Original Project Objective:
To contribute to the provision of basic health and essential nutrition services for the benefit of the population of the Republic of Yemen.

Current Project Objective:
To contribute to the provision of basic health, essential nutrition, water and sanitation services for the benefit of the population of the Republic of Yemen.

The project has three components:

1. Improving Access to Health, Nutrition, Public Health and WSS (US$190.5 million). This component will support the coverage of the population of Yemen with health and nutrition services as outlined in the Minimum Services Package (MSP)1 and WSS services at both primary health care (PHC) level and at referral secondary care centers.
   1. Strengthening the Integration of Primary Health Care Model (implemented by UNICEF - US$95.25 million). This subcomponent will ensure continued service delivery at the PHC level to provide the essential health and nutrition services to the population, which includes: i) integrated outreach (outreach and mobile teams) health and nutrition services; ii) community-based health and nutrition services; iii) PHC facility-based health and nutrition services; iv) provision of Targeted Food Supplementation Program (TFSP), Blanket Supplementary Feeding Program (BSFP) and distribution of nutritious supplements and fortified food; v) operational and maintenance costs of cholera preparedness and prevention activities such as, but not limited to, supporting the rapid response teams, and cholera case management; and vi) facilitating community engagement and generating demand for health, nutrition and WSS services through community sensitization and promoting key healthy behaviors.
   2. Supporting Health and Nutrition Services at the First Level Referral Centers (implemented by WHO - US$40.96 million). This subcomponent will complement the PHC model and ensure the continuum of care by supporting: i) management of SAM cases with complications and for patients who failed Outpatient Therapeutic Program (OTP) at Therapeutic Feeding Centers (TFCs); ii) provision of Basic Emergency Obstetric and Neonatal Care (BEmONC) and Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) services in targeted referral centers; iii) management of cholera cases through supporting the diarrhea treatment centers (DTCs) and oral rehydration points (ORPs); iv) management of non-communicable diseases and its complications including diabetes, hypertensions, and tumors.; and v) provision of the required equipment, medical and non-medical supplies, operating costs, and related
      trainings for the targeted health facilities.
   3. Sustaining the National Health System Preparedness and Public Health Programs (implemented by WHO - US$19.05 million). This subcomponent will support nationwide public health programs and measures in the form of: i) prevention to support nationwide public health campaigns, including vaccination, to prevent disease outbreaks; ii) Integrated Nutrition Surveillance System (INSS) which is meant to provide ongoing nutrition, health, and food security information to inform decisions in a timely manner; iii) system strengthening and resilience measures to support the epidemiological and diagnostic laboratory capacity of the local institutions particularly the reference labs at the governorate levels; iv) maintaining the electronic disease early warning system (eDEWS); and v) sustaining the national capacity of blood banks through supporting its operating costs and required supplies.
   4. Improving Access to WSS and Strengthening Local Systems (US$35.24 million).

2. Project Support, Management, Evaluation and Administration (US$9.5 million). The proposed AF3 will continue to support administration and monitoring and evaluation (M&E) activities to ensure smooth and satisfactory project implementation. The component will finance: (a) general management support for both WHO and UNICEF; (b) hiring of a Third-Party Monitoring (TPM) agency, with terms of reference (TOR) satisfactory to the World Bank, that will complement the existing TPM arrangements for both agencies; and (c) technical assistance.

3. Contingent Emergency Response Component (CERC) (UNICEF and WHO - US$0). Having been triggered twice since the start of the project (for famine risk and cholera outbreak), the zero-dollar CERC will continue to be in place to provide expedited response in case of emergency. There is a probability that, during the life of the project, an epidemic or outbreak of public health importance or other emergencies may occur, causing major adverse economic and/or social impacts. An Emergency Response Operational Manual has been prepared and agreed upon by the Bank to be used if this component is triggered.

World Bank:
Moustafa Mohamed ElSayed Mohamed Abdalla
Senior Health Specialist
Naif Mohammed Abu-Lohom
Sr Water Resources Mgmt. Spec.

Borrower:
United Nations Children's Fund
Meritxell Relano
Representative, UNICEF
mrelano@unicef.org 

World Health Organization:
Altaf Musani
Representative, WHO
musania@who.int

Implementing Agencies:
United Nations Children's Fund
Fouzia Shafique
Chief - Health
fshafique@unicef.org

World Health Organization
Altaf Musani
Representative, WHO
musania@who.int 

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 ipanel@worldbank.org. You can learn more about the Inspection Panel and how to file a complaint at: http://ewebapps.worldbank.org/apps/ip/Pages/Home.aspx.