The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) LATIN AMERICA AND CARIBBEAN | Brazil | Health, Nutrition & Population Global Practice | Requesting Unit: LCC5C | Responsible Unit: HLCHN IBRD/IDA | Program-for-Results Financing | FY 2022 | Team Leader(s): Daniela Pena De Lima, Kjetil Hansen, Roberto F. Iunes Seq No: 2 | ARCHIVED on 14-Apr-2023 | ISR55716 | Created by: Courtney Price Ivins on 04-Apr-2023 | Modified by: Courtney Price Ivins on 12- Apr-2023 Program Development Objectives PDO Table Program Development Objective (from Program Appraisal Document) The Program development objectives are to respond to the COVID-19 pandemic and improve the efficiency of health and other priority public services. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Implementation Status and Key Decisions The Parana Public Sector Modernization and Innovation for Service Delivery Operation was approved by the World Bank Board of Executive Directors on April 28, 2022, and became effective on December 23, 2022. The Program will support the State of Parana to respond to and recover from the COVID-19 pandemic, and to improve the efficiency of health and other priority public services. An official Program launch will be held in early May 2023. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P168634 IBRD-93780 Effective USD 130.00 130.00 0.00 0.00 130.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P168634 IBRD-93780 Effective 28-Apr-2022 23-Nov-2022 23-Dec-2022 31-Oct-2027 31-Oct-2027 Program Action Plan 1. The World Bank will request SEFA to provide direct access to SIAF, so the Bank’s Financial Management Specialist can properly monitor Program execution and prevent additional fiduciary risks. Action Description 4/14/2023 Page 1 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Source DLI# Responsibility Timing Timing Value Status The World Bank with Fiduciary Systems support of Due Date 31-May-2022 Completed SEPL/PMU Completion Measurement Access provided. Comments 2. State to appoint a Financial Management Specialist (FMS) for the Program Management Unit (PMU) and CGE-PR Action Description to review support documentation. Source DLI# Responsibility Timing Timing Value Status In accordance to the Fiduciary Systems SEPL and CGE-PR Other LA on the Completed establishment of PMU. Completion Measurement PMU FMS and CGE-PR team appointed and trained. Comments 3. Official document issued by the Secretariat of Health (SESA) instructing all the municipalities to comply with the Action Description World Bank’s ACG. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems SESA Due Date 31-Jul-2022 Completed Completion Measurement Document available and public. Comments Action Description 4. Internal Audit Function. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CGE-PR Due Date 29-Oct-2027 Not Yet Due Completion Measurement Achieve level 3 of IA-CM. Comments Action Description 5. State to appoint a procurement specialist. Source DLI# Responsibility Timing Timing Value Status 4/14/2023 Page 2 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) In accordance to the Fiduciary Systems SEPL/PMU Other LA on the Completed establishment of PMU. Completion Measurement Procurement expert in place to support the Program implementation. Comments Action Description 6. To train all the procurement and technical staff on World Bank-procurement policies. Source DLI# Responsibility Timing Timing Value Status The World Bank with Once the team is in Fiduciary Systems support of Other Completed place. SEPL/PMU Completion Measurement Staff prepared to perform procurement activities with due diligence. Comments Action Description 7. To implement electronic system to control procurement procedures. Source DLI# Responsibility Timing Timing Value Status CGE with the Fiduciary Systems support of Due Date 31-Jul-2023 Not Yet Due SEPL/PMU Completion Measurement Electronic system in place and information used for monitoring and correction purposes. Comments 8. To develop and implement a permanent training program for procurement staff under TOR agreed with the World Action Description Bank. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems SEPL/PMU Recurrent Continuous In Progress Completion Measurement Staff qualified to perform their tasks. Comments 9. The PMU will include an environmental and social risks management specialist and each executing agency will Action Description designate a focal point. Source DLI# Responsibility Timing Timing Value Status Environmental and Social SEPL/PMU Recurrent Continuous Completed Systems 4/14/2023 Page 3 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Completion Measurement Environmental and Social Risks Management staff assigned Comments 10. The PMU will submit a Report on compliance with the measures provided for in SESA 'Resolution's 544/2020 and Action Description 1268/2020 to the World Bank. Source DLI# Responsibility Timing Timing Value Status Environmental and Social SESA/PMU Recurrent Yearly Not Yet Due Systems Compliance Verification Forms for each contracted hospital submitted by to the Bank. Completion Measurement Comments 11. Monitoring of accesses and level of satisfaction of Indigenous Peoples and other disadvantaged and vulnerable Action Description social groups with governments’ digital services. Source DLI# Responsibility Timing Timing Value Status Environmental and Social PMU Recurrent Yearly Not Yet Due Systems Number of meetings with the State Health Council and the State Council of Indigenous Peoples and Traditional Communities. Completion Measurement Satisfaction Surveys completed. Comments 12. To use the data on cases of complaints related to fraud and corruption to support the design and implementation Action Description of the public sector technical assistance activities. