The World Bank Implementation Status & Results Report eGabon (P132824) eGabon (P132824) WESTERN AND CENTRAL AFRICA | Gabon | Digital Development Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 14 | ARCHIVED on 12-Feb-2024 | ISR59837 | Implementing Agencies: Ministry of the Digital Economy, National Commission for Public Infras. Works and Promotion of Small-Scale Enterprises (CN-TIPPEE), Republic of Gabon Key Dates Key Project Dates Bank Approval Date: 03-Jun-2016 Effectiveness Date: 19-Apr-2017 Planned Mid Term Review Date: 15-Jan-2019 Actual Mid-Term Review Date: 07-Dec-2018 Original Closing Date: 05-Jan-2022 Revised Closing Date: 29-Aug-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to: (i) improve the timeliness and availability of information to support the delivery and management of public health services; and (ii) to foster the development and roll-out of eHealth applications and services, and Information and Communication Technology (ICT) services more generally. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening the National Health Information System:(Cost $42.48 M) Component 2: Advancing the Digital Innovation Ecosystem Development:(Cost $8.00 M) Component 3: Project Management, coordination, monitoring and evaluation of the Project:(Cost $5.38 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions This #14th reflects the findings since the last ISR. Component 1. The procurement process for the national Health Information System concluded. Component 2 achieved its objectives and was closed on August 31, 2022, as a result of the project restructuring. 2/12/2024 Page 1 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Substantial Substantial Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary Moderate Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Substantial Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the timeliness and availability of Health information IN01398927 ►Prescriptions transmitted electronically (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 31-Dec-2016 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). Comments: IN01398929 ►Health workers reporting that they regularly use and update the patients’ electronic medical record during clinical consultations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). Comments: IN01399066 2/12/2024 Page 2 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 900,000.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). Currently includes cumulative Comments: beneficiaries from Component 1 (trained agents - 718) and Component 2 (1017). IN01399067 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 55.00 55.00 55.00 Foster the development and roll-out of digital services IN01398928 ►Start-up projects incubated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 53.00 53.00 50.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 31-Dec-2021 End target expected to be achieved progressively. The trend will accelerate as the incubator in Libreville Comments: matures and the two secondary sites open. IN01398930 Number of incubated e-health startup projects (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11.00 11.00 10.00 Intermediate Results Indicators by Components Component 1: Strengthening the National Health Information System IN01399068 ►Health workers level of satisfaction regarding the effectiveness of NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 80.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 This corresponds to the satisfaction regarding the current system and not the system to be put in place Comments: through the project. End target expected to be achieved (once the system is in place). IN01399071 2/12/2024 Page 3 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) ►Service providers (CNAM-GS and others) level of satisfaction regarding the effectiveness of the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). Comments: IN01399072 ►Health professionals and managers having achieved a sufficient level of knowledge for the use of the NHIS (Percentage, Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 76.00 76.00 80.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). The total number of Health Comments: professionals is 3,000. IN01399075 Women health professionals and managers with basic computer literacy skills acquired through training to be able the use of the NHIS (Percentage) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.20 57.20 80.00 IN01399076 ►Information technology managers and technicians trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.00 70.00 67.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 There was a mix-up in this indicator's value in the previous ISR. The previous figure (166) was Comments: erroneously entered, and represented the healthcare professionals trained, not the technicians. IN01399078 ►Health care providers and administrators at the national level trained with improved skills and ability to use the NHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 746.00 746.00 400.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 The value of this indicator in the previous ISR (552) was erroneously entered, and represented the number of health professionals and managers having achieved a sufficient level of knowledge regarding Comments: the use of the NHIS. The indicator's title created the confusion: the title of this indicator should read “Healthcare providers and administrators at the national level trained as change management trainers”. IN01399080 ►Completion of business process re-engineering and change management activities (Percentage, Custom) 2/12/2024 Page 4 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 90.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 End target expected to be achieved (once the system is in place). Comments: IN01399082 ►Estuaire region (province) hospitals interconnected to host the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 IN01399084 ►Estuaire region (province) hospitals with cabling infrastructure installed to facilitate intercommunication within and among medical centers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 IN01399086 ►Estuaire region (province) hospitals provided with information technology equipment (PC and Servers) to facilitate interconnection and NHIS operation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 IN01399087 ►Estuaire region (province) hospitals information technology personnel trained with skills to operate and maintain the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 IN01399088 ►Selected medical centers equipped with telemedicine capability and operational (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 6.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 IN01399089 ►Selected hospitals with NHIS installed and operational (Number, Custom) 2/12/2024 Page 5 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13.00 Date 31-Dec-2015 30-Nov-2023 30-Nov-2023 29-Aug-2025 Component 2: Advancing the Digital Innovation Ecosystem Development IN01399069 ►Number of participants in hackathons and coding competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 625.00 625.00 500.00 Date 31-Dec-2015 22-Jun-2022 22-Jun-2022 31-Dec-2021 End target expected to be achieved - the next competitions will be nationwide with more participants. Comments: IN01399070 Number of women participants in hackathons and coding competitions (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 125.00 125.00 100.00 IN01399073 Number of young participants in hackathons and coding competitions (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 500.00 500.00 300.00 IN01399074 ►Number of startups that are selected for acceleration and incubation after applying to business plan competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 45.00 45.00 45.00 Date 31-Dec-2015 22-Jun-2022 22-Jun-2022 31-Dec-2021 This indicator refers to the number of business plan competition applicants who are selected for acceleration and incubation. Comments: First competition rescheduled for Q4 2020 (calendar year). IN01399077 % of women among team members of startups selected for acceleration and incubation (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 36.00 36.00 30.00 IN01399079 % of youth among team members of startups selected for acceleration and incubation (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 92.00 92.00 40.00 2/12/2024 Page 6 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) IN01399081 ►Number of participants in training courses offered by the incubators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,122.00 1,122.00 750.00 Date 31-Dec-2015 22-Jun-2022 22-Jun-2022 31-Dec-2021 End target expected to be achieved. Comments: IN01399083 Number of women participants in training courses offered by the incubators (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 539.00 539.00 375.00 IN01399085 Number of young participants in training courses offered by the incubators (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 292.00 292.00 250.00 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P132824 IBRD-86240 Effective USD 56.00 56.00 0.00 30.40 25.69 54% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P132824 IBRD-86240 Effective 03-Jun-2016 21-Jul-2016 19-Apr-2017 05-Jan-2022 29-Aug-2025 Cumulative Disbursements 2/12/2024 Page 7 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Restructuring History Level 2 Approved on 20-Dec-2021 ,Level 2 Approved on 31-Aug-2022 Related Project(s) P177517-eGabon AF 2/12/2024 Page 8 of 8