Guinea Enhancing Health System Transformation (GUEST) Project

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The Guinea Enhancing Health System Transformation (GUEST) Project will improve the quality and utilization of health services for women, children under 5, and adolescents and strengthen the management and climate resilience of the health system in Guinea. The project will be implemented in seven out of the eight regions of the country (all regions except the capital city, Conakry). In line with the Operational Efficiency and Effectiveness of the Evolution Roadmap of the Bank (scale, reproducibility, speed) and the Guinea CPF, the new operation will build on the positive outcomes and lessons learned from the implementation of the Health Service and Capacity Strengthening Project (HSCSP, P163140) in Kankan and Kindia and scale them up to five other regions. The proposed operation will be structured around the following components and sub-components:Component 1: Supply of quality basic RMNCAH-N Service (IDA credit= $50 million & GFF grant= $5 million); Sub-Component 1.1: Strengthening of basic RMNCH-N Service Readiness; Sub-Component 1.2: Expansion of the RBF for improved delivery of quality RMNCH-N service; and Sub-Component 1.3: Enhancing quality through digital health services Component 2: Stimulating demand for and access to basic RMNCH-N services (IDA credit= $27 million & GFF grant= $4 million); Sub-Component 2.1: Expanding the district-level free health care for poorest and in climate-vulnerable areas; Sub-Component 2.2: Strengthening Community Health and Nutrition;Component 3: Project coordination, management, monitoring and evaluation (M&E) (IDA credit= $8 million & GFF grant= $1 million).This component will provide support for managing the project and related monitoring and evaluation (M&E) activities through the existing Project Coordination Unit (PCU).