The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) RMI Multisectoral Early Childhood Development Project - II (P177329) EAST ASIA AND PACIFIC | Marshall Islands | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2022 | Seq No: 4 | ARCHIVED on 24-Dec-2023 | ISR58512 | Implementing Agencies: Ministry of Culture and Internal Affairs, Ministry of Education, Sports and Training, Ministry of Finance, Banking, and Postal Services, Ministry of Health and Human Services, Office of the Chief Secretary, The Republic of the Marshall Islands Key Dates Key Project Dates Bank Approval Date: 06-Jun-2022 Effectiveness Date: 14-Oct-2022 Planned Mid Term Review Date: 11-Nov-2024 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2026 Revised Closing Date: 31-Dec-2026 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve coverage of multisectoral early childhood development services in the Republic of the Marshall Islands and in case of an Eligible Crisis or Emergency, respond promptly and effectively to it. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Improve coverage of essential RMNCH-N services:(Cost $6.00 M) Improve coverage of stimulation and early learning activities:(Cost $6.00 M) Social assistance for early years families:(Cost $9.60 M) Strengthening the multisectoral ECD system and Project management:(Cost $5.40 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Good momentum has been sustained on the progress towards achieving all five project development objective indicators regarding increase in shares of pregnant women receiving antenatal care during first trimester, under 2 years old receiving well childcare visits, children aged 3 and 4 years enrolled in public preschool, and increase in number of under 5 years old receiving visits from parent educators, and beneficiaries of cash transfers. Notable implementation progress includes (i) completion of renovations of maternity and neonatal ward and neonatal intensive care unit at Majuro hospital, (ii) certification of the community health outreach workers (CHOW) training program by the College of Marshall Islands and graduation of 10 CHOWs, (iii) ongoing 18-months nurse-midwifery training program, (iv) continuing recruitment of teacher assistants, teachers coach, and teacher trainings, (v) parenting education through the Women United Together Marshall Islands home visit program, (vi) early learning 12/24/2023 Page 1 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) books distributions to families and social events, (vii) assessment of facilities for roll out of preschool services; and (viii) ongoing bi-monthly conditional cash transfer payments to beneficiaries. A contract with United Nations Children’s Fund was signed to develop social behavior change communication strategy, tools and training, and the Neighboring Islands expansion action plan was updated after three pilot trips. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Low Low Low Macroeconomic Low Low Low Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Low Low Low Other Moderate Moderate Moderate Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To improve coverage of multisectoral early childhood development services IN01360899 ►Share of women who have had at least one ANC visit by a skilled provider during the first trimester (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.00 38.00 44.00 55.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 MOHHS extracts information from ANC encounters and compiles data annually at the end of the calendar year. Final data for CY2023 will become available in Q1 CY2024. Comments: IN01360900 12/24/2023 Page 2 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) ►Share of children aged 0-2 years who have received all required well-child care (WCC) visits to date (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 45.00 45.00 50.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 MOHHS compiles data annually at the end of the calendar year. Final data for CY2023 will become available in Q1 CY2024. Comments: IN01360901 ►Number of families with children aged 0-5 years receiving home visits from parent educators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 85.00 215.00 282.00 700.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Intermediate target 1 (by December 2022) achieved. Comments: IN01360902 ►Share of children aged 3 and 4 years enrolled in public preschool (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 5.00 7.00 25.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Preschool enrollement in prvate schools was not collcted and the mission agreed to collect data and recalculate the indicator. Previous actual preschool enrollment in public and private schools was 10.5% and only in public was 5%. Actual number of enrollement in public school doubled between now and Comments: previous ISM increase enrollment rate in public school to 7%. IN01360903 Share of children aged 3 and 4 years enrolled in public preschool - female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 53.00 38.00 50.00 IN01360904 ►Beneficiaries of social safety net programs (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,245.00 1,677.00 3,500.00 Date 01-Dec-2021 27-Jun-2023 27-Nov-2023 01-Dec-2026 IN01360905 Beneficiaries of social safety net programs - Female (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target 12/24/2023 Page 3 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) Value 0.00 1,243.00 1,674.00 2,800.00 IN01360906 Beneficiaries of social safety net programs - households in areas with climate-related risks (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,245.00 1,677.00 1,000.00 Intermediate Results Indicators by Components 1. Improve coverage of essential RMNCH-N services IN01360910 ►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 3,226.00 17,450.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 This is a cumulative data and will be reported on annual basis. Final data for CY2023 will become Comments: available in Q1 CY2024. IN01360914 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2,942.00 4,600.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 IN01360918 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 9,750.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 IN01360921 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 284.00 3,100.