Lesotho - Health and Population Project

Document of The World Bank FOR OFFICIAL USE ONLY Report No. P-3951-LSO REPORT AND RECOMMENDATION OF THE PRESIDENT OF THE INTERNATIONAL DEVELOPMENT ASSOCIATION TO THE EXECUTIVE DIRECTORS ON A PROPOSED CREDIT OF SDR 3.7 MILLION TO THE KINGDOM OF LESOTHO FOR A HEALTH AND POPULATION PROJECT e APRIL 1, 1985 This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its rentents mav not otherwise be disclosed without World Bank authorization.  CURRENCY EOUIVALENTS Currency Unit Maloti (M) 1 US$0.63 = 1.00 US$1.00 M 1.98 WEIGHTS AND MEASURES 1 meter 3.28 feet I square meter (m2) = 10.76 square feet 1 kilometer (km) 0.62 miles 1 square kilometer (km2 - 0.3861 square miles 1 hectare (ha) 2.47 acres 1 kilogram (kg) 2.2046 lbs I metric ton 2,205 lbs ABBREVIATIONS BCG -- Bacillus Calmet Guerin DANIDA -- Danish Development Agency DPT -- Diphtheria, Petrussis and Tetanus EEC -- European Economic Community IEC -- Information, Education and Communication IPPF -- international Planned Parenthood Federation LDA -- Lesotho Dispensary Association LPPA -- Lesotho Planned Parenthood Association MCH -- Maternal and Child Health PCX -- Protein-Calorie Malnut ition PHAL -- Private Health Associacion of Lesotho SCF -- Save the Children Fund TB -- Tuberculosis UNDP -- United Nations Development Program UNFPA United Nations Fund for Population Activities UNICEF -- United Nations Children's Fund UIPAC -- United Nation Children's Fund Supply Division, Packing and Assembly Centre USAID -- United States Agency for International Development WFP -- World Food Program WHO -- World Health Organization FISCAL YEAR GOL: April 1-March 31 1 Maloti are at par and circulate side by side with the South African Rand.  FOR OFFICIAL USE ONLY KINGDOM OF LESOTHO HEALTH AND POPULATION PROJECT CREDIT AND PROJECT SUMMARY Borrower: Kitgdom of Lesotho Amount: SDR 3.7 million (US$3.5 million equivalent) Terms: Standard Project Description: The project aims to strengthen the organization and management of the Ministry of Health; improve the efficiency, effectiveness and coverage of health care and family planning services; and strengthen manpower development and training. It would: provide technical assistance and equipment for strengthening the organization, and financial and personnel management, health information and communications systems in the Ministry of Health; provide ouildings, equipment and facilities for improving and expanding the maternal and child health (MCH)/family planning services and TB control program; improve and expand local manufacture and distribution of drugs; and provide tzchnical assistance, fellowships, buildings and facilities for manpower planning and staff training. Benefits and Risks: The improvements in organization, management, manpower planning and training would raise the efficiency and effectiveness of health service delivery. Improvements in the pharmaceutical supply * system, TB control program and provision of low-cost out-patient treatment facilities would result in savings of about M 880,000 (US$550,000) annually in the cost of providing health care services. The MCH/family planning component would lead to lower fertility levels and also morbidity and mortality rates among infants and mothers. The project's major risk relates to the training component, which would involve creation of a new institution. Technical assistance to be provided under the project would minimize this risk. This docurnent has a restricLed distribution and may be used by recipients only in the performance| |of thcir official duties. Its contents may not otherwise be disclosed without WoTld Bank authorization.|  (ii) Project Cost: Local Foreign Total USS million Ministry or Health Organ. and Management 0.124 0.789 0.913 Health and Family Planning Services 0.459 1.453 1.912 Pharmaceutical Supply System 0.122 0.573 0.695 Manpower Development 0.564 1.622 2.186 Total Base Cost 1.269 4.437 5.706 Contingencies: Physical 0.075 0.240 0.315 Price 0.386 1.011 1.397 Total 1.730 5.688 7.418 (Of which duties and taxes) (0.183) - (0.183) Financing Plan: IDA 3.50 Irish Govt. 1.12 EEC 0.74 DANIDA 0.37 WHO 0.19 USAID 0.15 UNDP 0.07 GOL 1.28 7.42 Estimated Disbursement of IDA Credit IDA FY 86 87 88 89 90