Health System Support Project ("KIRA") (WB-P156012)

  • Burundi
Where the impacts of the investment may be experienced.
Financial Institutions
  • World Bank (WB)
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
Feb 24, 2017
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.
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 Amount (USD)
$ 50.00 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)
$ 50.00 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 @ WB website

Updated in EWS Sep 23, 2017

Disclosed by Bank May 24, 2016

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Project Description
The development objective of Health System Support Project for Burundi is to increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. This project has four components. 1) The first component, Use of Performance-based Payments to Support the Recipient’s Free Health Care (FHC) Program, will pay health providers and other health entities according to their performance. It has the following four subcomponents: (i) Payment of FHC-Results-based Financing (RBF) to health facilities; (ii) Performance Based Payments to community health workers cooperatives; (iii) Performance Based Payments to FHC-RBF claims and administration or verification departments; and (iv) Performance Based Payments to Nursing Schools and Ministry of Public Health and the Fight Against HIV/AIDS (MoH )strategic departments supporting health facilities. 2) The second component, Implementation Support for the FHC program-related activities,will support strategic activities. It has the following three subcomponents: (i) Support to verification and counter verification processes; (ii) Supporting project management; and (iii) Supporting the promotion of demand at community level and social and environmental safeguards activities. 3) The third component, Strengthening of Newly Integrated FHC Program Service Providers through financing of minor investments/renovations works for CHWs and nursing training schools, aims to support concerns nursing training schools and Community Health Workers (CHWs). 4) The fourth component, Contingency Emergency Response Component (CERC), will allow for rapid reallocation of project proceeds in the event of a natural or man-made disaster or crisis that has caused, or is likely to imminently cause danger
Investment Description

Contact Information
Borrower/Client/Recipient Name: MINISTRY OF FINANCE Contact: Marie Salome Ndabahariye Title: Permanent Secretary Email: Implementing Agencies Name: Ministry of Health Contact: Elam Senkomo Title: Permanent Secretary Email: Name: Ministry of Health Contact: Josiane Nijimbere Title: Minister of Health Email: Name: Ministry of Health Contact: Jean Nepomuscene Gahungu Title: General Director of Planning Email: Name: Ministry of Health Contact: Severin Wakarerwa Title: DG Resources Email: ACCOUNTABILITY MECHANISM OF WORLD BANK The World Bank Inspection Panel is the independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by a World Bank-financed project. If you submit a complaint to the Inspection Panel, they may investigate to assess whether the World Bank is following its own policies and procedures for preventing harm to people or the environment. You can contact the Inspection Panel or submit a complaint by emailing You can learn more about the Inspection Panel and how to file a complaint at: