The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Cambodia Nutrition Project (P162675) EAST ASIA AND PACIFIC | Cambodia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 5 | ARCHIVED on 21-Dec-2021 | ISR48980 | Implementing Agencies: Ministry of Health, Kingdom of Cambodia, National Committee for Sub-National Democratic Development Secretariat Key Dates Key Project Dates Bank Approval Date: 04-Apr-2019 Effectiveness Date: 10-Oct-2019 Planned Mid Term Review Date: 30-Jun-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 PDO is to improve utilization and quality of priority maternal and child health and nutrition services for targeted groups in Cambodia. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening the delivery of priority health services:(Cost $24.00 M) Component 2: Stimulating demand and accountability at the community level:(Cost $10.80 M) Component 3: Ensuring an effective and sustainable response:(Cost $18.20 M) 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 fourth implementation support mission (ISM) for the CNP was conducted from August 16th to 20th, 2021. The domestic COVID-19 restrictions have caused inevitable yet significant delays in the rollout of activities including: the quarterly assessment of health facilities using the Maternal and Child Health and Nutrition Scorecard (MCHN-S); the rollout of the Commune/Sangkat Service Delivery Grant (C/S-SDG); and the Health Equity Fund (HEF) expansion. However, CNP’s two implementing agencies, Ministry of Health and National Committee for Sub-National Democratic Development Secretariat, have made notable progress since the last ISM held in February 2021. For instance, the Payment Certification Agency started certifying the claim verification for the new HEF beneficiaries (0-2 years old children of informal workers) in June 2021. The information, communication and technology platform for the MCHN-S has also been developed and is ready for the operational district assessors’ training in December 2021. Furthermore, the NCDDS has conducted its first round of the C/S-SDG readiness assessment at commune/Sangkat (C/S) and district/municipal administration (DMA) in October and November 2021 as part of the commune/Sangkat SDG rollout plan. The first SDG payment to C/S and DMA will be completed by end of December 2021. 12/21/2021 Page 1 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Moderate Moderate Macroeconomic Low Low Moderate Sector Strategies and Policies Low Low Low Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Low Low Low Stakeholders Low Low Low Other Low Substantial Low Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes To improve utilization of priority maternal and child health and nutrition services IN01061529 ►Percent of children born in the last 24 months who were put to the breast within one hour of birth (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.50 56.50 56.50 68.00 Date 01-Jul-2019 01-Jul-2019 01-Jul-2019 28-Jun-2024 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed early 2022. IN01061561 ►Number of children under 12 months of age in target areas receiving DPT-HepB-Hib 3 in the last calendar year (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38,500.00 45,307.00 45,307.00 41,000.00 12/21/2021 Page 2 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Date 31-Dec-2018 31-Dec-2020 31-Dec-2020 31-Dec-2023 Updated based on 2020 Heath Achievement Report (HAR) of the National Health Congress (NHC) 2021. Indicator has already surpassed the project end target and will thus be restructured to include a revised Comments: end target. To improve quality of priority maternal and child health and nutrition services IN01061528 ►Percent of children 6-23 months of age in target provinces who receive foods from 4 or more food groups, by gender (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 31-Dec-2018 31-Dec-2018 31-Dec-2018 31-Dec-2023 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed early 2022. IN01061530 Female (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 01-Feb-2019 31-Dec-2018 31-Dec-2018 30-Jun-2024 IN01061562 Males (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 26-Feb-2019 31-Dec-2018 31-Dec-2018 30-Jun-2024 IN01061563 ►Percent of pregnant women in target areas receiving micronutrient supplementation in accordance with national guidelines (annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.20 97.17 87.45 90.00 Date 31-Dec-2018 31-Dec-2020 07-Dec-2021 31-Dec-2023 Corrected by the Department of Planning and Health Information (DPHI) and then adjusted to the NHC Comments: report (Health Achievement Report) to 87.45 from the previous estimate of 97.17. IN01061564 ►Number of health facilities in target areas scoring over 60 percent on their Maternal and Child Health and Nutrition Scorecards (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 12/21/2021 Page 3 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Date 01-Feb-2019 25-Apr-2021 07-Dec-2021 31-Dec-2023 MCHN-S rollout delayed until 2022 due to COVID-19. Comments: IN01061565 ►Number of commune/sangkats in target areas receiving Commune/Sangkat Service Delivery Grants (C/S-SDGs) for women and children (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 8.00 271.