The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) WESTERN AND CENTRAL AFRICA | Guinea-Bissau | IBRD/IDA | Investment Project Financing (IPF) | FY 2018 | Seq No: 13 | Archived on 30-Jun-2024 | ISR01012 Implementing Agencies: Ministry of Public Health 1.OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 30-May-2018) To improve coverage of essential maternal and child health services in the Recipient’s territory. Has the Development Objective been changed since Board Approval of the Project Objective? No 2.COMPONENTS Name 1. Institutional Strengthening of MINSAP:(Cost 3,290,000.00) 2 - Health Workforce Development:(Cost 2,710,000.00) 3. Improving Essential Maternal and Child Health Services:(Cost 7,480,000.00) 4 - Community Health and Social Mobilization:(Cost 10,170,000.00) 5. Contingent Emergency Response:(Cost 0.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of lSatisfactory lSatisfactory PDO Overall Implementation Progress (IP) lSatisfactory lSatisfactory Overall Risk Rating lSubstantial lSubstantial Jun 30, 2024 Page 1 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions The project was approved on May 31, 2018, and declared effective on October 3, 2018. It was restructured in June 2021, with the restructuring becoming effective on October 15, 2021. The project has continued to make steady progress since then. In September 2023, the government conducted the project's Mid Term Review (MTR), concluding that the project is on a sound track to achieve its objectives. As a result, the progress towards the achievement of the PDO has been upgraded to satisfactory. The supervision mission held in May 2024 confirmed that the project is on track to achieve its objectives, as evidenced by activities and indicators, and the progress towards the achievement of the PDO is kept as satisfactory. Nonetheless, some challenges remain. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Last Approved Approval Rating Risk Category Approval Proposed Rating ISR Seq. 012 - 17 Package - 31 May Jan 2024 2018 Political and Governance lHigh lHigh lHigh Macroeconomic lSubstantial lSubstantial lSubstantial Sector Strategies and Policies lSubstantial lSubstantial lSubstantial Technical Design of Project or lSubstantial lSubstantial lSubstantial Program Institutional Capacity for lHigh lHigh lHigh Implementation and Sustainability Fiduciary lSubstantial lSubstantial lSubstantial Environment and Social lModerate lModerate lModerate Stakeholders lSubstantial lSubstantial lSubstantial Other l lSubstantial lSubstantial Overall lSubstantial lSubstantial lSubstantial Jun 30, 2024 Page 2 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes To improve coverage of essential maternal and child health services in the Recipient’s territory. Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Pregnant women 23,990.00 Dec/2018 67,987.00 29-Dec- 103,000.00 Dec/2025 attending at least 4 2023 prenatal care consultations during pregnancy (Number) Number of deliveries in 30,197.00 Dec/2018 92,915.00 29-Dec- 105,000.00 Dec/2025 the health facilities 2023 (Number) Number of children (0- 51,523.00 Dec/2018 125881 18-Jun- 125881 18-Jun- 105,000.00 Dec/2025 11 months) fully 2024 2024 vaccinated (Number) Number of children 0.00 Dec/2018 2,000.00 29-Dec- 4,000.00 Dec/2025 under-five with 2023 confirmed malaria who receive antimalaria treatment by CHWs (Number) 6.2 Intermediate Results Indicators by Components 1. Institutional Strengthening of MINSAP Indicator Name Baseline Actual (Previous) Actual (Current) Closing Period Jun 30, 2024 Page 3 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) Value Month/Year Value Date Value Date Value Month/Year Number of 0.00Dec/2018 11.00 29-Dec- 250.00 Dec/2025 administrative staff 2023 trained in the ministry of health (Number) 2 - Health Workforce Development Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of primary 0.00 Dec/2018 2,217.00 29-Dec- 2,500.00 Dec/2025 health workers trained 2023 in RMNCH competencies (Number) Percentage of 0.00 Mar/2018 0.00 31-Jan- 60.00 Dec/2025 healthcare workers 2022 that provide the correct treatment for a basic case of childhood diarrhea (Percentage) Percentage of 0.00 Sept/2018 0.00 31-Jan- 60.00 Dec/2025 healthcare workers 2022 that apply the appropriate EmONC treatment (Percentage) 3. Improving Essential Maternal and Child Health Services Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year People who have 228,000.00 Dec/2018 921,347.00 29-Dec- 1,200,000.00 Dec/2025 received essential 2023 health, nutrition, and Jun 30, 2024 Page 4 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) population (HNP) services (Number) People who have 54,000.00 96,410.00 230,000.00 received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number) Number of 51,523.00 Dec/2018 647,029.00 29-Dec- 800,000.00 Dec/2025 children 2023 immunized (Number) Number of women 190,000.00 Dec/2018 900,000.00 19-Jan- 1,000,000.00 Dec/2025 and children who 2024 have received basic nutrition services (Number) Number of 30,197.00 Dec/2018 92,915.00 29-Dec- 105,000.00 Dec/2025 deliveries 2023 attended by skilled health personnel (Number) Children 12-59 months 122,535.00 Dec/2018 515,507.00 29-Dec- 700,000.00 Dec/2025 of age attending at 2023 least one healthcare consultation (Number) Percentage of primary 0.00 Sept/2018 54.55 18-Jun- 54.55 18-Jun- 50.00 Dec/2025 health care facilities 2024 2024 Jun 30, 2024 Page 5 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) (type A, B, and C) with all essential drugs available on the day of the visit (Percentage) Number of health 0.00 Sept/2018 0.00 31-Jan- 11.00 Dec/2025 centers rehabilitated 2022 (Number) Number of facilities 128.00 Sept/2018 128.00 31-Jan- 70.00 Dec/2025 with beneficiaries 2022 reporting illegal charges from providers for essential maternal and child health services (Number) 4 - Community Health and Social Mobilization Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Women visited by 0.00 Sept/2018 18557 18-Jun- 18557 18-Jun- 20,000.00 Dec/2025 community health 2024 2024 workers (Number) Satisfaction of users 0.00 Apr/2018 0.00 31-Jan- 60.00 Dec/2025 with basic MCH 2022 services provided (Percentage) Number of women 0.00 Sept/2018 2219 10-Jun- 2219 10-Jun- 4,000.00 Dec/2025 taken care in way 2024 2024 houses (Number) Jun 30, 2024 Page 6 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/ Cancelle Undisburs Status Original Revised Disbursed % Disbursed TF d ed IDA-D3280 Effective 25.00 25.00 0.00 14.79 8.22 59.15% 7.3 Key Dates (by loan) Orig. Rev. Loan/Credit/TF Status Approval Signing Effectiveness Closing Closing 31-Dec- 26-Dec- IDA-D3280 Effective 31-May-2018 17-Jul-2018 03-Oct-2018 2023 2025 Jun 30, 2024 Page 7 of 8 The World Bank Implementation Status & Results Report Guinea-Bissau Strengthening Maternal and Child Health Service Delivery (P163954) 8. KEY DATES Key Events Planned Actual Approval 31-May-2018 31-May-2018 Effectiveness 08-Aug-2018 03-Oct-2018 Mid-Term Review No. 01 06-Oct-2023 18-Sept-2023 Operation Closing/Cancellation 26-Dec-2025 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 25-Jun-2021 Restructuring Level 2 Approved on 01-Dec-2021 Restructuring Level 2 Approved on 10-Mar-2024 10. ASSOCIATED OPERATION(S) There are no associated operations Jun 30, 2024 Page 8 of 8