Brazil: Salvador Social project to improve health and education services

Stocks and Financial Services Press Releases Wednesday December 20, 2017 08:36
WASHINGTON--20 Dec--World Bank
The operation will benefit more than 3 million people living in the metropolitan area of the capital of the State of Bahia

WASHINGTON, December 19th, 2017 - More than 3 million people living in the metropolitan area of Salvador, in Brazil's Northeast, will benefit from a US$125 million loan approved today by the World Bank Board of Executive Directors. The Salvador Social Project will improve service delivery in the state of Bahia's capital with actions focused on health care system efficiency, education quality and social assistance effectiveness.

"Since 2013, we have increased investments in the social sectors to enhance the supply and improve the quality of services offered to citizens, especially the poorest population," said Antonio Carlos Magalhães Neto, Mayor of Salvador. "This new program will help to consolidate the improvements achieved and allow us to expand the coverage of municipal services with greater emphasis on efficiency and cost effectiveness".

The Salvador Social project will support the city's recently approved Pluriannual Plan for 2018-2021 that places greater emphasis on improving quality of social services with specific targets on early childhood and primary education, increased use of primary health care as an entry point service, and higher coverage of the social assistance programs.

"Salvador has achieved significant improvements in capacity and quality of service delivery in the past four years", said Martin Raiser, Director for the World Bank in Brazil. "This new operation will support the establishment of higher quality standards in social protection and education and the improvement of health care coverage, contributing to a sustainable social and economic development".

The project will support the implementation of a management system for the regulation of the supply and demand of health services at the municipal level. This will allow the organization of patient flows and rationalization of the use of available resources, with direct impact on access to the three levels of attention (primary, secondary and tertiary). It will also support the implementation of the electronic clinical-assistance chart and the biometric registry of patients, allowing a comprehensive and systemic analysis of the data referring to users and health network units.

On the Education front, the project aims to design a comprehensive monitoring and evaluation system in early childhood education, implement a formative assessment in early grades of primary schooling, provide feedback on the performance of students and schools, and implement a results-based management model for schools.

In the area of social protection, the project aims to improve the effectiveness of service delivery in the social assistance reference centers through protocols for management of family cases, such as the identification of gender based violence, and a multisector approach for high risk and vulnerable families.

Results supported by the project include:
  • Achieving a higher rate of hospital admissions for Ambulatory Care Sensitive Conditions (ACSC);
  • Enhancing the quality of teaching and learning outcomes by adopting measurement and monitoring and evaluation systems;
  • Improving the proportion of students at adequate level of literacy and numeracy at the end of the second grade in municipal schools;
  • Increasing the number of families supported or monitored by the Integrated Family Support Program at Social Assistance Reference Center (CRAS). This loan from the International Bank for Reconstruction and Development (IBRD) to the Municipality of Salvador is guaranteed by the Federative Republic of Brazil and has a final maturity of 31 years, with a 5 years' grace period.

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