Malawi - Health Project

Document of The World Bank FOR OFFICIAL USE ONLY Report No. P-3 46 8-MAI REPORT AND RECOMMENDATION OF THE PRESIDENT OF THE INTERNATIONAL DEVELOPMENT ASSOCIATION TO THE EXECUTIVE DIRECTORS ON A PROPOSED CREDIT IN AN AMOUNT EQUIVALENT TO US$6.8 MILLION TO THE REPUBLIC OF MALAWI FOR A HEALTH PROJECT March 28, 1983 This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  CURRENCY EQUIVALENTS Currency Unit = Malawi Kwacha (K) SDR 1.00 = US$1.08995 US$ 1.00 = K 1.10 K 1.00 = US$ 0.91 METRIC EQUIVALENTS 1 metre = 39.37 inches 1 kilometer (1,000 = 0.62 miles meters) 1 kilometer - 0.39 sq. miles ACRONYMS CMS - Central Medical Stores MCH - Maternal and Child Health MOH - Ministry of Health MOWS - Ministry of Works and Supplies PHAM - Private Hospitals Association of Malawi PHC - Primary Health Care UNFPA - United Nations Fund for Population Activities GOVERNMENT FISCAL YEAR April 1 - March 31  FOR OFFICIAL USE ONLY MALAWI HEALTH PROJECT CREDIT AND PROJECT SUMMARY BORROWER: Republic of Malawi BENEFICIARY: Ministry of Health (MOH) AMOUNT: SDR 6.3 million (US$6.8 million equivalent) TERMS: Standard PROJECT DESCRIPTION: The proposed IDA Credit would assist the Government in improving the efficiency and effectiveness of its health delivery system. Specifically, it would: (a) improve the MOH's ability to plan, monitor and evaluate health programs and policies; (b) strengthen the MOH's capacity to carry out epidemiological studies with supporting laboratory services; (c) improve the system for procuring and distributing pharmaceuticals; (d) extend prinary health care services to selected districts; and (e) introduce child spacing services as an element of the MOH's maternal and child health program. MOH would have overall responsibility for project implementation. The project is expected to significantly reduce recurrent account budgetary outlays for pharmaceuticals and extend primary health care services to 120,000 people. Successful implementation of the project and preparation of an updated ten-year national health plan will set the stage for reductions in mortality and fertility. The national health plan also will provide the basis for future investments from both local and foreign sources. There are no major risks to the project, although planning in the sector is weak. The project will, however, greatly strengthen the MOH's planning and evaluation capacity. This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization.  -ii- ESTIMATED COST: Local Foreign Total