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems SEPL Recurrent Continuous In Progress Completion Measurement Systems in place and information used for monitoring and correction purposes Comments 13. The PMU reports on compliance with the measures related with management of environmental, social and Action Description occupational health and safety risks that will be established by SESA 'Resolution' creating the UCMs. Source DLI# Responsibility Timing Timing Value Status 4/14/2023 Page 4 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Environmental and Social SESA/PMU Recurrent Yearly Not Yet Due Systems Commitment Agreements signed by the municipalities and compliance with measures for the management of Completion Measurement environmental, social and occupational health and safety risks required by SESA. Comments Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Moderate Moderate Moderate Results PDO Indicators by Objectives / Outcomes Health Service Delivery IN01276798 ►1. Number of SUS hospital beds available to treat COVID-19 patients during the peak of the pandemic in the state. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 4,040.00 4,000.00 Date 31-Dec-2020 31-Dec-2020 31-Jul-2021 31-Dec-2026 This indicator refers to a prior result for which the Government can receive reimbursement. A verification report was received in March 2023, indicating that 4,040 SUS hospital beds were made available to treat COVID-19 patients during the peak of the pandemic in the state (February - July 2021), superseding the Comments target of 4,000. Given its nature, the indicator (related to COVID-19 response) will be measured once. IN01276800 4/14/2023 Page 5 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) ►2. Number of Small Hospitals converted into Multi-professional Care Units (UCMs). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 6.00 Date 31-Dec-2021 31-Dec-2021 31-Dec-2021 31-Dec-2026 For the first disbursement: publication of the normative 'Resolution' in the Official Gazette and SESA's website, defining the criteria for UCMs. The 'Resolution' shall also define the technical, legal, financial and operational procedures, as well as service standards and protocols required for the conversion of Small Hospitals into UCMs. The 'Resolution' may be updated/replaced by another 'Resolution' in form and Comments substance acceptable to the World Bank. For the following disbursements: non-cumulative number of Small Hospitals that have been converted to become UCMs. These are the units that comply with the 'Resolution' and thus started to provide care in accordance with the new service standards and protocols defined by SESA. Environmental and Disaster Risk Management Information Systems IN01276801 ►3. Deployment of online intelligent platform for environmental management containing key health surveillance information and key disaster risk information. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target State spatial data for State spatial data for State spatial data for strategic management is strategic management is strategic management Selected GeoPR insufficient due to the insufficient due to the is insufficient due to the Portal data available precision problems, precision problems, precision problems, online at I9 Portal, and different update dates, different update dates, different update dates, (ii) updated SISMAAD Value difference in scales, difference in scales, difference in scales, containing outdated technological, outdated technological, outdated technological, spatiotemporal inadequate inadequate inadequate stochastic models for systematization and systematization and systematization and precipitation and risk. difficulty of access. difficulty of access. difficulty of access. Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 This indicator monitors the deployment of the Intelligent Platform, GeoPR, the i9 Portal and the interface with the SISMAAD system. The following definitions are applied: Intelligent platform is a set of tools and computer interface that provides management and monitoring capabilities. It is a combination of core platforms, cloud, digital, artificial intelligence, machine learning, security, and IT tools. As a result of the project and intelligent platform will be deployed as a set of tools and computer interface that provides management and monitoring capabilities. It includes the interface with: (a) the GeoPR; (b) the i9 portal; and (c) the SISMAAD. The deployment of an intelligent platform includes pre-installation, installation, and configuration tasks that must perform to deploy the intelligence platform on either a single machine or in a distributed, heterogeneous