Zimbabwe Health Sector Development Support Project - Additional Financing V (WB-P173132)

  • Zimbabwe
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
Sep 20, 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.
Government of Zimbabwe
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)
$ 25.00 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.
Grant Amount (USD)
$ 25.00 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)
$ 49.60 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 Jun 27, 2021

Disclosed by Bank Jun 5, 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 original project objective is to increase coverage of key maternal and child health interventions in targeted rural districts consistent with the Recipient's ongoing health initiatives.

The current project objective is to increase coverage and quality of key health interventions with an emphasis on MCH services in targeted rural and urban districts and strengthen capacity for results-based financing contract management, consistent with the Recipients’ ongoing health initiatives.

The proposed fifth Additional Financing to the Health Sector Development Support Project (AF V) will continue to support the three current project components with some adjustments in scope and will introduce a COVID-19 emergency response component. Support will include measures to improve coverage and quality, and strengthen implementation capacity to manage performance-based contracts, building on lessons learnt from implementation and assessments of RBF. Experiences of other countries and available evidence informed the design of the COVID-19 response component.

The following changes are proposed as part of AF V:

  1. Expand the PDO to support the COVID-19 emergency response while improving coverage and quality of essential RMNCAH-N interventions and institutional capacity for RBF contract management;
  2. Include a new component, “Component 2: COVID-19 Emergency Response,” with a cost of US$5 million;
  3. Extend the AF IV grant implementation period from June 30, 2020 to September 30, 2020 and overall project implementation period to April 30, 2023;
  4. Revise the Results Framework to reflect changes in the PDO, expanded project scope and implemenation period, as well as improve the measurement of results by rationalizing and reducing the number of outcome and intermediate outcome indicators;
  5. Adjust delivery of essential RMNCAH-N services and RBF approach to reduce infection risks from COVID-19;
  6. Refocus RBF in provincial hospitals to be quality oriented and pilot (a) quality-focused RBF in central hospitals together with (b) community-mobilization RBF;
  7. Scale-up the urban voucher scheme for poor pregnant women to more health facilities, include vitamin A supplementation for their 6-59 months old children and provide post exposure prophylaxis (PEP) for sexual, gender-based violence affected Urban Voucher (UV) program beneficiaries and their children;
  8. Allow for simplified procurement procedures in accordance with the Bank Guidance: Procurement in Situations of Urgent need of Assistance or Capacity Constraints, dated March 7, 2019, and include Handson Extended Implementation Support and the option of using Bank Facilitated Procurement;
  9. Strengthen Project Implementation Entity (PIE) staffing to reflect increased scope and activities; and
  10. Adjust the economic and technical analysis to reflect changes in Project scope and implementation period.
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
Senior Human Development Economist

Republic of Zimbabwe
Mr. George T. Guvamatanga
Permanent Secretary, Finance & Economic Development

Implementing Agency:
Stichting Cordaid
Ms. Inge Barmentlo
Manager for Health Care


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: https://www.inspectionpanel.org.

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