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

  • Lesotho
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
Nov 14, 2019
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.
Kingdom of Lesotho
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)
The categories of the bank investment: loan, grant, etc.
Investment Amount (USD)
$ 60.00 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)
$ 60.00 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 Aug 28, 2019

Disclosed by Bank Aug 22, 2019

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Project 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
  • World Bank (WB)
Contact Information

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


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