In terms of maternal and child health, the recently-closed IDA-funded health project contributed to a reduction in the Maternal Mortality Ratio from 546 to 383 deaths per 100,000 live births from 2002 to 2012. The under-five Mortality Rate was also reduced from 124 to 68 deaths per 1,000 live births between 2002 and 2012. Medically-assisted deliveries reached 87% in 2012, compared to 40% in 2002, and the proportion of children vaccinated against diphtheria, pertussis and tetanus before 12 months increased from 45 percent in 2002 to 93% in 2012. HIV/AIDS prevalence among young pregnant women (15 to 24 years old) decreased to 1.4% in 2010, compared to 2.9% in 2002. In addition, the total number of paramedics enrolled in the High Institute of Health Sciences increased to 1,098 students in 2012 compared to 515 students in 2008.
The World Bank is supporting Djibouti to build a productive social safety net (SSN) system. An innovative SSN project providing short-term employment in community-based labor-intensive work and supporting the improvement of nutritional practices among pregnant/lactating mothers and pre-school children was the center piece of the government’s SSN strategy.
The project, funded by a grant from the Japanese Social Development Fund and scaled-up with funds from the IDA Crisis Response Window and an additional IDA financing, has reached over 7,000 women and children who participated in the nutrition program and provided about 300,000 person-days of short term employment opportunities. The program contributed to diet diversification and improved nutrition practices among beneficiary households and has strengthened female empowerment. At project level, an integrated Management Information System covering the nutrition, as well as the workfare component has been developed to ensure efficient implementation of the social safety net project in Djibouti. At the national level, the project is supporting the development of a social registry that will be used by multiple programs and stakeholders, creating a database containing socio-economic/demographic characteristics of the population to target resources to the most needed; the social registry will spearhead, and eventually feed into, a national ID system.
With engagement since 1984, the World Bank has a long history supporting urban development in Djibouti. The Djibouti Urban Poverty Reduction Projects (DUPREP) resulted in improved access to basic infrastructure and community services via the construction of four major roads; creation of 25,000 person-days of short term employment opportunities; increased capacity building of selected institutions through the establishment of a financial and stock management system; and the funding of the City master plan. The ongoing DUPREP II is a follow-up to DUPREP which initiated the transformation process of Quartier 7. The project should soon start showing positive impacts among Quartier 7 residents and urban environment.
The Bank supported Djibouti through the Power Access and Diversification Project (PADSE) which closed on December 31st, 2014. Implementation of the project allowed 12,000 people to access electricity, essential social infrastructures have been electrified and 199 street lights have been installed in the poor neighborhoods of PK12 and Balbala.
This parent project enabled electricity access to 4% of the total population. Two additional financing have been granted (Grant H5740 and Grant H7830). The project also financed the piloting of smart metering, with 3,300 meters deployed, which allowed the provision of better quality services by EDD to its clients, while enabling the company to reduce its losses, increase its profitability and improve capacity to cover costs. Moreover, a regulation on security stocks was promulgated to ensure diesel availability for the additional water pumping needs of the poor rural population in response to the prolonged state of drought in the country. Based on the regulation, the security stocks financed by IDA will be used in the next 10 years for water pumping during the 3 driest months of the year, i.e. June, July and August.
The ongoing Rural Community Development and Water Mobilization Project (PRODERMO, 2012-2017), is the first rural development project supported by the World Bank in Djibouti. It is also the first project in Djibouti to support small scale fisheries activities. PRODERMO contributed to: (i) the strengthening of the institutional framework through the constitution of 12 Local Steering Committees (including at least 2 women), 22 associations (among which 12 of women), 6 fishermen associations and 65 water management committees; (ii) the construction of 32 cisterns and 7 open reservoirs, with a total water mobilization capacity of 143,200 cubic meters; (iii) the selection of 32 income generating activities, (iv) the training of 783 beneficiaries, among which 250 women and (v) the creation of more than 94,000 person-days of temporary work. More than 750 households, 3,650 small ruminants and 970 large ruminants benefited from the water mobilized so far and 160 fishermen are benefiting from the recently rehabilitated Ice unit, allowing better fish conservation and improved quality.
Last Updated: Sep 16, 2015