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The Gambia Essential Health Services Strengthening Project

Abstract*

The proposed project will support the following: a. Improving the Delivery and Utilization of Quality Essential Primary Health Care Services b. Project management

* 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 quality and utilization of essential health services and strengthen the national system for public health preparedness in The Gambia.

Key Details

Project Details

  • P173287

  • Active

  • Teegwende Porgo

  • The Gambia

  • Gambia, The

  • April 18, 2020

  • (as of board presentation)

    October 9, 2020

  • October 28, 2020

  • US$ 93.33 million

  • N/A

  • June 5, 2024

  • August 29, 2025

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
The Global Fund to Fight AIDS, Tuberculosis & Malaria 4.50
Health Emergency Preparedness and Response Multi-Donor Trust 4.33
Borrower/Recipient 2.00
IDA Grant 84.50

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 84.50
IBRD + IDA Commitment 84.50
Lending Instrument
Grant Amount 8.83
Total Project Cost** 138.50

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Mar 21, 2024 IDA-D9280 Loan Disb 43,152.30
Mar 21, 2024 IDA-D9280 Loan Disb 31,545.88
Feb 15, 2024 IDA-D9280 Loan Disb 118,958.82
Jan 24, 2024 IDA-D9280 Loan Disb 39,473.89
Jan 19, 2024 IDA-D9280 Loan Disb 41,031.95
Apr 8, 2024 IDA-D9280 Loan Disb 1,277,875.50
Apr 8, 2024 IDA-D9280 Loan Disb 550,737.90
Mar 25, 2024 IDA-D9280 Loan Disb 40,771.88
Jun 20, 2024 IDA-D9280 Loan Disb 1,429,603.50
May 23, 2022 IDA-D9280 Loan Disb 1,144,338.60
Mar 11, 2022 IDA-D7310 Loan Disb 739,205.30
Apr 7, 2022 IDA-D7310 Loan Disb -325,502.90
May 19, 2022 IDA-D7310 Loan Disb 314,567.16
Feb 22, 2022 IDA-D7310 Loan Disb 124,639.89
Nov 22, 2022 IDA-D7310 Loan Disb 1,025,788.70
Feb 9, 2022 IDA-D7310 Loan Disb 454,109.60
Feb 9, 2022 IDA-D7310 Loan Disb 556,559.10
Jan 27, 2022 IDA-D9280 Loan Disb 6,828,236.00
Aug 30, 2022 IDA-D7310 Loan Disb 1,392,652.80
Feb 25, 2022 IDA-D7310 Loan Disb 1,211,371.10
Apr 18, 2022 IDA-D7310 Loan Disb 1,743,451.90
Aug 19, 2022 IDA-D9280 Loan Disb 29,974.13
Aug 19, 2022 IDA-D9280 Loan Disb 33,249.00
Jul 19, 2022 IDA-D7310 Loan Disb 104,383.99
Oct 6, 2022 IDA-D7310 Loan Disb 1,548,883.60
Oct 21, 2022 IDA-D7310 Loan Disb 159,292.05
Nov 28, 2022 IDA-D9280 Loan Disb 33,249.01
