The proposed project will improve equitable access and quality of health services in Kiribati, based on identified gaps and targeted areas that support MHMS to implement the NHSP. The project comprises four components: (1) improving equitable access and quality of health services on the outer islands; (2) strengthening quality and range of services provided through hospitals; (c) project management and health information system enhancement; and (d) a contingent emergency response component (CERC). Project activities and the financing of goods and services will take into consideration existing and planned investments by other development partners. All health infrastructure development including waste management and procurement of vehicles, equipment and supplies will be carried out in accordance with the World Bank Environmental Social Framework as well as climate-resilient and sustainable standards. Training and supportive supervision activities will include gendered as well as climate disaster response elements. The training of staff will also include aspects related to COVID-19 transmission and prevention. The project, by investing to enhance critical care capacity on the main island and Kiritimati hospital as well as strengthening primary care across the outer islands, will help Kiribati prepare for a state of managed endemicity of COVID-19. In addition, during project implementation options to expand support for managed endemicity of COVID-19 will be considered. Citizen engagement will be carried out through collection of information at facility level relating to patient and staff satisfaction with services received and provided, respectively. The feedback collected will be utilized to adjust implementation arrangements and design accordingly.

To improve equitable access and quality of health services in targeted areas and in case of an Eligible Crisis or Emergency, respond promptly and effectively to it.