Lesotho Nutrition and Health System Strengthening Project (WB-P170278)

  • Lesotho
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
Nov 14, 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.
Kingdom of Lesotho
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)
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 60.00 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)
$ 60.00 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 Aug 28, 2019

Disclosed by Bank Aug 22, 2019

Contribute Information
Can you contribute information about this project?
Contact the EWS Team

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.

According to bank documents, the project objective is to increase utilization and quality of key nutrition and health services and strengthen institutional capacity to implement key policy reforms in the health sector.

The proposed Project will have four main components:

  1. Providing Multisectoral Services to Address Chronic Malnutrition (US$25 million)
    1. Sub-component 1.1. National Nutrition Communication Strategy.
    2. Sub-component 1.2. Community-based initiatives to address multisectoral determinants of chronic malnutrition.
    3. Sub-component 1.3 Nutrition sensitive services in Early Childhood Care and Development (ECCD) centers and Child Care Centers.
    4. Sub-component 1.4. Adolescent school health.
  2. Strengthening Health Systems (US$29.5 million). This component proposes to finance interventions to increase the focus on results, particularly in enhancing the quality and efficiency of health service delivery. It will finance activities to strengthen health sector governance and capacity building for the health workforce. It will be composed of three main sub-components:
    1. Sub-Component 2.1. Focus on Results
      1. Sub-component 2.1.1. Second-Generation Performance Based Financing.
      2. Sub-Component 2.1.2: Disbursement-Linked Indicators (DLI) for health system reforms.
    2. Sub-component 2.2. Quality of Care. This sub-component will enhance quality of care through better health management, medical equipment and stock management.
    3. Sub-component 2.3. Technical Support and Capacity Building on Health Policy, Health Financing, Performance-Based Financing Institutionalization, and Public Private Partnerships
  3. Project Management, Multi-stakeholder Coordination, Program Monitoring, Evaluation and Learning ($5 million). The primary objectives of this component are to enhance national capacities for coordination and governance on nutrition and to strengthen project management. It will have three main sub-components:
    1. Sub-component 3. 1. Overall Nutrition Advocacy, Co-ordination, Monitoring and reporting to Prime Minister’s office.
    2. Sub-component 3.2. Project Management.
    3. Sub-component 3.3. Assessments, Knowledge Sharing and Learning.
  4. Component 4. Contingency Emergency Response Component/CERC (US$0.5 million). In the event of an Eligible Crisis or Emergency, the project will contribute to providing immediate and effective response to said Eligible Crisis or Emergency. To help speed up the response, the project proposes to allocate an amount to reduce time spent on assessing which activities to cut and reallocate funds from. Any unused amount would be reallocated to other components if the CERC component is not triggered a year prior to project closing.
Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

World Bank:
Christine Lao Pena, Pia Helene Schneider
Senior Human Development Economist

Kingdom of Lesotho
Honorable Dr. Moeketsi Majoro
Minister of Finance

Implementing Agency:
Ministry of Health
Minister Nkaku Kabi
Minister of Health


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.

How it works

How it works