Project Appraisal Document (PAD)-ff

FOR OFFICIAL USE ONLY
Report No: PAD4119
INTERNATIONAL DEVELOPMENT ASSOCIATION
PROJECT APPRAISAL DOCUMENT
ON A
PROPOSED CREDIT
IN THE AMOUNT OF EUR 28.9 MILLION
(US$35.0 MILLION EQUIVALENT)
AND
A PROPOSED GRANT
IN THE AMOUNT OF SDR 24.3 MILLION
(US$35.0 MILLION EQUIVALENT)
TO THE
REPUBLIC OF TOGO
FOR THE
TOGO ESSENTIAL QUALITY HEALTH SERVICES FOR UNIVERSAL HEALTH COVERAGE
PROJECT
February 18, 2021
Health, Nutrition and Population Global Practice
Western and Central Africa Region
This document has a restricted distribution and may be used by recipients only in the performance of
their official duties. Its contents may not otherwise be disclosed without World Bank authorization.

CURRENCY EQUIVALENTS
(Exchange Rate Effective January 31, 2021)
Currency Unit =
XOF (West African CFA franc)
=
US$1
US$1 =
SDR 0.694
US$1 =
EURO 0.825
FISCAL YEAR
January 1 - December 31
Regional Vice President:
Ousmane Diagana
Country Director:
Coralie Gevers
Regional Director:
Dena Ringold
Practice Manager:
Gaston Sorgho
Task Team Leaders:
Anthony Theophilus Seddoh, Mariam Noelie Hema

ABBREVIATIONS AND ACRONYMS
AF
Additional Financing
AFD
Agence Française de Développement (French Development Agency)
AfDB
AMR
APA
African Development Bank
Antimicrobial Resistance
Alternate Procurement Arrangements
AWPB
BOAD
CAMEG
Annual Workplan and Budget
Banque Ouest Africaine de Développement (West African Development Bank)
Central d'Achat des Médicaments Essentielles et Générique (Central Purchasing
Agency for Medicines)
CBA
Cost-Benefit Analysis
CDQ
Comité Villageois de Quartier (Village Quarter Committee)
CERC
Contingent Emergency Response Component
CHP
Centre Hospitalier Préfectoral (Prefectural Hospital Center)
CHW
Community Health Worker
COVID-19
Coronavirus Disease 2019
CPF
Country Partnership Framework
CPIA
Country Policy and Institutional Assessment
CRI
Corporate Result Indicator
CVD
Comité Villageois de Développement (Village Development Committee)
DA
DALY
Designated Account
Disability-Adjusted Life Years
DH
District Hospital
DHIS
District Health Information System
DHIS2
District Health Information Software 2
DHS
Demographic and Health Survey
DPO
DPT3
Development Policy Operation
Diphtheria, Tetanus Toxoid and Pertussis
DRG
Diagnostic-Related Group
DSSI
EmONC
Debt Service Suspension Initiative
Emergency Obstetrical and Newborn Care
ESCP
Environmental and Social Commitment Plan
ESF
Environmental and Social Framework
ESIA
Environment and Social Impact Assessment
ESMF
Environmental and Social Management Framework
ESMP
Environmental and Social Management Plan
ESRS
Environmental and Social Review Summary
ESS
Environment and Social Safeguards
EU
FCV
European Union
Fragility, Conflict and Violence
FHI
Family Health International
FM
Financial Management
FY
Fiscal Year
G2P
GBV
GDP
Government-to-persons
Gender-based Violence
Gross Domestic Product

GII
GIZ
Global Fund
Gender Inequality Index
Deutsche Gesellschaft für Internationale Zusammenarbeit (German Development
Agency)
The Global Fund to Fight Against AIDS, Tuberculosis and Malaria
GM
Grievance Mechanism
GoT
GRS
Government of Togo
Grievance Redress Service
HCI
Human Capital Index
HEIS
Hands-on Enhanced Implementation Support
HMIS
Health Management Information System
HNP
Health, Nutrition and Population
HWMP
Hazardous Waste Management Plan
IBRD
International Bank for Reconstruction and Development
iCCM
ICER
Integrated Community Case Management
Incremental Cost-Effectiveness Ratios
IDA
International Development Association
IFC
International Finance Corporation
IFR
IHR
Interim Financial Report
International Health Regulations
IMF
International Monetary Fund
INAM
Institut National d’Assurance Maladie (National Institute of Health Insurance)
INSEED
Institut National de Statistiques et des Etudes Economiques et Démographiques
(National Institute of Statistics and Economics and Demographics Studies)
IPF
Investment Project Financing
IPT
Intermittent Preventive Therapy
JEE
Joint External Evaluation
LMP
M&E
Labor Management Procedure
Monitoring and Evaluation
MHPHUAC
Ministry of Health, Public Hygiene and Universal Access to Care
MICS
MoU
MPA
Multiple Indicator Cluster Survey
Memorandum of Understanding
Multiphase Programmatic Approach
MUAC
MWMP
NDP
Mid-upper Arm Circumference
Medical Waste Management Plan
National Development Plan
NPV
Net Present Value
OP
Operational Policy
OPD
Out-patient Department
PASMIN
PBA
Projet d'Appui aux Services de Santé Maternelle, Infantile et de Nutrition (Maternal
and Child Health and Nutrition Service Support Project)
Performance-based Allocation
PBC
PBF
Performance-based Conditions
Performance-ased Financing
PCU
Project Coordination Unit
PDO
Project Development Objective
PEPFAR
United States President’s Emergency Plan for AIDS Relief
PFM
Public Financial Management

PforR
PHC
Program for Results
Primary Health Care
PHCPI
PHU
PIM
PIU
Primary Health Care Performance Initiative
Peripheral Health Unit
Project Implementation Manual
Project Implementation Unit
PLR
PNDS
Performance and Learning Review
Plan National de Développement Sanitaire (National Health Development Plan)
PPSD
PRMP
PSC
QIP
RAP
Project Procurement Strategy for Development
Personne Responsable des Marchés Publics (Person Responsible for Public
Procurement)
Project Steering Committee
Quality Improvement Plan
Resettlement Action Plan
REDISSE
Regional Disease Surveillance Systems Enhancement Project
RPF
Resettlement Policy Framework
SARA
Service Availability and Readiness Assessment
SCD
Strategic Country Diagnostic
SDG
Sustainable Development Goal
SDI
Service Delivery Indicator
SDR
Special Drawing Rights
SEA
Sexual Exploitation and Abuse
SEP
Stakeholder Engagement Plan
SH
SME
SMS
Sexual Harassment
Small and Medium Enterprise
Short Message System
SORT
Systematic Operations Risk Tool
TEQHS
Togo Essential Quality Health Services for Universal Health Coverage
TSHIA
Togo Social Health Insurance Agency
UHC
UN
Universal Health Coverage
United Nations
UNDP
United Nations Development Program
UNFPA
UNICEF
USAID
United Nations Population Fund
United Nations Children’s Fund
United States Agency for International Development
US$/USD
United States Dollars
USR
Unified Social Registry
TB
VAC
Tuberculosis
Violence Against Children
WAEMU
WB
West African Economic and Monetary Union
World Bank
WBG
World Bank Group
WHO
XOF
World Health Organization
West African CFA franc