The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Benin Health System Enhancement Program (P172940) (P172940) WESTERN AND CENTRAL AFRICA | Benin | Health, Nutrition & Population Global Practice | Requesting Unit: AWCF2 | Responsible Unit: HAWH2 IBRD/IDA | Program-for-Results Financing | FY 2022 | Team Leader(s): Zenab Konkobo Kouanda Seq No: 2 | ARCHIVED on 13-Feb-2023 | ISR54338 | Created by: Lydia Ndebele on 08-Dec-2022 | Modified by: Lydia Ndebele on 07-Feb-2023 Program Development Objectives PDO Table Program Development Objective (from Program Appraisal Document) To improve the quality of and access to primary health care services with a focus on reproductive, maternal, neonatal, child, adolescent health and nutrition (RMNCAH+N) and strengthen public health emergency preparedness and response capacity 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 Benin Health System Enhancement Program (P17294) in an amount of US$187 million, was approved by the Board of Directors of the World Bank on April 27, 2022. The Program was declared effective date on July 27, 2022. The program development objective (PDO) of the PforR is to improve the quality of and access to primary health care services, with emphasis on reproductive, maternal, neonatal, child, adolescent health and nutrition (RMNCAH+N) and strengthen preparedness and response capacity to public health emergencies. The achievement of the program's development objective (PDO) and the progress in implementation are rated satisfactory. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P172940 IDA-70800 Effective USD 93.50 93.50 0.00 20.41 61.03 25% P172940 IDA-E0020 Effective USD 93.50 93.50 0.00 21.64 63.85 25% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P172940 IDA-70800 Effective 27-Apr-2022 10-May-2022 27-Jul-2022 30-Jun-2027 30-Jun-2027 P172940 IDA-E0020 Effective 27-Apr-2022 10-May-2022 27-Jul-2022 30-Jun-2027 30-Jun-2027 2/13/2023 Page 1 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) DLI Disbursement Achievement Disbursed amount in Disbursement % for DLI ID DLI Type Description Coc DLI Amount Status Coc DLI Loan: IDA70800-001 DLI3, full imunztion 3 Regular EUR 20,000,000.00 Not Achieved 0.00 children 12-23 mos DLI5, health pro compltd 5 Regular EUR 26,460,000.00 Not Achieved 0.00 epidem/lab tng DLI7, health fac w/ hcare 7 Regular EUR 33,250,000.00 Not Achieved 0.00 buildgs constr DLI8, opera of health sect 8 Regular EUR 3,790,000.00 Not Achieved 0.00 quality assur Loan: IDAE0020-001 DLI1, Health facilities 1 Regular XDR 14,400,000.00 Not Achieved 0.00 offering BEMONC DLI2, proprtion long 2 Regular XDR 14,000,000.00 Not Achieved 0.00 contracptive users DLI4, health facilities w/no 4 Regular XDR 14,500,000.00 Not Achieved 0.00 stock-out DLI6,propr birth attndd 6 Regular XDR 12,780,000.00 Not Achieved 0.00 skilld helth pro DLI8, op health sect 8 Regular XDR 11,420,000.00 Not Achieved 0.00 quality assur Program Action Plan Action Description Recruitment by the Ministry of Health of the firm and working group in support of works. Source DLI# Responsibility Timing Timing Value Status Project Coordination Technical Due Date 30-Jun-2022 In Progress Unit (PCU) Recruitment of: - The firm in charge of the detailed design and supervision of the construction, rehabilitation, and extension works of Completion Measurement the health infrastructures supported by the programme - The working group for the preparation of tender documents Comments Action Description Development of the Procedure Manual Source DLI# Responsibility Timing Timing Value Status Ministry of Health Technical Due Date 31-Dec-2022 Completed (MOH), ANSSO 2/13/2023 Page 2 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) The Program's Procedure Manual is developed by the ANSSP. The World Bank approves the Procedure Manual. Completion Measurement 120 days after entry into force of the programme. Comments The manual was approved as an effectiveness condition Action Description Strengthening the Program Environmental and Social Management system. Source DLI# Responsibility Timing Timing Value Status UCP, Beninese Environmental and Social Environment Agency Due Date 28-Feb-2023 In Progress Systems (ABE) Development of a Civic Engagement Plan and implementation of the civic engagement mechanism. No later than six Completion Measurement (6) months after the date of entry into force of the program and its implementation throughout the life cycle of the program. Comments Action Description Strengthening the Program Environmental and Social Management system. Source DLI# Responsibility Timing Timing Value Status Environmental and Social UCP, ABE Due Date 30-Nov-2022 In Progress Systems Inter-institutional agreement (PCU/ABE) during the first quarter after the Program's effective date. Different structures Completion Measurement interacting with the Agency in the implementation of the Program, validation of impact studies, benefits: monitoring, focal poi Comments Action Description Strengthening the Program's Environmental and Social Management System. Source DLI# Responsibility Timing Timing Value Status Environmental and Social UCP, MS (CEGCC), Due Date 30-Sep-2022 In Progress Systems ABE, ANDF Development and implementation of the Technical Manual for Environmental and Social Management of the