According to bank documents, the project objective is to improve coverage of essential health and nutrition services for underserved populations in project areas and to develop capacity of Ministry of Health to manage health and nutrition services.

There are two main components to be supported under the project, along with the project management component and a possible Contingent Emergency Response Component (CERC; to be decided):

1. Expanding the coverage of prioritized EPHS in selected areas. During project preparation, the task team will undertake EPHS prioritization to select and cost a package of minimum essential health and nutrition services to be supported under the project. It is expected that two to four regions in each of two to three states and Somaliland will be covered in the project, depending on the cost of the prioritized EPHS and the level of co-financing from other partners. Based on political complexities in Somalia and learning from experiences of other Bank projects, the task team will support development of objective geographic selection criteria to be agreed with the Government. Due to accessibility and health worker safety concerns, project coverage is not expected to extend to areas with substantial security challenges at this time. Project coverage is expected to include a mix of areas which currently have better health service coverage, those with some gaps, and those with no coverage.

2. Developing government stewardship and management capacity to enhance service delivery. Building on RCRF capacity development and assessments, this component is intended to support development of core government stewardship capacities at both the Federal and FMS levels to enhance quality service delivery. At the recent project design workshop, the government agreed to increase capacity through additional positions supported through the RCRF project human to fill gaps in agreed areas of capacity support. These positions are expected to be gradually integrated into the MoH’s core function over time. Given historical off-budget donor supports and emphasis on immediate service delivery, there is a wide range of core capacity and functions missing in the current Federal and FMS MoHs. The task team has mapped out potential areas for capacity building under the project, while taking into consideration the complementarity with other partners’ work and the RCRF health component, as well as analytical work under the ongoing health ASA, and the proposed analytical work and TA under the GFF IC. In addition, the task team will work with the Governance GP to design the initial activities required at the MoH level contributing to the government-wide common PFM system.

World Bank:
Naoko Ohno, Bernard O. Olayo
Senior Operations Officer

Borrower:
Federal Ministry of Finance

Implementing Agency:
Federal Ministry of Health
Dr. Abdullahi Hashi Ali
Director General
dg@moh.gov.so 

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