The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Human Resources capacity for Universal Health Coverage in Angola (P180631) EASTERN AND SOUTHERN AFRICA | Angola | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2023 | Seq No: 1 | ARCHIVED on 28-Sep-2023 | ISR57983 | Implementing Agencies: Republic of Angola, Republic of Angola - Ministry of Health (MOH) Key Dates Key Project Dates Bank Approval Date: 22-Jun-2023 Effectiveness Date: -- Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2028 Revised Closing Date: 31-Dec-2028 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objectives is to Improve the capacity and availability of human resources for health in Angola. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name HRH Governance, Policy, Curricula, and Information Systems:(Cost $15.00 M) Training and capacity building of HRH:(Cost $175.00 M) Project Management and Monitoring and Evaluation:(Cost $10.00 M) Contingent Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Moderate Implementation Status and Key Decisions The Angola Human Resources Capacity for Universal health Coverage in Angola was approved on June 22, 2023. The Legal Agreement was signed on July 17, 2023. Project is expected to become effective by November 14, 2023. 9/28/2023 Page 1 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate Macroeconomic Moderate -- Moderate Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary Substantial -- Substantial Environment and Social Moderate -- Moderate Stakeholders Moderate -- Moderate Other Substantial -- Moderate Overall Moderate -- Moderate Results PDO Indicators by Objectives / Outcomes Improve capacity and availability of Human Resources for Health in Angola IN01345720 ►Increase in the number of health care workers with certified post-graduate level training from accredited facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 29,000.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Increase in health care workers with certified post-graduate level training (number, disaggregated by Comments: province, rural Vs urban, gender and professional category). IN01345726 Number of women health care workers with certified post-graduate level training (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 12,000.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 IN01345727 ►Improved density of doctors and nurses with post-graduate/specialized training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 9/28/2023 Page 2 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Value 0.20 -- 0.20 1.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Improved density of doctors and nurses with postgraduate/specialized training. Ratio of doctors and Comments: nurses with post-graduate/specialized training per 10,000 population, disaggregated by province, urban Vs rural, gender and professional category IN01345728 ►Percentage of health professionals absorbed in public healthcare facilities after completing post-graduate training with project support (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Percentage of health professionals absorbed in public healthcare facilities after completing post-graduate training with project support (percentage, disaggregated by province, urban Vs rural, gender and Comments: professional category). Numerator - number of health professionals absorbed in public healthcare facilities after completing post-graduate training with project support. Denominator - number of health professionals completing post-graduate training with project support. Intermediate Results Indicators by Components HRH Governance, Policy, Curricula, and Information Systems IN01345729 ►HRH Development Plan developed with accompanying costed annual action plans and approved by government (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 HRH Development Plan developed with accompanying costed annual action plans and approved by Comments: government IN01345734 ►Accreditation system developed for the various pathways of medical and nursing post-graduation (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Accreditation system developed for the various pathways of medical and nursing post-graduation IN01345737 ►Percentage of healthcare workers registered in the HRIMS in all 18 provinces (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 9/28/2023 Page 3 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Percentage of healthcare workers registered in the HRIMS in all 18 provinces (disaggregated by province, Comments: gender, professional categories, and specialization). IN01345742 Percentage of women healthcare workers registered in the HRIMS in all 18 provinces (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 IN01345743 ►Percentage of provinces generating 6-monthly reports from HRIMS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Percentage of provinces generating periodic reports from HRIMS Training and Capacity Building of HRH IN01345730 ►Number of Centers of Reference equipped and offering in-person and distance learning post-graduate and in-service training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 7.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Number of Centers of Reference equipped and offering in-person and distance learning post-graduate Comments: and in-service training IN01345732 ►Number of satellite training facilities equipped and offering in-person and distance learning post-graduate and in-service training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 27.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Number of health training facilities equipped with digital e-learning platforms with the support of the project IN01345735 ►Number of qualified mentors and supervisors in Centers of Reference to train and mentor junior staff (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 150.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 9/28/2023 Page 4 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Number of qualified mentors and supervisors in Centers of Reference to train and mentor junior staff Comments: (disaggregated by Centers of Reference and Gender). Qualified as defined by WHO minimum requirements and SOPs. IN01345739 Number of women qualified mentors and supervisors in Centers of Reference to train and mentor junior staff (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 IN01345740 ►Number of administrative and hospital support staff receiving in-service training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 9,000.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Number of administrative and hospital support staff receiving in-service training (disaggregated by Comments: province, urban Vs rural, professional categories, and gender) IN01345744 ►Number of grants/scholarships provided for post-graduate training abroad in internationally accredited universities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3,000.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Number of grants/scholarships provided for post-graduate training abroad in internationally accredited Comments: universities (Number disaggregated by province, professional categories, specialties, and gender). IN01345746 ►School of Public Health (as part of the Institute of Specialization in Health) rehabilitated and equipped with the support of the project (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 School of Public Health (as part of the Institute of Specialization in Health) rehabilitated and equipped with Comments: the support of the project IN01345747 ►Increase in the Number Masters / PhD programs being offered at NSPH (as part of the Institute of Specialization in Health) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Number of Masters / PhD programs being offered at NSPH (as part of the Institute of Specialization in Comments: Health) after Project's support. IN01345748 9/28/2023 Page 5 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) ►Number of provinces that have established provider to provider telemedicine (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 7.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Number of provinces that have established provider to provider telemedicine IN01345749 ►Number of specialist consultations in country per year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 250,000.00 -- 250,000.00 350,000.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Number of specialist consultations in country per year (disaggregated by province, urban Vs rural) Project Management, Monitoring and Evaluation IN01345731 ►Functional Steering Committee with inclusion of all health professional associations and health departments at national and provincial levels (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Functional Steering Committee with inclusion of all health professional associations and health Comments: departments at national and provincial levels (doctors, nurses, Diagnostic technicians, pharmacists) IN01345733 ►Number of external audits of the quality of training programs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Number of external audits of the quality of training programs IN01345736 ►Number of Provinces that have conducted assessments to identify entrenched gender gaps for HRH strengthening and developed the inclusion of remedial activities in the HRH Development Plan (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 18.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Number of Provinces that have conducted assessments to identify entrenched gender gaps for HRH Comments: strengthening and developed the inclusion of remedial activities in the HRH Development Plan 9/28/2023 Page 6 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) IN01345738 ►Percentage of grievances that received a response through the GRM (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Comments: Percentage of grievances that received a response through the GRM IN01345741 ►Patient satisfaction rates (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Patient satisfaction rates, measured by post-care satisfaction assessments in a random selection of health Comments: facilities at country level IN01345745 ►Postgraduate training satisfaction rates (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 03-Jul-2023 -- 20-Sep-2023 30-Jun-2028 Post-graduate training satisfaction rates, measured by the satisfaction of trainees after attending the Comments: training programs Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P180631 IBRD-95620 USD 200.00 200.00 0.00 0.00 200.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P180631 IBRD-95620 22-Jun-2023 17-Jul-2023 -- 31-Dec-2028 31-Dec-2028 Effective Cumulative Disbursements 9/28/2023 Page 7 of 8 The World Bank Implementation Status & Results Report Human Resources capacity for Universal Health Coverage in Angola (P180631) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 9/28/2023 Page 8 of 8