Mali - Health Development Project

The World Bank FOR OMCIAL USE ONLY RputN. 11502 PROJECT COMPLETON EmOT MALI TEALTH DEVUOFPEWT PROJECT (CREDIT 1422-LI) DECEM 29, 1992 MICROFICHE COPY Report No.: 11502 MLI Type: (PCR) Title: HEALTH DEVELOPMENT PROJECT Author: BARQUERO, P Ext. :31757 Room:T9017 Dept. :OEDDIl Population and Buman Resources Operations Division Sabelian Departmet Africa Regional Office Ti document has a restricted ditrbutio and may be used by recipiets only In the peaformanc of their officW duties Its conens may not otherwise be discsed wtho World Bak autoritio.  E IANGE RATES Cunrency - CFAF US$1.00 - 294 CFAF ACRONYwfMS ADAUA Association pour le D6veloppement Naturel d'une Architecture et d'un Urbanisme Africain/Association for the Developmeet of Traditional African Urbanism and Architecture CIDESSCO Centre International pour le D&eloppetnent Social et la Snnt6 Communautaire CPCU Local Project Coordinating Unit/Kita CSA Centre de Sante d'Arrondissement/Sub-District Health Centers CSC Centre de Sante de Cerele/District Health Centers CTA Centre de Technologie Adapt6 DNUC Direction Nauionale de l'Urbanisme et Construction/Department of Public Works ICB International Competitive Bidding MOPHSA Ministry of Public Health and Social Affairs NGO Non Governmental Organization KBK Kita/Bafoulabe/Kenieba PCU Project Coordinating Unit PPM Pharmacie Populaire du Mali SAR Staff Appraisal Report UNICEF United Nations Children's Education Fund  FOR OMCLAL USE ONLY THE WORLD BANK Washington, D.C. ;)433 U.SA Om" oef olred"rOwtaI Opwls Ekwon December 29, 1992 MEMORANDUM TO THE EXECUTIVE DIRECrORS AND THE PRESIDEN1 SUBJECT: Project Completion Report on Mali Health Development Project (Cedit 1422-. Attached is a copy of the report entitled "Project Completion Report on Mali - Health Development Project (Credit 1422-MLI) prepared by the Africa Regional Office. The Borrower did not prepare Part IL bhis project was meant to help the Government improve health care for the rural poor by improving availability of drugs, expanding rural service facilities, and providing training. The results were unsatisfctory in nearly all dimensions and, except for village maintained water systems and related trainmg acivities, are likely to be unsustainable. This outcome is due, among other things, to poor performance by the Bank, which approved the awarding of a contract to a local NGO which far exceeded that organization's demonstrated capacity and did not have enforceable provisions, did not insist cn effective monitoring and evaluation of development impacts, and postponed taking remedial actions when it was clear that key project implementation agencies and contractors were deficient. The Government's poor commitment to implement agreed sector policies and to carry out adequate supervision also had a major negative impact on project outcome. The PCR provides a comprehensive and informative account of project implementation. An audit is planned. Attachment _ This document has a restriled dibution and may be used by recipiens o* In the pefomnc of ttheir ofical duies, Its conte may not othewise be disclosed witho World Bank authoration.  FOR OMCIL- USE ONLY PROJCE)rCXQNDPLE=O RJEPORT REPUBUC OF MAU HEALTH DEVELOPMENT PROJECr (CREDIT 1422-M() TSABL OFCN1NT aem No. ~~~.......................................................... i EVAULUATIO SUMMXAFRY..iu PART L .R 1JEVWEVOlDAS I A. ProjecIdentity . ..... .. . .. . . . . 1 B Background . ..... .1 C. Prcec Objectesand Dripton .. . .. 2 D. Projec Depignmand Oraizatdon..... 3 F. Project I..pementtion4.... ..4 F. ProjectResults........ .................. . .. 5 G. Projec Sustainabi.i.y... . . 6 EL DDA Performane..... . .. 7 L Borrower Performuane 8..... . .. ..8 J. ProjectRedaionship. ... 9 IL Conu _t Servones .444..4....4 9 L Project Documentation and Data. . . 9 PART IL PR..E. R.EVIEW. ROM BOROVIER zoom ..... 11 A. Related Bank Loans and/or IDA Credt ............................ 13 B. Prcect 1inetable ........ . ....... 14 C C.rdit.......... .. 1... ..... 15 D. PojectIn.p.e.ietti ........ ....... 16 E. Project osts and F