The World Bank                                                       Implementation Status & Results Report
                Urban Health, Nutrition and Population Project (P171144)



Urban Health, Nutrition and Population Project (P171144)

SOUTH ASIA | Bangladesh | IBRD/IDA | Investment Project Financing (IPF) | FY 2024 | Seq No: 1 | Archived on 04-Dec-2023
| ISR00029

Implementing Agencies: Chattogram City Corporation, Dhaka North City Corporation, Dhaka South City Corporation, The
Local Government Division of the Ministry of Local Government, Rural Development and Cooperative, The Ministry of
Health and Family Welfare



1. OBJECTIVE


 1.1 Development Objective
   Original Development Objective (Approved as part of Approval package on 30-Aug-2023)
   To improve delivery of comprehensive primary healthcare services for selected urban areas.
   Has the Development Objective been changed since Board Approval of the Project Objective?

   No


2. COMPONENTS


 Name
 Component 1. Improve urban primary HNP services led by the MoHFW:(Cost 100,000,000.00)

 Component 2. Improve public health services led by the LGD, MoLGRD&C:(Cost 100,000,000.00)


3. OVERALL RATINGS

 Name                                                                      Current

 Progress towards achievement of PDO                                       Satisfactory

 Overall Implementation Progress (IP)                                      Satisfactory

 Overall Risk Rating                                                       Substantial




4. KEY ISSUES & STATUS




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               The World Bank                                                        Implementation Status & Results Report
               Urban Health, Nutrition and Population Project (P171144)




4.1 Implementation Status and Key Decisions
  The Urban Health, Nutrition and Population (HNP) project will support the Ministry of Health and Family Welfare
  (MoHFW) in delivering delivery a package of HNP services including reproductive, maternal, neonatal, child and
  adolescent health nutrition services, infectious disease services, and services for diagnosis, referral, and management of
  selected non-communicable diseases like diabetes and hypertension. These services will be delivered through Primary
  HNP Centers, with at least one female service provider at each Center. To enable this, the project will support the
  development of primary health service delivery networks, whereby several Primary HNP Centers will be linked to a
  secondary/tertiary-level facility. In addition, the project will support the Local Government Division (LGD) to develop
  systems and capacities for delivering environmental health and preventive services such as mosquito control, outhouse
  management of medical waste, mitigating effects of air and sound pollution, behavior change communication to promote
  healthy lifestyles and creating awareness, and community-driven interventions for addressing non-communicable
  diseases.



5. SYSTEMATIC OPERATIONS RISK-RATING TOOL

                                                                 Rating at Approval
Risk Category                                                    Approval Package - 30 Aug   Proposed Rating
                                                                 2023

Political and Governance                                         Moderate                   Moderate

Macroeconomic                                                    Moderate                   Moderate

Sector Strategies and Policies                                   Moderate                   Moderate

Technical Design of Project or Program                           Substantial                Substantial

Institutional Capacity for Implementation and
                                                                 Substantial                Substantial
Sustainability

Fiduciary                                                        Substantial                Substantial

Environment and Social                                           Substantial                Substantial

Stakeholders                                                     Moderate                   Moderate

Overall                                                          Substantial                Substantial




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                 The World Bank                                                                                         Implementation Status & Results Report
                 Urban Health, Nutrition and Population Project (P171144)



     6. RESULTS


      6.1 PDO Indicators by PDO Outcomes


     Improve delivery of comprehensive primary healthcare services for selected urban areas
                                                   Baseline                  Actual (Previous)           Actual (Current)               Closing Period
               Indicator Name
                                             Value        Month/Year        Value           Date        Value          Date          Value        Month/Year
     Women receiving four or          0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 255,960.00          Dec/2028
     more antenatal care checkup
     (Number)
     People registered for            0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 1,279,800.00        Dec/2028
     hypertension screening and
     follow-up, disaggregated by
     gender (Number)
           People registered for      0.00               May/2023      00              20-Nov-2023 00              20-Nov-2023 639,900.00          Dec/2028
           hypertension screening
           and follow-up: male
           (Number)
           People registered for      0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 639,900.00          Dec/2028
           hypertension screening
           and follow-up: female
           (Number)
     Mosquito control unit of the     No                 May/2023      No              20-Nov-2023 No              20-Nov-2023 Yes                 Dec/2028
     LGD strengthened (Yes/No)