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 IN01360924 ►Share of ANC clinic encounters complete for all required components (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/24/2023 Page 4 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) Value 0.00 81.00 81.00 65.00 Date 01-Dec-2021 27-Jun-2023 30-Jun-2023 01-Dec-2026 Aggregate report of Quality Assurance surveys (QA/QI) for July - Dec 2023 period is not yet available to Comments: update this indicator. IN01360925 ►Share of WCC encounters complete for all required components (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 46.00 65.00 Date 01-Dec-2021 27-Jun-2023 30-Jun-2023 01-Dec-2026 Aggregate report for Jul-Dec 2023 is not yet available to update this indicator. Comments: IN01360926 ►Share of neighboring islands health assistants completing certification course (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 33.00 33.00 75.00 Date 03-Jan-2022 27-Jun-2023 30-Jun-2023 01-Dec-2026 MOHHS compiles data annually at the end of calendar year. Final data for CY2023 will become available Comments: in Q1 CY2024. IN01360927 ►Share of neighboring islands health centers that (a) have completed an annual on-site assessment and (b) meet MOHHS standards as defined using an assessment tool (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 01-Dec-2021 27-Jun-2023 31-Oct-2023 01-Dec-2026 A total of 7 facilities have been assessed, 0 met criteria. There are a total of active 47 health facilities in Comments: the country. 2. Improve coverage of stimulation and early learning activities IN01360907 ►Teachers recruited or trained (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 14.00 113.00 150.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 2 preschool TAs and 113 educators trained under ECD-II to date (1 Teacher TA hired and 100 teachers trained since last mission. Baseline of 0 reflects the number of teachers trained under ECD-II at approval Comments: (agreed during June 2023 mission). 12/24/2023 Page 5 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) IN01360912 Teachers recruited or trained - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 106.00 85.00 IN01360915 ►Share of targeted caregivers engaging in early stimulation activities (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD 95.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 RMI PSS provided home reading sets to WUTMI, with 7 books and one string bag for each family. WUTMI Parent Educators distributed one home reading set to each client family. Baseline data has been collected Comments: and is being analyzed. IN01360919 ►Share of early years families with access to Marshallese language children's books (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD TBD TBD 40.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Data to be provided through MEIPI baseline survey / report which is not yet available. Preliminary data from MIEPI shared in an email from the PM indicates only around 1% of families surveyed report having at Comments: least 3 Marshallese language children’s books in their home. Once final analysis is available, baseline for ECD-II will be set. IN01360922 ►Share of targeted male caregivers engaging in early stimulation activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Related project activities have not yet commenced. Comments: 3. Social assistance for early years families IN01360908 ►Share of beneficiary families meeting conditionalities within compliance period (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 13.00 80.00 Date 01-Dec-2021 26-Jun-2023 27-Nov-2023 01-Dec-2026 Compliance with conditionalities started October 1, 2023. 13% of eligible families are compliying with Comments: conditionalities (data releted to preschool attandence only). 12/24/2023 Page 6 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) IN01360911 ►Share of eligible families receiving timely cash transfers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 58.00 58.00 90.00 Date 01-Dec-2021 26-Jun-2023 27-Nov-2023 01-Dec-2026 As of CCT #7, 1,677 eligible families received payment. There are currently 2,895 families registered waiting to be enrolled once documentation will be provided. 1,677/2,895= 58% of families have been Comments: enrolled out of those registered. IN01360916 ►Share of grievances recorded through the GRM that are resolved within agreed timeframes (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 01-Dec-2021 26-Jun-2023 27-Nov-2023 01-Dec-2026 One complaint regarding the inactive bank account was received and it is being addressed by PIU and Comments: updated in the GRM module of the MIS. 4. Strengthening the multisectoral ECD system and Project management IN01360909 ►Share of children aged 0-5 years that are developmentally on track (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 78.90 0.00 0.00 85.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Baseline survey data collection ended March 2023 and final analysis will become available after Comments: consultation with stakeholders in mid February 2024. IN01360913 Share of girls aged 0-5 years that are developmentally on track (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 78.90 0.00 0.00 85.00 IN01360917 ►Share of parents that report awareness of ECD SBCC activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 12/24/2023 Page 7 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) SBCC activities are yet to commence. UNICEF Partnership agreement was signed on November Comments: 22. National SBCC Coordinator was recruited. IN01360920 ►Strengthened multi-sectoral ECD policy and monitoring (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Costed action plan Data on key ECD (draft) is available but Policy indicators and Multi-sectoral ECD Policy needs consultation ECD financing Value Inadequate developed and endorsed and revision for reported in Annual feasibility and ECD Summit identifying the gaps. Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 01-Dec-2026 Intermediate Target 1 achieved. Comments: IN01360923 ►Share of targeted providers reporting adequate knowledge of GBV identification, referral, support (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 0.00 0.00 70.00 Date 01-Dec-2021 26-Jun-2023 08-Dec-2023 31-Dec-2026 The relevant training activity to begin in early 2024. Gender officer ToR (part time) finalized and Comments: recruitment to be completed in early 2024. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P177329 IDA-E0320 Effective USD 27.00 27.00 0.00 4.00 22.06 15% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P177329 IDA-E0320 Effective 06-Jun-2022 03-Aug-2022 14-Oct-2022 31-Dec-2026 31-Dec-2026 Cumulative Disbursements 12/24/2023 Page 8 of 9 The World Bank Implementation Status & Results Report RMI Multisectoral Early Childhood Development Project - II (P177329) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/24/2023 Page 9 of 9