The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Morocco Health Reform Program (P179014) MIDDLE EAST AND NORTH AFRICA | Morocco | Health, Nutrition & Population Global Practice | Requesting Unit: MNC01 (392) | Responsible Unit: HMNHN (9320) IBRD/IDA | Program-for-Results Financing | FY 2023 | Team Leader(s): Ellen Van De Poel, Ellen Van De Poel, Ilhame Ouansafi, Ilhame Ouansafi Seq No: 3 | Archived on 19-Nov-2024 | ISR01796 | Created by: Mariam William Guirguis on 12-Sep-2024 | Modified by: Mariam William Guirguis on 06-Nov-2024 1. PROJECT DEVELOPMENT OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 14-Jun-2023) To strengthen institutional capacity and governance for improved provision of quality public health services in the Program Area 2. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial 3. KEY ISSUES & STATUS 3.1 Implementation Status and Key Decisions The Morocco Health Reform Program was approved by the World Bank Board of Executive Directors on June 15, 2023, and was declared effective on January 8, 2024. The Program development objective is to support strengthening the institutional capacity and governance for improved provision of quality public health services in the Program Area. The government is making good progress with implementing the ambitious health reform. Investments in upgrading the primary care clinics and rolling out the health information management system are advancing at a rapid pace. The creation of strategic entities such as the regional health units (Groupements Sanitaires Territoriaux) and the high authority of health (HAS) is experiencing delays – caused by the strategic importance given to the appointment of their leadership. This in term is creating a delay in strategic decisions on financing and organization of the health system. Nov 19, 2024 Page 1 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) 4. DATA ON FINANCIAL PERFORMANCE 4.1 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed Historical Disbursed IBRD-95540 Effective 450.00 450.00 0.00 111.54 336.38 24.90% 450.00 4.2 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IBRD-95540 Effective 15-Jun-2023 30-Oct-2023 08-Jan-2024 30-Sep-2028 30-Sep-2028 4.3 Program Action Plan Finalization of Program Operations Manual (POM) including: administrative and M&E Action Description procedures; E&S management, complaints and GRM; PAP; results and verification protocol; reports templates, fraud and corruption reporting; Program area details. Source DLI# Responsibility Timing Timing Value Status Nov 19, 2024 Page 2 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) No later than 4 mon 7 / 15Seq no.: PROGRAM ACTION PLAN Action Description DLI# Timing Timing Value Status Completion Measurement Technical NA MHSP Other Completed Finalization of Program Operations Manual (POM) including: administrative and M&E procedths from the Effective Date Completion POM finalized and receives no-objection by the World Bank Measurement Comments The POM was finalized and received no objection. Finalization of Program Operations Manual (POM) including: administrative and M&E Action Description procedures; E&S management, complaints and GRM; PAP; results and verification protocol; reports templates, fraud and corruption reporting; Program area details. Source DLI# Responsibility Timing Timing Value Status No later than 4 Technical NA MHSP Other months from the Effective Date Completion POM finalized and receives no-objection by the World Bank Measurement Comments no comments The Steering committee (SC) annually and the Technical committe (TC) have been Action Description constituted and met to monitor Program implementation progress, and each meeting has been instituted by a report which includes the activities for the following year. Source DLI# Responsibility Timing Timing Value Status Nov 19, 2024 Page 3 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) No later than 4 Technical NA MHSP Other months after the Completed Effective Date The SC, composed of key MHSP and other stakeholders and the TC, composed of the Completion technical directorates and other parties have met no later than 4 months after the effective Measurement date. The SC meets regularly on annual basis and the TC meets semesterly. The first steering committee meeting was held on May 6, 2024, and the first technical Comments committee meeting on September 24, 2024. The Steering committee (SC) annually and the Technical committe (TC) have been Action Description constituted and met to monitor Program implementation progress, and each meeting has been instituted by a report which includes the activities for the following year. Source DLI# Responsibility Timing Timing Value Status No later than 4 Technical NA MHSP Other months after the Effective Date The SC, composed of key MHSP and other stakeholders and the TC, composed of the Completion technical directorates and other parties have met no later than 4 months after the effective Measurement date. The SC meets regularly on annual basis and the TC meets semesterly. Comments no comments Action Description Capacity building in E&S management for all program focal points and stakeholders. Source DLI# Responsibility Timing Timing Value Status No later than 6 Environmental and NA MHSP Other months from the In Progress Social Systems Effective date Completion Development and implementation of the training plan based on the E&S Technical Manual Measurement It was agreed with the MSPS during the September/October mission on a plan to develop a Comments summary action plan for stakeholder