Project profile — Strengthening Health Systems and Services in Bangladesh



Overview 

CA-3-D002111001
$30,000,000
IBRD Trust Funds - World Bank (44001)
2018-07-25 - 2024-06-30
Operational
Global Affairs Canada
OGM Indo-Pacific

Country / region 

• Bangladesh (100.00%)

Sector 

• Health, General: Health policy and administrative management (12110) (5.00%)
• Basic health care:
Basic health care (12220) (15.00%)
Basic health infrastructure (12230) (5.00%)
Basic nutrition (12240) (10.00%)
Health education (12261) (12.00%)
Health personnel development (12281) (5.00%)
• Reproductive health care:
Reproductive health care (13020) (15.00%)
Family planning (13030) (13.00%)
Personnel development for population and reproductive health (13081) (15.00%)
• Government And Civil Society, General: Ending violence against women and girls (15180) (5.00%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (significant objective)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (principal objective)
• Youth Issues (principal objective)
• Disaster Risk Reduction(DRR) (not targeted)
• Indigenous Issues (significant objective)
• Disability (significant objective)
• Nutrition (significant objective)
• ICT as a tool for development (not targeted)

Description 

This project contributes to reducing maternal and child mortality rates and promoting gender equality through the provision of sexual and reproductive health and rights services. It particularly benefits over 14 million women, adolescents and children in two regions, Sylhet and Chittagong, including Cox’s Bazar district, where unmet needs are most significant. It also supports fiduciary oversight and accountability of the government’s health program, and strengthens financial and procurement management and efficiency of delivery systems. Project activities include: (1) providing maternal health care services, post-partum family planning and emergency obstetric care; (2) provide immunization for children and nutrition for infants and mothers; (3) provide services relateed to school based adolescent health and nutrition, family planning and sexual and reproductive health; and (4) budget planning, asset and procurement management.

Expected results 

The expected outcomes for this project include: (1) strengthened Ministry of Health and Family Welfare systems that contribute to improving health service delivery; (2) inclusive, efficient and equitable gender-responsive essential health, sexual and reproductive health and nutrition services that meet the needs of girls and boys, women and men; and (3) strengthened and more transparent financial management and audit systems that reduce the financial and fiduciary risks in the health sector program.

Results achieved 

Results achieved as June 2022 include: (1) supported 7,006 Community Clinics to provide complete gender-disaggregated data to District Health Information Software 2 (DHIS2) for calendar year 2021; (2) created and recruited 1,750 midwife positions through the Ministry of Health and Family Welfare (MoHFW), and posted at least 2 accredited diploma midwives at 310 Upazilah Health Complexes (UHCs); (3) 71.76% of facilities met readiness criteria for delivery of Post-Partum Family Planning Services and 85% of registered pregnant mothers maternal nutrition services (4) strengthened more transparent financial management and audit systems to reduce financial and fiduciary risks in the health sector program. Formed Internal Audit team at Financial Management and Audit Unit (FMAU) and established a web-based Audit Portal to track chokepoints causing delays and take action to expedite resolution of audit observations. Developed a training module on Financial Management to train MOHFW finance staff and line directors. As a result, budget planning and allocation increased by 131% as compared to 2016 level; (5) procurement process has improved using information technology by 98%; and (6) improved implementation of Asset Management systems at district hospitals.

Budget and spending 


Original budget $0
Planned disbursement $0
Transactions
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Basket funds/pooled funding
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