Lesotho Nutrition and Health System Strengthening Project

Abstract*

The development objective of the Nutrition and Health System Strengthening Project for Lesotho is to increase the utilization and quality of key nutrition and health services and improve selected nutrition behaviors known to reduce stunting. The project comprises of four components. The first component, community-based health and nutrition services will support a package of nutrition-specific interventions targeted towards women, children, and adolescents... Show More

Development Objective

The objective is to increase the utilization and quality of key nutrition and health services and improve selected nutrition behaviors known to reduce stunting.

Key Details

Project Details

Project ID
P170278
Status
Active
Team Leader
Nkosinathi Mbuya , Noel Chisaka
Borrower 2
Kingdom of Lesotho

Country
Lesotho
Disclosure Date
August 22, 2019
Approval Date
(as of board presentation)
June 25, 2021
Effective Date
August 19, 2021

Total Project Cost 1
US$ 26.40 million
Implementing Agency
Ministry of Health
Region
Eastern and Southern Africa
Fiscal Year 3
2021

Commitment Amount
US$ 26.40 million
Environmental Category
N/A
Last Update Date
April 11, 2024
Closing Date
June 30, 2026

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 change9%
- FY17 - Adaptation6%
- FY17 - Mitigation3%

FY17 - Human Development and Gender

FY17 - Gender100%
FY17 - Health Systems and Policies100%
- FY17 - Adolescent Health64%
- FY17 - Child Health53%
- FY17 - Health Finance53%
- FY17 - Health Service Delivery64%
- FY17 - Health System Strengthening100%
- FY17 - Reproductive and Maternal Health53%
FY17 - Nutrition and Food Security64%
- FY17 - Nutrition64%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Scaling up Nutrition	4.40
IDA Credit	22.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	22.00
IBRD + IDA Commitment	22.00

Lending Instrument
Grant Amount	4.40
Total Project Cost**	26.40

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$)
Sep 15, 2023	IDA-69310	Int Charges	22,304.09
Mar 15, 2023	IDA-69310	Int Charges	606.47
Mar 15, 2023	IDA-69310	Int Charges	606.47
Mar 20, 2023	IDA-69310	Int Charges	16,337.52
Mar 20, 2023	IDA-69310	Int Charges	16,337.52
Mar 20, 2023	IDA-69310	Int Charges	28,099.06
Apr 19, 2024	IDA-69310	Loan Disb	491,534.70
Mar 15, 2024	IDA-69310	Int Charges	0.01
Mar 15, 2024	IDA-69310	Int Charges	1,618.15
Mar 15, 2024	IDA-69310	Int Charges	1,618.15
Mar 15, 2024	IDA-69310	Int Charges	27,995.35
Mar 15, 2024	IDA-69310	Int Charges	49,355.83
Mar 15, 2024	IDA-69310	Int Charges	27,995.35
Mar 15, 2024	IDA-69310	Int Charges	0.01
Aug 19, 2021	IDA-69310	Loan Disb	876,607.60
Mar 21, 2022	IDA-69310	Int Charges	7,115.49
Mar 21, 2022	IDA-69310	Int Charges	7,115.49
Mar 21, 2022	IDA-69310	Int Charges	2,848.30
Sep 19, 2022	IDA-69310	Int Charges	16,211.10
Jun 25, 2021	IDA-69310	Loan Commitment	22,000,000.00
Sep 19, 2022	IDA-69310	Int Charges	8,438.57
Sep 19, 2022	IDA-69310	Int Charges	16,211.10
Sep 19, 2022	IDA-69310	Int Charges	27,018.43
Nov 23, 2022	IDA-69310	Loan Disb	-27,247.59
Nov 23, 2022	IDA-69310	Loan Disb	27,247.59
Feb 1, 2022	IDA-69310	Loan Disb	3,805,352.00
Feb 7, 2023	IDA-69310	Loan Disb	208,034.20
Apr 24, 2023	IDA-69310	Loan Disb	-10,483.76
Apr 24, 2023	IDA-69310	Loan Disb	10,483.76
Jun 30, 2023	IDA-69310	Loan Disb	3,238,132.80
Sep 15, 2023	IDA-69310	Int Charges	37,173.49
Sep 15, 2023	IDA-69310	Int Charges	145.05
Sep 15, 2023	IDA-69310	Int Charges	22,304.09

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Monitoring and Evaluation	Moderately Satisfactory	2024-11-11
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-11-11
Progress towards achievement of PDO	Moderately Unsatisfactory	2024-11-11
Procurement	Moderately Satisfactory	2024-11-11
Project Management	Moderately Satisfactory	2024-11-11
Financial Management	Satisfactory	2024-11-11