training on the most relevant E&S themes for the program. Action Description Capacity building in E&S management for all program focal points and stakeholders. Source DLI# Responsibility Timing Timing Value Status Nov 19, 2024 Page 4 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) No later than 6 Environmental and NA MHSP Other months from the Social Systems Effective date Completion Development and implementation of the training plan based on the E&S Technical Manual Measurement Comments no comments Preparation and implementation of an E&S Technical Manual (as part of the POM) which will Action Description provide details on the actions and follow-up to be carried out by the focal points. Source DLI# Responsibility Timing Timing Value Status No later than 4 Environmental and NA MHSP Other months from the Delayed Social Systems Effective Date Completion The environmental and social technical manual, including good E&S practices, validated by Measurement the World Bank. The environmental section of the E&S manual has been finalized, while the social section Comments faced delays, with a preliminary version shared during the mission for feedback. The final manual will be submitted by end of October. Preparation and implementation of an E&S Technical Manual (as part of the POM) which will Action Description provide details on the actions and follow-up to be carried out by the focal points. Source DLI# Responsibility Timing Timing Value Status No later than 4 Environmental and NA MHSP Other months from the Social Systems Effective Date Completion The environmental and social technical manual, including good E&S practices, validated by Measurement the World Bank. Comments no comments Development of new GRM for ESSP rehabilitation works, including grievances from Action Description personnel and contractors Source DLI# Responsibility Timing Timing Value Status No later than 4 Environmental and NA MHSP Other months from the Delayed Social Systems Effective Date Nov 19, 2024 Page 5 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Completion GRM developed and available for personnel and contractors Measurement The Bank team identified a consultant to is provide technical assistance to improve the Comments existing GRM mechanism. The E&S technical manual will provide updates and reporting procedures for World Bank-funded activities. Development of new GRM for ESSP rehabilitation works, including grievances from Action Description personnel and contractors Source DLI# Responsibility Timing Timing Value Status No later than 4 Environmental and NA MHSP Other months from the Social Systems Effective Date Completion GRM developed and available for personnel and contractors Measurement Comments no comments Action Description Appointment of environmental and social (including gender) focal points at regions at MSPS Source DLI# Responsibility Timing Timing Value Status No later than Environmental and four months year NA MSPS/GST Other Completed Social Systems after the Effective date Completion Designation letters of focal points within MSPS Measurement Comments Two focal points have been officially appointed at the national level. Action Description Appointment of environmental and social (including gender) focal points at regions at MSPS Source DLI# Responsibility Timing Timing Value Status No later than Environmental and four months year NA MSPS/GST Other Social Systems after the Effective date Completion Designation letters of focal points within MSPS Measurement Comments no comments Nov 19, 2024 Page 6 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Evaluation of the management of liquid effluents of ESSP: Diagnosis of the liquid effluent Action Description management system at ESSP in order to identify ESSP that require an improvement of their liquid sanitation system. Source DLI# Responsibility Timing Timing Value Status No later than 1 Environmental and NA MHSP Other year from the Not Yet Due Social Systems Effective Date Completion Evaluation of the management of liquid effluents from healthcare centers Measurement The assessment has not yet started. The Bank team offered technical support to initiate this Comments activity particularly in preparing the Terms of Reference. Evaluation of the management of liquid effluents of ESSP: Diagnosis of the liquid effluent Action Description management system at ESSP in order to identify ESSP that require an improvement of their liquid sanitation system. Source DLI# Responsibility Timing Timing Value Status No later than 1 Environmental and NA MHSP Other year from the Social Systems Effective Date Completion Evaluation of the management of liquid effluents from healthcare centers Measurement Comments no comments Development and implementation of the training plan on the Environmental and Social Action Description Good Practice Guide Source DLI# Responsibility Timing Timing Value Status No later than 6 Environmental and NA MHSP Other months from the In Progress Social Systems Effective Date - Training module developed Completion - Training plan developped Measurement - Reports on the training carried out Comments In progress. Action Description Preparation of regional medical and pharmaceutical waste management plans Source DLI# Responsibility Timing Timing Value Status Nov 19, 2024 Page 7 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) No later than 2 Environmental and NA MHSP/GST Other years from the Social Systems Effective Date Completion Medical and pharmaceutical waste management plans covering the regions targeted by the Measurement