8144188953

8144188953



PURK1NA easq

HF.ALTH ĄMP WTRrnOM.PROJECT

(PDSN1

TABLE OF CONTENTS

i


CREPTT ANP PROJECT $VMM ARY

L KCT&QDliC.TIQN............................................................................................ 1

fi. SECTORAL CONTEXT.................................................................................... 1

A.    Health Status......................................................................................... 1

B.    Sector Organization and Institutions............................................................. 3

C.    Health Sector Financing and Staffing............................. 5

D.    Sector Development Issues........................................................................ 6

1. Issues with regard to Health Services.................................................. 6

2. Issues with regard to Nutrition and Endemic Disease Control.................... 8

E.    Goverament's Strategy............................................................................. 9

F.    The Bank Group's Role............................................................................11

G.    Lessons Leamed....................................................................................13

ID. THE PROJECT..............................................................................................13

A.    Project Rationale....................................................................................13

B.    Project Objectives...................................................................................14

C.    Project Summary....................................................................................14

D.    Project Scope................................................................... 15

E.    Project Description..................................................................................16

1.    Improve Quality of Health    Services....................................................16

2.    Reduce Micronutrient Deficiencies.....................................................20

3.    Achieve and Maintain Control of Parasitic Diseases......................... 22

4.    Strengthen MSASF........................................................................23

F.    Project Costs and Financing.......................................................................25

IV. PROJECT IMPLEMENTATION.......................................................................26

A.    Status of Project Preparation and Readiness...................................................26

B.    Project Coordination and Management..........................................................26

C.    Monitoring and Evaluation........................................................................27

D.    Procurement and Disbursement..................................................................27

E.    Disbursements.......................................................................................30

F.    Accounting, Auditing and Reporting............................................................31

V. PROJECT BENEFITS AND RISKS....................................................................31

A.    Benefits...............................................................................................31

B.    Risks...................................................................................................33

Th» report ii baaed on te fadoga of • Buk appriłaal minka wtich vbhod Buitiza Pno to Jonę, 1993, oocpthkn Mira rMirmi Braoo Balot (Tak Menager and miaakm leader). Stahoddmc Bcn-Halima (Operetioas Offioer), Yvca Gcncvier (Public Hoahb Speckł2sQ, Teda Macek (Nutritk* SpecklkO. Denia Broun (Pbannaceutical Specialat), and Jean-Pimt Unger (Public Keabh SpocklaJ). Meaasa. Bernhard lieaa ud Bogcoc Dooatrom wcra peer reviewea. Principal prepaatosy docrtneate for (be projcct were ptcpared by Conauttanta Ma. Hko OoMatrin (totfea Foto, Public Etpmdltune Review: Health and Sodal Wejfitn Sector). and Ma. hola Ctardi (QuaUtadvt Sunny ęf Udlizadcm ęf Health Sonic**, PartLdpa&m md Heabk Neads In Bu/Una Faso’s Rural Communldes) foOowmg miaaiooa to Buriuna Faso in 1992. Ma. Katerine ManhaD and Mr. Bbger Fredcftsao ac* te Department Diroctor and managmg Dxvinoo Chief. rc«pcctivcly.




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