environment. It includes IT equipment, software, hardware and related tools. GeoPR corresponds to the spatial data infrastructure of Paraná. It is a virtual geospatial infrastructure based on the Internet, and it integrates various geospatial-related resources such as sensor resources, data resources, processing resources, information resources, knowledge resources, computing resources, network resources, and storage resources to manage data, extract information, and obtain knowledge in the geospatial information. GeoPR an integrated set of technologies, mechanisms and procedures for Comments coordination and monitoring, standards and agreements to facilitate the storage, access, sharing, dissemination and multiple uses of geospatial data for the state and society. As a result of the Program, the GeoPR platform will include information generated by the following products: mapping of flooded areas and mapping of the planialtimetric base in a scale of 1:10,000. Portal i9 comprises an platform for online access to data, information, services and products with applied geographic intelligence and integration with GeoPR. Portal i9 includes information generated through the air network. In addition to allowing access to SISMAAD, the Civil Defense Disaster Alert System and GeoPR. SISMAAD (Sistema de Monitoramento, Alerta e Alarme de Desastres da Coordenadoria Estadual da Defesa Civil) is a real time monitoring system by the center’s disaster monitoring and management room. Alerts are issued and disseminated via SMS and television networks to the population of Paraná. As a result of the project SISMAAD will be updated including spatiotemporal stochastic models for precipitation and risk, whose warnings will be available through the i9 Portal. Planialtimetric map is a document that accurately describes the terrain. Through the planialtimetric base and the updated digital orthophoto is it will be possible to make geospatial reference data from the state territory updated and on a scale of 1:10.000 available, accessible, accurate and 4/14/2023 Page 6 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) systematized through the spatial data infrastructure (GeoPR). Air quality monitoring networks consists of a number of automatic air-quality stations measuring different pollutants in the air. The data points are tagged with location and time utilizing an on-board GPS. Periodically, the measurements are uploaded to a server, processed and then published on the GeoPR portal. Data crossing are methods and electronic tools to cross and link of environmental data with other datasets containing health outcomes and health status leverages existing state data, thus reducing data collection costs. Linking across datasets helps improve data quality across the linked datasets and fills important information gaps. When multiple data sources are crossed and linked, a more valuable source of spatial-based data is available for policy decisions. As a result of the project data crossing tolls will be develop linking environmental databases with other datasets containing health outcomes. Public health surveillance dashboard is the electronic interface that orderly consolidation and cross-data of pertinent data with dissemination of results to those who need to know, particularly those who are in a position to take action. Environmental surveillance in health is based on the recognition of the relation between risks and their adverse effects on health. As a result of the project an electronic public health surveillance will be available including and consolidation of pertinent data related to epidemics and health problems, as well as the effectiveness of programs and control measures, with dissemination of results to those who need to know, particularly those who are in a position to take action. Selected GeoPR Portal data means the information generated by the GeoPR health surveillance dashboard and the planialtimetric mapping in a scale of 1:10,000, as further detailed in the Verification Protocol. Public Sector Management IN01276799 ►4. New Public Investment Projects prepared, screened and approved using the new PIM guidelines and system. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The updated PIM system will comprise of a set of Manuals and Guidelines on how to prepare investment projects, from project idea to concept, pre-project and full project preparation. It will include detailed Comments information on the requirements for calculating the costs and benefits of public investments and how to identify and evaluate risks, including environmental and social risks. The guidelines will also include information on the approval and review process at each stage and responsible institutions. Intermediate Results Indicators by Results Areas Health Service Delivery IN01276802 ►5. Production rate of selected Multi-professional Care Units (UCMs). