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The objective was to document lessons from a GPOBA-funded project completed in December 2012 that subsidized the delivery of health services at the Queen Mamohato Memorial Hospital, the gateway clinic for the hospital and three filter clinics within Maseru District in Lesotho.
Deliverables:
- End line Study
- Case Study and Multi-Media Package on Best Practices and Lessons.
The end line study was completed and was presented at a “Brown Bag Lunch” event in March 2014. The case study and multi- media package were also reviewed and prepared.
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Photo: Ami Vitale / World Bank
The UN Sustainable Development Goals, looking to 2030, seek to continue the progress made in addressing maternal health, child mortality and disease prevention. Donors have more than doubled their contributions to global health aid since 2000, and major advancements in health technologies and medicines have increased as well. Today, 17,000 fewer children die each day than in 1990, (1) but five million still do not live beyond their fifth birthday every year -- with Sub-Saharan Africa accounting for 80 percent of these deaths. Though the number of women who die during childbirth has decreased by 37 percent since 2000, only half of women in developing countries still do not have access to adequate health care-- with the maternal mortality rate still 14 times higher compared to women in developed countries.
Yet significant obstacles remain—from supply-side constraints such as poor infrastructure and lack of resources to demand-side constraints, including inability to pay, lack of insurance coverage, or lack of access—preventing lifesaving resources from reaching the poor in developing countries who need them most.
Using innovative results-based financing schemes increasing access to affordable, quality health care services, GPRBA has supported reproductive health services in Uganda, Nigeria, Lesotho and Yemen:
- The Uganda Reproductive Health Voucher project implemented in the rural western part of the country, in which GPRBA partnered with KfW to fund a voucher scheme. This program involved users paying a low nominal fee for vouchers to be used for services such as pre– and post-natal care, childbirth attended by a trained medical professional, and screening and treatment of sexually transmitted diseases for couples.
- The Yemen Safe Motherhood Project also provided professional maternal health services in an urban context for pregnant women in the in Yemen was funded in an urban context in the poorest parts of Sanaa, Yemen’sthe capital city.
- GPRBA supported the Pre-Paid Health Scheme Pilot Project in Nigeria to increase access to quality basic health care in poorer parts of the country by implementing a health insurance scheme.
- Lesotho’s New Hospital Public-Private Partnership provides access to quality health services at the state-of-the-art facility Queen ‘Mamohato Hospital in Maseru, along with support to a new national hospital and filter clinics. under a public-private partnership model in Lesotho.
(1) United Nations
Related Source on RBF Health: Health Results Innovative Trust Fund (HRITF)
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News Release No. 2009/3
In Washington:
Cathy Russell, tel. (+1) 202 458 8124
crussell@worldbank.org
Zibusiso M. Sibanda, tel. (+1-202) 473 0605
zsibanda@ifc.org
In Johannesburg:
Houtan Bassiri, tel. (27) 11 731 3179
hbassiri@ifc.org
In Pretoria:
Mmenyane Seoposengwe, tel. (27) 12 431 3103
mseoposengwe@worldbank.org
Johannesburg, February 26, 2009 – Citizens of Lesotho will gain access to greatly improved medical services and care thanks to a grant agreement for US$6.25 million signed by the World Bank, acting as administrator for the Global Partnership on Output-Based Aid (GPOBA), and Tsepong (Proprietary) Limited, a Special Purpose Vehicle created by the regional health care consortium led by Netcare.
The GPOBA grant will provide subsidies for inpatient services at a new 390-bed National Referral Hospital, designed to replace the aging Queen Elizabeth II Hospital, and outpatient services at three semi-urban filter clinics that are being refurbished. These facilities will serve Maseru district, which has a population of almost 500,000 people or one third of the country’s population.
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June 15, 2010 --- The Kingdom of Lesotho’s health sector faces daunting challenges including battling the world’s third highest HIV/AIDS prevalence rate (23 percent for adults aged 15-49), low life expectancy (45 years), and an over-burdened health care system with demand consistently outstripping the state’s ability to provide vital health care services, particularly for poor people.
The project benefits from collaboration within the World Bank Group and a strong partnership with the government of Lesotho. The World Bank provided technical assistance to the design and management of the PPP as part of the Health Sector Reform Program. The International Finance Corporation (IFC), the Bank’s private sector arm, acted as lead advisor to the government of Lesotho throughout the planning, structuring, tendering and implementation phases of the PPP agreement, including extensive due diligence to establish the project’s feasibility and to engage and secure the support of stakeholders locally, regionally and internationally.
- For more information about the World Bank in Lesotho, visit: www.worldbank.org/lesotho
- World Bank Africa: Public-Private Partnerships to Boost African Infrastructure, Incomes for the Rural Poor
- IFC Success Story: Improving Healthcare in Africa
- For more information about IFC, visit www.ifc.org
- For more information about IFC's Public-Private Partnerships visit www.ifc.org/infrastructureadvisory
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A new hospital in Maseru is providing improved health care services to Lesotho’s citizens. The hospital and its three filter clinics are part of an innovative public-private partnership. About one-quarter of Lesotho’s population, particularly women and children, stand to benefit.
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Overview
The health care system in the Kingdom of Lesotho is over-burdened with demand consistently outstripping the state’s ability to provide vital health care services, particularly to poor people. In partnership with the World Bank, GPOBA supported the design and implementation of a public-private partnership for the replacement of the main public hospital in the country, Queen Elizabeth II Hospital. The GPOBA grant subsidized the cost of access to services for the residents of Maseru District, the capital city and home of nearly one-third of the country’s population.