📋 Tender Overview
Project ID: P170278
Region: Africa
Commitment Amount: US$ 60.00 million
Total Project Cost: US$ 60.00 million
To increase utilization and quality of key nutrition and health services and strengthen institutional capacity forinstitutional reforms
Utilization and quality of nutrition servicesa. Percentage of pregnant women receiving iron and folic acid supplementation (nutrition specific, utilization)b. Percentage of women age 15-19 currently using modern contraceptive method (nutrition sensitive, utilization)c. Percentage of children 6-23 months with minimum recommended dietary diversity (nutrition sensitive
Quality of health service deliverya. Percentage of health facilities attaining the first star level in the star quality rating systemb. % of partogram documentation in maternity department in compliance with quality requirementsInstitutional Capacity for selected health reformsa. Health financing policy adopted, and implementation initiatedb. Defined health services benefit package that considers Lesotho’s disease burden and fiscal constraints adoptedD. Concept Description19. The proposed US$60 million IDA-financed project aims to support the Government of Lesotho (GOL) inimplementing a multisectoral approach to improve health and nutrition outcomes over a five-year period. The projectwill strengthen the overall health system by emphasizing allocative efficiency across levels of care, financial sustainability,and an evidence-based focus on results. It will finance the implementation of a coordinated package of selected healthand nutrition interventions involving the Ministries of Agriculture; Education and Training; Health; Water, Sanitation andHygiene (WASH); and Social Protection (SP) and the Food and Nutrition Coordination Office (FNCO). Nutritioninterventions will prioritize the first 1,000 days of life (pregnancy and the first years of a child) when low cost interventionshave been proven to have the most impact. Adolescent girls will be strategically targeted given the high rate of teenagepregnancy and its related risks to the health of young mothers and their infants.20. The multisectoral coordinated approach will be strengthened at the central level and in communities. It willstrengthen institutional coordination, and selected nutrition-related interventions provided in health centers, ECCDcenters, and in SP child care centers. This facility-based support will be complemented with community-basedinterventions such as outreach activities by extension workers in agriculture, and existing community-based platforms(e.g. youth groups, women’s groups) to maximize impact at the local level.21. Most interventions will be implemented nationwide. Implementation will be phased based on criteria to beagreed with Government. A main consideration would be feasibility and ease of co-locating key multisectoral interventionsto maximize impact.