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Dec-2021 31-Dec-2021 31-Dec-2021 31-Dec-2026 This indicator measures the annual effective production rate of the UCMs, which is defined by the ratio between the volume of health services produced by the UCMs during a 12-month period and their full production capacity during the same period of time. It is a proxy measure of the efficiency of this new model of care. The measurement will be applied to 10 out of the first 15 UCMs that have been converted in year 2 Comments and followed throughout the duration of the Program. This longitudinal measurement will capture in a consistent way how the UCMs are able to utilize their full capacity over time. Volume of health services means procedures/health services provided by health professionals as approved in the Hospital and Ambulatory Information Systems (SIH/SIA) compared to the full capacity of the UCMs within a 12-month period. IN01276805 ►6. Confirmed and suspected patients admitted in ICU beds exclusively for COVID treatment. (Number, Custom) 4/14/2023 Page 7 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Baseline Actual (Previous) Actual (Current) End Target Value 31,630.00 31,630.00 31,630.00 900.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The indicator aims to provide information on the number of confirmed and suspected COVID patients Comments admitted in exclusive ICU beds for COVID to assess the absorption capacity of the state health system. IN01276808 ►7. Reduction in the average length of stay in strategic hospitals. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.42 4.42 4.42 4.21 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The reduction in the length average of stay indicator aims to provide patients with a better care experience Comments by ensuring they are discharged from hospital without unnecessary delay. Prolonged stays in hospital are bad for patients, especially for those who are frail or elderly. IN01276811 ►8. Integrated Health Information System. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Integrated Health Value N/A N/A N/A Information System operating. Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The Integrated Health Information System seeks to consolidate those systems that handle data related to Comments the activities of providers and health organizations. As an integrated effort, these may be leveraged to improve patient outcomes, inform research, and influence policymaking and decision-making. IN01276814 ►9. Connectivity of the Mobile Emergency Medical Services (SAMU MOBILE). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target SAMU MOBILE communication Value N/A N/A N/A platform fully implemented. Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The interface device for state SAMU units aims to make connectivity available for image, data and voice exchange, as well as providing support for telehealth/telemedicine. The SAMU MOBILIE will work as an Comments interface between the Mobile Emergency Care Service units, emergency referral and counter-referral system and emergency healthcare facilities. Environmental and Disaster Risk Management Information Systems IN01276803 ►10. Average processing time for low impact environmental licenses. (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 101.00 101.00 101.00 5.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 4/14/2023 Page 8 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) This indicator measures the average process time of licenses issuance. It shows the systemic improvement Comments of information supporting decision-making in the processing of license requests for projects with low environmental impact in selected groups of activities. IN01276806 ►11. Environmental licensing procedures strengthened by improving the level of automation and innovation. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 8.00 8.00 60.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 This indicator intends to monitor the automation and/or geographic intelligence decision support for the Comments following environmental licensing 4 modalities: environmental licensing waiver (DLAE), Simplified Environmental License (LAE), Membership and Commitment License (LAC), and Prior License (LP). IN01276809 ►12. Environmental enforcement, monitoring and control electronic systems strengthened. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Environmental Environmental Environmental surveillance, monitoring surveillance, monitoring surveillance, monitoring of of air, soil, flora, fauna, of air, soil, flora, fauna, air, soil, flora, fauna, conservation units conservation units conservation units carried carried out in local use carried out in local use Environmental out in local use systems systems without systems without enforcement, without integration integration between the integration between the monitoring and control between the areas and Value areas and institutions areas and institutions electronic systems institutions involved. involved. Laboratory involved. Laboratory updated and available Laboratory control system control system lain, control system lain, for environmental lain, deficient and does deficient and does not deficient and does not officers. not meet laboratory quality meet laboratory quality meet laboratory quality management management management requirements. requirements. requirements. Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 This indicator measures the implementation of enforcement tools with the use of geographic intelligence Comments and electronic systems. IN01276812 ►13. Air quality, hydrometerological, and groundwater monitoring networks strengthened and updated. