Djibouti Health System Strengthening

Résumé*

The development objective of the Health System Strengthening Project for Djibouti 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 comprises of three components. The first component, strengthening service delivery platforms consists of following sub-components: (i) service delivery... Voir plus

Objectif de développement

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

Clé Détails

Projet Détails

Numéro du Projet
P178033
État
Active
Chef d’équipe
Ana Besarabic
Emprunteur 2
Republic of Djibouti

Pays
Djibouti
Date de divulgation
23 décembre 2021
Date d'approbation
(à la date de présentation au Conseil)
26 mai 2022
Date d'entrée en vigueur
1 février 2023

Coût total du projet 1
USD 19.50 millions
Organisme d'exécution
Ministry of Health
Région
Moyen-Orient et Afrique du Nord
Approbation FY 3
2022

Montant engagé
USD 19.50 millions
Catégorie Environnementale
N/A
Date de dernière mise à jour
7 novembre 2023
Date de clôture
31 mai 2027

Services de consultants requis
Yes
Dernière étape atteinte
BANK APPROVED

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Approval FY” is the World Bank’s fiscal year in which the project was approved (or dropped if the status is dropped). The fiscal year is from July 1 - June 30. For example, July 1, 2020 - June 30, 2021 is FY21.

Secteurs

Thèmes

FY17 - Environment and Natural Resource Management

FY17 - Climate change16%
- FY17 - Adaptation5%
- FY17 - Mitigation12%

FY17 - Human Development and Gender

FY17 - Health Systems and Policies100%
- FY17 - Health Service Delivery100%
- FY17 - Health System Strengthening100%
- FY17 - Reproductive and Maternal Health100%

FY17 - Urban and Rural Development

FY17 - Disaster Risk Management84%
- FY17 - Flood and Drought Risk Management84%
FY17 - Rural Development100%
- FY17 - Geospatial Services100%

Project Map

Interactive Map

Finances

Plan De Financement (Millions De Dollars)

Org. De Financement	Engagements
IDA Credit	19.50

Financement total du projet (USD millions)

Type de produit/service	BIRD/IDA
Engagement BIRD	N/D
Engagement IDA	19.50
Engagement BIRD + IDA	19.50

Instrument de prêt
Élément don	N/D
Coût total du projet**	19.50

État récapitulatif du financement de la Banque (USD millions) au 28 février 2025

Pas de données disponibles.

Activité financière détaillée au 28 février 2025

Pas de données disponibles.

Footnotes

Ratings

EXÉCUTION DU PROJET

Name	Review	Date
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-10-14
Progress towards achievement of PDO	Moderately Satisfactory	2024-10-14
Financial Management	Moderately Satisfactory	2024-10-14
Monitoring and Evaluation	Moderately Satisfactory	2024-10-14
Procurement	Moderately Satisfactory	2024-10-14
Project Management	Moderately Satisfactory	2024-10-14

FIN D’EXÉCUTION DU PROJET

Pas de données disponibles.

NOTATION DE L’ÉVALUATION INDÉPENDANTE

Pas de données disponibles.

Cadre de résultats

INDICATEURS DES OBJECTIFS DE DÉVELOPPEMENT DU PROJET

INDICATEUR		NIVEAU DE RÉFÉRENCE	EN COURS	OBJECTIF

Children fully immunized before their first birthday Valeur 50.00 50.00 80.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among girls Valeur 50.00 50.00 0.00
Date
Observation
Among refugees Valeur 50.00 50.00 0.00
Date
Observation
Among host community residents Valeur 66.00 50.00 0.00
Date
Observation
Regions in which over 80% of children are fully immunized before their first birthday Valeur 0.00 0.00 0.00
Date
Observation
Pregnant women having 4+ ANC visits Valeur 8.00 8.00 18.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among refugees Valeur 8.00 8.00 0.00
Date
Observation
Among host community residents Valeur 11.00 11.00 0.00
Date
Observation
Regions in which over 18% of pregnant women have 4+ ANC visits Valeur 0.00 0.00 0.00
Date
Observation
Births in appropriate facilities Valeur 14.00 14.00 25.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among refugees Valeur 5.00 5.00 0.00
Date
Observation
Among host community residents Valeur 5.00 5.00 0.00
Date
Observation
Regions in which over 25% of births are in appropriate facilities Valeur 0.00 0.00 0.00
Date
Observation
Women having at least 1 postpartum visit within 1 week after birth Valeur 5.00 5.00 30.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among refugees Valeur 5.00 5.00 0.00
Date
Observation
Among host community residents Valeur 5.00 5.00 0.00
Date
Observation
Regions in which over 30% of women have at least 1 postpartum visit within 1 week after birth Valeur 0.00 0.00 0.00
Date
Observation
Average facility quality score as assessed by the PBF quality check list Valeur 46.00 46.00 60.00
Date 31 décembre 2021 31 décembre 2021 31 mai 2027
Observation

