| Financier | Commitments |
|---|---|
| Global Financing Facility | 42.00 |
| IDA Credit | 258.00 |
| Borrower/Recipient | 3336.60 |
| Miscellaneous 1 | 14.41 |
National Health Support Program
Abstract*
The development objective of the National Health Support Program for Pakistan is to strengthen equitable delivery and quality of essential health services at the primary health care level in support of universal health coverage. Pakistan’s federal and provincial governments have embarked on a reform agenda to strengthen health systems performance and, in turn, health and nutrition outcomes. This translates into a three-pronged approach, in which the... Show More
Development Objective
To strengthen equitable delivery and quality of essential health services at the primary health care level in support of Universal Health Coverage
Key Details
Project Details
P172615
Active
Manav Bhattarai
Islamic Republic of Pakistan
May 12, 2021
(as of board presentation)
June 7, 2022
October 24, 2022
US$ 11604.60 million
Department of Health, Sindh,Ministry of National Health Services, Regulations and Coordination,Department of Health, Khyber Pakhtunkhwa,Primary and Secondary Healthcare Department, Punjab
2022
US$ 314.41 million
N/A
April 15, 2024
December 31, 2026
No
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 258.00 |
| IBRD + IDA Commitment | 258.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | 56.41 |
| Total Project Cost** | 11604.60 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Aug 15, 2024 | IDA-71490 | Int Charges | 7,277.02 |
| Aug 15, 2024 | IDA-71490 | Int Charges | 424,294.50 |
| Jun 10, 2024 | IDA-71490 | Loan Disb | 8,311,401.00 |
| Jun 14, 2024 | IDA-71490 | Loan Disb | 416,758.00 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 758.69 |
| Jun 13, 2024 | IDA-71490 | Loan Disb | 1,850,464.00 |
| Feb 15, 2024 | IDA-71490 | Int Charges | 599.18 |
| Feb 15, 2024 | IDA-71490 | Int Charges | 599.18 |
| Feb 15, 2024 | IDA-71490 | Int Charges | 200,280.94 |
| Feb 15, 2024 | IDA-71490 | Int Charges | 200,280.94 |
| Feb 15, 2024 | IDA-71490 | Int Charges | 334,800.16 |
| Sep 4, 2024 | IDA-71490 | Loan Disb | 1,500,000.00 |
| May 22, 2024 | IDA-71490 | Loan Disb | 5,427,539.00 |
| Jun 11, 2024 | IDA-71490 | Loan Disb | 8,048,401.00 |
| Apr 26, 2023 | IDA-71490 | Loan Disb | 16,391,958.00 |
| Feb 13, 2023 | IDA-71490 | Loan Disb | 10,963,400.00 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 218,074.45 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 455.22 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 455.22 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 130,844.66 |
| Aug 15, 2023 | IDA-71490 | Int Charges | 130,844.66 |
| Jun 7, 2022 | IDA-71490 | Loan Commitment | 258,000,000.00 |
| Jun 3, 2024 | IDA-71490 | Loan Disb | 12,439,114.00 |
| May 10, 2023 | IDA-71490 | Loan Disb | 27,177,204.00 |
| Feb 16, 2024 | IDA-71490 | Loan Disb | 1,118,499.00 |
| Aug 15, 2024 | IDA-71490 | Int Charges | 253,838.48 |
| Aug 15, 2024 | IDA-71490 | Int Charges | 253,838.48 |
| Aug 15, 2024 | IDA-71490 | Int Charges | 7,277.02 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-12-11 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-12-11 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2024-12-11 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
UHC Service Coverage Index Value 49.90 49.90 60.00 Date June 30, 2021 March 8, 2024 December 30, 2026 Comment Use of modern contraceptives among women of reproductive age Value 25.00 25.00 35.00 Date December 30, 2019 March 8, 2024 December 30, 2026 Comment Non-salary budget for PHC Value 12.00 12.00 20.00 Date December 30, 2021 March 8, 2024 July 1, 2026 Comment Effective ANC coverage Value 51.00 51.00 60.00 Date June 28, 2019 March 8, 2024 June 30, 2026 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
PHC facilities meeting essential health service delivery norms, including in lagging areas Value Service delivery norms or standards not updated to Service delivery norms updated. Percentage of PHC facilities meeting essential hea Date December 31, 2021 March 8, 2024 December 30, 2026 Comment Health information systems strengthened through greater integration and use of dashboard, including in lagging areas Value Fragmented information systems and dashboards Punjab has integrated its information system in EM Routine use of integrated data dashboard for inves Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Improved budgeting and budget flow practices Value No framework for expenditure tracking for PHC NA Budget to PHCs tracked using IFMIS Date December 30, 2021 March 8, 2024 July 1, 2026 Comment PHC providers with competencies delivering quality essential health services, including in lagging areas Value Competencies and skills of PHC providers not updat Competency based skills- updated in Sindh and Punj PHC providers assessed to deliver a select set of Date December 30, 2021 March 8, 2024 December 30, 2026 Comment National framework & provincial strategic plans for integrated information systems Value 0.00 0.00 4.00 Date June 30, 2021 March 8, 2024 December 30, 2026 Comment Improved domestic resource mobilization for PHC Value 10.00 10.00 15.00 Date June 30, 2021 March 8, 2024 December 30, 2026 Comment Timely and appropriate referral between PHC level and higher levels of care, including in lagging areas Value Referral guidelines not updated and referral monit Referral guidelines are being drafted in all three Referral systems between PHC and other levels of c Date December 30, 2021 March 8, 2024 December 30, 2026 Comment PHC facilities reporting reductions in stock outs of select FP and nutrition commodities and essential drugs/medicines, including in lagging areas Value Essential medicines and commodities (FP) list to b KP has updated its essential medicines' list. PHC facilities, with no stock-outs of essential me Date December 30, 2021 March 8, 2024 December 30, 2026 Comment National Health Financing Framework Value No No Yes Date December 30, 2021 March 8, 2024 June 28, 2024 Comment Provincial emergency transportation plans developed in support of referral Value 1.00 1.00 3.00 Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Increased pooled procurement for essential commodities and vaccines Value Pooled procurement of vaccines NA Pooled procurement of commodities and essential me Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Provincial Health Financing Strategies Value 0.00 0.00 3.00 Date December 30, 2021 March 8, 2024 December 30, 2025 Comment Target achieved for TB case notification Value No No Yes Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Punjab DGHS strengthened to monitor and manage performance of PHC providers and facilities for an integrated service delivery Value No performance management guidelines or systems in NA Performance management systems of program and faci Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Target achieved for coverage for Penta-1 and FIC, including in lagging areas Value No No Yes Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Provincial communication strategies developed for UHC reforms, PHC initiatives, and risk communication Value 0.00 0.00 3.00 Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Pregnant women receiving iron supplements Value 30.00 30.00 50.00 Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Increased private sector and community engagement, including in lagging areas Value No public-private dialogue platform NA Functioning public-private dialogue platform Date December 30, 2021 March 8, 2024 December 30, 2026 Comment Strategy for increased private and community engagement in LHW un-covered areas in Punjab Value No No Yes Date December 31, 2021 March 8, 2024 December 29, 2023 Comment Functioning community feedback mechanism Value No No Yes Date June 30, 2021 March 8, 2024 June 30, 2024 Comment