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Health System Performance Strengthening Project

Abstract*

The development objective of the Health System Performance Strengthening Project for Chad is to improve the utilization and quality of service delivery of essential health services with a particular focus on reproductive, maternal, child and adolescent health, and nutrition (RMNCAH-N) services for the population of Chad in project-supported areas. The project comprises of four components. The first component, scaling up performance-based financing...

* 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 improve utilization and quality of service delivery of essential health services with a particular focus on reproductive, maternal, child and adolescent health, and nutrition services for the population of Chad in project-supported areas, and to provide immediate and effective response to an eligible crisis or emergency

Key Details

Project Details

  • P172504

  • Active

  • Kofi Amponsah , Zenab Konkobo Kouanda, Mariam Hema

  • Republic of Chad

  • Chad

  • July 18, 2020

  • (as of board presentation)

    August 6, 2021

  • November 29, 2021

  • US$ 106.50 million

  • Ministry of Health and National Solidarity

  • Western and Central Africa

  • 2022

  • US$ 106.50 million

  • N/A

  • Moderate

  • December 31, 2026

  • TBD

  • BANK APPROVED

  • April 4, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Global Financing Facility 16.50
IDA Grant 90.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 90.00
IBRD + IDA Commitment 90.00
Lending Instrument
Grant Amount 16.50
Total Project Cost** 106.50

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

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

Detailed Financial Activity as of April 30, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Aug 10, 2023 IDA-D8070 Loan Disb 1,005,433.50
Mar 24, 2023 IDA-D8070 Loan Disb 2,500,000.00
Feb 28, 2023 IDA-D8070 Loan Disb 1,417,282.00
Mar 9, 2023 IDA-D8070 Loan Disb 13,250,122.00
Mar 6, 2023 IDA-D8070 Loan Disb 16,104,332.00
Jun 29, 2023 IDA-D8070 Loan Disb 1,309,113.00
Jun 29, 2023 IDA-D8070 Loan Disb 1,211,696.20
Jun 28, 2023 IDA-D8070 Loan Disb 4,180,000.00
Sep 28, 2023 IDA-D8070 Loan Disb 1,443,632.20
Jun 28, 2023 IDA-D8070 Loan Disb 2,781,603.00
Sep 19, 2023 IDA-D8070 Loan Disb 2,177,883.80
Nov 2, 2023 IDA-D8070 Loan Disb 1,504,486.10
Nov 1, 2023 IDA-D8070 Loan Disb 1,989,010.40
Dec 8, 2023 IDA-D8070 Loan Disb 725,952.20
Jun 23, 2023 IDA-D8070 Loan Disb 2,000,000.00
Jun 23, 2023 IDA-D8070 Loan Disb 1,350,527.90
Jun 12, 2023 IDA-D8070 Loan Disb 1,328,037.00
Jan 9, 2024 IDA-D8070 Loan Disb 75,471.61
Dec 21, 2023 IDA-D8070 Loan Disb 9,651.23
Jul 29, 2024 IDA-E1550 Loan Disb 25,536.00
Apr 11, 2024 IDA-E1550 Loan Disb 788,953.00
Jun 10, 2024 IDA-E1550 Loan Disb 4,158,350.00
Nov 15, 2023 IDA-D8070 Loan Disb 27,839.99
Jun 26, 2024 IDA-E1550 Loan Disb 5,736,764.50
May 31, 2024 IDA-E1550 Loan Disb 2,057,730.00
Mar 15, 2024 IDA-E1550 Loan Disb 1,143,957.60
Jun 27, 2024 IDA-E1550 Loan Disb 5,279,442.50
Jun 24, 2024 IDA-E1550 Loan Disb 46,800,000.00
Feb 26, 2024 IDA-E1550 Loan Disb 2,387,719.80
May 15, 2024 IDA-E1550 Loan Disb -2,174,215.50
May 3, 2024 IDA-E1550 Loan Disb 2,163,540.00
Jun 12, 2024 IDA-E1550 Loan Disb 2,172,433.20
Aug 2, 2022 IDA-D8070 Loan Disb 54,813.26
Aug 6, 2021 IDA-D8070 Loan Commitment 90,000,000.00
Dec 30, 2021 IDA-D8070 Loan Disb 4,948,918.00
Dec 21, 2022 IDA-E1550 Loan Commitment 150,000,000.00
Jul 28, 2022 IDA-D8070 Loan Disb 1,886,346.20
Aug 19, 2022 IDA-D8070 Loan Disb 44,598.88
Mar 21, 2022 IDA-D8070 Loan Disb 125,733.45
Jun 2, 2022 IDA-D8070 Loan Disb 15,909.37
Jun 2, 2022 IDA-D8070 Loan Disb 213,521.64
Jul 13, 2022 IDA-D8070 Loan Disb 485,237.25
Apr 7, 2022 IDA-D8070 Loan Disb 106,313.45
Dec 3, 2021 IDA-D8070 Loan Disb 671,655.60
Apr 19, 2022 IDA-D8070 Loan Disb 312,299.50
Mar 7, 2023 IDA-D8070 Loan Disb 894,210.90
Apr 12, 2023 IDA-D8070 Loan Disb 1,751,663.80
Dec 8, 2022 IDA-D8070 Loan Disb 408,166.47
Oct 27, 2022 IDA-D8070 Loan Disb 326,643.20
Oct 20, 2022 IDA-D8070 Loan Disb 411,476.56
Dec 30, 2022 IDA-D8070 Loan Disb 189,637.19
Jun 20, 2023 IDA-D8070 Loan Disb 6,901,856.00
Jun 20, 2023 IDA-D8070 Loan Disb 5,679,481.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2025-01-01
Financial Management Satisfactory 2025-01-01
Monitoring and Evaluation Satisfactory 2025-01-01
Overall Implementation Progress (IP) Satisfactory 2025-01-01
Procurement Satisfactory 2025-01-01
Project Management Satisfactory 2025-01-01

