| Financier | Commitments |
|---|---|
| IDA Grant | 14.00 |
Kiribati Health Systems Strengthening Project
Abstract*
The proposed project will improve equitable access and quality of health services in Kiribati, based on identified gaps and targeted areas that support MHMS to implement the NHSP. The project comprises four components: (1) improving equitable access and quality of health services on the outer islands; (2) strengthening quality and range of services provided through hospitals; (c) project management and health information system enhancement; and (d)... Show More
Development Objective
To improve equitable access and quality of health services in targeted areas and in case of an Eligible Crisis or Emergency, respond promptly and effectively to it.
Key Details
Project Details
P176306
Active
Wayne Irava
Republic of Kiribati
July 30, 2021
(as of board presentation)
April 4, 2022
May 27, 2022
US$ 14.00 million
Ministry of Health and Medical Services
2022
US$ 14.00 million
N/A
Substantial
March 31, 2027
Yes
BANK APPROVED
February 29, 2024
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 14.00 |
| IBRD + IDA Commitment | 14.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 14.00 |
Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Sep 6, 2023 | IDA-D9880 | Loan Disb | 53,719.16 |
| Nov 15, 2023 | IDA-D9880 | Loan Disb | 119,795.67 |
| Aug 30, 2024 | IDA-D9880 | Loan Disb | 62,143.65 |
| Mar 20, 2024 | IDA-D9880 | Loan Disb | 47,773.67 |
| Apr 5, 2024 | IDA-D9880 | Loan Disb | 138,192.05 |
| May 22, 2024 | IDA-D9880 | Loan Disb | 397,500.00 |
| Jan 24, 2024 | IDA-D9880 | Loan Disb | 286,677.00 |
| Aug 26, 2024 | IDA-D9880 | Loan Disb | 95,384.07 |
| Jun 27, 2024 | IDA-D9880 | Loan Disb | 19,763.30 |
| May 28, 2024 | IDA-D9880 | Loan Disb | 51,925.72 |
| May 12, 2023 | IDA-D9880 | Loan Disb | 89,621.28 |
| Apr 4, 2022 | IDA-D9880 | Loan Commitment | 14,000,000.00 |
| Sep 26, 2022 | IDA-D9880 | Loan Disb | 333,300.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Monitoring and Evaluation | Moderately Satisfactory | 2025-03-19 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2025-03-19 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2025-03-19 |
| Procurement | Moderately Satisfactory | 2025-03-19 |
| Project Management | Moderately Satisfactory | 2025-03-19 |
| Financial Management | Satisfactory | 2025-03-19 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Reduction of rate of Methicillin Resistant Staphylococcus Aureus (MRSA, Multi-Resistant Organisms) across the two main hospitals (Tungaru Central Hospital and London Kiritimati Hospital) Value 32.80 31.00 20.00 Date December 31, 2020 February 28, 2024 March 31, 2027 Comment Percentage of outer island facilities offering at least 70 percent of the full range of services as set out in the draft Role Delineation Policy Value 50.00 74.00 80.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Percentage of women aged 15 to 49 years with a live birth who received antenatal care four times or more Value 70.50 13.00 85.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Outer Islands Value TBD TBD Date Comment South Tarawa Value TBD TBD Date Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Percentage of women Value TBD TBD Date Comment Percentage from outer islands Value TBD TBD Date Comment Percent of core clinical health services, as set out in the RDP, offered in Kiritimati hospital Value 60.00 60.00 85.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of outer island health centers/clinics that meet minimum standards for equipment, essential medicines, and staffing number per the RDP Value TBD TBD TBD Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of core health indicator dashboard updates for health program managers (linked to 6.4.3 NHSP) Value 0.00 0.00 16.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of staff (re) trained and (re) assessed as competent in infection prevention and control and waste management as per MHMS protocols (IPC guideline) Value 60.00 60.00 280.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of outer island clinics connected to the main hospital (tele-health) (NHSP CI-26) Value 0.00 0.00 22.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of Health Sector Coordination Committee (HSCC) meetings held to reflect on progress using core health indicator dashboard and priority next steps Value 0.00 1.00 8.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of integrated outreach programs conducted in the outer islands (cumulative) Value 0.00 0.00 8.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Number of health facilities exceeding a 75 percent score on the satisfaction survey Value 0.00 0.00 20.00 Date December 31, 2021 February 28, 2024 December 31, 2027 Comment Percentage of health care workers, disaggregated by urban and outer islands and by sex, with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services Value TBD TBD 70.00 Date December 31, 2021 February 28, 2024 March 31, 2027 Comment Share of grievances recorded through the GRM that are resolved within agreed timeframes Value 0.00 0.00 80.00 Date March 31, 2022 February 28, 2024 December 31, 2027 Comment