WASHINGTON, May 3, 2019—The World Bank today announced an additional US$6 million additional financing for the continuation of its Improving Health Sector Performance Project in Djibouti. Since its approval in April 2013, 143,000 women and children have received essential health, nutrition and population services in Djibouti. The program has supported improvements in access to quality health care services for maternal and child health and communicable disease control programs (HIV/AIDS and tuberculosis). The additional financing will allow the program to continue serving all of Djibouti, including refugee populations.
The additional financing includes US$1 million in International Development Association (IDA) credit, the World Bank’s arm for the poorest countries, and a US$5 million grant from the IDA18 Sub-Window for Refugees and Host Communities. Djibouti is one of 14 countries eligible to access this financing. The IDA18 Sub-Window for Refugees and Host Communities was created in response to demands from refugee-hosting countries, like Djibouti, as a mechanism for development assistance and concessional financing from the WBG.
“The Government of Djibouti has been committed to addressing the increasing health needs of refugees and host communities,” said Atou Seck, World Bank Resident Representative in Djibouti. “The capacity of health centers throughout Djibouti is under severe strain. In certain communities in Djibouti, displaced populations including refugees make up to 40% of the health service users.”
The new financing will support the Government of Djibouti’s efforts to mitigate the negative health impacts of the protracted refugee crisis and ensure that refugees and host communities have access to quality and equitable health services. The project is implemented by the Ministry of Health.
This is the second additional financing to the project. The first additional financing came in the form of a grant US$7 million from the Health Results and Innovation Trust Fund. The original project, approved in April 2013, was a five-year results-based financing project funded by a US$7 million IDA credit. The program is performance-based, whereby funds are disbursed directly to health care providers based on the number and quality of services delivered. The aim of this design is to encourage healthcare service providers to improve child health services such as immunization, management of childhood illnesses, and treatment of malnutrition. In addition, there is a focus on maternal health services such as prenatal care, family planning, and skilled birth attendance. “With six years of experience with the results based financing in Djibouti we have seen a marked increase in the utilization of maternal and child health services. The increased autonomy of health facilities has led to improved health worker performance and an overall increase in the quantity and quality of health services,” said Elizabeth Mziray, World Bank Task Team Leader for the program. “With the additional financing, the support will extend to reach more vulnerable populations and those most in need.”
The large influx of refugees from neighboring countries into Djibouti and the protracted humanitarian crisis have strained an already fragile health system and have further stretched the limited capacity of the health system to provide basic health and nutrition services. The limited coverage of health services and the absence of essential nutrition and water and sanitation facilities have increased the risk of disease outbreaks.
Kadar Mouhoumed Omar
Tribunal orders Djibouti to pay DCT $385 million plus interest for breach of Doraleh Container Terminal SA (DCT)’s exclusivity.
DUBAI, United Arab Emirates, April 4, 2019 – Doraleh Container Terminal SA (DCT), a Djibouti port operator owned 33.34% by DP World Group, and 66.66% by Port de Djibouti S.A., an entity of the Republic of Djibouti, has been successful in the London Court of International Arbitration proceeding against the Republic of Djibouti. The Tribunal has found that by developing new container port opportunities with China Merchants Holdings International Co Limited (China Merchants), a Hong-Kong based port operator, Djibouti has breached DCT’s rights under its 2006 Concession Agreement to develop a container terminal at Doraleh, in Djibouti, specifically, its exclusivity over all container handling facilities in the territory of Djibouti.
The Tribunal ordered Djibouti to pay DCT $385 million plus interest for breach of DCT’s exclusivity by development of container facilities at Doraleh Multipurpose Terminal, with further damages possible if Djibouti develops a planned Doraleh International Container Terminal (DICT) with any other operator without the consent of DP World. The Tribunal found that “In respect of the development of the Djibouti Multipurpose Port (DMP) facility, the facts are clear. At no stage before the decision was made to go ahead with that facility with China Merchants did … Djibouti … offer … DCT … the right to develop the proposed container facilities at the DMP. Djibouti was therefore in breach of clause 3.6.3 of the [Concession Agreement]”. China Merchants also operates a $3.5 billion free trade zone it developed pursuant to an agreement with Djibouti, in contravention of DP World’s exclusive right to develop and operate such a free zone under its own concession, which is the subject of other litigation proceedings.
The Tribunal also ordered Djibouti to pay DCT $148 million for historic non-payment of royalties for container traffic not transferred to DCT once it became operational. Djibouti is also ordered to pay DCT’s legal costs.
The Tribunal’s Award recognises that the 2006 Concession Agreement remains valid and binding, as has also been confirmed by another LCIA arbitration tribunal and the London courts. This is the fifth substantial ruling in DCT and DP World’s favour on disputes relating to the Doraleh terminal. DCT and DP World continue to seek to uphold their legal rights in a number of legal fora, following Djibouti’s unlawful efforts to expel DP World from Djibouti and transfer the port operation to Chinese interests. Litigation against China Merchants also continues before the Hong Kong courts. DP World has previously issued public notices, following the confirmation of the validity of the 2006 Concession Agreement in a judgment in 2018, warning others against interfering with its and DCT’s concession rights.