Financial Commitment Update

 

• As of April 2014, the Bank has provided a total of US $2 billion ($1.2 billion committed and $755 million in pipeline) to support 21 countries for the 35 priority countries for MDGs 1c, 4 and 5. This includes $1.6 billion IDA financing and $298 million HRITF financing. A specific breakdown for sub-themes within RMNCH, such as family planning, is not available.

The following tables provide the portfolio data for new IDA commitments for reproductive, maternal, newborn and child health and disbursements on active projects with RMNCH components.

New IDA Commitments for RMNCH FY10-FY13 (with HS contribution added) in US$ Million

Year	Child Health	Population and Reproductive Health		RMNCH Total
FY10	201.8	220		421.8
FY11	328.9	205.6		534.5
FY12	191.6	223.4		415
FY13	412.9	160.5		573.4
Total	1135.2	809.5		1944.7

        

IDA Disbursements for RMNCH FY10-FY13 (with HS contribution added) in US$ Million

Year	Child Health	Population and Reproductive Health		RMNCH Total
FY10	321	143		464
FY11	185	144		329
FY12	363	168		531
FY13	274	127		401
Total	1143	581		1724

 

• The World Bank has been addressing some challenges through results based financing (RBF). RBF has shifted the focus from inputs to This has been essential in achieving strong results in our Health Results Innovation Trust Fund (HRITF) funded projects. Moreover, by building strong M&E components into these projects, we have been not only better able to gauge progress, but also build country level capacity for M&E. Data from several countries, including Nigeria, and Zimbabwe, show that RBF programs are increasing coverage and quality of services. They are also making health systems stronger, more efficient and more accountable.
  • In Zimbabwe, coverage in institutional increased from 50% to 75% between March to December 2012 because of the focus on results, and in Nigeria, the quality of service increased from 28% to 55%. Countries have also seen significant increases in the number of beneficiaries who now have access to RMNCH

Policy & Political Update

 

As a result of the Reproductive Health Action plan, the number of World Bank country strategies and projects that address reproductive health is increasing. The Country Assistance Strategy (CAS) or Country Partnership Strategy (CPS) guides the World Bank’s multi-sectoral engagement with a country. Between FY11 and FY13, of the 44 CAS/CPS approved in high-burden countries, 100 percent included reproductive health. The CAS/CPS reflect the country-specific issues, such as family planning, skilled birth attendance, emergency obstetrics care (for instance), which are all part of RH. In terms of lending, of the RMNCH funds, more than 67% of new health, nutrition and population projects occurred in countries with high maternal mortality and high fertility to address RMNCH.