The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Rwanda Stunting Prevention and Reduction Project (P164845) EASTERN AND SOUTHERN AFRICA | Rwanda | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 11 | ARCHIVED on 17-Jan-2024 | ISR59241 | Implementing Agencies: MINISTRY OF FINANCE AND ECONOMIC PLANNING, Rwanda Biomedical Center Key Dates Key Project Dates Bank Approval Date: 28-Feb-2018 Effectiveness Date: 05-Jun-2018 Planned Mid Term Review Date: 19-Apr-2022 Actual Mid-Term Review Date: 19-Apr-2022 Original Closing Date: 30-Apr-2023 Revised Closing Date: 31-Dec-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed Project Development Objective (PDO) is to contribute to the reduction in the stunting rate among children under five years of age (with a focus on those under two) in the targeted districts. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The proposed Project Development Objectives (PDO) are to contribute to the reduction in the stunting rate among children under five years of age (with a focus on those under two) in the targeted districts and provide immediate and effective response in the case of an eligible crisis or emergency. Components Table Name Component 1: Prevention of Stunting at Community and Household Levels:(Cost $61000000.00 M) Component 2: High-impact Health and Nutrition Services:(Cost $15100000.00 M) Component 3: Monitoring and Evaluation, and Program Management:(Cost $2900000.00 M) CERC Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project was approved by the Board on February 28, 2018, and the legal agreements were signed between the Bank and the Government of Rwanda on March 7, 2018. Immediately following the launch of the Rwanda’s Multi-sectoral program to Combat Chronic Malnutrition and Invest in 1/17/2024 Page 1 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) the early years in May 2018, the project became effective on June 5, 2018. The project is under implementation for almost 4 years and continues to enjoy high-level political commitment and attention, strong capacity to mobilize communities, and good collaboration on the ground with other development partners. The Additional Financing to the project was approved by the Board on March 30, 2023. Despite the impacts due to the global COVID-19 pandemic, the project implementation is steady with a disbursement rate of 49% as of January 10, 2024. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Moderate Moderate Moderate Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- Low Low Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes To contribute to reduction in the stunting rate among children under five in the target districts IN01379810 ►Percentage of children under 5 years with height-for-age z-score below -2 standard deviations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 36.60 36.60 36.60 32.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380061 ►Percentage of children under 2 years with height-for-age z-score below -2 standard deviations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/17/2024 Page 2 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Value 28.40 28.00 28.00 25.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380062 ►Percentage of children 6-23 months old who are fed a diverse diet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.60 34.60 34.60 50.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380063 ►Percentage of women who attended 4 or more ANC visits during their most recent pregnancy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 53.70 51.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 Intermediate Results Indicators by Components Component 1: Prevention of Stunting at Community and Household Levels IN01380065 ►Percentage of home-based ECD centers with satisfactory scores on quality score card (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 64.00 65.00 78.60 80.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380067 ►Percentage of CHWs who received a quarterly supportive supervision visit from health center (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 96.00 94.30 94.00 90.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380069 ►Percentage of pregnant women who attended the first ANC visit during the first trimester (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 73.00 49.00 45.00 85.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380072 1/17/2024 Page 3 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) ►Percentage of children 6-23 months old receiving micronutrient powders (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.40 18.90 82.00 90.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380074 ►Percentage of children under five with diarrhea treated with ORS and zinc (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 85.00 87.00 50.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380075 ►Number of eligible households with improved latrines (from project interventions) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8,656.00 8,656.00 8,656.00 25,000.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380076 ►Number of children enrolled in ECD services that are designed to fulfill a childcare function (due to location, hours of operation or other design feature) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,600.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380077 ►Percentage of mothers / caregivers with children enrolled in childcare/ECD who report increased hours spent in lucrative activities, including self-employment or paid work (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380078 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 215,460.00 215,460.00 215,460.00 506,124.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380079 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 1/17/2024 Page 4 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Value 215,460.00 215,460.00 215,460.00 506,124.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 Component 2: High-impact Health and Nutrition Services IN01380064 ►Percentage of children under 5 with height measured and recorded at health facility (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 90.00 79.00 73.00 85.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380066 ►Percentage of CHWs with no stock out of Zinc for diarrhea treatment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 95.00 94.70 93.00 95.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380070 ►Percentage of fortified blended food (FBF) distribution centers with no stock outs in the last quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 86.00 67.00 100.00 85.00 Date 06-Dec-2022 30-May-2023 15-Dec-2023 31-Dec-2025 IN01380071 ►Percent of enrolled women who received FBF in the last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 73.00 73.00 11.00 85.00 Date 06-Dec-2022 06-Dec-2022 15-Dec-2023 31-Dec-2025 IN01380073 ►Percentage of enrolled children who received FBF last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 73.00 73.00 9.00 85.00 Date 06-Dec-2022 06-Dec-2022 15-Dec-2023 31-Dec-2025 Component 3: Monitoring and Evaluation, and Program Management IN01380068 1/17/2024 Page 5 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) ►Number of households participating in ECD peer-to-peer model (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6,564.00 6,564.00 138,362.00 Date 06-Dec-2022 06-Dec-2022 06-Dec-2022 31-Dec-2025 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164845 IDA-61870 Effective USD 25.00 25.00 0.00 23.15 1.25 95% P164845 IDA-72820 Effective USD 20.00 20.00 0.00 3.91 13.44 23% P164845 IDA-72830 Effective USD 50.00 50.00 0.00 6.25 43.75 12% P164845 TF-A6567 Effective USD 20.00 20.00 0.00 18.99 1.01 95% P164845 TF-A6783 Closed USD 10.00 10.00 0.00 10.00 0.00 100% P164845 TF-C0802 Effective USD 4.00 4.00 0.00 1.15 2.85 29% P164845 TF-C0811 Effective USD 5.00 5.00 0.00 1.04 3.96 21% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164845 IDA-61870 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 31-Dec-2025 P164845 IDA-72820 Effective 30-Mar-2023 25-Apr-2023 18-Aug-2023 31-Dec-2025 31-Dec-2025 P164845 IDA-72830 Effective 30-Mar-2023 25-Apr-2023 18-Aug-2023 31-Dec-2025 31-Dec-2025 P164845 TF-A6567 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 31-Mar-2025 P164845 TF-A6783 Closed 29-Jan-2018 07-Mar-2018 05-Jun-2018 31-Dec-2021 31-Dec-2022 P164845 TF-C0802 Effective 30-Mar-2023 25-Apr-2023 18-Aug-2023 31-Dec-2025 31-Dec-2025 P164845 TF-C0811 Effective 30-Mar-2023 25-Apr-2023 18-Aug-2023 31-Mar-2025 31-Mar-2025 Cumulative Disbursements 1/17/2024 Page 6 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Restructuring History Level 2 Approved on 20-Aug-2019 ,Level 2 Approved on 20-Feb-2022 Related Project(s) P179499-Additional Financing to Rwanda Stunting Prevention and Reduction Project 1/17/2024 Page 7 of 7