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • People who have received essential health, nutrition, and population (HNP) servicesValue410109.00911678.001598000.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • CERC implemented according to the Emergency Response Action PlanValueNoYesYes
    DateNovember 17, 2022November 30, 2023December 31, 2026
    Comment
  • People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)Value265529.00265529.00344929.00
    Date
    Comment
  • Number of children immunizedValue115046.00386799.00334000.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Number of women and children who have received basic nutrition servicesValue160384.00612408.00917000.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Number of deliveries attended by skilled health personnelValue115046.00292932.00156847.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Average health facility score on the quality evaluation of health care using a quality checklist among facilities in the project areaValue0.0071.8465.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Women in the project area who are currently using any modern method of contraceptionValue187650.00298699.00502751.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Girls in the project area, aged 15-19, who are currently using any modern method of contraceptionValue6101.0025366.0020994.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Women in the project area, aged 20-49, who are currently using any modern method of contraceptionValue181549.00273333.00481757.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Pregnant women in the project area who have received at least 4 antenatal care visits from skilled health providersValue85023.00207498.00274270.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • The national population covered by the PBF programValue12.0054.0045.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Health facilities in the project area that have received PBF payments on time (as defined in the PBF manual)Value0.0095.0080.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • People referred by a CHW to a health facility in the project areaValue0.00336384.00280958.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Supervision visits in the project area in which the digital supervision tool was fully completedValue0.0065.00518.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • CHWs in the project area who have used a digital tool to complete at least one upskilling module in the last three monthsValue0.000.00100.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Cartons of Plumpy'Nut procured and distributedValue0.0070122.00243733.00
    DateNovember 17, 2022November 30, 2023December 31, 2026
    Comment
  • Health centers in the project area which offered at least 75 percent of the package of services defined in their PBF contractValue0.0026.3740.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Health facilities in the project area that had 100 percent of the tracer drugs available on the day of the visitValue0.0026.0440.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Tons of Plumpy' sup procured and distributedValue0.001083.003043.00
    DateNovember 17, 2022November 30, 2023December 31, 2026
    Comment
  • Consultations provided to the poor free of charge in the project areaValue0.00225948.00802740.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Personnel in the project area who have received clinical trainingValue516.002093.002011.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Farmers reached with agricultural assets or servicesValue0.000.0012500.00
    DateNovember 17, 2022November 30, 2023December 31, 2026
    Comment
  • Hospitals (district and provincial) in the project area that have achieved at least 80 percent of the score on the quality of maternity servicesValue0.0055.0050.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Children under 5 years of age in the project area that have been registered in the civil registryValue160548.00112499.00565822.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Health centers in the project area that had a revenue and an expense book available and up to dateValue0.0068.0050.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Children 6 - 59 months of age in the project area that have received vitamin A supplement in the last six MonthsValue531012.00830169.00850000.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • GBV survivors who have received health care from a trained health worker at a health care facility in the project areaValue0.0013194.0020938.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Health facilities in the project area that have reported through DHIS2Value0.000.0030.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Grievances that will be registered and addressed as established in the PIM.Value0.00100.0080.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment
  • Patients who say that they are satisfied with the health services received in the project areaValue0.0083.0080.00
    DateSeptember 1, 2020November 30, 2023December 31, 2026
    Comment