Pipeline
| ID | INDIGO-PL-0053 |
|---|---|
| Project Name - (Value) | RBF for Health System Strengthening in Lesotho |
| Contact - Name - (Value) | Avnish Gungadurdoss, Douglas Emeott |
| Contact - Email - (Value) | avnish.gungadurdoss@instiglio.org, douglas.emeott@instiglio.org |
| State of Development - (Value) | Current |
| State of Development - (Source ID's) | source1 |
| Stage of Development - (Value) | Early stage |
| Stage of Development - (Source ID's) | source1 |
| Stage of Development - (Notes) | Feasibility/ scoping completed |
| Type of instrument and project - Impact Bond - (Value) | No |
| Type of instrument and project - Outcomes Fund - (Value) | No |
| Type of instrument and project - Social Impact Incentives (SIINC) - (Value) | No |
| Type of instrument and project - Social Impact Guarantee - (Value) | No |
| Type of instrument and project - Payment-by-results (no pre-financing) - (Value) | Yes |
| Type of instrument and project - Technical Assistance and Market-building program (Must involve dedicated grant resources) - (Value) | No |
| (Source ID's) | source1 |
| Part of a larger outcomes-based financing program? - Part of a larger outcomes-based financing program? - (Value) | No |
| Part of a larger outcomes-based financing program? - (Source ID's) | source1 |
| Dates - Expected Launch Date - (Value) | TBD |
| Dates - Total expected project development time - (Value) | TBD |
| Dates - Expected length of project (years) - (Value) | 4.0 |
| Dates - Project design process began - (Value) | Q1-2023 |
| Dates - (Source ID's) | source1 |
| Role of the domestic government - Outcomes funder - (Value) | No |
| Role of the domestic government - Service provider - (Value) | Yes |
| Role of the domestic government - Member of project committee - (Value) | No |
| Role of the domestic government - No formal role - (Value) | No |
| Role of the domestic government - Other - (Value) | Implement/roll out complementary HSS strategies and oversee implementation |
| (Source ID's) | source1 |
| Service providers identified and selected - Request-for-proposals - (Value) | No |
| Service providers identified and selected - Direct contracting by outcome funder/investor/intermediary - (Value) | Yes |
| Service providers identified and selected - Provider-led deal development - (Value) | No |
| Service providers identified and selected - Other - (Value) | Through a rapid feasibility assessment that identified DHMTs as the service providers with the greatest potential to drive optimal delivery of PHC services. |
| (Source ID's) | source1 |
| Feasibility study - (Value) | Yes |
| (Source ID's) | source1 |
| Proposed financing instruments - Debt - (Value) | No |
| Proposed financing instruments - Equity - (Value) | No |
| Proposed financing instruments - Guarantee - (Value) | No |
| Proposed financing instruments - Grant - (Value) | No |
| (Source ID's) | source1 |
| Technical assistance grant - Technical assistance grant - (Value) | No |
| Technical assistance grant - (Source ID's) | source1 |
| Overall project finance - Estimated Maximum potential outcome payment - Amount - (Value) | TBD ~ USD 4.000.000 |
| Overall project finance - (Source ID's) | source1 |
| Purpose and classifications - Social/Developmental challenge - (Value) | The Lesotho health system faces significant challenges resulting in poor health outcomes that hinder productivity and impose a significant burden on the Government of Lesotho (“GoL”) and households in terms of health care expenditures, as well as hampers efforts to alleviate poverty in a country where 57% of the population lives in extreme poverty. |
| Purpose and classifications - Expected intervention model - (Value) | (1) Create an enabling environment to improve primary health care (PHC) delivery by driving reforms in the planning, budgeting, and health financing policies and processes. (2) Improve District Health Management Teams' (DHMTs) performance through incentives |
| Purpose and classifications - Policy sector - Employment and private sector development - (Value) | No |
| Purpose and classifications - Policy sector - Education - (Value) | No |
| Purpose and classifications - Policy sector - Social protection - (Value) | No |
| Purpose and classifications - Policy sector - Criminal justice - (Value) | No |
| Purpose and classifications - Policy sector - Health - (Value) | Yes |
| Purpose and classifications - Policy sector - Agriculture - (Value) | No |
| Purpose and classifications - Policy sector - Environment and climate change - (Value) | No |
| Purpose and classifications - Policy sector - Water, Sanitation and Hygiene - (Value) | No |
| Purpose and classifications - Policy sector - Energy - (Value) | No |
| Purpose and classifications - Policy sector - Humanitarian - (Value) | No |
| Purpose and classifications - Secondary SDG goals - (Value) | 3 |
| Purpose and classifications - (Source ID's) | source1 |
| Service users and beneficiaries - Target population - (Value) | The Basotho people in all ten districtis of Lesotho. |
| Service users and beneficiaries - Targeted number of unique service users or beneficiaries (total) - (Value) | ~TBD |
| Service users and beneficiaries - Unit type of targeted service users or beneficiaries - (Value) | Individual |
| Service users and beneficiaries - Country Classification of Service and beneficiaries - Low-income - (Value) | No |
| Service users and beneficiaries - Country Classification of Service and beneficiaries - Lower-middle-income - (Value) | Yes |
| Service users and beneficiaries - Country Classification of Service and beneficiaries - Upper-middle-income - (Value) | No |
| Service users and beneficiaries - Country Classification of Service and beneficiaries - High-income - (Value) | No |
| Service users and beneficiaries - (Source ID's) | source1 |
| Notes - (Value) | Data for this pipeline project was last updated in April 2022. |
| Delivery Locations 1: Location - Name - (Value) | Lesotho |
| Delivery Locations 1: Location - Country - (Value) | LS |
| Service Provisions 1: Notes | [Confidential] |
| Outcome Payment Commitments 1: Notes | Millennium Challenge Corporation (MCC) |
| Investments 1: Notes | N/A |
| Intermediary services 1: Organisation Role Category - (Value) | Other |
| Intermediary services 1: Notes | Evaluator - TBD |
| Intermediary services 2: Organisation Role Category - (Value) | Other |
| Intermediary services 2: Notes | Advisor - Instiglio |
| Outcome Metrics 1: Outcome Definition - (Value) | TBD |
| Outcome Metrics 1: Outcome validation Method - (Value) | Non-experimental |
| Outcome Metrics 1: Notes | Observational evaluation |