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Women ages 15-49 who took iron tablets for 90+ days during the pregnancy of the most recent birth Value 51.00 51.00 66.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Women with institutional deliveries Value 89.40 89.40 92.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Children ages 6-23 months with minimum dietary diversity Value 23.00 23.00 28.00
Date March 31, 2020 March 31, 2024 October 8, 2025
Comment
Adolescents ages 15-19 currently using a modern contraceptive method in selected districts Value 45.20 45.20 50.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Health facilities certified as Level 2 or above with quality rating system Value 0.00 47.00 50.00
Date November 30, 2020 March 31, 2024 October 8, 2025
Comment
Children under 6 months exclusively breastfed. Value 59.00 59.00 67.00
Date March 31, 2020 March 31, 2024 October 8, 2025
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

People who have received essential health, nutrition, and population (HNP) services Value 0.00 745168.00 700000.00
Date December 31, 2019 March 31, 2024 October 8, 2025
Comment
Newborns breastfed within first hour of delivery Value 82.10 78.00 87.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Referral guidelines developed and adopted Value No No Yes
Date October 8, 2020 March 31, 2024 October 8, 2025
Comment
Annual food and nutrition multisectoral steering committees meetings held Value 0.00 0.00 4.00
Date December 31, 2019 March 31, 2024 October 8, 2025
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 345563.00 0.00
Date
Comment
Pregnant women screened for anaemia before 36 weeks of gestation (percentage of 1st ANC visits) Value 77.10 85.00 85.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Creation and utilization of recurrent MOH budget line for quality and bonus grant financing Value No No Yes
Date June 26, 2020 March 31, 2024 December 15, 2023
Comment
Number of children immunized Value 0.00 37554.00 43000.00
Date December 31, 2019 March 31, 2024 February 28, 2025
Comment
Villages benefitting from nutrition and health services package. Value 0.00 0.00 4000.00
Date December 31, 2018 March 31, 2024 October 8, 2025
Comment
Number of focus group discussions at the community level to record various perceptions about the project Value 0.00 0.00 10.00
Date May 27, 2021 March 31, 2024 June 23, 2026
Comment
Adolescents (ages 15-19) reached with comprehensive sexuality education by a peer educator Value 0.00 10040.00 160000.00
Date December 31, 2019 March 31, 2024 October 8, 2025
Comment
Facilities that have presented their Quality Improvement Plan for the semester Value 0.00 41.00 85.00
Date January 29, 2021 March 31, 2024 October 8, 2025
Comment

Women ages 15-49 who took iron tablets for 90+ days during the pregnancy of the most recent birth	Value	51.00	51.00	66.00
	Date	December 31, 2018	March 31, 2024	October 8, 2025
	Comment

Women with institutional deliveries	Value	89.40	89.40	92.00
	Date	December 31, 2018	March 31, 2024	October 8, 2025
	Comment

Children ages 6-23 months with minimum dietary diversity	Value	23.00	23.00	28.00
	Date	March 31, 2020	March 31, 2024	October 8, 2025
	Comment

Adolescents ages 15-19 currently using a modern contraceptive method in selected districts	Value	45.20	45.20	50.00
	Date	December 31, 2018	March 31, 2024	October 8, 2025
	Comment

Health facilities certified as Level 2 or above with quality rating system	Value	0.00	47.00	50.00
	Date	November 30, 2020	March 31, 2024	October 8, 2025
	Comment

Children under 6 months exclusively breastfed.	Value	59.00	59.00	67.00
	Date	March 31, 2020	March 31, 2024	October 8, 2025
	Comment

Newborns breastfed within first hour of delivery	Value	82.10	78.00	87.00
	Date	December 31, 2018	March 31, 2024	October 8, 2025
	Comment

Pregnant women screened for anaemia before 36 weeks of gestation (percentage of 1st ANC visits)	Value	77.10	85.00	85.00
	Date	December 31, 2018	March 31, 2024	October 8, 2025
	Comment

Number of children immunized	Value	0.00	37554.00	43000.00
	Date	December 31, 2019	March 31, 2024	February 28, 2025
	Comment

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Value	0.00	345563.00	0.00
	Date
	Comment

Number of focus group discussions at the community level to record various perceptions about the project	Value	0.00	0.00	10.00
	Date	May 27, 2021	March 31, 2024	June 23, 2026
	Comment

Lesotho Nutrition and Health System Strengthening Project

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