The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) SOUTH ASIA | Afghanistan | Health, Nutrition & Population Global Practice | Recipient Executed Activities | Investment Project Financing | FY 2022 | Seq No: 1 | ARCHIVED on 25-Aug-2022 | ISR52686 | Implementing Agencies: United Nations Children’s Fund (UNICEF), United Nations Children’s Fund (UNICEF) Key Dates Key Project Dates Bank Approval Date: 24-May-2022 Effectiveness Date: 26-May-2022 Planned Mid Term Review Date: 03-Jul-2023 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2024 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase the utilization and quality of essential health services in Afghanistan. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name 1. Urgent provision of essential primary and secondary health services:(Cost $289.00 M) 2. Strengthening service delivery and project coordination:(Cost $44.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The World Bank approved US$333 million (US$314 million from Afghanistan Trust Fund (ARTF) and US$19 million from Global Financing Facility (GFF)) to finance Afghanistan Health Emergency Response (HER) project which became effective on May 24, 2022. The project is being implemented by UNICEF. Implementation has started, supported by technical and operational working groups to support its implementation. 8/25/2022 Page 1 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- High Macroeconomic High -- High Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Substantial -- Moderate Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders Moderate -- Moderate Other Substantial -- Substantial Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes To increase the utilization of essential health services IN01181143 ►Children who have received the third dose of the Pentavalent vaccine through project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,973,536.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181144 ►FEMALE - Children who have received the third dose of the Pentavalent vaccine through project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 986,768.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181145 ►Births occurring at project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,277,629.00 8/25/2022 Page 2 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181176 ►Visits for growth monitoring and counselling on age-appropriate infant and young child feeding among children aged 0-23 months received at project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 11,245,006.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181876 ►FEMALE - The visits for growth monitoring and counselling on age-appropriate infant and young child feeding among children aged 0-23 months received at project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5,622,503.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 To increase the quality of essential health services IN01181177 ►Average Quality Checklist score for BPHS and EPHS facilities (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Baseline TBD -- 0.00 Baseline + 15 points Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 Intermediate Results Indicators by Components Component 1: Urgent provision of essential primary and secondary health services IN01181147 ►Service Providers who receive timely and complete payments from UNICEF as per contractual obligations (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Not Applicable -- 0.00 80% Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181148 ►BPHS and EPHS health facility staff who receive at least 90% of their salary on time in the past month (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Data not available -- 0.00 80% Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 8/25/2022 Page 3 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) IN01181179 ►BPHS and EPHS health facilities meeting minimum female staffing requirements (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Data not available -- 0.00 95% Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181180 ►Vaccinators and CHWs who are female (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Data no available -- 0.00 45% Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181181 ►Female nutrition counsellors employed by Service Providers (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Data not available -- 0.00 2,000.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181182 ►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 7,284,303.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181183 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5,646,697.00 IN01181184 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,973,536.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181185 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 4,033,138.00 8/25/2022 Page 4 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181186 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,277,629.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181077 ►Family planning couple-years of protection provided at project-financed facilities (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 739,737.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181078 ►Children who have received the first dose of the Pentavalent vaccine through project-financed facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2,236,360.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181079 ►FEMALE - Children who have received the first dose of the Pentavalent vaccine through project-financed facilities (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,016,528.00 Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 Component 2: Strengthening service delivery and project coordination IN01181172 ►Health workers who receive training or mentorship (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 8,000.00 Date 23-Aug-2022 -- 23-Aug-2022 30-Jun-2024 IN01181080 ►EPHS facilities where at least one female staff member has been trained on counselling for gender-based violence, implementation of GBV referral protocols and case management. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Data not available Value -- 0.00 80% 8/25/2022 Page 5 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181191 ►Average score on the Quantified Quality Checklist sub-section for pharmaceutical products (Text) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD -- 0.00 Baseline + 15 points Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 IN01181173 ►Beneficiaries who are satisfied with services received by the project (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Baseline TBD -- 0.00 75% Date 01-Jul-2022 -- 23-Aug-2022 30-Jun-2024 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P178775 TF-B8512 Effective USD 150.00 150.00 0.00 75.39 74.61 50% P178775 TF-B8514 Effective USD 19.00 19.00 0.00 9.61 9.39 51% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P178775 TF-B8512 Effective 24-May-2022 26-May-2022 26-May-2022 30-Jun-2024 30-Jun-2024 P178775 TF-B8514 Effective 24-May-2022 26-May-2022 26-May-2022 30-Jun-2024 30-Jun-2024 Cumulative Disbursements 8/25/2022 Page 6 of 7 The World Bank Implementation Status & Results Report AFGHANISTAN HEALTH EMERGENCY RESPONSE (HER) PROJECT (P178775) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 8/25/2022 Page 7 of 7