      6.2 Intermediate Results Indicators by Components



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                 The World Bank                                                                                         Implementation Status & Results Report
                 Urban Health, Nutrition and Population Project (P171144)



     Component 1. Improve urban primary HNP services led by the MoHFW
                                                   Baseline                  Actual (Previous)           Actual (Current)               Closing Period
               Indicator Name
                                             Value        Month/Year        Value           Date        Value          Date          Value        Month/Year
     Children who are fully           0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 35,550.00           Dec/2028
     immunized ages 0-12
     months, disaggregated by
     gender (Number)
           Children who are fully     0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 17,750.00           Dec/2028
           immunized ages 0-12
           months: male
           (Number)
           Children who are fully     0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 17,750.00           Dec/2028
           immunized ages 0-12
           months: female
           (Number)
     Pregnant women who               0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 136,512.00          Dec/2028
     received nutrition services
     (Number)
     Primary HNP Center with          0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 100.00              Dec/2028
     solar panels where feasible
     (Percentage)
     Primary HNP Center with no       50.00              May/2023      50              20-Nov-2023 50              20-Nov-2023 100.00              Dec/2028
     stock-out of essential
     medicines in the last one
     month (Percentage)
     Primary HNP Center with at       0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 100.00              Dec/2028
     least one female service
     provider (Percentage)
     People reached through           0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 1,850.00            Dec/2028
     communications and
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                 The World Bank                                                                                         Implementation Status & Results Report
                 Urban Health, Nutrition and Population Project (P171144)



     outreach activities,
     disaggregated by gender
     (Number)
           People reached         0.00               May/2023 0                        20-Nov-2023 0               20-Nov-2023 925.00              Dec/2028
           through
           communications and
           outreach activities:
           male (Number)
           People reached         0.00               May/2023 0                        20-Nov-2023 0               20-Nov-2023 925.00              Dec/2028
           through
           communications and
           outreach activities:
           female (Number)
     A user/beneficiary feedback  0.00               May/2023 0                        20-Nov-2023 0               20-Nov-2023 3.00                Dec/2028
     survey conducted (Number)
     Component 2. Improve public health services led by the LGD, MoLGRD&C
                                                   Baseline                  Actual (Previous)           Actual (Current)                Closing Period
               Indicator Name
                                             Value        Month/Year        Value           Date        Value          Date           Value        Month/Year
     Outhouse management of           0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 3.00                Dec/2028
     medical waste sites put in
     place according to standards
     (Number)
     Early warning system for         No                 May/2023      No              20-Nov-2023 No              20-Nov-2023 Yes                 Dec/2028
     climate-sensitive diseases
     established for tracking at
     least one disease (Yes/No)
     Trees planted to mitigate the    0.00               May/2023      0               20-Nov-2023 0               20-Nov-2023 450,000.00          Dec/2028
     effects of climate change
     (Number)


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               The World Bank                                             Implementation Status & Results Report
               Urban Health, Nutrition and Population Project (P171144)




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               The World Bank                                                             Implementation Status & Results Report
               Urban Health, Nutrition and Population Project (P171144)



  7. DATA ON FINANCIAL PERFORMANCE


   7.1 Cumulative Disbursements




   7.2 Disbursements (by loan)


  Loan/Credit/TF Status                Original    Revised    Cancelled    Disbursed      Undisbursed               % Disbursed


                      Not
  IDA-74020                             200.00      200.00         0.00          0.00           198.31                         0%
                      Effective



   7.3 Key Dates (by loan)


  Loan/Credit/TF        Status        Approval         Signing            Effectiveness        Orig. Closing    Rev. Closing
                        Not
  IDA-74020                         30-Aug-2023        22-Nov-2023                             31-Dec-2028      31-Dec-2028
                        Effective



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               The World Bank                                                Implementation Status & Results Report
               Urban Health, Nutrition and Population Project (P171144)




  8. KEY DATES


  Key Events                                                   Planned                Actual

  Approval                                                     30-Aug-2023            30-Aug-2023

  Effectiveness                                                31-Jan-2024

  Mid-Term Review No. 01                                       31-Aug-2026

  Operation Closing/Cancellation                               31-Dec-2028


  9. RESTRUCTURING HISTORY

   There has been no restructuring to date

  10. ASSOCIATED OPERATION(S)

   There are no associated operations




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