• Madagascar
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."
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • Law and Government
  • Technical Cooperation
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, guarantee, technical assistance, advisory services, equity and fund.
Project Cost (USD)
$ 0.49 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 17, 2020

Disclosed by Bank Jan 21, 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 bank documents, the project objective is to improve the quality and utilization of health care services through collaborative social accountability mechanisms in target basic health centers and across the health delivery chain in Madagascar.

The project has three components:

  1. Capacity-building for collaborative social accountability: this component aims at enhancing horizontal accountability and to generate systematic citizens’ feedback on services’ quality and to ensure that COSAN, COGE, CCDS and the SLCs become effective interfaces in the coordination and harmonization of health actions in the municipality, and enable them to collaborate and create synergies to achieve the objectives of universal health coverage at the local level.
  2. Implementing collaborative social accountability mechanisms for linking health and territorial planning and service delivery at the municipal level: This component aims at enhancing vertical accountability mechanisms, i. e. strengthening information exchange mechanisms between local and District levels, so that local governments are better informed about district and regional health sector plans and resource allocation.
  3. Improving knowledge and learning on collaborative social accountability in the Malagasy health sector and project management: The objective of this component is to establish an internal adaptive knowledge and learning process to regularly adjust project implementation based on experience and contextual circumstances, and to generate knowledge and learning for targeted external dissemination amongst key stakeholders that may take up lessons from the project to apply, sustain or scale collaborative social accountability and/or inform substantive decisions.
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:
Contact: Ann-Sofie Jespersen
Title: Senior Governance Specialist
Telephone No: 473-0143

Contact: Maud Juquois
Title : Sr Economist (Health)
Telephone No: 5339+82952

Borrower: SAHA
Contact: Estelle Raharinaivosoa
Title: Executive Director
Telephone No: 002610340761294

Implementing Agency:
Contact: Estelle Raharinaivosoa
Title: Executive Director
Telephone No: 002610340761294


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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