Aid on Spreadsheets

World Bank Reproductive, Maternal and Child Health Services 2017-21 - World Bank Reproductive, Maternal and Child Health Services

This appraisal forms the basis for a decision on support to the World Bank's "Reproductive, Maternal and Child Health Services Improvement Project" in Uganda. The Embassy proposes a support of 250 million SEK over a five year period, from 2017 to 2021. The duration of the project is four years and six months, with a total budget of approximately 165 million USD including the Swedish contribution. Out of the total project budget of 165 million USD, 110 million USD is provided through World Bank International Development Association (IDA) loans and 30 million USD is provided by the Global Financing Facility - GFF fund. The project is expected to start being rolled out in June 2017. In July 2015, Uganda was chosen as one of eight countries to receive support from the Global Financing Facility (GFF) Trust Fund. The GFF in support of the "Every Woman Every Child" movement is a country-driven partnership aiming at accelerating efforts to end preventable maternal, newborn, child and adolescent deaths and improve their health and quality of life, through an integrated health system approach and evidence-based solutions aiming at improving Reproductive, Maternal Newborn, Child and Adolescent Health (RMNCAH) outcomes. In light of the GFF, the Goverment has revised the "2016-2020 RMNCAH Sharpened Plan", highlighting key gaps in service utilization and coverage and establishing priority RMNCAH interventions. The "Uganda Reproductive, Maternal and Child Health Services Improvement Project", implemented by the World Bank through the Ministry of Health (MoH) and co-funded by IDA and GFF Trust Fund, will directly contribute to the implementation of the 2016-2020 RMNCAH Sharpened Plan for Uganda. The planned support aims at improving quality of care, access and utilization of essential health services within RMNCAH and scaling up birth and death registration activities in targeted districts in Uganda. The overall project objectives are to: a) improve utilization of essential health services with a focus on reproductive, maternal, child and adolescent health services in target districts, and b) scale-up birth and death registration services The project consists of four different components: Component 1: Results-Based Financing (RBF) for Primary Health Care Services (IDA 43 MUSD, GFF 25 MUSD, Swedish funding 17.5 MUSD) Component 2: Strengthen Health Systems to Deliver RMNCAH Services (IDA 54.5 MUSD, Swedish funding 7.5 MUSD) Component 3: Strengthen Capacity to Scale-up Delivery of Births and Death Registration Services (IDA 5 MUSD, GFF 5 MUSD) Component 4: Enhance Institutional Capacity to Manage Project Supported Activities (IDA 7.5 MUSD) The specific objective of Component 1, which stands for the largest part of the project budget, is to scale-up and institutionalize RBF with a focus on RMNCAH services. The RBF-package comprises of RMNCAH interventions at facility level III and IV, including Village Health Teams (VHT) and focusing on Ante-Natal Care (ANC), safe delivery, comprehensive emergency obstetric care, essential newborn and postnatal care services, post-abortion care, family planning and community-based RMNCAH services including nutrition, prevention and treatment of common childhood diseases and provision of adolescent health services. RBF payments will be made against verified outputs within all the above areas. RBF is part of the RMNCAH Sharpened Plan as well as Uganda's National Health Financing Strategy and the intervention is aligned with the national RBF Framework and builds on previous RBF experience and pilots in Uganda. Under Component 2, support will be provided to the MoH to address the most critical bottlenecks to RMNCAH service delivery, focusing on improving availability of essential RMNCAH drugs and supplies, recruitment and training of staff, providing, distributing and redistributing medical equipment, improving health infrastructure and improving quality of care and supervision at distri

The project development objectives are to a) improve utilization of essential health services with a focus on reproductive, maternal, newborn, child and adolescent health services in 71 target districts and b) scale up birth and death registration services.

Project ID

SE-0-SE-6-10191A0101-UGA-12220

Activity status

2 - Implementation

Aid type

B03 - Contributions to specific-purpose programmes and funds managed by international organisations (multilateral, INGO)

% to Uganda

100.00

Organisations

Implementing

International Bank for Reconstruction and Development

Funding

Sweden

Extending

Swedish International Development Cooperation Agency

Accountable

IBRD/INTERNATIONAL BANK FOR RE

CRS code	%
Basic health care (12220)	100.0