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 First CS-SDG assessments conducted in October-November 2021. Comments: Intermediate Results Indicators by Components Component 1: Strengthening the Delivery of Priority Health Services IN01061566 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 451,654.00 451,654.00 1,060,000.00 Date 31-Dec-2018 31-Dec-2020 31-Dec-2020 31-Dec-2023 It is the cumulative number of the 3 sub-indicators below. In year 1, basic nutrition services limited only to receipt of Vitamin A, excluding number of mother of children aged 0-2 years old attending the Commune Program for Women and Children (CPWC) events, as the CPWC activities has not yet been rolled out. It Comments: should be noted that this indicator already surpassed the target set of 211,000.00 in 2020 and will be revised during the CNP restructuring. IN01061570 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 84,192.00 84,192.00 200,000.00 Date 31-Dec-2018 31-Dec-2020 31-Dec-2020 28-Jun-2024 IN01061572 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 78,292.00 78,292.00 160,000.00 Date 31-Dec-2018 31-Dec-2020 31-Dec-2020 31-Dec-2023 IN01061575 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 12/21/2021 Page 4 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Value 0.00 289,170.00 289,170.00 700,000.00 Date 31-Dec-2018 31-Dec-2020 31-Dec-2020 31-Dec-2023 IN01061577 ►Number of coaching sessions conducted in target areas with participation of NMCHC (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Coaching will accompany MCHN-S rollout which is expected to begin in 2022. Comments: IN01061580 ►Average health center staff score (%) on GMP vignette in target areas (annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 65.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 This vignette is a component of the MCHN-S for which rollout is delayed until 2022. Comments: IN01061582 ►Number of integrated outreach sessions in target areas supported by the project (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Delivery of integrated outreach will be monitored as part of MCHN-S and has been delayed due to Comments: COVID-19. IN01061584 ►Percent of children 12-23 months in target areas fully immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.04 63.04 63.04 75.00 Date 20-Aug-2014 01-Jul-2019 01-Jul-2019 28-Jun-2024 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed early 2022. IN01061585 Bottom 40% of households (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 56.30 56.30 56.30 68.00 12/21/2021 Page 5 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Date 30-Jun-2014 01-Jul-2019 01-Jul-2019 30-Jun-2024 IN01061586 Upper 60% of households (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 77.80 77.80 77.80 85.00 Date 30-Jun-2014 01-Jul-2019 01-Jul-2019 30-Jun-2024 IN01061587 ►Utilization of outpatient HEF services in target areas in the last calendar year (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 232,872.00 237,800.00 0.00 256,000.00 Date 31-Dec-2018 31-Dec-2019 07-Dec-2021 31-Dec-2023 Since the CNP only supports children aged under two years old of informal workers, thus this target will be Comments: revised as part of project restructuring. Component 2. Stimulating Demand and Accountability at the Community Level IN01061568 ►Number of citizens in target areas providing feedback on commune services for women and children (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061571 ►Number of communes in target areas incorporating C/S-SDG beneficiary feedback in Commune Investment Program (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 200.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061574 ►Number of villages in target areas with active VHSGs trained according to guidelines (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,050.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Comments: Rollout of project activities delayed due to COVID-19. 