During fiscal years 2014 to 2016, 310.8 million people received essential health, nutrition and population services supported by World Bank operations:
The crisis in Yemen has taken a heavy toll on the country's children. While most WBG operations halted at the start of the conflict, a partnership with WHO/UNICEF has allowed for the continuation of the Health and Population Project by channeling IDA funding through these UN agencies. This funding in 2016 provided critical support for the delivery of essential health services, such as national polio campaigns, maternal and child health, and nutrition services. This contributed to the vaccination of 5 million Yemeni children under 5 and 150,000 beneficiaries being treated for malnutrition, deworming, and maternal and child illnesses.
With a stagnant economy for the last 30 years, Madagascar has become one of the poorest countries in the world. In response, in 2015 US$40 million in IDA funding helped establish and expand two safety net programs, providing more than 80,000 poor households with regular cash transfers while promoting nutrition, early childhood development, school attendance of children, and productive activities of families. Initial reports show children’s primary school attendance rates improved to 97% and there’s an expected increase in food consumption and food diversity, especially for young children.
While Cambodia has experienced dramatic progress in maternal and child health, the country still has great inequities in health outcomes. To help overcome these, IDA has provided US$30 million to assist with the implementation of the Cambodian government's 2008-2015 health strategic plan. It has led to improved health care services and created a Health Equity Fund, which is now available to 100% of the poor population and helped nearly 8.46 million people get access to basic health, nutrition and reproductive health services by the end of 2015. Also, nationwide, 85% of babies were delivered by trained personnel by the end of 2015, compared to 58% in 2008.
In East Africa, IDA funding backed the East Africa Public Health Laboratory Networking project, which has helped public health officials successfully mount joint efforts to control the spread of communicable diseases and expand access to quality diagnostic services for vulnerable groups in cross border areas, serving over 4 million beneficiaries (of which 60% are women) through a network of 32 upgraded laboratories in Burundi, Kenya, Rwanda, Tanzania, and Uganda.
In Guatemala, a WBG pilot training program for indigenous midwives (comadronas) has worked to strengthen their capacity to identify women with high-risk pregnancies and to refer them to hospitals. Almost 70% of the midwives have completed the training and all have received safe birthing kits. While the program is still being monitored, there are early signs of progress, with some midwives referring patients to the National Hospital.
Malnutrition was highly prevalent in Senegal at the start of the millennium when stunting affected as many as 30% of children under age 5. In response, the Government of Senegal, with support from IDA, shifted its approach on nutrition to a community-based holistic strategy. It has worked with local governments, public service providers, and nongovernmental organizations to deliver to communities and households nutrition services, such as health education, breastfeeding promotion, essential micronutrient supplementation, conditional cash transfers, and more. The stunting prevalence in Senegal is now 19%, making it one of the lowest of sub-Saharan Africa.
In Uruguay, the WBG helped fund the NCD Prevention Project to support the Uruguayan government’s efforts to re-focus the current health care model towards non-communicable diseases (NCDs) and preventing risk factors. As a result, mortality linked to circulatory system diseases in the population aged 70+ years fell from 75.18% in 2006 to 60.3% in 2014. In addition, the cases diagnosed and under follow-up by primary care teams for the following NCDs increased between 2006 and 2014: from 54.7% to 62.6% for hypertension; from 63.9% to 77.6% for diabetes; and from 13% to 34.3% for obesity and being overweight.
As part of its efforts to strengthen health systems following the devastation caused by Ebola, the WBG and its partners launched the Regional Disease Surveillance Systems Enhancement (REDISSE) Program in Guinea, Senegal and Sierra Leone, and in a second wave added Guinea Bissau, Liberia, Nigeria, and Togo. The initiative is an interdependent series of projects working to strengthen national, regional, and cross-sectoral capacity for integrated disease surveillance and response in the region. This follows up on the WBG’s efforts to assist Guinea, Liberia and Sierra Leone in responding to the Ebola crisis, for which IDA financed such things as essential supplies and drugs, personal protective equipment and infection prevention control materials, health worker training, and hazard pay.
Bangladesh has a reasonably good network of health care facilities but it still suffers from a shortage and distribution of qualified health workers. The government has prepared a Health, Nutrition and Population Sector Development Program, which lays out the countrywide health strategy for 2017 to 2021. The World Bank, with financing from IDA, the Global Financing Facility (GFF) and development partners, is supporting the program’s implementation through a Program for Results (PforR) financing instrument. The WBG also financed a portion of Bangladesh’s 2011 to 2016 health program. Results have been encouraging so far. There was a 29% reduction in under-5 child mortality, down to 46 deaths per 1,000 live births in 2014 from 65 deaths in 2007, for example, and a 40% reduction in maternal mortality, down to 194 deaths per 100,000 live births in 2010 from 320 deaths in 2000.
Last Updated: Jun 19, 2017