cover image: Uganda - Reproductive, Maternal and Child Health Services Improvement Project (English)


Uganda - Reproductive, Maternal and Child Health Services Improvement Project (English)

4 Jun 2024

Ratings for the Reproductive, Maternal and Child Health Services Improvement Project for Uganda were as follows: outcomes were satisfactory, the Bank performance was satisfactory, and the monitoring and evaluation quality was high. Some lessons learned included: strong political commitment and ownership at country level is critical to the achievement of the project' objectives. The project received strong political commitment and ownership at all levels of government that included the national parliament, Minister of Health, Permanent Secretary of MoH, Director General of the MoH, Ministry of Finance, Planning and Economic Development officials, district leaders and community stakeholders. This commitment contributed to the resolution of various challenges that the project encountered during project implementation, notably delays in procurements in the first two years. In any future projects of similar nature, efforts should be made to mobilize strong political commitment and ownership at all levels right from the project design stage. The successful nation-wide scale up of RBF required adequate preparatory work, including local expertise, routine analysis and sharing of program data with stakeholders. The investments in RBF were substantial to enable national-wide scale up of this innovation that had been implemented in Uganda as pilots since 2003 and some stakeholders were skeptical about whether this was the best use of the resources. The World Bank executed Trust Funds and Advisory Services and Analytics (ASA) are instrumental in providing technical assistance for the achievement of project objectives. The project benefitted from multiple World Bank executed Trust Funds which were used for, among others, technical assistance for the implementation of the project. These included the Swedish International Development Cooperation Agency (SIDA) supported RMNCAH operations research program, GFF grant which supported continuity of essential health services during the peak of the COVID-19 pandemic, and the Sustainable Health Financing ASA. Big civil work contracts, covering many regions of the country, are not suitable for contractors with limited capacity. The experience from the project was that some civil works contractors had significant challenges in implementing big contracts with up to fourteen sites spread across multiple regions of the country. While such big contracts were designed to attract experienced contractors with considerable experience, some contractors struggled to complete works within the stipulated time. In the future, each contractor should be given fewer sites, preferably in the same region, to minimize capacity and logistical challenges. This recommendation is already being implemented for the UCREPP.
uganda labor health and safety conditions health-hg public administration - health eastern and southern africa


World Bank

Disclosure Date
Disclosure Status
Doc Name
Uganda - Reproductive, Maternal and Child Health Services Improvement Project
Lending Instrument
Investment Project Financing
Product Line
Published in
United States of America
Rel Proj ID
UG-Uganda Reproductive, Maternal And Child Health Services Improve -- P155186
Public Administration - Health,Health-HG
TF No/Name
TF0A1287-UGANDA GFF PREPARATION BANK EXECUTED,TF0A2977-Uganda GFF-REPRODUCTIVE, MATERNAL AND CHILD HEALTH IMPROVEMENT PROJECT,TF0A3408-Uganda GFF Supervision,TF0A6636-BETF - SIDA Additional Financing for Uganda Reproductive Maternal and C,TF0A6713-RETF - SIDA Additional Financing Uganda Reproductive Health Maternal,TF0B3585-GFF Uganda COVID-19 TA
Health Systems and Policies,Human Development and Gender,Disease Control,Health Service Delivery,Health System Strengthening,Pandemic Response,Child Health,Adolescent Health
Unit Owning
Version Type
Gray cover
Volume No

Table of Contents

Related Topics