Nov 28, 2022 IDA-D9280 Loan Disb 1,407,870.80
Oct 19, 2022 IDA-D7310 Loan Disb 86,508.65
Oct 17, 2022 IDA-D7310 Loan Disb 238,515.90
Apr 5, 2023 IDA-D7310 Loan Disb 578,313.25
May 2, 2023 IDA-D9280 Loan Disb 56,107.69
May 2, 2023 IDA-D9280 Loan Disb 25,402.89
Dec 7, 2022 IDA-D9280 Loan Disb 30,080.62
Dec 7, 2022 IDA-D7310 Loan Disb 1,490,363.60
Oct 24, 2022 IDA-D7310 Loan Disb 1,117,166.10
Sep 15, 2022 IDA-D7310 Loan Disb 409,090.90
Oct 13, 2022 IDA-D9280 Loan Disb 37,155.89
Jan 6, 2023 IDA-D7310 Loan Disb 601,656.94
Oct 5, 2022 IDA-D9280 Loan Disb 1,656,618.20
Feb 15, 2023 IDA-D7310 Loan Disb 1,120,383.10
Mar 8, 2023 IDA-D7310 Loan Disb 710,519.70
Mar 23, 2023 IDA-D7310 Loan Disb 900,438.60
Jan 20, 2023 IDA-D7310 Loan Disb 677,753.06
Jan 20, 2023 IDA-D7310 Loan Disb 1,294,919.90
Jan 12, 2023 IDA-D7310 Loan Disb 489,938.34
Mar 31, 2023 IDA-D7310 Loan Disb 802,937.30
Feb 15, 2023 IDA-D9280 Loan Disb 1,126,242.80
Mar 1, 2023 IDA-D7310 Loan Disb 879,898.20
Feb 15, 2023 IDA-D9280 Loan Disb 32,174.63
Sep 8, 2023 IDA-D9280 Loan Disb 147,212.72
Aug 23, 2023 IDA-D7310 Loan Disb 154,327.66
Sep 12, 2023 IDA-D9280 Loan Disb 845,653.94
Aug 3, 2023 IDA-D9280 Loan Disb 36,168.50
Jun 20, 2023 IDA-D9280 Loan Disb 30,575.38
Jun 22, 2023 IDA-D7310 Loan Disb 664,033.00
Aug 3, 2023 IDA-D9280 Loan Disb 33,697.78
Oct 18, 2023 IDA-D9280 Loan Disb 57,707.57
May 19, 2023 IDA-D7310 Loan Disb 75,346.84
Oct 18, 2023 IDA-D9280 Loan Disb -91,351.66
Jan 9, 2024 IDA-D9280 Loan Disb 2,921,152.50
Jan 18, 2024 IDA-D9280 Loan Disb 351,231.53
Jan 16, 2024 IDA-D9280 Loan Disb 314,407.94
Jan 11, 2024 IDA-D9280 Loan Disb 160,963.16
Nov 21, 2023 IDA-D9280 Loan Disb -94,670.47
Jan 4, 2024 IDA-D9280 Loan Disb 32,109.38
Dec 13, 2023 IDA-D9280 Loan Disb 688,566.75
Dec 18, 2023 IDA-D9280 Loan Disb 94,428.15
Feb 27, 2024 IDA-D9280 Loan Disb 264,600.00
Aug 14, 2024 IDA-D9280 Loan Disb 269,787.60
Aug 28, 2024 IDA-D9280 Loan Disb 123,754.82
Nov 21, 2023 IDA-D9280 Loan Disb 94,670.47
May 23, 2024 IDA-D9280 Loan Disb 140,772.45
Jan 29, 2024 IDA-D9280 Loan Disb 16,571.45
Apr 25, 2024 IDA-D9280 Loan Disb 80,842.76
May 24, 2024 IDA-D9280 Loan Disb 40,854.80
Feb 29, 2024 IDA-D9280 Loan Disb 1,017,350.60
May 31, 2024 IDA-D9280 Loan Disb 397,300.53
Jun 5, 2024 IDA-D9280 Loan Disb 84,815.24
Feb 29, 2024 IDA-D9280 Loan Disb 723,282.50
Mar 12, 2024 IDA-D9280 Loan Disb 168,809.75
