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.
Voahirana Hanitriniala Rajoela
Senior Health Specialist
UNION OF COMOROS
Said Ali Said Chayhane
Union of Comoros
MINISTRY OF HEALTH, SOLIDARITY, SOCIAL PROTECTION AND GENDER PROMOTION
General Secretary Ministry of Health, Solidarity, Social Pro
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