CAR Health Service Delivery and System Strengthening Project (SENI-Plus)

Abstract*

The development objective of Health Service Delivery and System Strengthening Project is to increase utilization of quality essential health services, especially for women and children, in targeted areas in the Central African Republic. This project has four components. 1) The first component, Supporting Essential Health Service Delivery, has the following sub-components: (i) Increasing Health Services Utilization and Quality through PBF; (ii) Strengthening... Show More

Development Objective

To increase utilization of quality essential health services, especially for women and children in targeted areas, and to protect essential social services for the population of CAR.

Key Details

Project Details

Project ID
P177003
Status
Active
Team Leader
Alain-Desire Karibwami , Eugenie Kiendrebeogo, Innocent Nukuri
Borrower 2
Central African Republic

Country
Central African Republic
Disclosure Date
October 25, 2021
Approval Date
(as of board presentation)
June 3, 2022
Effective Date
September 15, 2022

Total Project Cost 1
US$ 70.00 million
Implementing Agency
Ministry of Health and Population, Central African Republic,Ministry of Finance and Budget
Region
Western and Central Africa
Fiscal Year 3
2022

Commitment Amount
US$ 70.00 million
Environmental Category
N/A
Last Update Date
March 27, 2024
Closing Date
September 30, 2027

Consultant Services required
TBD
Last Stage Reached
BANK APPROVED

Associated Projects
P181561

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Fiscal Year” is the fiscal year in which the project was approved (or dropped if the status is dropped). The World Bank's fiscal year is from July 1 - June 30. For example, a fiscal year of 1996 corresponds to July 1, 1995 - June 30, 1996.

Sectors

Themes

FY17 - Environment and Natural Resource Management

FY17 - Climate change3%
- FY17 - Adaptation2%
- FY17 - Mitigation0%

FY17 - Human Development and Gender

FY17 - Disease Control19%
- FY17 - Pandemic Response19%
FY17 - Gender9%
FY17 - Health Systems and Policies100%
- FY17 - Health Finance54%
- FY17 - Health Service Delivery100%
- FY17 - Health System Strengthening100%
FY17 - Nutrition and Food Security100%
- FY17 - Food Security100%

FY17 - Private Sector Development

FY17 - ICT15%
- FY17 - ICT Solutions15%

FY17 - Public Sector Management

FY17 - Data Development and Capacity Building10%
- FY17 - Data production, accessibility and use10%

FY17 - Urban and Rural Development

FY17 - Disaster Risk Management50%
- FY17 - Flood and Drought Risk Management50%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Global Financing Facility	12.00
IDA Grant	58.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	58.00
IBRD + IDA Commitment	58.00

Lending Instrument
Grant Amount	12.00
Total Project Cost**	70.00

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

No data available.

Detailed Financial Activity as of February 28, 2025

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Period	Financier	Transaction Type	Amount (US$)
Jun 11, 2024	IDA-E0480	Loan Disb	293,756.53
Dec 18, 2023	IDA-E0480	Loan Disb	11,741.00
Nov 13, 2023	IDA-E0480	Loan Disb	366,231.66
Nov 13, 2023	IDA-E0480	Loan Disb	110,021.38
Nov 13, 2023	IDA-E0480	Loan Disb	137,012.52
Dec 11, 2023	IDA-E0480	Loan Disb	36,174.90
Jul 17, 2023	IDA-E0480	Loan Disb	2,399,162.20
Jun 27, 2023	IDA-E0480	Loan Disb	355,453.78
Jun 29, 2023	IDA-E0480	Loan Disb	392,646.78
Oct 12, 2022	IDA-E0480	Loan Disb	3,735,804.00
Mar 22, 2024	IDA-E0480	Loan Disb	244,641.72
Mar 22, 2024	IDA-E0480	Loan Disb	1,030,391.75
May 4, 2023	IDA-E0480	Loan Disb	260,312.28
Jun 11, 2024	IDA-E0480	Loan Disb	73,613.00
Jun 27, 2024	IDA-E0480	Loan Disb	1,587,214.00
Sep 3, 2024	IDA-E0480	Loan Disb	1,105,477.20
Jun 5, 2024	IDA-E0480	Loan Disb	193,264.06
Dec 27, 2023	IDA-E0480	Loan Disb	6,110,862.50
Oct 23, 2023	IDA-E0480	Loan Disb	5,849,871.00
Oct 23, 2023	IDA-E0480	Loan Disb	1,114,451.10
Jun 3, 2022	IDA-E0480	Loan Commitment	58,000,000.00
Apr 10, 2024	IDA-E3040	Loan Commitment	20,000,000.00
Feb 16, 2024	IDA-E0480	Loan Disb	20,223.68
Jul 18, 2024	IDA-E0480	Loan Disb	14,705.77
Jul 18, 2024	IDA-E0480	Loan Disb	186,879.72
Aug 6, 2024	IDA-E0480	Loan Disb	299,043.78
Aug 6, 2024	IDA-E0480	Loan Disb	747,609.50
Apr 8, 2024	IDA-E0480	Loan Disb	680,127.70
Aug 29, 2024	IDA-E0480	Loan Disb	15,032.88
Aug 29, 2024	IDA-E0480	Loan Disb	4,664,365.50
Apr 15, 2024	IDA-E0480	Loan Disb	34,143.08
Nov 15, 2023	IDA-E0480	Loan Disb	1,732,480.40
Oct 26, 2023	IDA-E0480	Loan Disb	10,894.31