Program Comments no comments Development and implementation of the training plan on the Environmental and Social Action Description Good Practice Guide Source DLI# Responsibility Timing Timing Value Status No later than 6 Environmental and NA MHSP Other months from the Social Systems Effective Date - Training module developed Completion - Training plan developped Measurement - Reports on the training carried out Comments no comments Action Description Development of a Communication Plan and Engagement with Stakeholders Source DLI# Responsibility Timing Timing Value Status No later than 6 Environmental and NA MHSP Other months from the Delayed Social Systems Effective date Completion Development of a plan to identify the key stakeholders involved to strengthen and sustain Measurement their engagement throughout the implementation of the program It was agreed during the mission that the communication plan should cover all activities Comments related to the reform, not just the E&S activities. DPRF will follow up with DivCom to prepare a summary of ongoing communication efforts with stakeholders. Action Description Appointment of environmental and social (including gender) focal points at regions at GST Source DLI# Responsibility Timing Timing Value Status No later than one Environmental and NA MSPS Other year after the Not Yet Due Social Systems Effective date Completion Designation letters of focal points within GST/regions Measurement Nov 19, 2024 Page 8 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) This action is not yet due. Two focal points have been officially appointed at the national Comments level; however, the regional focal points have yet to be officially designated. Action Description Development of a Communication Plan and Engagement with Stakeholders Source DLI# Responsibility Timing Timing Value Status No later than 6 Environmental and NA MHSP Other months from the Social Systems Effective date Completion Development of a plan to identify the key stakeholders involved to strengthen and sustain Measurement their engagement throughout the implementation of the program Comments no comments Action Description Appointment of environmental and social (including gender) focal points at regions at GST Source DLI# Responsibility Timing Timing Value Status No later than one Environmental and NA MSPS Other year after the Social Systems Effective date Completion Designation letters of focal points within GST/regions Measurement Comments no comments Action Description Preparation of regional medical and pharmaceutical waste management plans Source DLI# Responsibility Timing Timing Value Status No later than 2 Environmental and NA MHSP/GST Other years from the Not Yet Due Social Systems Effective Date Completion Medical and pharmaceutical waste management plans covering the regions targeted by the Measurement Program Comments Not yet due Ensure that procurement plans are prepared and implemented in accordance with the existing Action Description regulations Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF/DEM/DAMPS/GST Recurrent Continuous Delayed Nov 19, 2024 Page 9 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Completion Annual Procurement plans are published no later than the end of Q1 of the fiscal year and are Measurement implemented in accordance with the existing regulations . Comments No progress report with evidence on this action has been submitted yet. Ensure that procurement plans are prepared and implemented in accordance with the Action Description existing regulations Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF/DEM/DAMPS/GST Recurrent Continuous Completion Annual Procurement plans are published no later than the end of Q1 of the fiscal year and are Measurement implemented in accordance with the existing regulations . Comments no comments Develop and implement a program to enhance capacity-building on the new procurement Action Description decree. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA TGR Due Date 01-Jan-2024 Completed Completion A capacity strengthening program on the new procurement decree is prepared and Measurement implemented by TGR Comments No progress report with evidence on this action has been submitted yet. Action Description Set up the internal audit unit in accordance with the regulations in force (new decree) Source DLI# Responsibility Timing Timing Value Status Date of Fiduciary Systems NA MEF/DPRF Other publication of the decree Application of the decree and operationalization of the internal audit unit within the ministry Completion (internal audit unit with its staff; management tools of the function put in place; number of Measurement internal audit mission reports; allocated budget etc.) Comments no comments Develop and implement a program to enhance capacity-building on the new procurement Action Description decree. