Southern Africa Tuberculosis and Health Systems Support Project Additional Financing (WB-P173228)

  • Lesotho
  • Malawi
  • Mozambique
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
Jun 11, 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.
Kingdom of Lesotho; Republic of Malawi; Republic of Mozambique; Republic of Zambia
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)
$ 58.00 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)
$ 58.00 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 Jun 16, 2020

Disclosed by Bank Jan 1, 2016

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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 overall objectives of the project are to: (i) improve coverage and quality of TB controland occupational lung disease services in targeted geographic areas of the participating countries; and (ii) strengthen regionalcapacity to manage the burden of TB and occupational diseases.

The proposed Additional Financing (AF) will deepen SATBHSS achievements to date in both TB and OLD control and enhance country-level and cross-border preparedness and response to disease outbreaks. The AF will:
(i) Close the financing gap for Malawi and Lesotho to meet their project end targets ;
(ii) Enhance and scale up high impact interventions, particularly the use of more sensitive diagnostic technologies to increase TB case finding and identification of DR-TB;
(iii) Fully operationalize Communities of Practice (COEs) to enhance and consolidate innovation, learning, and exchange, which benefits broader sub-regional, regional, and global TB control efforts;
(iv) Support establishment and enforcement of legislation and regulatory frameworks for best practices in occupational health and safety (OHS) and in primary prevention of OLD, and for strengthening mechanisms to ensure that miners eligible for OLD compensation receive it;
(v) Bolster emergency and disease outbreak preparedness and response, including consolidating cross-border collaboration between participating countries and beyond. This will complement the Africa CDC mandate to improve regional-level epidemic and pandemic preparedness and response at the regional level.

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:
Humberto Albino Cossa
Senior Health Specialist

Republic of Mozambique
Sua Excelencia Adriano Maleiane

Kingdom of Lesotho
Hon. Mokoto Hloaele
Minister of Development Planning

Republic of Zambia
Mr. Mukuli Chikuba
Permanent Secretary - EMF

Republic of Malawi
Hon Goodall E. Gondwe

Ministry of Finance
Honorable Bwalya N'gandu

Ministry of Finance
Hon. Dr Mamphono Khaketla

Implementing Agencies:
Ministry of Health
Sua Excelencia Nazira Abdula

Ministry of Health
Ms. Kakulubelwa Mulalelo
Permanent Secretary - Administration

Ministry of Health
Mamoruti Tiheli
Acting PS Health

Ministry of Health
Dr. Peter Kumpalume


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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