Health System Strengthening for Human Capital Development in Eswatini

Abstract*

The objective of the Health System Strengthening for Human Capital Development in Eswatini Project for Eswatini is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and Noncommunicable Disease (NCD) services in Eswatini. The Project has four components. 1. Improve health service delivery to increase the coverage and quality of health services to build human capital component... Show More

Development Objective

The project development objective is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and NCD services (hypertension and diabetes) in Eswatini.

Key Details

Project Details

Project ID
P168564
Status
Active
Team Leader
Kenneth Kabubei , Tengetile Tsabedze
Borrower 2
Kingdom of Eswatini

Country
Eswatini
Disclosure Date
June 28, 2019
Approval Date
(as of board presentation)
June 22, 2020
Effective Date
December 10, 2020

Total Project Cost 1
US$ 21.00 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2020

Commitment Amount
US$ 20.00 million
Environmental Category
N/A
Environmental and Social Risk
Moderate
Closing Date
September 30, 2025

Consultant Services required
No
Last Stage Reached
BANK APPROVED
Last Update Date
November 15, 2023

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 change18%
- FY17 - Adaptation5%
- FY17 - Mitigation13%

FY17 - Human Development and Gender

FY17 - Gender33%
FY17 - Health Systems and Policies100%
- FY17 - Adolescent Health15%
- FY17 - Child Health33%
- FY17 - Health Service Delivery75%
- FY17 - Health System Strengthening33%
- FY17 - Reproductive and Maternal Health90%
FY17 - Nutrition and Food Security73%
- FY17 - Nutrition73%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	20.00
Borrower/Recipient	1.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	20.00
IDA Commitment	N/A
IBRD + IDA Commitment	20.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	21.00

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Jun 22, 2020	IBRD-91260	Loan Commitment	20,000,000.00
Dec 10, 2020	IBRD-91260	Loan Disb	50,000.00
Dec 10, 2020	IBRD-91260	Fee Charges	50,000.00
Aug 15, 2021	IBRD-91260	Int Charges	23,346.19
Aug 15, 2021	IBRD-91260	Int Charges	9,456.82
Apr 1, 2021	IBRD-91260	Int Charges	154.47
Apr 1, 2021	IBRD-91260	Int Charges	1,776.37
Mar 23, 2021	IBRD-91260	Loan Disb	1,395,909.00
Feb 15, 2022	IBRD-91260	Int Charges	22,719.07
Feb 15, 2022	IBRD-91260	Int Charges	15,730.60
Apr 7, 2022	IBRD-91260	Loan Disb	869,113.40
Dec 8, 2021	IBRD-91260	Loan Disb	1,405,318.10
Jun 16, 2022	IBRD-91260	Loan Disb	439,739.84
Aug 15, 2022	IBRD-91260	Int Charges	20,305.19
Aug 15, 2022	IBRD-91260	Int Charges	39,141.32
Sep 2, 2022	IBRD-91260	Loan Disb	689,622.20
Aug 15, 2023	IBRD-91260	Int Charges	449.32
Feb 15, 2023	IBRD-91260	Int Charges	1,460.98
Feb 15, 2023	IBRD-91260	Int Charges	18,729.22
Feb 15, 2023	IBRD-91260	Int Charges	119,524.12
Feb 15, 2023	IBRD-91260	Int Charges	180.71
Jan 11, 2023	IBRD-91260	Loan Disb	1,874,316.60
Nov 17, 2023	IBRD-91260	Loan Disb	-165,894.03
Oct 11, 2023	IBRD-91260	Loan Disb	1,576,213.90
Dec 18, 2023	IBRD-91260	Loan Disb	903,255.60
Jun 22, 2023	IBRD-91260	Loan Disb	1,576,213.90
Aug 24, 2023	IBRD-91260	Int Charges	8,461.48
Aug 24, 2023	IBRD-91260	Int Charges	15,875.60
Aug 24, 2023	IBRD-91260	Int Charges	221,435.05
Aug 15, 2024	IBRD-91260	Int Charges	12,150.34
Aug 15, 2024	IBRD-91260	Int Charges	371,147.10
Aug 15, 2024	IBRD-91260	Int Charges	364.25
Aug 15, 2024	IBRD-91260	Int Charges	11,781.99
Oct 11, 2023	IBRD-91260	Loan Disb	-1,576,213.90
Nov 17, 2023	IBRD-91260	Loan Disb	165,894.03
Jun 11, 2024	IBRD-91260	Loan Disb	700,371.20
Feb 15, 2024	IBRD-91260	Int Charges	582.97
Feb 16, 2024	IBRD-91260	Int Charges	14,903.33
Feb 16, 2024	IBRD-91260	Int Charges	14,370.81
Feb 16, 2024	IBRD-91260	Int Charges	304,645.53
Apr 30, 2024	IBRD-91260	Loan Disb	1,314,294.40

