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Reproductive and Child Health Project - Phase 2, Second Additional Financing.


The objective of Phase 2 of the RCH Project is to increase utilization of a package of essential health services by pregnant women and children under the age of five.


The second additional financing would be used both for project scale-up and to support restructuring to address recently identified high priority interventions as outlined below. The activities are consistent with the PDO of RCHP 2, and with the Country Assistance Strategy (CAS) for Sierra Leone. The proposed changes would increase the Bank s financial contribution to the existing project activities from US$25.69 million, which was the amount following the

first additional financing, to US$43.69 million (ACGF: US$25.69 million + IDA: US$13.00 million + HRITF: US$5.00 million), and extending the closing date of the project, for the first time, by 36 months through to October 31 2016.

The results framework retains the same PDO and intermediate outcome indicators and additional ones have been introduced for the new activities. Some targets have also been changed to reflect the additional funding and implementation period. AF2 will finance activities under subcomponents 1A, 1B, IC and 1D, and introduce sub-component 2.3 for technical Assistance.

Sub-component 1.A: The proposed AF2 will be used to provide essential inputs which will allow hospitals and PHUs to provide PBF services effectively, including medical equipment for hospitals ($3.0 million) and initial funding for accommodation of medical staff. Funding beyond the initial allocation will come from the RBF allocation.

Sub-component 1.B: AF2 would also be used to (i) strengthen the existing primary health care PBF by extending to private primary health care (PHUs) providers and (ii) scale up the

performance-based financing mechanism (PBF) from two hospitals to six or eight hospitals.

Sub-component 1C: AF2 will fund the procurement and distribution of additional Long Lasting Impregnated Nets (LLINs) to contribute to the replacement policy following the national malaria campaign in 2010.

Sub-component 1D: This sub-component is ongoing, and supports the implementation of the PBF program, as well as project management generally.

Sub-component 2.3: AF2 will also support a technical assistance program.

Project completion date : 2016-12-31 12:00:00

Major organization : Ministry of Finance and Economic Development

Address : George Street, Freetown

Country :Sierra Leone

Email :

Url :

Financier : World Bank (WB),

Financier address : World Bank

1818 H Street, NW

Washington, D.C. 20433, USA

Telephone: (202) 458-4500

Fax: (202) 522-1500



Contact: Evelyn Awittor, Title: Sr Operations Officer (Health)

Tel: 233 302 4169

Fax: 23

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Publication:Mena Report
Date:Mar 9, 2015
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