May 31, 2024 IDA-D9280 Loan Disb 105,920.37
Aug 9, 2024 IDA-D9280 Loan Disb 764,225.25
Aug 9, 2024 IDA-D9280 Loan Disb 1,329,572.60
Feb 8, 2024 IDA-D9280 Loan Disb 139,714.50
Dec 2, 2021 IDA-D7310 Loan Disb 767,932.50
May 6, 2021 IDA-D7310 Loan Disb 35,634.50
Jun 17, 2021 IDA-D7310 Loan Disb 1,185,628.20
Dec 28, 2020 IDA-D7310 Loan Disb 2,000,000.00
Dec 6, 2021 IDA-D7310 Loan Disb 49,822.50
Apr 6, 2022 IDA-D7310 Loan Disb 326,040.75
Dec 7, 2021 IDA-D7310 Loan Disb 418,912.78
Apr 27, 2022 IDA-D7310 Loan Disb 34,930.38
Jun 30, 2022 IDA-D7310 Loan Disb 39,076.88
Jun 30, 2022 IDA-D7310 Loan Disb 571,461.40
May 21, 2024 IDA-D9280 Loan Disb 32,068.07
May 29, 2024 IDA-D9280 Loan Disb 1,084,170.40
Feb 6, 2024 IDA-D9280 Loan Disb 596,841.50
Feb 6, 2024 IDA-D9280 Loan Disb 569,389.75
Apr 26, 2024 IDA-D9280 Loan Disb 111,503.00
Aug 6, 2024 IDA-D9280 Loan Disb 685,401.25
Jul 12, 2024 IDA-D9280 Loan Disb 27,906.14
Nov 19, 2021 IDA-D9280 Loan Commitment 50,000,000.00
Oct 9, 2020 IDA-D7310 Loan Commitment 30,000,000.00
Jun 28, 2024 IDA-E3320 Loan Commitment 35,000,000.00
Jul 13, 2023 IDA-E2170 Loan Commitment 4,500,000.00
Sep 1, 2023 IDA-D9280 Loan Disb 352,617.70
Sep 1, 2023 IDA-D9280 Loan Disb 138,672.55
Aug 7, 2023 IDA-D9280 Loan Disb 435,362.28
Aug 17, 2023 IDA-D9280 Loan Disb 868,031.20
Aug 29, 2023 IDA-D9280 Loan Disb 194,012.48
May 23, 2023 IDA-D7310 Loan Disb 1,038,498.75
Jun 13, 2023 IDA-D9280 Loan Disb 1,429,929.60
Sep 6, 2023 IDA-D9280 Loan Disb 84,919.97
May 30, 2023 IDA-D9280 Loan Disb 269,389.62
Jun 27, 2023 IDA-D7310 Loan Disb 304,401.06
Jun 5, 2023 IDA-D7310 Loan Disb 313,463.56
Sep 14, 2023 IDA-D9280 Loan Disb 151,917.44
Sep 14, 2023 IDA-D9280 Loan Disb 604,610.94
Jun 27, 2023 IDA-D9280 Loan Disb 875,048.56
Oct 27, 2023 IDA-D9280 Loan Disb 118,655.24
Dec 13, 2023 IDA-D9280 Loan Disb 58,844.00
Dec 13, 2023 IDA-D9280 Loan Disb 605,640.60
Dec 13, 2023 IDA-D9280 Loan Disb 190,284.58
Dec 26, 2023 IDA-D9280 Loan Disb 259,206.95
Dec 26, 2023 IDA-D9280 Loan Disb 396,158.12
Nov 10, 2023 IDA-D9280 Loan Disb 32,389.00
Nov 10, 2023 IDA-D9280 Loan Disb 2,203,285.80
Nov 29, 2023 IDA-D9280 Loan Disb 176,578.47
Nov 10, 2023 IDA-D9280 Loan Disb 57,683.81
Oct 18, 2023 IDA-D9280 Loan Disb 29,776.68
Oct 18, 2023 IDA-D9280 Loan Disb 88,703.27
Oct 18, 2023 IDA-D9280 Loan Disb 91,351.66
Oct 18, 2023 IDA-D9280 Loan Disb 85,574.43

