PHN 1991 Sector Review 4 Federation, pledged to increase PHN lending<sup>to $800</sup> million annually during the period FY9O-92.<sup>The</sup> Bank's 1990 "Review of World Bank<sup>Progms and</sup> FY91 Budgets' stated that it expected PHN lending to increase from an average of 3 percent of Bank Figure 2: Sectoral Composition of PHN Projects Approved in FY91 <!-- Start of picture text --> . , .<br>PHN 1300.2<br>EDUCATION 58.7<br>INFRASTRUCTURE 110.2<br>'MTER 6.3<br>INCOME GEN. 8Q.3<br>AGRICULTURE 2.9<br>- - - - - -<br>TOTAL 1567.6<br>AgrIc~ulturo 0.2'b_ PHN a2 9$<br>lntragtruCturO 7.0$ $<br>Education 3.7%<br>Income 5.7%<br>Water 0.4%<br>(In USS millions)<br><!-- End of picture text --> lending in FY89-90 to 4 percent in FY91. Both<sup>of</sup> these targets have been exceeded. More recently,<sup>on</sup> ihe occaslon of the World Summit for Children<sup>in</sup> September 1990, President Conable expressed<sup>the</sup> Bank's determination to provide greater support<sup>for</sup> primay health care and set a goal of increasing lending for primary health care from about 3 percent to about _5_ percent of total lending within the<sup>next</sup> three to four years. Some 90 percent of "pure" PHN allocations, or $1220 mllion, supported primary health care in FY91, acoounting for 5.4 percent<sup>of</sup> total Bank lending (see Annex 1, ibble 2 for detalls). PHN p-o,ts approved during the year have also been found to be highly responsive to the Bank's poverty alleviation objective (see Chapter III). (More detailed information on the growth of the sector<sup>is</sup> given in Annex 1, lhble 3.) lhble 1: lVends in Lending to the PHN Sector, FY89-91 <!-- Start of picture text --> ls. 2MSLRidll Aemots in S Hi<br>Regon r089 FY90 FY91<br>~~~~~~~~~~~~~~~~~~~~~~~~~~............... ......... I..... ........... I........<br>SEACt No. APaW. No. Rount No.<br>AFRICA III.0 1'.) 732.7 (8) 432.8 (12)<br>ASA 80.0 (4) 192.5 ? 507.5 (5)<br>fICECA s0.0 (2) 119.0 (2) 2?0.0 (6)<br>SAc 99.0 (1) 389.2 (6) 337.3 si)<br>TOTAL 530.0 (11) 033.4 (18) 1567.6 (a8)<br>lb. PHt Ledirng as a Percent of Totat Rank Ltiring<br>ltegion .. o . . rYb FY89 . . FY90 rY9;FY91<br>Pure Totes Pure Total Pure Totat<br>_PN PHt Po pit PNY PKM<br>AFRICA kASIA 2.1 3.7 2.1 3.7 4.3 3.0 5.9 3.0 12.3 6.3 12.86.8<br>fIEUA 2.1 2.1 2.7 2.7 1.9 4.4<br>LAC I.r 1.7 6.1 6.5 5.6 8.4<br>................................................<br>TOtAL 2.6 ?.6 4.1 4.5 5.8 6.9<br>Note: QPur* PNe- reters to PHU only Projects and PHU ctmpnents<br>of Social Dovelopomnt Projects.<br>Total PuN emooseg (l lling for rttro PtU sector,<br>i.e. incuding non-PHoI contonta.<br><!-- End of picture text --> 2.4 The portfolio of FY91-approved operations, reveals increasing divetsity in both the sectoral content and the lending instrument used (lbx<sup>'able</sup> 2). Eighteen of the twenty-eight projects (64 percent) are devoted entirely to the PHN sector, of<sup>the</sup> remaining ten social development projects, four<sup>(14</sup> percent) support PHN and education sectors<sup>only</sup> and six (22 percent) support PHR and other sectors as well, such as agriculture, water supply and<sup>sanita-</sup> tion, other rural infrastructure, and income generation activities for the poor. Diversity is evident<sup>as</sup> well in the funding mechanisms employed. Seven<sup>of</sup> this yeares operations (25 percent) are in the<sup>form of</sup> sector funds, which support subprojects prepared<sup>in-</sup> country by communities, local governments and<sup>non-</sup> gwrernmental organizations (NMOs), among<sup>othes</sup>