Completion Measurement Program. Preparation no later than three (3) months after the date of entry intro force of the program and implementation throughout the life cycle Comments Action Description Strengthening the technical and institutional capacities of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status 2/13/2023 Page 3 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) UCP, MS, ABE, Environmental and Social ANDF, DDS, Due Date 30-Sep-2022 In Progress Systems DDCVDD Organization of training sessions directly targeting the parties involved in the implementation of the project. Start of Completion Measurement sessions in the first half of the year after the date of entry into force of the program. Refresher sessions throughout the life Comments The training session on the PforR is planned for March 2023. Action Description Capacity building (technical and institutional) of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status Environmental and Social UCP, MS (CEGCC) Due Date 30-Aug-2022 Delayed Systems Appointment/recruitment of four environmental specialists (2) and social specialists (2), for the PCU and within MOH Completion Measurement (CEGCC) and within the MOH (Gender Environment Unit (1) and Climate Change (1) (CEGCC) at the start of implementation. Comments Action Description Capacity building (technical and institutional) of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status Environmental and Social UCP, MC (CEGCC), Recurrent Continuous Delayed Systems ABE Information/Awareness-raising actions on the environmental and social management of the Program. The Initiatives Completion Measurement should take place during the first year of the Program and to be maintained throughout the life cycle of the program. Comments Action Description Strengthening the Program Environmental and Social Management System. Source DLI# Responsibility Timing Timing Value Status Environmental and Social UCP, MS (CEGCC), Due Date 30-Nov-2022 Delayed Systems DPHAB Development and implementation of a guide for the development of waste management plans (biomedical waste). No Completion Measurement later than 90 days after the date of entry into force of the program. (Biomedical and other waste). NB: waste produced in health facilities Comments Action Description Strengthening the Program's Environmental and Social Management system. 2/13/2023 Page 4 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Source DLI# Responsibility Timing Timing Value Status Environmental and Social PCU, MOH Due Date 28-Feb-2023 In Progress Systems (CEGCC), DPHAB Development and implementation of the grievance mechanism (GRM). No later than six (6 months) after the date of Completion Measurement entry into force of the program and its implementation throughout the life cycle of the program. Comments Action Description Report on and investigate fraud and corruption Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MOH Recurrent Semi-Annually In Progress Report on suspected cases of corruption and fraud, and on the status of investigations. Based on the allegations, the Completion Measurement IGM/IGF will conduct investigations and follow up actions. Report to be produced per semester to be shared with the Bank and the MS/ The first report is expected by end June 2023. The reporting protocol & template preparation is ongoing. The plan is Comments to assign this responsibility to the HCPC (Haut Commissariat pour la Prevention de la Corruption) as noted in the other PfoR projects Action Description Implement the 2020 Public Procurement Code so SOBAPS operates with appropriate procurement regulations. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MS/SOBAPS Due Date 30-Sep-2022 In Progress - SOBAPS procurement regulations are enacted by decree (see CCJ) Completion Measurement Comments Action Description Procurement of works Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Ministry of Health Recurrent Continuous In Progress Completion Measurement Update the standard plans for the construction of health infrastructure (see DG AISEM) Comments Action Description Management of works contracts Source DLI# Responsibility Timing Timing Value Status 2/13/2023 Page 5 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Fiduciary Systems Ministry of Health Due Date 30-Nov-2022 In Progress Works contract management manual. Establishment of a contract performance management plan, definition of roles Completion Measurement and responsibilities of stakeholders. A first manual is needed and thereafter it must be continuously updated. Comments Action Description Budget planning Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Ministry of Health Recurrent Yearly In Progress Transmission of the draft budget N + 1 budget and the DPPD N + 1 DPPD (Multi Annual expenditure Programming Completion Measurement Document) to IDA for technical opinion before 30/09/N (share with the Bank the draft budget each year, at the latest on 30 September. This action has not been implemented during this budget cycle. The Bank staff will continue to monitor this point for Comments the budget cycle. The Bank team noted that the govt forecasted a sufficient budget related to the PforR program expenditures. Action Description Cash Management Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MOH/MEF