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Project Management Satisfactory 2024-10-25
Financial Management Moderately Satisfactory 2024-10-25
Progress towards achievement of PDO Satisfactory 2024-10-25
Monitoring and Evaluation Satisfactory 2024-10-25
Overall Implementation Progress (IP) Satisfactory 2024-10-25
Procurement Satisfactory 2024-10-25

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Health Facility Quality IndexValue69.0086.8785.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Essential health services coverage index (Geometric means of tracer indicators, on a scale of 0-100)Value45.9052.7856.38
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Electronic case-based surveillance system established and validated for priority diseasesValueNo web-based electronic case-based surveillance syThe development of an electronic case-based surveiElectronic case-based surveillance system establis
    DateMarch 31, 2023March 15, 2024August 29, 2025
    Comment
  • Contraceptive prevalence rateValue17.1021.1033.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Antenatal care, four or more visitsValue78.5086.9084.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Delivery in a health facilityValue83.7089.7088.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Fully immunized children (percentage of children who at age 12-23 months had received all basic vaccinations)Value84.6088.3090.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Children aged 6-23 months who received minimum acceptable dietValue14.0016.4019.00
    DateJune 30, 2020March 15, 2024June 30, 2025
    Comment
  • Children under age 5 for whom advice or treatment was sought for symptoms of acute respiratory infectionValue70.3090.8077.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • People who have received essential health, nutrition, and population (HNP) servicesValue799590.004974285.004972800.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)Value399000.00399000.001200000.00
    Date
    Comment
  • Number of children immunizedValue72412.00268695.00445000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Number of women and children who have received basic nutrition servicesValue668603.003739280.004129800.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Number of deliveries attended by skilled health personnelValue58575.00295210.00398000.00
    DateJune 30, 2020March 15, 2024June 30, 2025
    Comment
  • Pregnant women coming for antenatal care in the first trimesterValue23216.00121521.00139000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Delivery by cesarean sectionValue3.705.507.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • People enrolled in the NHISValue0.00399.00330000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Timely processing of claims submitted by health facilities to the NHIAValue0.000.0050.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • New acceptors of modern contraceptionValue80909.00285722.00280000.00
    DateJune 30, 2020March 15, 2024June 30, 2025
    Comment
  • Children under 5 treated for moderate or severe acute malnutritionValue2587.0016264.009800.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Children age 12-59 months dewormedValue180402.00544527.00500000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Children between the age of 6 and 59 months receiving Vitamin A supplementationValue234243.00715601.001593000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Post-partum mothers supplemented with vitamin AValue55658.00137773.00333000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Pregnant women receiving iron and folic acid (IFA) supplementsValue286914.00930878.001944000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Health facilities reporting no stock-out of essential tracer medicines and medical supplies at the time of the health facility quality of care assessmentValue25.0056.0065.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Health facilities that can perform diagnostic services at the time of the health facility quality of care assessmentValue10.5076.0050.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Quarterly counter verification of health facility service delivery data conducted and report availableValueNot available as of July 31, 2020 for the April-JuWith the transition of result-based financing to nCounter verification report available
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Timely submission of health facilities monthly reportsValue69.8089.9090.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Completeness of health facilities monthly reportsValue75.7088.7092.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Service delivery reports from community health workers integrated into HMISValue80.6095.0090.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Electronic human resource management information system establishedValueNo web-based electronic human resource management Web-based electronic human resource management infWeb-based electronic human resource management inf
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Electronic logistic management information system establishedValueWeb-based electronic logistic management informatiWeb-based electronic logistic management informatiWeb-based electronic logistic management informati
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Health personnel trainedValue0.002409.00250.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Births registeredValue101515.001218166.00783000.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Marriages registeredValue490.004376.005500.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Health facilities renovated/constructedValue0.005.0012.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • National emergency treatment center intensive care unit, emergency observation and treatment center, public health laboratory and training center, blood transfusion center constructedValue0.000.001.00
    DateSeptember 30, 2021March 15, 2024August 29, 2025
    Comment
  • National Food and Drug Quality Control laboratory constructedValue0.000.001.00
    DateMarch 31, 2023March 15, 2024August 29, 2025
    Comment
  • Health facilities renovated/constructed with energy efficient systems in place and/or with energy-efficient appliances installedValue0.000.0013.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Grievances addressed within stipulated service standards for responseValue0.0090.7090.00
    DateJune 30, 2020March 15, 2024August 29, 2025
    Comment
  • Health personnel trained in surveillance standard operating proceduresValue0.000.00150.00
    DateOctober 31, 2023March 15, 2024August 29, 2025
    Comment
  • Notifiable diseases and events detected within 7 days of emergenceValue0.000.0050.00
    DateMarch 31, 2023March 15, 2024August 29, 2025
    Comment