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Monitoring networks Monitoring networks with Monitoring networks with 6 air monitoring with 72 telemetric 72 telemetric 72 telemetric stations, 15 hydrometeorological hydrometeorological hydrometeorological hydrological monitoring stations, none stations, none piezometric stations, none stations and 94 Value piezometric well well installed, limited air piezometric well installed, piezometers installed installed, limited air quality parameters and limited air quality and operational. quality parameters and absence of electronic parameters and absence absence of electronic systems. of electronic systems. systems. Date 31-Dec-2021 31-Dec-2021 31-Dec-2021 31-Dec-2026 Comments Cumulative indicator. IN01276815 ►14. Share of alerts disaster risk system assertiveness of hydrologic events. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/14/2023 Page 9 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Value 66.00 66.00 66.00 80.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 Civil Defense occurrences in the State are monitored in real time by the center’s disaster monitoring and Comments management room, and Civil Defense alerts are issued and disseminated via SMS and television networks to the population of Parana. IN01276817 ►15. Users satisfied with the GeoPR portal. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 This indicator measures the degree of satisfaction of users of the Spatial Data Infrastructure made available through the GeoPR portal for the various users, such as universities, the productive sector, public agents and citizens in general. After the implementation of the GeoPR Portal, the perception of users will be Comments assessed in two moments: in the second year of the program, after the implementation of the spatial data infrastructure, and in the fifth year, after the portal has been incremented with data from the planialtimetric base, mapping of flood risks. Public Sector Management IN01276804 ►16. Portal i9 ready and in use (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 The digital platform aims to consolidate available data in one open platform including public sector data, Comments market data, statistics and research data, in user friendly formats to facilitate research and the use of data for public goods IN01276807 ►17. Strengthening institutional capacity to deliver results (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target No new training Technical training on No new training programs No new training programs on priority use of new on priority areas such as programs on priority areas such as public environmental public investment areas such as public investment licensing systems and Value management, climate investment management, management, climate training on newly screening, fleet climate screening, fleet screening, fleet digitized priority management, regional management, regional management, regional internal systems and productive development productive development productive development services. Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 Targeted capacity building and accreditation for identified potential managers/ leaders, including women and disadvantaged ethnic groups. Workshops and capacity building at the municipality level (including leaderships) for development of regional productive plans including methods for screening and selection of Comments projects based on criteria including environmental sustainability. Distance and face to face learning and certification modules for civil servants on priority areas including: public investment management, climate screening of projects, hospital management, fleet management, planning, data collection and analysis, environmental licensing systems IN01276810 ►18. Priority sectors that have implemented strategic workforce planning and skills assessments (Percentage, Custom) 4/14/2023 Page 10 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 30-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 Comments Agencies that make up 50% of total public staff. IN01276813 ►19. Women in the highest public sector salary quartile (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.80 27.80 27.80 29.80 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 30-Dec-2026 This indicator measures the percentage of women making over R$ 9,000 per month. It is a proxy indicator for higher management positions in the public sector. Advancement to management positions requires technical skills in priority areas such as investment planning, digital services, and others. Following a Comments mapping of existing staff skills and public sector skills needs, women will receive training in strategic areas to prepare them for leadership positions. In addition the workforce planning and establishment of a talent pool and talent management and recruitment system including improved competency assessments will identify opportunities to promote gender equity. IN01276816 ►20. Notary legalization of priority state properties (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 30-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 This indicator