Recurrent Quarterly In Progress Transmission of the quarterly statement of payment arrears on the 60 days program at the end of each quarter. Completion Measurement (DPAF/DAF will have to issue the instances of payment of benefits. Clarify the situation with the Treasury. The project has just started the activities. No invoices have been received yet. The Bank will continue to track this Comments information with the DAF of ANSSP Action Description Conduct Internal Audits Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MoH/ MEF Recurrent Semi-Annually In Progress Conduct two internal audit missions of the Program per year by the IGF and the IGM with transmission of reports to Completion Measurement IDA 60 days after the end of the semester. Compilation of the reports of the different missions in one semester: IGM/IGF. The team noted that ANSSP has its own internal audit unit consisting of two auditors. The internal audit of the Comments Program should be conducted by this unit under the supervision of the IGF/IGM which has been demonstrating human resource constraints. Action Description Transmission of external audit reports Source DLI# Responsibility Timing Timing Value Status 2/13/2023 Page 6 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Fiduciary Systems MOH Recurrent Yearly In Progress Completion Measurement Transmission of the external audit report nine (9) months after the end of each budgetary year (i.e. 30 September). Comments No audit reports are due right now. The next audit report is expecting 30 September 2024 Action Description Recruitment of independent external auditor Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MOH/SAI Due Date 28-Jan-2022 In Progress Recruitment of an independent external auditor within six (6) months of entry into force to conduct an annual audit of Completion Measurement the Program. (Legal Commitment) We agreed with the governement to use the current external auditor of the ANSSP as the auditor for the PforR Comments Program audit 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 Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Quality IN01230045 ►Pregnant women who receive four ante-natal care (ANC) consultations (Percentage, Custom) 2/13/2023 Page 7 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 0.00 0.00 80.00 Date 30-Jun-2022 21-Jun-2022 31-Jan-2023 30-Jun-2026 The percentage of women aged 15-49 with a live birth in a given time period that received antenatal care four or more times. Due to data limitations, it is not possible to determine the type of provider for each visit. Comments Numerator: The number of women aged 15-49 with a live birth in a given time period that received antenatal care four or more times. Denominator: Total number of women aged 15-49 with a live birth in the same period. IN01230127 ►Long-Acting Contraceptive users (DLI 2) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.20 0.00 0.00 9.70 Date 30-Jun-2020 21-Jun-2022 31-Jan-2023 30-Jun-2025 The indicator is defined as the number of women who are currently using, at least one modern Comments contraceptive method as a proportion of the number of women of reproductive age who are either using any. method of contraception or having an unmet need for family planning. IN01230129 ►Full immunization coverage for children between the ages of 12 to 23 months (DLI 3) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.00 0.00 0.00 65.00 Date 30-Jun-2019 21-Jun-2022 31-Jan-2023 30-Jun-2024 This indicator measures the percentage of one-year-olds who have received one dose of Bacille Calmette- Guérin (BCG) vaccine, three doses of polio vaccine, three doses of the combined diphtheria, tetanus toxoid and pertussis (DTP3) vaccine, and one dose of measles vaccine. The indicator is calculated as follows: Comments Numerator: Number of children aged 12–23 months receiving one dose of BCG vaccine, three doses of polio vaccine, three doses of DTP3 vaccine, and one dose of measles vaccine; Denominator: Total number of children aged 12–23 months surveyed. In certain countries, the time period of 12–23 months was adjusted to align with alternative national immunization periods (18–29 months or 15–26 months). IN01230131 ►Health Facilities with no stock-out of Maternal and Child Health Tracer Drugs in the past three (3) months (DLI 4) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 0.00 0.00 80.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2025 DLI 4 will determine the proportion of health facilities that are adequately equipped to provide maternal and child health services according to national protocol. Currently, 70 percent of health facilities do not experience stock-outs of selected tracer medicines for maternal and child health care services, and the Comments PforR will support the government in achieving a proportion of 80 percent by the end of the implementation period DLI 6 will help measurethe proportion women of reproductive age who will be attended by skilled health personnel (doctor, midwife or nurse). Delivery with a skilled attendant reduces the risk of a woman or her child dying during delivery. Therefore, it assesses both the quality and coverage of delivery. Access IN01230126 ►Pregnant women of reproductive age accessing health facilities for reproductive health consultation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 2/13/2023 Page 8 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Value 50.00 0.00 0.00 70.