Additional Financing Comprehensive Approach to Health System Strengthening (WB-P174227)

Countries
  • Comoros
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
Approved
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
B
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
Aug 24, 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.
Borrower
UNION OF COMOROS
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
Sectors
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
Grant, Loan
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 5.00 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.
Loan Amount (USD)
$ 2.50 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)
$ 2.50 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)
$ 5.00 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.
Bank Documents
Primary Source

Original disclosure @ WB website

Updated in EWS Sep 1, 2020

Disclosed by Bank Mar 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 bank documents, the original project objective was to (i) improve utilization of quality PHC and (ii) strengthen capacity of institutions which are critical to quality PHC. The objective will be amended as follows: (i) to improve utilization of quality PHC, (ii) to strengthen capacity of institutions which are critical to quality PHC, and (iii) to provide immediate and effective response to an Eligible Crisis or Emergency.

This AF will support the replenishment of the Project to ensure originally planned activities would be adequately financed and implemented. The CERC activation for COVID-19 response has created a financing gap for principal activities under Components 1, 2 and 3 of the project. Specifically, activities with the financing gap include: (i) Sub-Component 1.1 (Supporting rehabilitation of district centers and health posts and provision of PHC equipment and vehicles); (ii) Sub-Component 1.2 (Improving PHC workforce: pre-service and in-service training for selected health cadres as well as recruitment of PHC health workers); and (iii) Sub-Component 1.4 (Scaling-up of the community health and nutrition platform, piloted under the Comoros Social Safety Net Project); (iv) Component 2 (Strengthening institutions and governance which are critical to (i) quality PHC and (ii) response to disease outbreaks); and (v) Component 3 (Citizen engagement and empowerment, project management, M&E).. This AF will close such a financing gap under Components 1, 2 and 3 to ensure the achievement of the PDO. 

New intermediate results indicators related to COVID-19 response to be added: (a) Number of designated GeneXpert center with SARS-CoV-2 diagnostic capacity; (b) Number of designated health facilities with COVID-19 case management capacity.

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:
Voahirana Hanitriniala Rajoela
Senior Health Specialist

Borrower:
UNION OF COMOROS
Said Ali Said Chayhane
Union of Comoros
elaziz.elaziz@gmail.com

Implementing Agency:
MINISTRY OF HEALTH, SOLIDARITY, SOCIAL PROTECTION AND GENDER PROMOTION
Jean Youssouf
General Secretary Ministry of Health, Solidarity, Social Pro
jeanyoussouf@yahoo.fr 

ACCESS TO INFORMATION

To submit an information request for project information, you will have to create an account to access the Access to Information request form. You can learn more about this process at: https://www.worldbank.org/en/access-to-information/request-submission 

ACCOUNTABILITY MECHANISM OF THE WORLD BANK

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. Information on how to file a complaint and a complaint request form are available at: https://www.inspectionpanel.org/how-to-file-complaint 

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How it works