| Grant Profile: |
| Project Title: |
Support to National Health Development Plan – Second Phase |
| PCF/LICUS/SPF: |
SPF |
Status: |
Open |
| File Number: |
| Region: |
AFR |
| Sector: |
Health, Nutrition & Population |
Country: |
Guinea-Bissau |
| FY approved: |
2009 |
Grant Theme : |
Public sector governance |
| Keyword(s): |
Administrative and civil service reform |
Approved Amount: |
$2,041,500.00 |
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Grant Recipient:
Ministry of Public Health of Guinea-Bissau |
Grant Purpose:
The project supports an existing World BAnk health development initiative in Guinea-Bissau and focuses on key interventions selected on the basis of their potential leveraging effect to strengthen critical areas of the health system and attract additional resources from development partners. The development objective of the grant is to improve the health system capacity to deliver basic health services in three target regions - Bafata, Gabu, and Cacheu.
The primary beneficiaries of the Grant will be health care workers and technical staff of the Ministry of Public Health, as the project activities will help strengthen, streamline and rationalize a number of essential functions of the Ministry thus increasing the effectiveness and improving the working conditions of its staff.
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Grant Activities:
Component 1: Improving service delivery in three pilot regions
This component will finance activities that should result in better services to the population of Cacheu, Bafata and Gabú regions by making a more effective use of available resources with minimal additional recurrent costs. The focus will be on:
(i) improving the performance of health centers staff by strengthening the quality of supervision from the central level, in particular by adopting a formative approach to supervision;
(ii) increasing the availability of drugs and medical supplies by strengthening the supply chain and the existing network of regional storehouses.
The activities that would be financed under each sub-component include:
(1) Supervision
- Training and technical assistance in formative supervision;
- Production, testing and dissemination of supervision tools;
- Operating expenditures (including a vehicle) for formative and integrated supervision by the central to the decentralized levels in the three target regions.
(2) Supply chain
- Small-scale building repairs and equipment (air conditioning, painting, masonry work, and shelving) of the existing eight storehouses in the three target regions;
- Technical assistance to improve the organization and reliability of the supply chain of drugs and medical supplies;
- Procurement of essential drugs and medical supplies for the three target regions.
Component 2: Improving the quality and management of human resources
This component will support the implementation of key areas of the government Human Resources Development Strategy (2007) and Action Plan by focusing on the production of health personnel in close collaboration with the Oswaldo Cruz Foundation (Brazil) which will train the faculty. The proposed grant will focus on strengthening the two government institutions responsible for human resources in the health sector. It will support:
(i) the National School of Public Health (NSPH), responsible for training nurses, midwives, and health technicians, with facility improvements, updated curricula, and provision of textbooks, reference and teaching/learning materials;
(ii) the Directorate of Human Resources (DHR) of the Ministry of Public Health (MoPH) in planning and managing the Ministry workforce, with an emphasis on improving its distribution and on establishing positive incentive mechanisms through the use of a performance-based approach to attract, motivate and retain staff, particularly in remote areas.
The activities that would be financed under each sub-component include:
(1) National School of Public Health
- Small rehabilitation (e.g. plumbing, sanitation, painting), basic equipment (e.g., computers, printers) and office supplies;
- Technical assistance for curriculum update;
- Production and/or procurement of learning and teaching materials to reflect the updated curriculum.
(2) Directorate of Human Resources
- Technical assistance for the implementation of the Human Resources Development action plan, including the establishment of a performance-based approach. Trade Unions would be involved throughout the process to ensure their buy-in. Also, given budgetary constraints, care will be taken not to rely on monetary incentives when developing the performance-based approach.
- Office supplies.
Component 3: Strengthening the health information system
This component will support the strengthening of the health information system (HIS) to produce timely and reliable data, so as to enable timely and strategic decision-making. It will specifically:
(i) provide support to the Department of Hygiene and Epidemiology (DHE) of the MoPH to improve its capacity to analyze data and to inform the decentralized levels accordingly;
(ii) improve the data collection system at the decentralized level to obtain reliable information and feed it to the central level. Concerning data collection, proposed changes to the system will be piloted in the three target regions of Cacheu, Bafata and Gabú. Technical leadership of the department will also be strengthened to improve the quality of work and ensure better management of its technical team.
The activities that would be financed under each sub-component include:
(1) Data analysis and information dissemination
- Long-term (two years) technical assistance to the DHE/MoPH to (a) help set up a system for timely collection and analysis of data as well as timely dissemination of relevant information to the decentralized levels, and (b) provide on-the-job training in analytical techniques and evidence-based decision-making;
- Workshop to update DHE staff epidemiological competence and strengthen managerial skills;
- Office supplies for DHE/MoPH.
(2) Data collection
- Training on data collection and analysis at the central and decentralized levels;
- Support materials for data collection and analysis (e.g., intake forms, data sheets)
Component 4: Strengthening MoPH financial management capacity
This component will finance activities drawing from the recommendations of the Public Expenditure Review (PER, 2007), which is one of the key documents underpinning PNDS-II, notably:
(i) supporting the MoPH for the effective use of available financing, including reducing disparities in budget allocation among priority areas and in promoting innovative approaches linked to the demand for health care; (ii) improving MoPH budget preparation process;
(iii) strengthening of MoPH capacity to mobilize and coordinate external resources as well as its negotiating skills with the Ministry of Finance to improve budgetary planning, resources allocation and budget execution (with particular attention to the timely payment of staff salaries).
The activities that would be financed include:
- Technical assistance focusing on health budgeting, financing and options for innovative approaches to increase financial resources;
- Training and workshops on health budgeting and financing;
- Training on advocacy for internal and external resources mobilization.
Component 5: Project Management
The grant will also finance support to the MoPH to ensure that the funding provided is used efficiently, transparently and in accordance with Bank fiduciary requirements. Activities to be financed include:
- Consulting services to ensure proper fiduciary management (coordination, financial management, accounting, and procurement);
- Technical assistance to prepare an end-of-project independent evaluation;
- Consulting services for a single grant audit;
- Office supplies and other operating expenditures to fulfill management responsibilities.
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