Djibouti Health System Strengthening (WB-P178033)

  • Djibouti
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
May 26, 2022
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 Djibouti
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)
$ 19.50 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)
$ 19.50 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.
Primary Source

Original disclosure @ WB website

Updated in EWS Jun 13, 2022

Disclosed by Bank Oct 5, 2021

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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.

Accoring to bank documents, the project objective is to improve the utilization of quality reproductive, maternal, neonatal, child, adolescent health and nutrition (RMNCAH-N) services, with priority given to underserved areas, refugees and host communities.

The project will be financed by a US$14.5 million equivalent IDA credit and a US$5 million equivalent grant from the Window for Host Communities and Refugees (WHR). The scope of the project is nation-wide, with priority given to refugees, host communities, and underserved populations living in the five regions and other areas such as Balbala, a suburb of Djibouti City. The operation will consist of three components as follows:

  1. Component 1: Strengthening service delivery platforms (US$16.5 million, of which US$4 million from the WHR).

    1. Subcomponent 1.1: Service delivery optimization: This sub-component refers to the service delivery redesign agenda.

    2. Subcomponent 1.2: Supporting the PBF and Direct Financing Facility (DFF) schemes:

    3. Subcomponent 1.3: Supporting the community health platform: This subcomponent supports the MOH in the development and rollout of a community health worker program to deliver a comprehensive community health package.

  2. Component 2: Strengthening institutions, citizen engagement and project management (US$3 million, of which US$1 million from the WHR). This component aims to strengthen the government’s capacity to implement and coordinate programs, within the MOH, across other ministries and agencies on crosssectoral issues (e.g., stunting, FGM, refugees), and between the central government and regional hospitals.

    1. Subcomponent 2.1: Strengthening institutions: This subcomponent will provide technical assistance (TA) and capacity building for various institutions which are critical to RMNCAH-N.

    2. Subcomponent 2.2 Social mobilization for health: This subcomponent will support positive behavior change for better health, help ignite people’s demand for better services and amplify people’s voices.

  3. Component 3: Contingent Emergency Response Component (CERC) (US$0 million). A CERC is included in the project in accordance with Investment Project Financing (IPF) Policy, paragraphs 12 and 13, for Situations of Urgent Need of Assistance and Capacity Constraints. This will allow for rapid reallocation of credit and grant uncommitted funds in the event of an eligible emergency as defined in OP 8.00.

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:
Ana Lazara Besarabic
Senior Operations Officer

Republic of Djibouti

Implementing Agency:
Ministry of Health
Saleh Bonoita
Secretary General


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How it works