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Sierra Leone - Quality Essential Health Services and Systems Support Project

Abstract*

The proposed project is financed through a proposed IDA grant in the amount of US$40 million, a proposed Global Financing Facility (GFF) grant in the amount of US$20 million and a proposed grant in the amount of US$7million from the Pandemic Fund. The project aims to address the challenges facing the health sector toward achieving UHC by addressing the strategic pillars (1–8) of the UHC roadmap to strengthen the health systems, by using the hub-and-spoke...

* 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 PDO is to increase utilization and improve quality of maternal and child health services in the selected areas.

Key Details

Project Details

  • P172102

  • Active

  • Yohana Dukhan , Olga Guerrero Horas

  • Republic of Sierra Leone

  • Sierra Leone

  • February 11, 2021

  • (as of board presentation)

    December 9, 2021

  • March 15, 2022

  • US$ 60.00 million

  • Integrated Health Project Administration Unit (IHPAU),Partners in Health (PIH)

  • Western and Central Africa

  • 2022

  • US$ 60.00 million

  • N/A

  • March 28, 2024

  • December 31, 2027

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Grant 40.00
Global Financing Facility 20.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 40.00
IBRD + IDA Commitment 40.00
Lending Instrument
Grant Amount 20.00
Total Project Cost** 60.00

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

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

Detailed Financial Activity as of February 28, 2025

Download:
No data available.
Period Financier Transaction Type Amount (US$)
Dec 9, 2021 IDA-D9380 Loan Commitment 40,000,000.00
Jun 24, 2024 IDA-D9380 Loan Disb 427,474.00
Feb 5, 2024 IDA-D9380 Loan Disb 200,100.00
Jan 29, 2024 IDA-D9380 Loan Disb 349,834.00
May 23, 2024 IDA-D9380 Loan Disb 254,032.98
May 11, 2022 IDA-D9380 Loan Disb 2,000,000.00
Nov 27, 2023 IDA-D9380 Loan Disb 488,067.00
Apr 11, 2023 IDA-D9380 Loan Disb 166,268.45
Oct 25, 2022 IDA-D9380 Loan Disb 44,291.00
Apr 6, 2023 IDA-D9380 Loan Disb 109,144.77
Apr 3, 2023 IDA-D9380 Loan Disb 697,201.00
Jan 17, 2024 IDA-D9380 Loan Disb 248,973.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2024-12-24
Project Management Satisfactory 2024-12-24
Financial Management Satisfactory 2024-12-24
Monitoring and Evaluation Satisfactory 2024-12-24
Overall Implementation Progress (IP) Moderately Satisfactory 2024-12-24
Procurement Satisfactory 2024-12-24

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Pregnant women attended ANC4+ times by skilled health personnel in target districts (Percentage)Value64.0090.0077.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Average Score of Health Facility Quality of Care in the target facilities (Percentage)Value44.0051.0064.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Institutional delivery rate in the target districts (Percentage)Value57.0069.0080.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)Value1110493.001110493.001209896.00
    Date
    Comment
  • Number of children immunizedValue1060233.00130148.001272280.00
    DateMay 19, 2021September 30, 2023December 31, 2026
    Comment
  • Number of women and children who have received basic nutrition servicesValue563384.001207145.00731074.00
    DateMay 19, 2021September 30, 2023December 31, 2026
    Comment
  • Number of deliveries attended by skilled health personnelValue53037.0093625.0081201.00
    DateMay 19, 2021September 30, 2023December 31, 2026
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue1676654.0014321430918.002084555.00
    DateSeptember 30, 2021September 30, 2023December 31, 2026
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Children 0-59 months admitted for SAM, that are cured of SAM in target facilities (Percentage)Value32.0030.0070.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment
  • Pregnant Women and Children under 5 years old who receive a CHW visit in target district (Number)Value56360.00106310.0070450.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment
  • Health facilities submitting timely routine/HMIS reports according to national guidelines (Percentage)Value82.0057.0098.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment
  • Deliveries referred from spokes to hubs in target districts (Number)Value0.00435.005000.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment
  • Healthcare Waste treated at the Centralized Medical Waste Treatment Facility (Metric tons/year)Value0.000.00547.50
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Children 0-11 months that received third dose of Penta vaccine in target districts (Percentage)Value84.0088.0095.00
    DateApril 9, 2021December 31, 2022December 31, 2026
    Comment
  • Monthly facility management committee (FMC) meetings held in target districts (Percentage)Value0.000.0050.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Couple-Year Protections (CYP) reached through project interventions in target districts (Number)Value45922.00166165.0068883.00
    DateApril 9, 2021December 30, 2022December 31, 2026
    Comment
  • Essential Health service delivery monitored on a regular basis, with quarterly review of data to inform efforts to strengthen delivery (Number)Value0.000.004.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Grievances addressed each year (Percentage)Value0.000.0095.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • RMET completed and used annually, including data from the district level (Yes/No)ValueNoNoYes
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Maternal deaths reviewed in target districts (Percentage)Value80.0081.00100.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment
  • Quarterly reports produced by the Unified financial management reporting system and reviewed at national level (Number)Value0.003.004.00
    DateOctober 25, 2021September 30, 2023December 31, 2026
    Comment
  • Health facilities in target district with staff trained to identify, refer, and provide clinical and/or psychosocial care for GBV (Number)Value0.000.00250.00
    DateApril 9, 2021September 30, 2023December 31, 2026
    Comment