South Sudan Health Sector Transformation Project (HSTP) (WB-P181385)

Countries
  • South Sudan
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
A
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, 2023
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
Government of South Sudan - Ministry of Health
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
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 117.00 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)
$ 359.50 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 Mar 10, 2024

Disclosed by Bank Nov 15, 2023


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Contact the EWS Team

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 the Bank’s website, the objective of this project is to to increase access to an essential package of health and nutrition services for the target population, and develop health sector stewardship and preparedness capacity.

Components
Component 1: Provision of Essential Health Services Nationwide
Component 2: Health Systems Strengthening
Component 3: Monitoring and Evaluation and Project Management
Component 4: Contingent Emergency Response

Early Warning System Project Analysis
For a project with severe or irreversible impacts to local community and natural resources, the Early Warning System Team may conduct a thorough analysis regarding its potential impacts to human and environmental rights.

The environmental risk rating is substantial at appraisal stage considering the FCV environment; the client’s limited capacity to comply with the ESF requirements; & the potential EHS risks associated with components 1, 2 & 3. There are also potential occupational & community health and safety (OCHS) issues across all components. Under Comp.1, the procurement & distribution of essential drugs & medical supplies could result in waste generation (including medical waste, effluents, & plastics) if not managed properly, leading to environmental contamination through open dumping/incineration, which, in turn, result in water, soil and air pollution. The increased outreach & use of mobile health services could also lead to higher fuel consumption and vehicle emissions, contributing to air pollution as well as road and traffic safety risks. Also, to improve access to remote communities, existing health facilities (HFs) or infrastructure might be rehabilitated, which could cause deforestation; and pollution due to generation of noise, dusts, solid & liquid wastes, and associated disposal issues & environmental contamination. The rise in health services delivery may also lead to a higher amount of medical waste, necessitating proper handling and disposal to avoid/minimize/mitigate environmental contamination, and OCHS risks. There are also potential inefficient uses of natural resources, fire & other hazards linked with HFs rehabilitation – natural/man-made, environmental liabilities (such as asbestos), & e-waste issues with ICT if they are not properly managed during the construction & operations phases. Comp. 2 will focus on strengthening South Sudan’s health system to facilitate health service access and capacity improvements, including development/updating of policies, strategies, standards and guidelines which may have direct/indirect EHS risks to people and the environment (related with resource efficiency and pollution prevention and management, etc.). It will also support laboratory strengthening, disease control, and procurement & use ICT equipment which could require hazardous and non-hazardous waste management. Further, the use of certain chemicals & biological agents for disease control and prevention during emergency preparations could pose EHS risks if not managed and disposed of properly. Whereas, under Comp 3, developing & maintaining a common monitoring mechanism and databases may require significant energy and data storage resources, contributing to higher carbon footprints and e-waste generation and associated soil, water and air pollution. Further, the need for rapid infrastructure construction and the distribution of relief supplies during emergency response efforts of CERC (Comp. 4) may entail resource-intensive activities that have environmental consequences. Additionally, emergency response operations may generate substantial amounts of waste, including medical waste, damaged infrastructure debris, and relief materials, necessitating appropriate waste management strategies to mitigate EHS risks. There are also potential OCHS risks associated with all components of the project. The Ministry of Health’s (MoH), as the direct implementing entity, has limited prior capacity to comply with the ESF requirements in line with the nationwide scope of the project implementation. Also, the legal & institutional arrangements to supervise and enforce EHS compliance with GoSS safeguards policies/legal frameworks and the WB ESF requirements are also weak due to low capacity of the Ministry of Environment. The EHS risk management capacity gap will be addressed through contracting a TPMA, & UNICEF and WHO which will sub-contract local and international NGOs to support the coordination and delivery of health services. The overall required E&S risk assessment and management including client’s capacity building will be addressed in detail during the preparation of ESMF & other instruments which are conditions of effectiveness.

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

Total Operation Cost: $ 359.50
Total Financing: $ 359.50
of which IBRD/IDA: $  117.00

World Bank Group Financing

International Development Association (IDA Grant): $  117.00

Non-World Bank Group Financing

Trust Funds: $ 242.50


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

Amr Elshalakani
Senior Health Specialist

Abeyah A. Al-Omair
Senior Public Health Specialist

Moustafa Mohamed ElSayed Mohamed Abdalla
Senior Health Specialist

Borrower/Client/Recipient

Ministry of Health
Yolanda Awel Deng Awel Deng, Minister of health , anyezam.ad@gmail.com

Implementing Agencies

Ministry of Health
Yolanda Awel Deng, Minister of Health , anyezam.ad@gmail.com

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

How it works

How it works