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Tanzania Maternal and Child Health Investment Program

Abstract*

Over the last two decades, Tanzania has significantly reduced the disease burden and improved population health outcomes. The disease burden dropped from 88,225 to 41,047 disability adjusted life years (DALYs) per 100,000 population between 2000 and 2019. Over the same period, life expectancy increased from 51 to 65 years while under-five mortality and infant mortality dropped from 148 deaths and 98 deaths per 1,000 live births to 67 deaths and 43...

* 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

To scale up the provision and improve the quality of essential health care services, with a focus on maternal and child health.

Key Details

Project Details

  • P170435

  • Active

  • Moustafa Mohamed Abdalla , Miyuki Parris, Salah Eldin Osman

  • United Republic of Tanzania

  • Tanzania

  • January 18, 2022

  • (as of board presentation)

    December 20, 2022

  • February 28, 2023

  • US$ 283.54 million

  • N/A

  • March 28, 2024

  • December 31, 2027

  • TBD

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Global Financing Facility 33.54
IDA Credit 250.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 250.00
IBRD + IDA Commitment 250.00
Lending Instrument
Grant Amount 33.54
Total Project Cost** 275.00

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$)
Jun 24, 2024 IDA-72510 Loan Disb 1,233,750.00
Jun 24, 2024 IDA-72510 Loan Disb 11,127,401.00
Jun 10, 2024 IDA-72510 Loan Disb 3,357,035.80
Dec 20, 2022 IDA-72510 Loan Commitment 250,000,000.00
Aug 1, 2023 IDA-72510 Loan Disb 15,982,740.00
Aug 17, 2023 IDA-72510 Loan Disb 16,577,985.00
Aug 9, 2023 IDA-72510 Loan Disb 640,449.20
Aug 1, 2023 IDA-72510 Loan Disb 14,310,782.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2024-10-10
Monitoring and Evaluation Satisfactory 2024-10-10
Overall Implementation Progress (IP) Satisfactory 2024-10-10

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of dispensaries with at least two qualified/skilled health providers (nurse/midwife and clinician)Value60.0073.00100.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of PHC facilities achieved 3 stars and aboveValue18.0018.0050.00
    DateDecember 31, 2021June 30, 2023December 31, 2027
    Comment
  • Percentage of newborns receiving postnatal care within 48 hours after deliveryValue86.0091.6096.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of pregnant women attending first ANC visit in the first trimesterValue27.0042.9060.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of patients referred (through the dispatch center - new system) that are managed at receiving health facilityValue0.0094.00100.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of funds received through DHFF by the health facilities that is utilized in the financial yearValue60.0081.00100.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Improved annual delivery of maternal and child health services by the LGAs as measured by average LGA scorecardValue55.0070.0080.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of health workers who have completed mentorship, coaching and attachmentValue0.002073.008000.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of referral cases handled through the dispatch systems established by the regionsValue0.0041288.0016000.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of PHC facilities that are equipped, functional and perform the requisite signal functions for emergency obstetric and newborn careValue0.000.00175.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of planned annual capacity building, management and accountability activities implementedValue0.0046.00100.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of family planning clients who received modern contraceptive methodsValue39.6041.5044.60
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of students sponsored for priority courses with a focus on MCHValue0.000.001000.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of emergency and referral cases managed by the RRHsValue0.0037863.0010000.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percent of ANC attendees receiving adequate quantities of iron and folate tablets until the next ANC visitValue80.0091.6094.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Number of skilled staff recruited and posted to the PHC facilitiesValue0.00300.001000.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of PHC facilities with procurement compliance of 60% and aboveValue14.0014.0080.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of complaints received that have been acted uponValue50.0050.0080.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment
  • Percentage of PHC facilities with health care waste management (HCWM) facilities complying with MoH standards (incinerators, placenta pits, ash pits).Value30.0041.7050.00
    DateDecember 31, 2021December 31, 2023December 31, 2027
    Comment