Djibouti Improving Health Sector Performance Project Second Additional Financing (WB-P168250)

  • Djibouti
Geographic location 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
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Apr 25, 2019
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Government of Djibouti
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Grant, Loan
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 6.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Project Cost (USD)
$ 6.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Primary Source

Original disclosure @ WB website

Updated in EWS Apr 4, 2019

Disclosed by Bank Mar 1, 2019

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

Accpording to bank documents;

Original Objective: The project objective is to improve the utilization of quality health care services for maternal and child health andcommunicable disease control programs (HIV/AIDS, tuberculosis and malaria).

Current Objective: The project objective is to improve the utilization of quality maternal and child health services.

The proposed additional funding will support the continuation of activities initiated under the parent project (Components 1, 2 and 3) to:

  1. mitigate the health and economic impact of the influx of more than 150,000 displaced populations;
  2. meet the increasing health needs of refugees, asylum seekers, migrants and vulnerable Djiboutians to increase and protect their human capital; and
  3. enhance the effectiveness, quality and ownership of the project. In addition, the following new activities will be introduced under each component:

The project has four components:

  1. Improving health service delivery performance: The additional funding will support: (a) scaling up of the PBF component of the project to health facilities in the
    refugee camps of Holl Holl, Ali-Addeh and Obock, and the pediatric ward of the Peltier Hospital in Djibouti-Ville; and (b) support the Directorate of Health Regions (Direction des Régions Sanitaires) in providing mobile “Caravan” clinics for the provision of specialized health services for refugees and host populations.
  2. Strengthening health system management: The additional funding will support: (a) the MOH to reinforce the routine Health Management Information System
    through selection of core indicators, harmonization of data collection tools, and introduction of District Health Information Software (DHIS2) as a data management tool (storage, analysis and feedback report production and dissemination); (b) conduct surveys on the quality of health services; and (c) support implementation of selected health care waste management measures specifically the installation of small artisanal incinerators at five health facilities in Dikhil, Tadjourah, Obock, and Arta regions.
  3. Strengthening project management and monitoring and evaluation capacity: The additional funding will support an enhanced PBF capacity building program at national, regional and facility levels.
  4. Contingent Emergency Response Component – CERC: A CERC will be included under the project in accordance with paragraphs 12 and 13 of the Bank Policy for Investment Project Financing for projects in Situations of Urgent Need of Assistance or Capacity Constraints. This 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, a major adverse economic and/or social impact affecting public health. Environmental and Social Management aspects specific to CERC has been reflected in the revised Environment and Social Impact Assessment. In addition, an “Emergency Response Operational Manual” (EROM) will be added as part of the Project Operational Manual (POM) before effectiveness. Disbursements will be made against an approved list of goods, works, and services required to support crisis mitigation, response and recovery. All expenditures under this activity will be appraised, reviewed, and found to be acceptable to the World Bank before any disbursement is made.
Investment Description
Here you can find a list of individual development financial institutions that finance the project.

IDA Credit 1.00
IDA Grant 5.00

Contact Information
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World Bank:
Elizabeth Mziray
Senior Operations Officer

Republic of Djibouti
H. E. Mr. Ilyas Moussa Dawaleh
Minister of Economy and Finance, in Charge of Industry

Implementing Agency:
Ministry of Health
Minister of Health


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