measures number of priority state public properties with complete notarized legal Comments documentation (Matricula registered in the Cartorio de Registro de Imoveis). IN01276818 ►21. Reduction in fuel and maintenance costs of state vehicle fleet (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 10% reduction in fuel costs BRL 27.600.000,00 BRL 27.600.000,00 BRL 27.600.000,00 Value 8% reduction in fleet annual cost of fuel annual cost of fuel annual cost of fuel maintenance costs Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 Comments IN01276819 ►22. PIM system prepared (laws, regulations, manuals, database, institutions) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target System finalized and rolled out and applied Value N/A N/A N/A to all new investment projects. Date 30-Dec-2020 30-Dec-2020 30-Dec-2020 31-Dec-2026 4/14/2023 Page 11 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) This indicator measures the elements of the PIM system that have been prepared and delivered throught Comments the technical assistance. The exact number of outputs is not yet defined, but will include manuals and guidelines for project preparation and review, updated legal instruments and technical notes. IN01276820 ►23. Deployment of regional productive development plans and a new public investment management system in support of post COVID economic recovery (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target No uniform system for No uniform system for No uniform system for public investment. Two public investment. Two public investment. Two Value PIM System deployed regional development regional development regional development plans plans plans Date 31-Mar-2022 31-Mar-2022 31-Mar-2022 31-Dec-2026 The diagnostics for the regional productive development plans finalized in all eight regions; Eight (8) Regional Productive Development Plans (RDPs) finalized, approved and published; up to eight (8) RDP Comments projects appraised and begun implementation; legal instrument and guidelines for new PIM system issued; Public Investment Project Management Information System fully operational. IN01276821 ►24. Share of citizens satisfied with their participation in the development of the eight strategic plans in lagging regions within the state. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Dec-2020 31-Dec-2020 31-Dec-2020 31-Dec-2026 Comments This indicator will measure beneficiary feedback with regards to the provision of digital public services. Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Number of SUS hospital beds available to treat COVID-19 patients during the peak of the pandemic in the state. (Output, 30,125,000.00, 0%) January 2026 - Baseline Actual (Previous) Actual (Current) December 2026 Value 0.00 0.00 4,040.00 4,000.00 Date -- 31-Dec-2020 31-Jul-2021 -- Prior result achieved and verified. Comments ►DLI 2 Number of Small Hospitals converted into Multi-professional Care Units (UCMs) (Outcome, 40,000,000.00, 0%) January 2026 - Baseline Actual (Previous) Actual (Current) December 2026 Value 0.00 0.00 0.00 6.00 Date -- 31-Dec-2021 31-Dec-2021 -- Comments ►DLI 3 Production rate of selected Multi-professional Care Units (UCMs) (Outcome, 9,235,000.00, 0%) 4/14/2023 Page 12 of 13 The World Bank Implementation Status & Results Report Parana Public Sector Modernization and Innovation for Service Delivery Operation (P168634) January 2026 - Baseline Actual (Previous) Actual (Current) December 2026 Value 0.00 0.00 0.00 75.00 Date -- 31-Dec-2021 31-Dec-2021 -- Comments ►DLI 4 Deployment of online intelligent platform for environmental management containing key health surveillance information and key disaster risk information. (Outcome, 25,000,000.00, 0%) January 2026 - Baseline Actual (Previous) Actual (Current) December 2026 State spatial data for State spatial data for State spatial data for Selected GeoPR strategic management is strategic management is strategic management is Portal Data available insufficient due to the insufficient due to the insufficient due to the online at I9 Portal, absence of mappings, absence of mappings, absence of mappings, and updated precision problems, precision problems, precision problems, SISMAAD Value different update dates, different update dates, different update dates, containing difference in scales, difference in scales, difference in scales, spatiotemporal outdated technological, outdated technological, outdated technological, stochastic models inadequate inadequate inadequate systematization for precipitation and systematization and systematization and and difficulty of access. risk. difficulty of access. difficulty of access. Date -- 31-Dec-2020 31-Dec-2020 -- Comments ►DLI 5 Deployment of regional productive development plans and a new public investment management system in support of post COVID economic recovery (Process, 16,140,000.00, 0%) January 2026 - Baseline Actual (Previous) Actual (Current) December 2026 No uniform system for No uniform system for No uniform system for public investment public investment. Two public investment. Two PIM System Value Two regional development regional development regional development deployed plans plans plans Date -- 31-Mar-2022 31-Mar-2022 -- Comments 4/14/2023 Page 13 of 13