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments IN01230128 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8,700,000.00 Date 30-Jun-2022 21-Jun-2022 31-Jan-2023 30-Jun-2025 Comments IN01230130 Children immunized (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,800,000.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2025 IN01230133 Women and children who have received basic nutrition services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000,000.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2025 IN01230134 Deliveries attended by skilled health personnel (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 90.50 0.00 0.00 1,900,000.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2025 Emergency Preparedness and Response IN01230132 ►Operationalization of the health sector quality assurance system (DLI 8) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2022 21-Jun-2022 31-Jan-2023 30-Jun-2025 DLI 8 will allow that Z (number) health zones adopt and use the quality-of-care (QoC) score card to supervise primary health care within their jurisdiction. In the meantime, the ARS would be established and Comments would adopt a QoC policy to guide the accreditation of health agents and to measure quality of services provided at the primary level of care. Intermediate Results Indicators by Results Areas 2/13/2023 Page 9 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Access and Quality IN01230135 ►Proportion of Births attended by Skilled Health Professional (DLI 6) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 90.50 0.00 0.00 95.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Disbursement Linked Result: 4.5% increase in births attended by a Skilled Health Professional DLI 6 will help measure the proportion women of reproductive age who will be attended by skilled health personnel Comments (doctor, midwife or nurse). Delivery with a skilled attendant reduces the risk of a woman or her child dying during delivery. Therefore, it assesses both the quality and coverage of delivery IN01230137 ►Percentage of newborns attended by skilled provider within 48 hours of birth (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 0.00 0.00 60.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments The percentage of newborns attended by a healthcare provider during the first 48 hours following birth IN01230139 ►Number of children under 5 treated for moderate (MAM) or severe acute malnutrition (SAM) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 51.00 0.00 0.00 65.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments Number of children under age five treated for moderate or severe acute malnutrition IN01230141 ►Number of Adolescent and Youth Friendly Centers (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments IN01230143 ►Children less than 6 months exclusively breastfed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.00 0.00 0.00 55.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Numerator: Number of children under six months of age who are exclusively breastfed * 100 Denominator: Comments Number of children under six months of age in the same area and period IN01230144 2/13/2023 Page 10 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) ►Percentage of beneficiaries satisfied with access, quality of services, quality of facilities, responsiveness to needs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments Collecting, recording, and reporting on inputs received from beneficiaries IN01230145 ►Grievances responded and/or resolved within the stipulated service standards for response times (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 This is an indicator on beneficiary feedback. The indicator captures feedback from citizens and will monitor Comments the number of grievances responded to and/or resolved within the stipulated service standards for response times IN01230146 ►Proportion of Targeted Basic Emergency Obstetric and Newborn Care (BEmONC) health facilities offering BEmONC (DLI1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 0.00 0.00 60.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Disbursement Linked Result: 25% increase in targeted Health Facilities offering BEmONC services. DLI 1 reflects improvements in maternal and neonatal care, particularly Basic Emergency Obstetric Care (BEMonC). This is necessary to achieve further reductions in maternal mortality, which is still high. Comments Currently, 35 percent of relevant health facilities have the capacity to manage obstetric emergencies, and the PforR will support the government in achieving a target of 60 percent by the end of the implementation period. This DLI will evaluate both service delivery capacity and elements of quality of care Health System Capacity and Emergency Preparedness and Response IN01230136 ►Proportion of Health Facilities with the minimum standard of skilled health workers as per the national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Comments IN01230138 ►Proportion of private health facilities whose data are fully integrated into the HMIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 2/13/2023 Page 11 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Comments IN01230140 ►Number of Health Professionals who have completed an epidemiology or laboratory training on surveillance, preparedness, and response to public health emergencies (DLI 5) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 119.00 0.00 0.00 371.