The World Bank
   Liberia Health Systems Strengthening (P128909)




                                                                             REPORT NO.: RES30981

                                    DOCUMENT OF THE WORLD BANK




                                         RESTRUCTURING PAPER
                                                  ON A
                                  PROPOSED PROJECT RESTRUCTURING

                                                      OF

                               LIBERIA HEALTH SYSTEMS STRENGTHENING
                                      APPROVED ON MAY 30, 2013
                                                      TO

                                          REPUBLIC OF LIBERIA


HEALTH, NUTRITION & POPULATION

AFRICA




                          Regional Vice President:     Makhtar Diop
                                 Country Director:     Henry G. R. Kerali
                   Senior Global Practice Director:    Timothy Grant Evans
                      Practice Manager/Manager:        Gaston Sorgho
                               Task Team Leader:       Preeti Kudesia
           The World Bank
           Liberia Health Systems Strengthening (P128909)



I. BASIC DATA

Product Information

Project ID                                                   Financing Instrument
P128909                                                      Investment Project Financing

Original EA Category                                         Current EA Category
Partial Assessment (B)                                       Partial Assessment (B)

Approval Date                                                Current Closing Date
30-May-2013                                                  30-May-2018




Organizations

Borrower                                                     Responsible Agency
Republic of Liberia                                          Ministry of Health,MOH Project Implementation Unit



Project Development Objective (PDO)
Original PDO
The Project Development Objective (PDO) is to improve the quality of maternal health, child health, and infectious
diseaseservicesin selected secondary-level health facilities.
Current PDO
The new proposed PDO is to improve the quality of primary and secondary health care services, with a focus on
maternal, neonatal and child health.
Summary Status of Financing


                                                                                      Net
Ln/Cr/Tf                 Approval         Signing Effectiveness        Closing Commitment Disbursed Undisbursed

IDA-52440             30-May-2013     03-Jul-2013   16-Jun-2014 30-May-2018             10.00       7.63              2.12
TF-A4116              22-Mar-2017 22-Mar-2017       21-Jun-2017 30-May-2020             16.00           0            16.00
TF-14432               03-Jul-2013    03-Jul-2013   16-Jun-2014 30-May-2018              5.00         .28             4.72
           The World Bank
           Liberia Health Systems Strengthening (P128909)



Policy Waiver(s)

Does this restructuring trigger the need for any policy waiver(s)?
No


II. SUMMARY OF PROJECT STATUS AND PROPOSED CHANGES

 The Government of Liberia has obtained, through the Global Financing Facility (GFF), this recipient-executed HRITF
 (No. TF014432) in the amount of US$5,000,000. To date, $0.26 million or 2.62 percent of the trust fund has been
 disbursed; this is less than initially estimated. Implementation as originally planned was significantly delayed due to
 the Ebola crisis. Therefore, this project paper seeks a no cost extension to allow the planned activities to be
 completed beyond the current closing date of May 30, 2018, which would enable a full disbursement of the funds.
 The client has requested an extension till May 17, 2019, and has provided a satisfactory implementation plan for the
 proposed extension period.

 This HRITF is linked to the original Liberia Health System Strengthening Project (HSSP, IDA-5244, P128909), which has
 already been extended to June 20, 2020.

 This is the first extension of this Trust fund. The proposed extension does not entail a change in scope or nature of
 project activities. There are no audit reports due.


III. DETAILED CHANGES


LOAN CLOSING DATE(S)


                                        Original                 Revised                Proposed       Proposed Deadline
Ln/Cr/Tf         Status                 Closing                Closing(s)                 Closing         for Withdrawal
                                                                                                             Applications
IDA-52440        Effective         30-May-2018
TF-14432         Effective         30-May-2018                                      17-May-2019               17-Sep-2019
TF-A4116         Effective         30-May-2020