The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) CAR Health System Support and Strengthening (SENI) Project (P164953) WESTERN AND CENTRAL AFRICA | Central African Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 9 | ARCHIVED on 01-Dec-2022 | ISR53205 | Implementing Agencies: Central African Republic, Ministry of Public Health and Population Key Dates Key Project Dates Bank Approval Date: 27-Sep-2018 Effectiveness Date: 07-Feb-2019 Planned Mid Term Review Date: 22-Apr-2021 Actual Mid-Term Review Date: 03-May-2021 Original Closing Date: 31-Dec-2021 Revised Closing Date: 31-Jan-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To increase utilization and improve the quality of essential health services in targeted areas in the territory of the Recipient. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Improving the quality and utilization of essential health services at facility and community levels through performance-based financing (PBF):(Cost $36.00 M) Reinforcing the capacity of the Recipient’s health system and addressing Gender-Based Violence:(Cost $18.00 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project was extended for four months, from September 30 2022 to January 31, 2022 to enable essential medicines and medical equipment to be delivered in country and to complete civil works. 12/1/2022 Page 1 of 6 The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High Moderate Moderate Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies High Low Low Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Low Low Sustainability Fiduciary High Moderate Moderate Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other High Low Low Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes Improve utilization & quality of essential health services in facilities & communities through PBF IN01194775 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 434,461.00 538,762.00 450,640.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194886 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 118,908.00 139,122.00 98,186.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194887 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 171,396.00 214,849.00 179,658.00 12/1/2022 Page 2 of 6 The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194888 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 144,157.00 184,791.00 172,796.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194889 ►Quality average score of health centers in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 54.04 53.60 80.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194890 ►Quality average score of district hospitals (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 74.00 80.60 68.30 85.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 Intermediate Results Indicators by Components Improve utilization & quality of essential health services in facilities & communities through PBF IN01194892 ►Ante-natal care visits (at least 4) received by pregnant women (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 282,209.00 302,585.00 251,613.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194896 ►Post-natal care visits received by women (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 132,731.00 168,757.00 89,979.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194897 ►Pregnant women receiving two doses of intermittent preventive treatment (SP) for malaria (Number, Custom) 12/1/2022 Page 3 of 6 The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 71,075.00 71,075.00 69,887.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194898 ►People receiving health services free of charge (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,119,622.00 1,292,462.00 372,351.00 Date 30-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194899 ►Quality satisfaction score of beneficiaries for health services in district hospitals. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 60.60 46.20 80.00 Date 31-Dec-2017 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194900 ►Facilities receiving performance payments (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 Reinforcing institutional capacity for HSS incl. establishing district hospitals integrated GBV ser. IN01194891 ►Completeness of country health data in health management information system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 70.00 86.00 80.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194893 ►Districts hospitals with integrated GBV services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5.00 5.00 3.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194894 ►Availability of tracer drugs at health centers (Percentage, Custom) 12/1/2022 Page 4 of 6 The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) Baseline Actual (Previous) Actual (Current) End Target Value 84.00 78.05 90.50 85.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 IN01194895 ►Health professionals employed in health facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,239.00 1,272.00 1,272.00 1,506.00 Date 28-Sep-2018 04-Mar-2022 02-Sep-2022 31-Jan-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164953 IDA-D3750 Effective USD 43.00 43.00 0.00 38.82 3.40 92% P164953 TF-A8196 Effective USD 10.00 10.00 0.00 9.89 0.11 99% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164953 IDA-D3750 Effective 27-Sep-2018 12-Dec-2018 07-Feb-2019 31-Dec-2021 31-Jan-2023 P164953 TF-A8196 Effective 27-Sep-2018 12-Dec-2018 07-Feb-2019 31-Dec-2021 31-Jan-2023 Cumulative Disbursements 12/1/2022 Page 5 of 6 The World Bank Implementation Status & Results Report CAR Health System Support and Strengthening (SENI) Project (P164953) Restructuring History Level 2 Approved on 24-Jun-2021 ,Level 2 Approved on 29-Sep-2022 Related Project(s) There are no related projects. 12/1/2022 Page 6 of 6