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Multinational - Strengthening West African Public Health Systems Project (SWAPHS) - Project Completion Report


The project design at appraisal was informed by lessons learnt from previous Bank operations, discussions with beneficiaries, government officials and development partners in the health sector. Also taken into consideration was the capacity of Governments in the countries and the need to ensure sustainability. During the Ebola crisis, the governments developed intervention strategies to reduce morbidity, mortality and to break the chain of transmission by strengthening health systems. The SWAHPS project was designed to assist countries in the strengthening and revitalization of health systems through building human resource capacity and systems for emergency response and preparedness; development of infrastructure by supporting health information systems, by improving epidemiological surveillance and control, by building community capacity and improving public awareness, etc. ; by building the governments’ capacity for transparent and accountable use of public resources in the management; and finally through strengthening regional institutions for more effective coordination of the outbreak response activities.
The interventions funded under the project corresponded to priority areas identified by countries and the region. The project greatly contribute to improve the overall health systems of these countries with relevant activities planned and realized such as provision of technical assistance, training, rehabilitation of health facilities and ETU, installation of waste management, equipment and supplies to support surveillance, supporting social mobilization and community engagement, promoting psychosocial support, etc.
Although, services remain under-funded relative to need, supply chain still weak, and health providers lacking sufficient supplies of antibiotics and safe blood, the project design is still relevant to the regional context and contribute to the building of better health systems in the three countries. Effective coordination among regional and national institutions in responding to the epidemic and strengthening health systems require additional long term support.

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