary health care facilities	Value	62.00	62.00	85.00
	Date	December 31, 2018	December 31, 2018	December 29, 2023
	Comment

Number of primary health care facilities that have at least two MCH nurses	Value	638.00	638.00	838.00
	Date	June 29, 2018	December 31, 2018	December 30, 2022
	Comment

Number of health facilities providing Basic Emergency Obstetric and Newborn Care (BEmONC)	Value	68.00	68.00	300.00
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Percentage of pregnant women who had 4 or more antenatal visits	Value	54.60	54.60	66.30
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Number of trained and active APEs	Value	3380.00	4680.00	8800.00
	Date	December 29, 2017	August 31, 2018	December 30, 2022
	Comment

Domestic health expenditures as a percentage of total domestic government expenditures	Value	7.90	7.90	9.50
	Date	December 29, 2017	September 17, 2018	December 30, 2022
	Comment

Mozambique Primary Health Care Strengthening Additional Financing

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 March 31, 2025

Detailed Financial Activity as of March 31, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS