Through the International Development Association (IDA), the Bank Group has helped save lives and improve the health of millions in developing countries. From FY13-FY15, IDA:
- Immunized 142.8 million children;
- Provided 28.9 million pregnant women with antenatal care during a visit to a health provider;
- Provided basic nutrition services to 177.3 million pregnant/lactating women, adolescent girls and/or children under 5;
- Ensured nearly 12 million births were attended by skilled health personnel; and
- Ensured 2.6 million people received tuberculosis treatment in accordance with the World Health Organization-recommended directly observed treatment short course (DOTS).
Here are some examples where IDA has made a difference in individual countries and regions:
To assist Guinea, Liberia and Sierra Leone in responding to the Ebola crisis, IDA has financed essential supplies and drugs, personal protective equipment and infection prevention control materials, health worker training, hazard pay and death benefits to Ebola health workers and volunteers, contact tracing, vehicles, data management equipment, and door-to-door public health education outreach.
In response to a crippling humanitarian crisis in the Horn of Africa resulting from a severe drought and the corresponding outpouring of Somali refugees, IDA supported food security and health in the world’s two largest refugee camps, Dabaab in Kenya and Dollo Ado in Ethiopia. IDA contributed US$30 million from2011 to 2013, to support the United Nations High Commissioner for Refugees’ (UNHCR) delivery of emergency services, benefitting more than 1.6 million individuals. Nearly 86,000 children with severe acute malnutrition were treated, far exceeding the target of 5,275, and more than 174,000 pregnant and lactating women received food supplements, exceeding the target of 23,475.
IDA is the first and last external financier of a remarkable AIDS response in India. IDA financed the third national AIDS control project (2007-2012) which has seen new infections decline by 60% nationally, and by 90% in the oldest epidemic state of Tamil Nadu, based on prevention of mother-to-child transmission. Thanks to targeted prevention interventions, an estimated 3 million HIV infections will have been averted by the end of 2015.
A Senegal River Basin water resources improvement program -- which focuses on fisheries, irrigation, and health in Guinea, Mali, Mauritania, and Senegal – has led to a number of improvements in local health outcomes, particularly related to malaria and neglected tropical diseases. The distribution of 3.1 million insecticide treated mosquito nets to cover about 5.6 million people resulted in a dramatic increase in net use, from 28% in 2009 to 46%in 2012, in an area largely populated by poor farmers and their families.
In Vietnam, the IDA-financed Mekong Regional Health Support project (2006-2012) increased coverage of health care through both demand side and supply side interventions, both of which were critical for improving health outcomes among the poor. The proportion of patients satisfied with overall treatment and the condition of facilities/equipment increased from 52% in 2008 to 82.7% in 2011. The inpatient mortality rate from newborn respiratory distress decreased from 36% in 2008 to 3.7% in 2011. A total of 2.4 million people were enrolled in the insurance program by project closing.
In Burundi, a national-level, performance-based financing program is improving maternal and child health through financial incentives to facilities to deliver more key services, with additional incentives for a quality scoring. From 2010 to 2014, results were as follows: births at health facilities increased by 25%, prenatal consultations increased 20.4 %, children fully vaccinated increased by 10.2%, curative care consultations for pregnant women increased by 34.5%, and family planning obtained via health facilities increased by 26.9%.
Other Bank Group health, nutrition and population results include:
- In Argentina, improved health services and accessibility for poor pregnant women and children led to a decrease in low birth weight and in-hospital deaths of babies in the first 28 days of life for program beneficiaries.
- In Armenia, the Bank Group contributed to the implementation of the government’s health reform program through the expansion of access to quality primary health care, which led to a tremendous increase—from 17% in 2004 to 85% in 2010—in the population served by qualified family medicine practices. Overall satisfaction with the quality of and access to primary health care services rose from 87.6% to 95%.
- In Brazil, the Bank Group helped strengthen the health surveillance system and expanded access to and improved the effectiveness of health, water, and sanitation services for especially vulnerable groups, including indigenous peoples. As a result, 74% of the indigenous population was immunized by 2010 and malaria-related deaths declined by 60% from 2003 to 2007.
- In the China TB Control Project, the case detection rate for new smear-positive TB cases increased from 23% in 2002 to 77% in 2010 (target: 70%) and the cure rate for smear-positive TB cases increased from 80% in 2002 to 93% in 2010 (target: 85%).
- In Nepal, the Bank Group supported the national health sector program in expanding access to and increasing the use of essential health services, especially to underserved populations. As a result, contraceptive prevalence increased from 35% in 2001 to 51.7% in 2010 with a concomitant decrease in total fertility rate from 4.1 to 2.9 births per woman. Skilled attendance at birth also increased from 8% to 35%, and the percentage of children immunized against measles/DPT3 increased from 62% in 2001 to 83% in 2009 for the lowest income quintile.
- In Rwanda, Bank Group support has led to an increase in health insurance enrollment from 7% to more than 70% of the population; a 50% increase in utilization of health services by poor children; a 63% increase in the use of insecticide-treated mosquito nets; a doubling of use of family planning services; a 62% decrease in malaria incidence; and a 30% decrease in child mortality.
- In Senegal, the Bank Group supports an innovative nutrition health program that operates at the community level in collaboration with local governments, district health authorities, and civil society organizations. National underweight malnutrition rates dropped from 22% in 2005 to 17% in 2012, bringing Senegal—among very few countries globally—within reach of achieving the MDG to halve the rate of malnutrition.
Last Updated: Sep 28, 2015