I M P ROV I N G E F F E C T I V E N E S S A N D OUT C O M E S F O R T H E P OO R I N H E A LT H , N UT R IT I O N , A N D P O P U L AT I O N
Figure 2.1: The Number of HNP-Managed Projects Has Risen Slowly, While Commitments Have Declined 2,500
50 1997 HNP sector strategy
45 40 35
Board approves health lending
1,500
30 25
1,000
20 15
Number of projects
US$ million
2,000
10
500
5 0 08
07
20
06
20
05
20
04
20
03
20
02
20
01
20
00
20
99
20
98
19
97
19
96
19
95
19
94
19
93
19
92
19
91
19
90
19
89
19
88
19
87
19
86
19
85
19
84
19
83
19
82
19
81
19
80
19
79
19
78
19
77
19
76
19
75
19
74
19
73
19
72
19
71
19
19
19
70
0
Fiscal year Commitments
Projects
Source: World Bank data. Note: The peaks in commitments in fiscal years 1996 and 1998 are due to a few projects in large countries—in 1996, one project each in Argentina, Brazil, India, Mexico, and Russia, and in 1998, five projects in Bangladesh, Egypt, India, and Mexico. In both years the projects in these large countries accounted for 70 percent of commitments.
Table 2.1: Objectives of HNP Projects Approved in Fiscal 1997–2006 Objective Improve health status Reduce the burden of communicable diseaseb Promote child growth/reduce malnutrition Reduce high fertility/promote family planning Improve access, quality, efficiency, or equity of the health system Improve access Improve quality Improve efficiency Improve equity Health system reform and financing “Health reform” Health financing Health insurance Decentralization Private sector Build/strengthen institutional capacity Improve management Improve participationc Learning
Number a
Percent
135 78 21 8 126 70 76 61 16 73 41 32 16 15 8 68 39 26 21
61 35 10 4 57 32 35 28 7 33 19 15 7 7 4 31 18 12 10
Source: IEG portfolio review. a. Total projects = 220. b. Includes AIDS (29 percent); malaria (5 percent); TB (5 percent); and other communicable diseases such as leprosy, polio, and avian influenza (6 percent). c. Community participation and/or empowerment, multisectoral or intersectoral action.
16