12/21/2021 Page 6 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01061576 ►Number of VHSGs in target areas trained by the project to implement CPWC and HEF promotion (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,200.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061578 Number of VHSGs trained by the project to implement CPWC and HEF promotion-female (cumulative) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 720.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 IN01061579 ►Number of community health and nutrition events for women and children under 2 convened in target areas (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 35,000.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061581 ►Number of caregivers of children age 0-2 years participating in any CPWC event in the last calendar year (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061583 ►Percent of commune/sangkats in target areas receiving C/S-SDG payment within specified timelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 8.00 85.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 First CS-SDG payments made in October-November 2021. Comments: Component 3. Ensuring an Effective and Sustainable Response 12/21/2021 Page 7 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01061567 ►Number of public health providers trained in MIYCN package (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01061569 Of which female (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 145.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 IN01061573 ►Percent of health facilities receiving MCHN scorecard SDG payment within specified timelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2018 25-Apr-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: Performance-Based Conditions IN01061588 ►PBC 1 DLI A: Subnational capacity building and rollout of C/S-SDG system (Text, Output, 700,000.00, 42.86%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1. C/S-SDG checklists Year 0: and readiness guidelines 1. C/S-SDG checklists distributed to all C/S and and readiness guidelines D/K in target provinces - distributed to all C/S and achieved, 50,000 D/K in target provinces - disbursed. C/S-SDG system and achieved, 50,000 1. Training on C/S- 2. NCDDS is adequately training package not disbursed. SDG processes Value staffed to carry out C/S- designed 2. NCDDS is adequately rolled out as per SDG implementation staffed to carry out C/S- year 3 plan according to mutually SDG implementation agreed staffing plan - according to mutually achieved, 200,000 agreed staffing plan - disbursed. achieved, 200,000 3. Plans for subnational disbursed. capacity building and 12/21/2021 Page 8 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) monitoring for C/S-SDG 3. Plans for subnational approved - achieved, capacity building and 50,000 disbursed. monitoring for C/S-SDG approved - achieved, 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01061589 ►PBC 2 DLI B: Sustained timeliness of C/S-SDG payments and fiduciary oversight (Text, Output, 500,000.00, 20.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1. Plans for sub-national 1. Plans for sub-national capacity building and 1. At least 85% of capacity building and monitoring of financial C/S-SDG payments monitoring of financial management (FM) are are made within the management (FM) are approved - achieved, prescribed time approved - achieved, 50,000 disbursed. 2. Activities as per 50,000 disbursed. Capacity building and 2. NCDDS FM team the year 4 FM Value 2. NCDDS FM team training not occurring receives training in its capacity building receives training in its standard operating and monitoring plan standard operating procedures and World have been procedures and World Bank’s Procurement completed for C/S- Bank’s Procurement Regulations - achieved, SDG FM readiness Regulations - achieved, 50,000 disbursed. and roll out 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01061590 ►PBC 3 DLI C: C/S-SDG assessment and coaching in accordance with guidelines (Text, Output, 450,000.00, 11.11%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1.Implementation 1.Implementation 1. At least 90% of guideline detailing C/S- guideline detailing C/S- target C/S receive SDG fund flow, rollout, SDG fund flow, rollout, timely C/S-SDG process, and oversight process, and oversight assessment arrangements is finalized C/S SDG System not arrangements is finalized 2. Actions taken as and distributed among Value established and no and distributed among per C/S-SDG C/S, district, provincial, assessments conducted C/S, district, provincial, Operational Manual and central authorities - and central authorities - to address achieved, 50,000 achieved, 50,000 discrepancies in ex- disbursed. disbursed. ante and ex-post verification scores Date -- 01-Jul-2020 01-Jul-2020 -- 12/21/2021 Page 9 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01061591 ►PBC 4 DLI D: Ongoing readiness and quality of priority nutrition services (Text, Output, 950,000.00, 15.79%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1. Comprehensive Year 0: package of nutrition 1. Comprehensive interventions defined – package of nutrition Incomplete complement of achieved, $50,000 paid interventions defined – qualified personnel to carry after verification achieved, $50,000 paid out project functions; 2. Supervision, training, after verification 1. The National comprehensive package of and coaching plans for 2. Supervision, training, Nutrition Program of Value nutrition interventions not comprehensive nutrition and coaching plans for MOH is adequately defined; and supervision, interventions is agreed comprehensive nutrition staffed training and coaching plans and budgeted – interventions is agreed for comprehensive nutrition achieved, $50,000 and budgeted – achieved, intervention not yet agreed disbursed. $50,000 disbursed. Date -- 18-Mar-2021 18-Mar-2021 -- IN01061592 ►PBC 5 DLI E. Delivery of an integrated outreach package including priority MCHN services (Text, Outcome, 600,000.00, 20.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1. Guidelines specifying Year 0: integrated outreach 1. Guidelines specifying package including integrated outreach minimum MCHN package including activities, frequency, and minimum MCHN activities, 1. ODs in target monitoring protocol for frequency, and monitoring provinces with An integrated outreach central and OD levels is protocol for central and health centers package, including priority adopted (the Guidelines)- OD levels is adopted (the conducting Value MCHN services not being achieved, 70,000 Guidelines)- achieved, integrated outreach delivered disbursed. 70,000 disbursed. according to the 2. Procurement for the 2. Procurement for the Guideline integrated outreach integrated outreach portable kits initiated - portable kits initiated - achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01061593 ►PBC 6 DLI F. Comprehensive coaching conducted for MCHN Scorecard (Text, Output, 750,000.00, 20.00%) 12/21/2021 Page 10 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1. MCHN scorecard developed based on the criteria set out in the Verification Protocol – achieved, 50,000 disbursed. 2. MCHN vignettes finalized based on criteria set out in the Verification Annual plan for MCHN Protocol – achieved, 1.MCHN scorecard An integrated outreach coaching developed, 50,000 disbursed. coaching conducted package, including priority agreed, and budgeted – Value 3. Annual plan for MCHN according to year 4 MCHN services not being achieved, 50,000 coaching developed, plan delivered disbursed. agreed, and budgeted – achieved, 50,000 disbursed. Year 1: 1.Comprehen-sive package of MCHN scorecard coaching modules developed and approved – achieved, 100,000 disbursed. Date -- 18-Mar-2021 07-Dec-2021 -- IN01061594 ►PBC 7 DLI G. Communication materials, training, and supervision delivered for VHSGs and HEF Promotion (Text, Output, 900,000.00, 22.22%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1. SBCC implementation Year 0: plan and list/package of 1. SBCC implementation materials developed for plan and list/package of VHSG, NMCHC, NNP, materials developed for 1.NCHP undertakes and HEF promotion is VHSG, NMCHC, NNP, supervision of approved by Project and HEF promotion is community level director – achieved, approved by Project activities and any $50,000 disbursed. director – achieved, remaining training Communications materials, 2. Capacity building and $50,000 disbursed. programs defined for training and supervision supervision plans for 2. Capacity building and year 4 in the Value currently not being NCHP’s support to HEF supervision plans for Capacity Building delivered for VHSGs and promotion and support to NCHP’s support to HEF and Supervision HEF Promotion CPWC (Capacity promotion and support to plan Building and Supervision CPWC (Capacity Building 2.SBCC Plans) aligned with and Supervision Plans) implementation plan C/S‐SDG rollout is aligned with C/S‐SDG for year 4 is agreed and budgeted – rollout is agreed and completed achieved, $50,000 budgeted – achieved, disbursed. $50,000 disbursed. 