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA TGR Due Date 01-Jan-2024 Nov 19, 2024 Page 10 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Completion A capacity strengthening program on the new procurement decree is prepared and Measurement implemented by TGR Comments no comments Action Description Include in the bidding documents an eligibility check clause Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MSPS/GST Other Continious Delayed An eligibility check clause included in the bidding documents and implementing agencies are Completion required to ensure that any person or entity debarred or suspended by the Bank is not Measurement awarded a contract under the Program Comments No progress report with evidence on this action has been submitted yet. Action Description Follow up on audits recommendations of the Porgram Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF and IGM Recurrent Continuous Not Yet Due Completion Number of audit recommendations implemented and timely reported in the Program activity Measurement reports Comments The first audit report is due on Sep 30 2025. Action Description Include in the bidding documents an eligibility check clause Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MSPS/GST Other Continious An eligibility check clause included in the bidding documents and implementing agencies are Completion required to ensure that any person or entity debarred or suspended by the Bank is not Measurement awarded a contract under the Program Comments no comments Action Description Follow up on audits recommendations of the Porgram Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF and IGM Recurrent Continuous Completion Number of audit recommendations implemented and timely reported in the Program activity Measurement reports Comments no comments Nov 19, 2024 Page 11 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Action Description Set up the internal audit unit in accordance with the regulations in force (new decree) Source DLI# Responsibility Timing Timing Value Status Date of Fiduciary Systems NA MEF/DPRF Other publication of the Dropped decree Application of the decree and operationalization of the internal audit unit within the ministry Completion (internal audit unit with its staff; management tools of the function put in place; number of Measurement internal audit mission reports; allocated budget etc.) Comments The government does not want to set up this unit anymore. Implement a semi-annual reporting mechanism including (i)Public Procurement: Tenders and Action Description procurement-related complaints; and (ii) Financial Management Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DEM/DPRF/DAMPS/GST Recurrent Semi-Annually Delayed Completion A reporting is done through the minutes of technical committees, on a semi-annual basis Measurement Comments No progress report with evidence on this action has been submitted yet. Implement a semi-annual reporting mechanism including (i)Public Procurement: Tenders and Action Description procurement-related complaints; and (ii) Financial Management Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DEM/DPRF/DAMPS/GST Recurrent Semi-Annually Completion A reporting is done through the minutes of technical committees, on a semi-annual basis Measurement Comments no comments Develop in the program operations manual (POM), the tools and procedures for collection, Action Description consolidation, reporting, on fraud and corruption and identify the responsible entity. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF/IGM Recurrent Semi-Annually Delayed Completion Number of cases of fraud and corruption systematically reported in Program activity reports Measurement Comments No progress report with evidence on this action has been submitted yet. Nov 19, 2024 Page 12 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Develop in the program operations manual (POM), the tools and procedures for collection, Action Description consolidation, reporting, on fraud and corruption and identify the responsible entity. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA DPRF/IGM Recurrent Semi-Annually Completion Number of cases of fraud and corruption systematically reported in Program activity reports Measurement Comments no comments Strengthen coordination between implementing entities and develop tools for collecting Action Description budget execution and accounting data at the level of each implementing entity and capacity building actions Source DLI# Responsibility Timing Timing Value Status Six months Fiduciary Systems NA DPRF Other following the Delayed Effective Date Financial and budgetary information is included in the half-yearly activity report and is Completion considered to be acceptable and audited financial statements prepared and submitted on Measurement time Comments No progress report with evidence on this action has been submitted yet. Strengthen coordination between implementing entities and develop tools for collecting Action Description budget execution and accounting data at the level of each implementing entity and capacity building actions Source DLI# Responsibility Timing Timing Value Status Six months Fiduciary Systems NA DPRF Other following the Effective Date Financial and budgetary information is included in the half-yearly activity report and is Completion considered to be acceptable and audited financial statements prepared and submitted on Measurement time Comments no comments 5. KEY DATES Nov 19, 2024 Page 13 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Key Events Planned Actual Approval 15-Jun-2023 15-Jun-2023 Effectiveness 08-Jan-2024 08-Jan-2024 Mid-Term Review No. 01 30-Jan-2026 Operation Closing/Cancellation 30-Sep-2028 6. