Mali - Health Development Project

Dowme.t cf The World Bank FOR OmCIAL USE ONLY leput a. P-3670G!LI IMP JUDm031AI or TME PEESID IT OF TME EOAL D PR ssO TO TME ZEXETI DnmOUs car A P1005WCREDIT OF SDR 15.9 DILLIO TO TE REUIC OF Al POR A HERLTR DE=VE N PROJZ November 15, 1983 TINS iarwuui ha a umided dhuidraIm id my be md by ri .clp'. - oly lo lbs peuhmc of tbdr oUkEd 6duEsft le ub =m set edmlbse be dhdsud ibu WoM lBak whmnodm.  CUWENC EQUIVALENTS Currency Unit: = NaliAzL Pranc (IF) 1/ US51.00 = IF 746 lF 1,000 = USS1.35 ABBREVIATrIoNS AID ACRO!1( ADATA : Association pour le D6veloppermet Naturel d'uze Architecture et d' un Urbanisme Africains DINPSS : DirectiOn ltiOale de la PlanIfication et de la Formation Sauitaire et Sociale FED : European. Developent Fund LPCU : Local Project Coordiating Unit NOPHSA : Kinistere de la Shnte PLblique et des Affaires Sociales ODIPAC : Office de Deviloppement Tute - pour la Production Aracidi}ere et Czeraliere PCU : Project Coordinating Unit PP : Pharumacie Populaire du Nali UNPPA United Nations Funa for Population Activities WHO : World Health Orgaization FISCAL YEAR January 1 - December 31 */ The Nalian Franc (MP) is tied to the French Franc (PF) at the ratio of FP 1 to My 100.  FOR OMCIAL USE ONLY REPUBLIC OF MALI HEALTH DEVELOPMENT PROJECT CREDIT AND PROJECT SUMMARY Borrower: Republic of Mali Amount: SDR 15.9 million ($16.7 million equivalent) Terms: Standard Project Objectives The project would help the Government of Mali to and Description: iaprove the effectiveness of primary health care services and support systems at the national and regional levels. The project would, at the national level: (a) strengthen basic and inservice training; (b) improve the supply and utilization of drugs; (c) develop the planning and coordinating capability of the Ministry of Public Health and Social Affairs (HOPHSA); and, at the regional level, (d) provide primary health care services, including village level health and water-related health education activities in three districts in western Mali. Benefits and Risks: The project would yield benefits by providing: (a) at the national level: (i) more adequately trained rural health personnel; (ii) appropriate drug supply at lover cost; (iii) effective use of public resources through improved NOPESA planning and implementation capabilities; and (b) at the regional level: (i) better quality, more effective health personnel in Mali's western region; (ii) improved coverage and outreach services for 207,000 people and health care access for an additional 258,000; and (iii) incentives through health and family planning education that encourage the population to take greater responsibility for their own health. The health system is thus expected to become more efficient and effective. Diffusion of low-cost stabilized earth construction would also benefit the economy. Appropriate measures have been agreed upon to reduce risks with respect to project management and adequate provisions for incremental operating costs. This document has a restricted distribution and may be used by reipients only in the performance of their official duties Its contents may not otherwise be discbsed without World Bank ac.borization-  -i Estimated Project Cost: 1/ Local Foreign Total