44000-P176306 World Bank 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. International Development Association International Development Association Ministry of Health and Medical Services Ministry of Health and Medical Services Republic of Kiribati Republic of Kiribati Actual end date of the activity Actual start date of the activity Planned end date of the activity Planned start date of the activity The World Bank Wayne Jeremy Irava +1-202-473-1000 pic@worldbank.org wirava@worldbank.org The World Bank, 1818 H Street, NW, Washington, DC 20433 USA KIRIBATI Republic of Kiribati 1.421 172.984 Kiritimati 1.94 -157.475 Tarawa 1.3278 172.97696 Adaptation Disaster Risk Management FY17 - Health Facilities and Construction FY17 - Health FY17 - Public Administration - Health Flood and Drought Risk Management Gender Gender Health Service Delivery Health System Strengthening Health Systems and Policies ICT Solutions Mitigation Mitigation 0 0 40000 40000 0 120000 0 120000 0 130000 0 130000 0 200000 0 130000 0 130000 0 140000 0 140000 0 140000 0 220000 0 150000 0 140000 0 140000 0 140000 0 170000 0 380000 0 250000 0 250000 0 230000 0 230000 0 360000 0 260000 0 280000 0 300000 0 280000 0 310000 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.67 0 334166.63 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.33 0 248333.37 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 125000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14000000 Total Commitment in April Month of 2022 IDA Credit 14000000 Total Commitment in March Month of 2025 IDA Credit 138192 Total Disbursement in April Month of 2024 IDA Credit 527189 Total Disbursement in April Month of 2026 IDA Credit 157528 Total Disbursement in August Month of 2024 IDA Credit 468372 Total Disbursement in August Month of 2025 IDA Credit 433518 Total Disbursement in December Month of 2024 IDA Credit 355630 Total Disbursement in December Month of 2025 IDA Credit 352934 Total Disbursement in February Month of 2026 IDA Credit 286677 Total Disbursement in January Month of 2024 IDA Credit 144819 Total Disbursement in January Month of 2026 IDA Credit 38467 Total Disbursement in July Month of 2025 IDA Credit 19763 Total Disbursement in June Month of 2024 IDA Credit 320667 Total Disbursement in June Month of 2025 IDA Credit 47774 Total Disbursement in March Month of 2024 IDA Credit 150392 Total Disbursement in March Month of 2025 IDA Credit 365000 Total Disbursement in March Month of 2026 IDA Credit 89621 Total Disbursement in May Month of 2023 IDA Credit 449426 Total Disbursement in May Month of 2024 IDA Credit 108067 Total Disbursement in May Month of 2025 IDA Credit 119796 Total Disbursement in November Month of 2023 IDA Credit 116299 Total Disbursement in November Month of 2024 IDA Credit 32388 Total Disbursement in November Month of 2025 IDA Credit 187987 Total Disbursement in October Month of 2024 IDA Credit 267663 Total Disbursement in October Month of 2025 IDA Credit 333300 Total Disbursement in September Month of 2022 IDA Credit 53719 Total Disbursement in September Month of 2023 IDA Credit 18073 Total Disbursement in September Month of 2024 IDA Credit 508436 Total Disbursement in September Month of 2025 IDA Credit Schedule 2, Section I.A.3. The Recipient no later than 2 months after the Effective Date, recruit and thereafter maintain, amonitoring and evaluation specialist, and an environmental and social expert, both with experience and terms of referencesatisfactory to the Association. Schedule 2, Section I.B.1. The Recipient shall, by not later than three (3) months after the Effective Date (or such other datewhich the Association has confirmed in writing to the Recipient is reasonable and acceptable under the circumstances, as determinedby the Association in its sole discretion): Prepare and furnish to the Association for its review and no-objection a ProjectOperations Manual, which shall set forth, inter alia, detailed arrangements, and procedures for Project implementation. Schedule 2, Section II.2. The Recipient shall carry out, jointly with the Association, not later than three (3) years after theEffective Date, or such other period as may be agreed with the Association, a mid-term review of the Project (“Mid-Term Review”) toassess the status of Project implementation, as measured against the indicators acceptable to the Association, and compliance withthe legal covenants included or referred to in this Agreement. Value reflects full-year 2025 data. Decline from previous period reflects data reassessment; further verification underway. Previous value revised downward following reassessment of the beneficiary estimation methodology, consistent with WHO/CSC guidelines. Data quality improvements are ongoing. Recalculated atchment population estimates recalculated to include Phase III outer island refurbishments. Previous value reflected a limited number of completed facilities. Significant achievement beyond indicator target. MHMS to verify results. Previous value reflected limited sample reporting. Current value based on full-year laboratory data. Data verification ongoing with MHMS.