Senegal - Rural Health Project

Damot Of The World Bank PMI OMFCLAL USE ONlY Rqpt N6 12319 PROJECT COMPLETIO REPORT SUEGAL RRAL EMT PROJECT (CREDIT 1310-SE) SEPTEMBER 17, 1993 MICROGRAPHICS Report No: 12319 Type: PCR Population and Buman Resources Operations Division Sabelian Department Africa Region This document has a resbeted distn-buon and may be used by reipins onl In the performae of dteir offCalduties Its conets may not otherwise be dilosed wihout wod Ba tortion.  AABBR;VIATIO AND ACRO?I ASBEF Association S4nEgalse de Bientre familial CHW Community Health Worker CIDA Caadian Interaional Development Agency DAGE Direction de l'Admistron GEndrale et de I'Equipement (General Administration and Equipment Directorate) -DCH Direction de la C-onstrtion et -de l'bitat (Direction of Conuction and Habitat)- DFH Division of Family Health DHPS Directorate of Hygene's Health Protection (Direction de l'Hygifne et la Protection de la Sanut) DRPF Direction de la Recherche, de la Planification et de la Formaton (Directrate of Research, Planning and Training) F? Family Planning LNCM Laboraowire national de contr8le des mddicaments (National Drug-Testing Laboratory) MCH Matenal and Child Health MSP Ministere de la Sate Publique (Mmisty of Public Health) MUH Ministbre de l'Urbanisme et de l'Habitat (Ministry of Urban Affairs and Housing) NHP National Health Policy PDDS Plan de Developpement des Districts Sanitaires (District-Level Health Development Plan) PDRH I Projet de DEveloppemont des Ressources Humaines I (Human Resources Development Project I - Cr. 2255-SE) PHC Primary Health Care PMU Project Management Unit PNA Phamacie Nationale d'Approvisionnement (National Drug Delivery System) PPF Project Preparation Facility PRA Pharmacie REgonale d'Approvisionnement PRDS Plan REgional de DEveloppement Sanitaire (Regional Health Development Plan) SIPOA SociEtE Industrielle Pharmaceutique de l'Ouest Africain (West Africa Pharmaceutical Company) UNFPA United Nations Fund for Population Activity USAI) United States Agency for International Development USB Union Sendgalaise de Banque  FOR OFIMCAL USE ONLY. THE WORLD BANK Washington D.C. 20433 U.S.A. -am" d 0OW4""d -September 17, 13 MEMORANDUM TO THE EXE D=RECTMIS AND- THE PRESDENT SUBJECT: Project Completion Report on Senegal Rural Health Project (redit 131O-SEi Attached is the Project Completion Repor. on Senegal - Rural Health Project (Credit 1310-SE) prepared by the Africa Regional Office. Part II of the report was contributed by the Borrower. The report provides a satisfactoy assesment of project achievements. Civil works and purchases of equipment and materials were carried- out as foreseen at appraisals albeit with some delays. However, the software components (such as pre-service and in-service traing foreign fellowships and specalist services) experienced implementation shortfals Overall, the project outcome is satisfactory, and institutional development has partially met appraisal expectations. While the PCR considers the increased accessibility of health services and the resulting stronger links with the beneficiary population as the first step towards cost recovery and self supporting operation, for the time being sustainability remains uncertain. Persistent shortcomings, such as the quality of services and underutilization of facilities, are being addressed under the ongoing Human Resources Development Project (Credit 2225-SE). A perfomance audit of this project is not intended. Attachment Thi documew has a restricted ditbuion and may be M d roelpient only in the pefnanmo of thir o.ff. duties. conts may IlOt otUwise be dlsed witt