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Tuvalu Health System Strengthening Project

Abstract*

The Tuvalu National Health Strategic Plan for 2020-2024 (NHSP) provides a point of departure to identify priority interventions, new development activities, and programs for the Tuvalu Health System Strengthening Project (HSSP). Development of the Project and its implementation will be aligned, coordinated, and planned in conjunction with engaged bilateral partners such as New Zealand and Australia, regional entities such as Secretariat of the Pacific...

* 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 Project Development Objectives (PDOs) are to improve delivery of select health services, strengthen health management systems, and in case of an Eligible Crisis or Emergency, respond promptly and effectively to it.

Key Details

Project Details

  • P175170

  • Active

  • Margareta Harrit

  • Tuvalu

  • Tuvalu

  • August 31, 2021

  • (as of board presentation)

    June 29, 2022

  • August 3, 2022

  • US$ 15.00 million

  • Ministry of Health, Social Welfare and Gender Affairs

  • East Asia and Pacific

  • 2022

  • US$ 15.00 million

  • N/A

  • Moderate

  • June 30, 2028

  • No

  • BANK APPROVED

  • November 20, 2023

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Grant 15.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 15.00
IBRD + IDA Commitment 15.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 15.00

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

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

Detailed Financial Activity as of March 31, 2025

Download:
No data available.
Period Financier Transaction Type Amount (US$)
Jun 12, 2024 IDA-E0860 Loan Disb 5,428,016.00
Apr 16, 2024 IDA-E0860 Loan Disb 245,657.67
Jun 29, 2022 IDA-E0860 Loan Commitment 15,000,000.00
Aug 30, 2024 IDA-E0860 Loan Disb 117,271.75
Sep 21, 2023 IDA-E0860 Loan Disb 387,180.00
Sep 5, 2023 IDA-E0860 Loan Disb 133,695.81
May 23, 2024 IDA-E0860 Loan Disb 207,224.40
Oct 25, 2022 IDA-E0860 Loan Disb 249,760.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2024-10-28
Financial Management Satisfactory 2024-10-28
Monitoring and Evaluation Satisfactory 2024-10-28
Procurement Satisfactory 2024-10-28
Overall Implementation Progress (IP) Moderately Satisfactory 2024-10-28
Project Management Moderately Satisfactory 2024-10-28

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Increase in the availability of essential hospital services at Princess Magraret HospitalValueNo service improvementNo service improvementAvailability of services increased at PMH in at le
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Public feedback mechanism operational, feedback analyzed and published in Ministry of Health, Social Welfare and Gender Affairs’ Annual ReportValueNo established system for receiving or responding No established system for receiving or responding Analysis from Public Feedback System included in A
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Increase in the Diagnostic (radiological and laboratory) CapacityValueNo increase in capacityNo increase in capacityAvailability of Tracer Services Defined as part of
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Increase in the General Surgery CapacityValueNo increase in capacityNo increase in capacityAvailability of Tracer Services Defined as part of
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Increase in the mental health and counseling capacityValueNo increase in capacityNo increase in capacityAvailability of Tracer Services Defined as part of
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Increase in the Integrated NCD Management CapacityValueNo increase in capacityNo increase in capacityAvailability of Tracer Services Defined as part of
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Increase in the percentage of screened adults with a 10-year cardiovascular disease (CVD) risk =30% or with existing hypertension or diabetes that are being managed for their conditionValue0.000.0050.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Percentage of Managed NCD Patients - FemaleValue0.000.0050.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Percentage of Managed NCD Patients - MaleValue0.000.0050.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • PMH Physical Capacity IncreasedValueNo extension of PMHNeeds Assessment UnderwayNew PMH Wing Constructed, Equipped and Put into Op
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Asset Management System Established and MaintainedValueNo Asset Management System existsNo Asset Management System existsAsset Management System with an inventory of all m
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.000.00239631.00
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • PMH Human Resource Capacity IncreasedValueNo PlanNo PlanHR Development Plan Implemented including (i) cont
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Strategy determined for having functional and fit for purpose Hospital Management Information SystemValueCurrent Hospital Management Information does not fCurrent Hospital Management Information does not fA strategy would be agreed for adapting or replaci
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)Value0.000.0034575.00
    Date
    Comment
  • Public Feedback System Designed and Established for the Health SystemValueNo System in PlaceNo System in PlaceA public feedback system is operational
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • Number of children immunizedValue0.000.001500.00
    DateDecember 31, 2021September 11, 2023December 31, 2027
    Comment
  • Number of women and children who have received basic nutrition servicesValue0.000.000.00
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • Number of deliveries attended by skilled health personnelValue0.000.001500.00
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • Adult Population Screened for Non-Communicable DiseaseValue0.000.0040.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Percentage of Adult Population Screened that are FemaleValue0.000.0050.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Percentage of Adult Population Screened that are MaleValue0.000.0050.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Number of health facilities maintaining service readiness according to guidelinesValue0.000.0011.00
    DateJune 30, 2022September 11, 2023June 30, 2028
    Comment
  • Progress Against MANA Framework for NCD Primary PreventionValue42.0042.0050.00
    DateDecember 31, 2020September 11, 2023December 31, 2027
    Comment
  • Percent of identified First Responders with knowledge to provide appropriate GBV services (detection, response and referral)Value0.000.0070.00
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment
  • System established for collecting sex-disaggregated data on screening and management of NCD patientsValueNoNoYes
    DateJune 30, 2022September 11, 2023December 31, 2027
    Comment