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Project Management	Moderately Satisfactory	2024-12-12
Financial Management	Moderately Satisfactory	2024-12-12
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-12-12
Progress towards achievement of PDO	Moderately Unsatisfactory	2024-12-12
Procurement	Moderately Satisfactory	2024-12-12
Monitoring and Evaluation	Moderately Unsatisfactory	2024-12-12

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of patients diagnosed with hypertension and/or diabetes who are managed at the PHC level Value 58.00 70.00 90.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Percentage of pregnant women receiving at least 4 ANC that meet defined quality standards Value 8.60 30.00 50.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Percentage of children under 5 years of age provided with a basic package of nutrition specific services Value 32.00 49.00 55.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Percentage of adolescents served or reached with quality sexual and reproductive health services Value 0.00 7.00 50.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment

Percentage of target health facilities that meet a minimum standard of quality as measured by a Health Facility Quality Index	Value	0.00	67.00	70.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

People who have received essential health, nutrition, and population (HNP) services Value 0.00 183739.00 294360.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment

Number of community health workers (CHWs) including rural health motivators (RHMs) trained to conduct community sensitization & outreach on RMNCAH, Nutrition and NCD services	Value	0.00	2801.00	3000.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Number of updated regulations, strategies, legal framework, and guidelines submitted Value 0.00 7.00 10.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of MOH management staff at national and regional level trained Value 0.00 0.00 55.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 91370.00 98423.00
Date
Comment
Percentage of target health facilities with at least one HCW sensitized on GBV guidelines Value 0.00 93.00 90.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of women and children who have received basic nutrition services Value 0.00 125108.00 179360.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of deliveries attended by skilled health personnel Value 0.00 58631.00 115000.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Percentage of women receiving post-partum check-up within 14 days Value 60.20 88.00 90.00
Date December 31, 2020 March 31, 2023 September 30, 2025
Comment
Number of people screened and diagnosed with hypertension Value 22624.00 35248.00 30890.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of people screened and diagnosed with diabetes Value 6740.00 11754.00 9740.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of HCWs trained on RMNCAH, nutrition and/or NCD services Value 0.00 1084.00 900.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Number of facilities using eLMIS for supply management Value 0.00 1.00 9.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment
Proportion of health facilities using CMIS for routine reporting Value 54.00 72.00 80.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment

Percentage of target health facilities that received at least one comprehensive quality assessment applying the appropriate checklist and protocol, and received adequate feedback from RHMT	Value	0.00	100.00	90.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Satisfaction rates of clients with the quality of health services Value 0.00 81.00 75.00
Date December 31, 2020 September 30, 2023 September 30, 2025
Comment

Percentage of patients diagnosed with hypertension and/or diabetes who are managed at the PHC level	Value	58.00	70.00	90.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Percentage of pregnant women receiving at least 4 ANC that meet defined quality standards	Value	8.60	30.00	50.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Percentage of children under 5 years of age provided with a basic package of nutrition specific services	Value	32.00	49.00	55.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Percentage of women receiving post-partum check-up within 14 days	Value	60.20	88.00	90.00
	Date	December 31, 2020	March 31, 2023	September 30, 2025
	Comment

Number of people screened and diagnosed with hypertension	Value	22624.00	35248.00	30890.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Number of people screened and diagnosed with diabetes	Value	6740.00	11754.00	9740.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

Proportion of health facilities using CMIS for routine reporting	Value	54.00	72.00	80.00
	Date	December 31, 2020	September 30, 2023	September 30, 2025
	Comment

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Value	0.00	91370.00	98423.00
	Date
	Comment

Health System Strengthening for Human Capital Development in Eswatini

Abstract*

Development Objective

Key Details

Project Details

Sectors

Themes

Stay Connected, sign up for our:

Project Map

Finances

Financing Plan (US$ Millions)

Total Project Financing (US$ Millions)

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

Detailed Financial Activity as of April 30, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS