The World Bank Implementation Status & Results Report eGabon (P132824) eGabon (P132824) AFRICA WEST | Gabon | Digital Development Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 10 | ARCHIVED on 09-Feb-2022 | ISR48822 | Implementing Agencies: Ministry of Economy and Recovery, National Commission for Public Infras. Works and Promotion of Small-Scale Enterprises (CN-TIPPEE), Ministry of the Digital Economy, Republic of Gabon Key Dates Key Project Dates Bank Approval Date: 03-Jun-2016 Effectiveness Date: 19-Apr-2017 Planned Mid Term Review Date: 15-Jan-2019 Actual Mid-Term Review Date: 07-Dec-2018 Original Closing Date: 05-Jan-2022 Revised Closing Date: 31-Aug-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to: (i) improve the timeliness and availability of information to support the delivery and management of public health services; and (ii) to foster the development and roll-out of eHealth applications and services, and Information and Communication Technology (ICT) services more generally. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening the National Health Information System:(Cost $40.08 M) Component 2: Advancing the Digital Innovation Ecosystem Development:(Cost $11.00 M) Component 3: Project Management, coordination, monitoring and evaluation of the Project:(Cost $4.78 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Unsatisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions This Sequence #10 reflects the findings of the implementation support mission conducted virtually and in person between October 11 and October 26, 2021, as well as subsequent interactions with the project teams until the submission of this ISR. Component 1. Although good progress has been made in advancing the connectivity and cabling of health sites, the delivery of basic computer literacy training to health professionals, and the implementation of a secure messaging system, the procurement process for the national Health Information System is till ongoing. Component 2 activities continue to progress, driven by encouraging results produced by the SING incubator and the progress of the incubation phase for the 10 winning startups of the national business plan competition. The signature of a convention between the Government and SING 2/9/2022 Page 1 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) regarding the engagement and responsibilities of each stakeholder is, however, still pending, and the Government has yet to conclude the preparatory phase and feasibility studies for additional incubators in Franceville and Port-Gentil. 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 Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary Moderate Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Substantial Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the timeliness and availability of Health information IN01095036 ►Prescriptions transmitted electronically (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 31-Dec-2016 31-Dec-2019 31-Dec-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN01095037 ►Health workers reporting that they regularly use and update the patients’ electronic medical record during clinical consultations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 2/9/2022 Page 2 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Value 0.00 0.00 0.00 70.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN01095039 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,735.00 1,735.00 1,820,000.00 Date 31-Dec-2015 30-Sep-2020 30-Sep-2020 31-Dec-2021 End target expected to be achieved (once the system is in place). Currently includes cumulative Comments: beneficiaries from Component 1 (trained agents - 718) and Component 2 (1017). IN01095050 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 55.00 55.00 55.00 Foster the development and roll-out of digital services IN01095015 ►Start-up projects incubated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 29.00 41.00 50.00 Date 31-Dec-2015 30-Sep-2020 08-Apr-2021 31-Dec-2021 End target expected to be achieved progressively. The trend will accelerate as the incubator in Libreville Comments: matures and the two secondary sites open. IN01095047 Number of incubated e-health startup projects (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 13.00 9.00 10.00 IN01095040 ►Increase in the level of satisfaction by ICT sector actors regarding government’s promotion of the digital economy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 56.00 80.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2019 31-Dec-2021 End target expected to be achieved - data to be collected through a survey. Comments: 2/9/2022 Page 3 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Intermediate Results Indicators by Components Component 1: Strengthening the National Health Information System IN01095014 ►Health workers level of satisfaction regarding the effectiveness of NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 80.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 This corresponds to the satisfaction regarding the current system and not the system to be put in place Comments: through the project. End target expected to be achieved (once the system is in place). IN01095038 ►Service providers (CNAM-GS and others) level of satisfaction regarding the effectiveness of the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN01095042 ►Health professionals and managers with basic computer literacy skills acquired through training to be able the use of the NHIS (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 18.40 21.33 80.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN01095052 Women health professionals and managers with basic computer literacy skills acquired through training to be able the use of the NHIS (Percentage) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 IN01095043 ►Information technology managers and technicians trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 22.00 22.00 67.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 There was a mix-up in this indicator's value in the previous ISR. The previous figure (166) was Comments: erroneously entered, and represented the healthcare professionals trained, not the technicians. 2/9/2022 Page 4 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) IN01095045 ►Health care providers and administrators at the national level trained with improved skills and ability to use the NHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 166.00 206.00 400.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 The value of this indicator in the previous ISR (552) was erroneously entered, and represented the number of health professionals and managers having achieved a sufficient level of knowledge regarding Comments: the use of the NHIS. The indicator's title created the confusion: the title of this indicator should read “Healthcare providers and administrators at the national level trained as change management trainers”. IN01095046 ►Completion of business process re-engineering and change management activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 50.00 90.00 Date 31-Dec-2015 31-Dec-2019 31-Dec-2020 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: Component 2: Advancing the Digital Innovation Ecosystem Development IN01095013 ►Number of participants in hackathons and coding competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 308.00 543.00 500.00 Date 31-Dec-2015 30-Sep-2020 08-Apr-2021 31-Dec-2021 End target expected to be achieved - the next competitions will be nationwide with more participants. Comments: IN01095048 Number of women participants in hackathons and coding competitions (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 24.00 125.00 200.00 IN01095049 Number of young participants in hackathons and coding competitions (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 0.00 300.00 IN01095041 ►Number of startups that are selected for acceleration and incubation after applying to business plan competitions (Number, Custom) 2/9/2022 Page 5 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 45.00 45.00 Date 31-Dec-2015 30-Sep-2020 08-Apr-2021 31-Dec-2021 This indicator refers to the number of business plan competition applicants who are selected for acceleration and incubation. Comments: First competition rescheduled for Q4 2020 (calendar year). IN01095051 % of women among team members of startups selected for acceleration and incubation (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 43.70 40.00 IN01095053 % of youth among team members of startups selected for acceleration and incubation (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 IN01095044 ►Number of participants in training courses offered by the incubators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 846.00 953.00 750.00 Date 31-Dec-2015 30-Sep-2020 08-Apr-2021 31-Dec-2021 End target expected to be achieved. Comments: IN01095054 Number of women participants in training courses offered by the incubators (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 67.00 486.00 375.00 IN01095055 Number of young participants in training courses offered by the incubators (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 181.00 600.00 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) 2/9/2022 Page 6 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P132824 IBRD-86240 Effective USD 56.00 56.00 0.00 21.30 35.07 38% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P132824 IBRD-86240 Effective 03-Jun-2016 21-Jul-2016 19-Apr-2017 05-Jan-2022 31-Aug-2022 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 20-Dec-2021 Related Project(s) 2/9/2022 Page 7 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) P177517-eGabon AF 2/9/2022 Page 8 of 8