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Disbursement Linked Result: 252 Health Professionals have completed an epidemiology or laboratory training on surveillance, preparedness, and response to public health emergencies DLI 5 will measure the number of health professionals who will completed an epidemiology or laboratory training on surveillance, Comments preparedness, and response to public health emergencies. Hence, the DLI5 will enhance the epidemiologic and laboratory capacity of the public health workforce by providing training that will enable the countryrespond effectively to a wide range of disease outbreaks and other public health priorities by the end of implementation period IN01230142 ►Number of Health Facilities with new health care buildings constructed and equipped as further detailed in the POM (DLI 7) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 30-Jun-2021 21-Jun-2022 31-Jan-2023 30-Jun-2026 Disbursement Linked Result: New health care buildings constructed and equipped in 25 selected Health Comments Facilities DLI 7 will measure the number of Health Facilities with new health care buildings constructed and equipped to focus on the functionality of health establishments. Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Proportion of Targeted Health Facilities Offering Basic Emergency Obstetric and Newborn Care (BEmONC) Services (Outcome, 19,800,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 35.00 0.00 0.00 60.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 2 Proportion of Long-Acting Contraceptive Users (Outcome, 19,600,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 6.20 0.00 0.00 9.70 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 3 Proportion of full immunization coverage for children between the ages of 12 to 23 months (Outcome, 22,000,000.00, 0%) 2/13/2023 Page 12 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Baseline Actual (Previous) Actual (Current) CY2026 Value 57.00 0.00 0.00 65.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 4 Proportion of Health Facilities with no stock-out of Maternal and Child Health Tracer Drugs in the past three (3) months (Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 70.00 0.00 0.00 80.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 5 Number of Health Professionals who have completed an epidemiology or laboratory training on surveillance, preparedness, and response to public health emergencies (Outcome, 30,240,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 119.00 0.00 0.00 371.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 6 Proportion of births attended by a Skilled Health Professional (Outcome, 18,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 90.50 0.00 0.00 95.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments ►DLI 7 Number of Health Facilities with new health care buildings constructed and equipped as further detailed in the POM (Outcome, 37,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value 0.00 0.00 0.00 25.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments 2/13/2023 Page 13 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) ►DLI 8 Operationalization of the Health Sector Quality Assurance System (Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) CY2026 Value No No No Yes Date -- 21-Jun-2022 31-Jan-2023 -- Comments IN01230155 DLI 8.1 DLR 8.1: A Regulatory Health Sector Authority is established and operational as evidenced by the achievement of specific milestones detailed in the POM on or before December 31, 2022 (Outcome, 4,000,000.00, 0%) Unit of Measure: Yes/No Indicator Type: Baseline Actual (Previous) Actual (Current) CY2026 Value No No No Yes Date -- 21-Jun-2022 31-Jan-2023 -- Comments IN01230156 DLI 8.2 DLR 8.2: The Health Sector Quality Assurance Policy has been adopted by the Regulatory Health Sector Authority on or before December 31, 2024 (Outcome, 4,000,000.00, 0%) Unit of Measure: Yes/No Indicator Type: Baseline Actual (Previous) Actual (Current) CY2026 Value No No No Yes Date -- 21-Jun-2022 31-Jan-2023 -- Comments IN01230157 DLI 8.3 DLR 8.3: 70% of Health Districts that have began implementing the Health Sector Quality Assurance Policy as evidenced by the achievement of key milestones further detailed in the POM (Outcome, 8,000,000.00, 0%) Unit of Measure: Percentage Indicator Type: Baseline Actual (Previous) Actual (Current) CY2026 Value 0.00 0.00 0.00 70.00 Date -- 21-Jun-2022 31-Jan-2023 -- Comments IN01230158 DLI 8.4 DLR 8.4: The Ministry of Health has approved an accreditation process for health personnel and certification process for Health Facilities on or before December 31, 2026 (Outcome, 4,000,000.00, 0%) 2/13/2023 Page 14 of 15 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Unit of Measure: Yes/No Indicator Type: Baseline Actual (Previous) Actual (Current) CY2026 Value No No No Yes Date -- 21-Jun-2022 31-Jan-2023 -- Comments 2/13/2023 Page 15 of 15