Health System Support Additional Financing (WB-P170585)

  • Mauritania
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
Mar 10, 2020
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.
Islamic Republic of Mauritania
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)
$ 18.00 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)
$ 20.00 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 Feb 3, 2020

Disclosed by Bank Jan 1, 2020

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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.

According to banks documents, the project objective is to improve utilization and quality of Reproductive Maternal Neonatal and Child Health (RMNCH) services in selected regions, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency.

The project has four components:

  1. Improving the utilization of quality RMNCH services through PBF. Total cost under parent project: US$11.85 million. Total costs with AF: US$26 million. The parent project supports the PBF implementation and verification in Guidimagha and Hodh Gharbi. The AF will extend the PBF to Hodh Charghi to address challenges related to the delivery of quality services to refugees and the Mauritanian host population.
    1. Provision of payments to health service providers, the AF will support
    2. Verification and counter-verification, the AF will support
  2. Support to increasing demand for health services. Total cost under parent project: US$2 million IDA and US$1 million CF. Total costs with AF: US$4 million IDA; US$2 million counterpart funding (CF). The parent project supports conditional cash transfer (CCTs) and the community strategy in Guidimagha and Hodh Gharbi. The AF will support CCTs for poor Mauritanians and refugees and the community strategy in Hodh Charghi, with the view of increasing the demand for services, among the most vulnerable (poor, refugees and rural populations).
    1. CCTs to stimulate demand for health care, the AF will support
    2. Strengthening of community health, the AF will support
  3. Capacity building and project management. Total cost under parent project: US$4.15 million IDA: US$3.15 million IDA and US$1 million counterpart funding (CF). Total costs with AF: US$7 million: US$5 million IDA, US$2 million CF. The parent project supports project management and technical assistance for Guidimagha and Hodh Gharbi. The AF will include technical support, learning, and coordination and research activities to strengthen the health system in Hodh Chargh, including coordination with humanitarian actors, M&E to review the regional situation, FM, reinforcement of the technical platform in health facilities, and learning to deliver new services to support refugees.
  4. Contingent Emergency Response (CERC). Total cost under parent project: US$0 million. The CERC manual will be updated to support eligible emergencies. The activities financed under the CERC will comply with the RSW eligibility criteria and focus on refugees and hosts where relevant.
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:
Christophe Rockmore
Senior Economist

Islamic Republic of Mauritania
Abdel Aziz Ould Dahi
Minister of Economy and Industry

Implementing Agencies:
Ministry of Health
Dr. Mohamed Nedhirou Hamed


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 You can learn more about the Inspection Panel and how to file a complaint at:

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