12/21/2021 Page 11 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Date -- 18-Mar-2021 18-Mar-2021 -- IN01061595 ►PBC 8 DLI H. Sustainable institutional arrangements for HEF and SDG payment and certification (Text, Output, 1,300,000.00, 11.54%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1. PMRS updated to 1. PMRS updated to incorporate the expanded incorporate the expanded HEF package under Part HEF package under Part 1.2 – achieved, 100,000 1.Timely certification 1.2 – achieved, 100,000 No sustainable institutional disbursed. of MCHN Scorecard disbursed. arrangements for HEF and 2. Training to implement scores as per Value 2. Training to implement SDG payment and MOH guidelines on HEF MOH’s relevant MOH guidelines on HEF certification expansion is completed guideline expansion is completed for all target provinces – for all target provinces – achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 18-Mar-2021 18-Mar-2021 -- IN01061596 ►PBC 9 DLI I. MCHN service quality monitoring enhanced and mainstreamed in the MOH (Text, Output, 900,000.00, 16.67%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1.MCHN scorecard 1.MCHN scorecard manual and guideline manual and guideline 1.MCHN scorecard finalized - achieved, finalized - achieved, implemented in new 50,000 disbursed. 50,000 disbursed. provinces and health 2. MCHN scorecard 2. MCHN scorecard facilities as per mid- guidance integrated into guidance integrated into term review SDG annual instruction SDG annual instruction for agreements for year for implementation - No enhanced service implementation - 4. achieved, 50,000 Value quality monitoring and not achieved, 50,000 2.Quarterly joint disbursed. mainstreamed in MOH disbursed. review (QAO + 3.Protocol for reviewing 3.Protocol for reviewing NMCHC) of MCHN MCNH scorecard MCNH scorecard scores and developed and templates developed and templates production of for quarterly and annual for quarterly and annual quarterly and annual MCHN scorecard reports MCHN scorecard reports reports produced - achieved, produced - achieved, 50,000 disbursed. 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- 12/21/2021 Page 12 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01061597 ►PBC 10 DLI J. Timeliness of MCHN-SDG and HEF payments ensured and continued FM capacity building for health centers (Text, Output, 900,000.00, 11.11%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: 1. Financial procedure 1. Financial procedure guidelines and standards guidelines and standards 1. At least 85% of for HEF and SDG for HEF and SDG MCHN-SDG and expansion finalized and expansion finalized and HEF payment are distributed to OD, PHD, distributed to OD, PHD, made within the MCHN-SDG and HEF and MOH central staff – and MOH central staff – prescribed time payments are not timely, partially achieved, 50,000 achieved, 100,000 2. Activities as per Value and FM capacity building disbursed disbursed the FM capacity for health centers is not 2. Sub‐national FM 2. Sub‐national FM building plan have continuous capacity building plan capacity building plan been completed for approved by MOH – approved by MOH – year 4 achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 18-Mar-2021 07-Dec-2021 -- IN01061598 ►PBC 11 DLI K. Regularity of MCHN data availability enhanced (Text, Output, 300,000.00, 0.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1.Timely production of monthly, semi- annual and annual MCHN data is not regularly Year 0: Value Targets not achieved yet. MCHN and HEF available Targets not achieved yet. utilization reports in year 4 Date -- 08-Oct-2020 08-Oct-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P162675 IDA-63940 Effective USD 15.00 15.00 0.00 2.19 12.96 14% P162675 TF-A9830 Effective USD 10.00 10.00 0.00 0.89 9.11 8.9% P162675 TF-A9833 Effective USD 5.00 5.00 0.00 1.43 3.57 29% 12/21/2021 Page 13 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) P162675 TF-A9902 Effective USD 2.00 2.00 0.00 0.34 1.66 17% P162675 TF-B0827 Effective USD 2.00 2.00 0.00 1.36 0.64 68% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P162675 IDA-63940 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2024 30-Jun-2024 P162675 TF-A9830 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 31-Dec-2021 30-Nov-2023 P162675 TF-A9833 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2023 30-Jun-2023 P162675 TF-A9902 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2021 30-Jun-2022 P162675 TF-B0827 Effective 03-Jul-2019 22-Aug-2019 10-Oct-2019 30-Jun-2024 30-Jun-2024 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 12/21/2021 Page 14 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Restructuring History Level 2 Approved on 30-Jun-2021 ,Level 2 Approved on 15-Dec-2021 Related Project(s) There are no related projects. 12/21/2021 Page 15 of 15