INDICATEURS DE RÉSULTATS INTERMÉDIAIRES

INDICATEUR		NIVEAU DE RÉFÉRENCE	EN COURS	OBJECTIF

Health surveys conducted and results made public Valeur 0.00 0.00 2.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among girls Valeur 16.00 16.00 0.00
Date
Observation
Expectant women using a transport voucher or staying in a maternal waiting home to ensure safe deliveries Valeur 0.00 0.00 20000.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Of which refugees Valeur 0.00 0.00 0.00
Date
Observation
Among refugees Valeur 16.00 16.00 0.00
Date
Observation
Of which host community residents Valeur 0.00 0.00 0.00
Date
Observation
Among host community residents Valeur 16.00 16.00 0.00
Date
Observation
Completion of annual regional and national health fora with adopted resolutions Valeur No No Yes
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
People who have received essential health, nutrition, and population (HNP) services Valeur 0.00 0.00 390000.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Complaints successfully resolved within 30 days, as communicated to the public Valeur 0.00 0.00 100.00
Date 31 mai 2022 31 août 2022 31 mai 2027
Observation
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Valeur 0.00 0.00 0.00
Date
Observation
Number of children immunized Valeur 0.00 0.00 120000.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Number of women and children who have received basic nutrition services Valeur 0.00 0.00 180000.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Number of deliveries attended by skilled health personnel Valeur 0.00 0.00 90000.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Maternal, child, and neonatal deaths that are audited (verbal and clinical) Valeur 0.00 0.00 40.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Of which refugees Valeur 0.00 0.00 0.00
Date
Observation
Of which host community residents Valeur 0.00 0.00 0.00
Date
Observation
Among women's and girls' deaths Valeur 0.00 0.00 0.00
Date
Observation
Children under 5 years old whose growth monitoring is recorded and reported in a central database Valeur 0.00 0.00 80.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among refugees' deaths Valeur 0.00 0.00 0.00
Date
Observation
Among girls Valeur 0.00 0.00 0.00
Date
Observation
Among host community residents' deaths Valeur 0.00 0.00 0.00
Date
Observation
PBF verification visits with the participation of the regional health management team Valeur 0.00 0.00 100.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Among refugees Valeur 0.00 0.00 0.00
Date
Observation
Among host community residents Valeur 0.00 0.00 0.00
Date
Observation
Public health facilities with safe disposal of sharps waste Valeur 5.00 5.00 50.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Facilities receiving PBF payment within 30 days of submission of verification of results Valeur 0.00 0.00 80.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Average user experience score among PBF/DFF participating facilities Valeur 0.00 0.00 60.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Primary health facilities with functional Facility Community Committee assessed by the PBF quality checklist Valeur 0.00 0.00 80.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Communities with functioning community health workers per the norms set by the National Community Health Strategy Valeur 0.00 0.00 60.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Communities that have formally declared the abandonment of the practice of FGM Valeur 0.00 0.00 60.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Maternal wards which either (i) offer CemONC or (ii) are within 5 km of CemONC Valeur 12.00 12.00 18.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Facilities with DHIS-2 implementation (DHIS-2 data entry at the facility level) Valeur 35.00 35.00 65.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Facilities that are connected to the National Logistics Management Information System (eLMIS) Valeur 0.00 0.00 65.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Health facilities successfully rehabilitated based on the optimization plan, including CHVA recommendations Valeur 0.00 0.00 25.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation
Children under 5 years old supplemented with vitamin A in the last 12 months Valeur 16.00 16.00 45.00
Date 31 mai 2022 31 mai 2022 31 mai 2027
Observation

Children fully immunized before their first birthday	Valeur	50.00	50.00	80.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Among host community residents	Valeur	66.00	50.00	0.00
	Date
	Observation

Pregnant women having 4+ ANC visits	Valeur	8.00	8.00	18.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Among host community residents	Valeur	11.00	11.00	0.00
	Date
	Observation

Births in appropriate facilities	Valeur	14.00	14.00	25.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Among host community residents	Valeur	5.00	5.00	0.00
	Date
	Observation

Average facility quality score as assessed by the PBF quality check list	Valeur	46.00	46.00	60.00
	Date	31 décembre 2021	31 décembre 2021	31 mai 2027
	Observation

Of which host community residents	Valeur	0.00	0.00	0.00
	Date
	Observation

Among host community residents	Valeur	16.00	16.00	0.00
	Date
	Observation

Number of children immunized	Valeur	0.00	0.00	120000.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Regions in which over 30% of women have at least 1 postpartum visit within 1 week after birth	Valeur	0.00	0.00	0.00
	Date
	Observation

Expectant women using a transport voucher or staying in a maternal waiting home to ensure safe deliveries	Valeur	0.00	0.00	20000.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Valeur	0.00	0.00	0.00
	Date
	Observation

Among women's and girls' deaths	Valeur	0.00	0.00	0.00
	Date
	Observation

Among host community residents' deaths	Valeur	0.00	0.00	0.00
	Date
	Observation

Maternal wards which either (i) offer CemONC or (ii) are within 5 km of CemONC	Valeur	12.00	12.00	18.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Facilities with DHIS-2 implementation (DHIS-2 data entry at the facility level)	Valeur	35.00	35.00	65.00
	Date	31 mai 2022	31 mai 2022	31 mai 2027
	Observation

Djibouti Health System Strengthening

Résumé*

Objectif de développement

Clé Détails

Projet Détails

Secteurs

Thèmes

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Project Map

Finances

Plan De Financement (Millions De Dollars)

Financement total du projet (USD millions)

État récapitulatif du financement de la Banque (USD millions) au 28 février 2025

Activité financière détaillée au 28 février 2025

Ratings

EXÉCUTION DU PROJET

FIN D’EXÉCUTION DU PROJET

NOTATION DE L’ÉVALUATION INDÉPENDANTE

Cadre de résultats

INDICATEURS DES OBJECTIFS DE DÉVELOPPEMENT DU PROJET

INDICATEURS DE RÉSULTATS INTERMÉDIAIRES