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 02 - 27 Mar Proposed Rating 15 Jun 2023 2024 Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Overall Substantial Substantial Substantial Nov 19, 2024 Page 14 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) 7. RESULTS 7.1 PDO Indicators by PDO Outcomes Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Strengthened institutional --- 12-Sep-2023 capacity through the new Comments on The GSTs have not been officially created. The appointment of the DGs by royal Dahir is deconcentrated governance achieving targets pending. system (Text) Health service --- 12-Sep-2023 operationalized to define Comments on No details on the implementation of the incentive scheme have been announced yet. health worker entitlements achieving targets and to improve the quality of service delivery (Text) Development Mar/2023 --- 12-Sep-2023 100 percent of Sep/2028 of quality GST in standards and Program area ongoing have produced Quality of care at public quality a quality hospitals and public PHC evaluation of evaluation facilities evaluated and public report and improved (Text) hospitals. adopted a quality improvement plan for public hospitals and Nov 19, 2024 Page 15 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) public PHC facilities Comments on This indicator requires the establishment of the GSTs. achieving targets Availability of essential --- 12-Sep-2023 health service package at Comments on requires the establishment of the GSTs. public PHC facilities (Text) achieving targets 7.2 Intermediate Results Indicators by Results Areas Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Exchange and coordination --- 12-Sep-2023 platforms organized between Comments on Discussions ongoing with DIM on technical assistance provided by the WB on the central and regional entities achieving targets development of this platform. (Text) --- 12-Sep-2023 Improved patient satisfaction Comments on Discussions ongoing on technical assistance in relation to the survey tool. (Text) achieving targets Update of training curricula --- 12-Sep-2023 --- 31-Oct-2024 for nurses and health Comments on Discussions are ongoing . technicians to reflect the achieving targets health system redesign program, with the incorporation of rights to Nov 19, 2024 Page 16 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) health and gender, including GBV (Text) 7,500.00 12-Sep-2023 11,600.00 Sep/2028 Improved training capacity Comments on Target should be met. for ISPITS (Number) achieving targets Strengthened --- 12-Sep-2023 epidemiological surveillance Comments on Study has been done. Adoption of action points requires GST to be in place. Bank will capacity including for climate achieving targets provide TA on how to integrate the private sector. change related health issues (Text) Screening for Mar/2023 --- 12-Sep-2023 --- 31-Oct-2024 congenital Strengthening of the hypothyroidism governance and organization available in 56 of preventive health services percent of for screening for congenital GST/regions in hypothyroidism (Text) Program area Comments on Target should be met. achieving targets 70% of GST in Mar/2023 --- 12-Sep-2023 --- 31-Oct-2024 50% of GST in Sep/2028 Program area Program area use the have Maternal and neonatal death maternal death completed surveillance, audit, and surveillance maternal and response system scaled up system neonatal (Text) death audit reports Comments on no updates received achieving targets Nov 19, 2024 Page 17 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) Percentage of pregnant --- 12-Sep-2023 women in Program area who Comments on This data requires the household survey to be conducted. Implementation is starting, results have completed 4 antenatal achieving targets will only be available towards end of 2025. care visits (Text) Percentage of pregnant --- women in Program Comments on results will only be available towards end of 2025. area who have achieving targets completed 4 antenatal care visits in rural areas (Text) Percentage of pregnant --- women in Program Comments on results will only be available towards end of 2025. area who have achieving targets completed 4 antenatal care visits in urban areas (Text) 7.3 Disbursement Linked Indicators (DLI) Actual (Previous) Actual (Current) PBC Name Baseline Closing Period Value Date Value Date 1:Strengthened Value --- institutional capacity through Allocated 12-Sep-2023 the new Amount deconcentrated Nov 19, 2024 Page 18 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) governance system (Text) DLI allocation 0.00 2:Health financing Value --- system reformed to reflect the context of the reform and Allocated 12-Sep-2023 improve quality of Amount service delivery (Text) DLI allocation 0.00 3:Improved Value --- content, quality, accessibility, and Allocated 12-Sep-2023 use of health data Amount (Text) DLI allocation 0.00 4:Exchange and Value --- coordination platforms organized Allocated 12-Sep-2023 between central and regional Amount entities (Text) DLI allocation 0.00 5:Health service Value --- operationalized to define health Allocated 12-Sep-2023 worker entitlements Amount and to improve the Nov 19, 2024 Page 19 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) quality of service delivery (Text) DLI allocation 0.00 6:Improved training Value 7,500.00 capacity at ISPITS Allocated 12-Sep-2023 (Number) Amount DLI allocation 0.00 7:Number of public Value 0.00 PHC facilities in Program area rehabilitated to comply with energy Allocated 12-Sep-2023 and thermal efficiency standards Amount to address climate vulnerabilities (Number) DLI allocation 0.00 8:Quality of care at Value --- public hospitals and public PHC facilities Allocated 12-Sep-2023 evaluated and Amount improved (Text) DLI allocation 0.00 9:Strengthened Value --- epidemiological Allocated 12-Sep-2023 surveillance capacity including Amount Nov 19, 2024 Page 20 of 21 The World Bank Implementation Status & Results Report Morocco Health Reform Program (P179014) for climate change related health issues (Text) DLI allocation 0.00 Nov 19, 2024 Page 21 of 21