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Satisfactory	2024-10-19
Project Management	Moderately Satisfactory	2024-10-19
Progress towards achievement of PDO	Moderately Satisfactory	2024-10-19
Financial Management	Moderately Satisfactory	2024-10-19
Monitoring and Evaluation	Moderately Satisfactory	2024-10-19
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-10-19

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Children who have received 3 doses of Pentavalent vaccine (Penta3) Value 43059.00 94991.00 58120.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Eligible civil servants who received previous months’ salary in-full and on time Value 0.00 0.00 95.00
Date June 16, 2023 June 16, 2023 December 31, 2024
Comment
Deliveries attended by skilled health personnel Value 82373.00 76615.00 90060.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Modern contraceptive services received by women and adolescents Value 104053.00 115284.00 125128.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Modern contraceptive services received by women and adolescents – short-term Value 102112.00 112017.00 111640.00
Date March 1, 2022 January 31, 2024 September 30, 2027
Comment
Modern contraceptive services received by women and adolescents – long-term and permanent Value 1941.00 3268.00 13518.00
Date March 1, 2022 January 31, 2024 September 30, 2027
Comment
Availability of tracer drugs at health centers in targeted districts Value 76.00 81.00 85.00
Date February 1, 2022 March 31, 2023 September 30, 2027
Comment
Average quality score of health centers in targeted districts Value 55.00 57.00 80.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Pregnant women who have attended 4 antenatal care visits Value 38907.00 116785.00 66710.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
People referred to health facilities by community workers Value 76496.00 14696.00 97550.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
CHWs trained on epidemic surveillance and preparedness Value 0.00 0.00 1650.00
Date February 1, 2022 January 31, 2023 September 30, 2027
Comment
Number of hospitals scoring 80% or higher on the 'diagnostic capacity' components of the PBF quality assurance checklist Value 0.00 0.00 12.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
District hospitals with integrated GBV services Value 5.00 10.00 15.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Number of additional health professionals employed full-time in health facilities in targeted districts Value 0.00 274.00 326.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
NHDP/Investment Case performance reports discussed at quarterly meetings of the Comite de Pilotage Unique Value 0.00 0.00 15.00
Date February 1, 2022 January 31, 2023 September 30, 2027
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 734020.00 1219720.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment

Patients under the Free Health Services (Gratuité Ciblé) scheme who report receiving their service and medication at no charge	Value	81.00	53.00	90.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Number of health professionals employed full-time in health facilities in targeted districts - female (disaggregation) Value 0.00 0.00 190.00
Date February 1, 2022 January 31, 2023 September 30, 2027
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 155724.00 319920.00
Date
Comment
Facilities receiving performance payments on time Value 60.00 63.00 80.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Number of deliveries attended by skilled health personnel Value 0.00 244872.00 434650.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Quality satisfaction score of beneficiaries for health services in district hospitals Value 60.00 40.00 80.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Number of children immunized Value 0.00 242427.00 350620.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment
Number of women and children who have received basic nutrition services Value 0.00 246721.00 434450.00
Date February 1, 2022 January 31, 2024 September 30, 2027
Comment

Children who have received 3 doses of Pentavalent vaccine (Penta3)	Value	43059.00	94991.00	58120.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Eligible civil servants who received previous months’ salary in-full and on time	Value	0.00	0.00	95.00
	Date	June 16, 2023	June 16, 2023	December 31, 2024
	Comment

Deliveries attended by skilled health personnel	Value	82373.00	76615.00	90060.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Modern contraceptive services received by women and adolescents	Value	104053.00	115284.00	125128.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Modern contraceptive services received by women and adolescents – short-term	Value	102112.00	112017.00	111640.00
	Date	March 1, 2022	January 31, 2024	September 30, 2027
	Comment

Modern contraceptive services received by women and adolescents – long-term and permanent	Value	1941.00	3268.00	13518.00
	Date	March 1, 2022	January 31, 2024	September 30, 2027
	Comment

Availability of tracer drugs at health centers in targeted districts	Value	76.00	81.00	85.00
	Date	February 1, 2022	March 31, 2023	September 30, 2027
	Comment

Average quality score of health centers in targeted districts	Value	55.00	57.00	80.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Pregnant women who have attended 4 antenatal care visits	Value	38907.00	116785.00	66710.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

People referred to health facilities by community workers	Value	76496.00	14696.00	97550.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

District hospitals with integrated GBV services	Value	5.00	10.00	15.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Facilities receiving performance payments on time	Value	60.00	63.00	80.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

Number of children immunized	Value	0.00	242427.00	350620.00
	Date	February 1, 2022	January 31, 2024	September 30, 2027
	Comment

CAR Health Service Delivery and System Strengthening Project (SENI-Plus)

Abstract*

Development Objective

Key Details

Project Details

Sectors

Themes

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Project Map

Finances

Financing Plan (US$ Millions)

Total Project Financing (US$ Millions)

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

Detailed Financial Activity as of February 28, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS