Zambia Financing Recurrent Costs and Reforms for Enabling Service Delivery in Health (WB-P176214)

  • Zambia
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
Dec 20, 2021
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 Zambia
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • Education and Health
  • Law and Government
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)
$ 155.00 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 Feb 23, 2022

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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 provide emergency support to enable the continued delivery of public health services in Zambia.

The project has three components:

Component 1. Emergency financing to enable continued health service delivery (US$150 million). This component will provide emergency financing support to the Government of Zambia to finance the
continued delivery of essential healthcare services. The government will use the financing provided under this component to meet the costs of health service delivery such as salaries of health workers (doctors, clinical officers, midwives, nurses, paramedics, and other frontline health workers) already on the payroll at provincial and district levels.

Component 2. Institutional strengthening of the health sector (US$ 4.5 million). This component aims to strengthen processes for efficient resource management and expenditure control and contribute to enhancing the efficiency of underlying PFM systems and processes in the health sector. The activities envisaged under this component do not purport to directly change sector outcomes. Rather, they should be viewed as necessary actions that function as building blocks for better service delivery outcomes.

Component 3. Project management (US$0.5 million). This component will finance the operating costs of the Project Management Unit (PMU), including salaries, consultant fees, and other operating costs required for the implementation of the operation. The PMU will organize spot checks and payroll verification measures to ensure that the project funds are used for their intended purposes. This component will also finance independent audits to provide adequate fiduciary assurance on the use of project funds. The PMU will also contract the services of an independent entity to verify the continued provision of health services at the primary and secondary health facilities.

Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
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World Bank:
Rama Krishnan Venkateswaran
Lead Financial Management Specialist

Republic of Zambia

Implementing Agency:
Ministry of Finance and National Planning
Mumba Chanda
Director, Local Government Finance and Projects 


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