Private Sector Adjustment Loan

A. Issues 1.1 The emphasis on construction works and related activities at the exclusion of other project components aimed at strengthening management and maintenance capabilities has resulted in unsatisfactory project performance. 2. The inability of the government to provide counterpart funding has caused delays in the implementation of civil works and has impeded the implementation of other project components . 3. Delay in the payment of Disbursement Requests after having received ADF approval. B. Actions Taken/Results 1.1 The revised Ministry of Health proposal outlining the activities for the implementation of non-civil works components was reviewed during the mission at meetings held with the MOH and the PIU. 2.1 The Government has recently provided approximately 1.4 billion Cedis for counterpart funding which has allowed the continued implementation of non-civil works activities. C. Proposed Actions 1.1 The Ministry of Health was requested to submit information clarifying the external training proposal confirming the acceptance of candidates by the training institutions to the Bank by 1 June 1999. 2.1 The Bank should continue to monitor the level and frequency of the receipt of counterpart funding to avoid further implementation delays. 3.1 ADF should expedite the processing of Disbursement Requests to avoid causing operational delays in the implementation of the project. 3.2 The Bank should explore means of reporting disbursements by project component as well as by category.