Support to Improve Maternal and Child Health (IADB-GY-L1058)

  • Guyana
Where the impacts of the investment may be experienced.
Financial Institutions
  • Inter-American Development Bank (IADB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
Oct 26, 2016
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Ministry of Public Health
The holder of the loan, grant, or other investment.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, etc.
Investment Amount (USD)
$ 8.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please review updated project documents for more information.
Project Cost (USD)
$ 8.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. Please see updated project documentation for more information.
Primary Source

Original disclosure @ IADB website

Updated in EWS Jun 22, 2017

Disclosed by Bank May 18, 2016

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Project Description
The operation will support: (i) quality improvements to maternal, neonatal, child, and reproductive health services at the primary as well as at the hospital level focusing on the areas with the highest concentrations of deaths. The focus here will also be on strengthening, among other strategies, Essential Neonatal Obstetrical Care (ENOC) and Emergency Obstetrical Neonatal Care (EONC); (ii) strengthening health service delivery capacity to increase coverage and use/demand for certain services and strengthen practices by the target population. Capacity building will also support the delivery of effective counseling services towards behavior change related to care-seeking for early prenatal and post-natal controls and attitudes towards institutional deliveries; and (iii) implementation of innovative financing schemes to overcome demand side barriers (such as transport related costs to access institutional delivery) faced by the targeted population and implementation of a reward system for improved performance by service providers. This operation is classified by the IADB as Category “B” because the potential negative environmental and social impacts and risks associated with the activities are localized and temporary and mitigation measures are known and easily implemented. The most significant environmental and social impacts would be related to the execution phase: (i) generation of hospital waste; (ii) common wastewater generated from daily activities of the hospital staff, patients, and visitors; (iii) generation of wastewater contaminated by hospital activities; (iv) increased demand for power and water; (v) power shortages; (vi) air emissions from incinerators; and (vii) occupational health and safety hazards for the workforce.
Investment Description
  • Inter-American Development Bank (IADB)
This is an investment loan for US$8 million drawn from the IADB's Ordinary Capital (OC) and Fund for Special Operations (FSO). The planned disbursement period is five years. Projections are that disbursements will commence in April 2017 and end the last quarter of 2021, in accordance with the five year duration of the loan.
Contact Information
ACCOUNTABILITY MECHANISM OF IADB The Independent Consultation and Investigation Mechanism (MICI) is the independent complaint mechanism and fact-finding body for people who have been or are likely to be adversely affected by an Inter-American Development Bank (IDB) or Inter-American Investment Corporation (IIC)-funded project. If you submit a complaint to MICI, they may assist you in addressing the problems you raised through a dispute-resolution process with those implementing the project and/or through an investigation to assess whether the IDB or IIC is following its own policies for preventing or mitigating harm to people or the environment. You can submit a complaint by sending an email to You can learn more about the MICI and how to file a complaint at,1752.html (in English) or,1752.html (Spanish).