Zimbabwe Health Sector Development Support Project IV - AF (WB-P168734)

  • Zimbabwe
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
Dec 14, 2018
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.
Government of Zimbabwe
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)
Advisory Services
The categories of the bank investment: loan, grant, etc.
Project Cost (USD)
$ 10.20 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 Jan 16, 2019

Disclosed by Bank Nov 26, 2018

Contribute Information
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Project Description

Original PDO
The Project Development Objective (PDO) is to increase coverage of key maternal and child health interventions in targeted rural districts consistent with the Recipient's ongoing health initiatives.

Current PDO
The proposed PDO is to increase coverage and quality of key MCH services in targeted rural and urban districts and strengthen institutional capacity for RBF contract management, consistent with the Recipients’ ongoing health initiatives.

Given Zimbabwe’s fragile state context, the HSDS Project has proven to be an effective mechanism for reaching poor populations with a package of priority services with a focus on MCH. The project enables financing to flow directly to front-line service providers while increasing accountability for performance and for financial resources by health providers in rural areas and low-income urban and periurban areas. In addition, the project directly strengthens health system planning and management
capacity at decentralized levels. The HSDSP has thus made key contributions to the wider Zimbabwe health system. These contributions are referenced in the Budget Strategy Papers and Budget Statements of the Ministry of Finance and Economic Development (MOFED) and include: (a) Increased accountability for results and quality, particularly at health facilities and within their catchment area communities; (b) improved accuracy and timely reporting of health service delivery data by health facilities due to RBF penalties and rewards; (c) Increased health facility supervision by District Health Executives (DHEs) and Provincial Health Executives (PHEs), which the quarterly RBF grants enabled; (d) Strengthened planning and utilization of resources at the health facility level through support provided by RBF for planning and
prioritization of funding received; and (e) Enhanced community participation through health center committees (HCCs).

The proposed AF aims to bridge the US$3.0 million financing gap need to further institutionalize RBF and will continue to support the three original components of the parent project. These three components are: Component 1: Delivery of Packages of Key Maternal, Child and Other Related Health Services; Component 2: Management and Capacity Building in RBF; and Component 3: Monitoring and Verification of Results. Specifically, the proposed AF will support the following activities listed below,
including additional quality improvement innovation and institutional strengthening activities:

  1. System improvements, including TA to support RBF institutionalization related to policy, procurement, public finance management, information systems, monitoring and evaluation, and the RBF quality component
  2. Consultant staffing costs to support the MOHCC, while steps are taken to create regular staff positions within the Government structure
  3. The urban vouchers program and the pay-for-quality mechanism that supports ultrapoor households in urban areas
  4. Operational costs
Investment Description
  • World Bank (WB)
Contact Information

World Bank:
Christine Lao Pena
Senior Human Development Economist

Ministry of Finance, Department of International Cooperation
Mr. George T. Guvamatanga
Permanet Secretary, Finance & Economic Development

Government of Zimbabwe
Brigadier General Dr. Gerald Gwinji
Permanent Secretary

Implementing Agency:
Stichting Cordaid
Ms. Inge Barmentlo
Manager for Health Care


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