The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) AFRICA EAST | Burundi | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 5 | ARCHIVED on 27-Jan-2022 | ISR49926 | Implementing Agencies: Ministry of Public Health and Fight against AIDS, Republic of Burundi Key Dates Key Project Dates Bank Approval Date: 05-Sep-2019 Effectiveness Date: 28-Feb-2020 Planned Mid Term Review Date: 20-Jun-2022 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) Increase the coverage of community based nutrition interventions among women of reproductive age and children under two and to increase utilization of family planning services in targeted areas Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Community interventions to increase coverage of nutrition services and utilization of family planning services:(Cost $23.70 M) Strengthening institutions, leadership and monitoring:(Cost $6.30 M) Contingency Emergency Response Component (CERC) 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 Project performance has improved substantially with an accelerated pace of implementation, which has been reflected in a five-fold increase in disbursements and improvements in some indicators of the project. The project, however faces some challenges in onboarding implementing agencies and staff to carry out all activities, and this delay could threaten the ability to deliver on the Project Development Objective. A virtual implementation support mission was held from November 18-22, 2021. During the mission, the team conducted technical discussions with the government and with the development partners on the areas covered by the project. Specific attention was paid to key actions necessary to fast-track implementation and ensure that all key personnel and contractors are on board to carry out all project activities within the duration of the operation. All stakeholders noted that the nutrition agenda is currently benefiting from the attention of high authorities (e.g. First Lady, Minister of Health among others), whose advocacy, will further facilitate project implementation, and notable progress in community nutrition interventions. In this regard, the "Forum des femmes leaders", held in October 2021 helped create greater visibility for project activities. Moving forward, emphasis 1/27/2022 Page 1 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) will be placed on ensuring that the Project Technical Unit is fully equipped and implementing agencies are secured to advance implementation. These issues will be further discussed and addressed during a planned Mid-Term Review in June 2022. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Substantial Other High High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase the coverage of community based nutrition interventions among women and children IN01090283 ►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 1,276,986.00 1,000,000.00 Date 27-Nov-2018 06-May-2021 30-Sep-2021 30-Jun-2023 This indicator has started being reported, but does not disentangle beneficiaries exclusively attributable to Comments: this project since community-based distribution started. IN01090286 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 1/27/2022 Page 2 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Value 0.00 0.00 989,888.00 1,000,000.00 Date 27-Nov-2018 06-May-2021 30-Sep-2021 30-Jun-2023 IN01090287 ►Children 0-23 months receiving essential community-based nutrition and early stimulation services in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Date 16-Nov-2018 06-May-2021 06-May-2021 30-Jun-2023 Community distribution has started in December 2021 and no figure has been reported as yet. Comments: IN01090288 ►Children 0-23 months showing adequate weight gain in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 55.00 Date 16-Nov-2018 06-May-2021 06-May-2021 30-Jun-2023 This indicator will have to include community-based targeting, but is still not reported. Comments: Increase utilization of family planning services IN01090284 ►Women using modern contraceptive methods in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.90 19.90 22.40 29.90 Date 21-Aug-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Comments: Women using modern contraceptive method/ 80% women of reproductive age in project areas * 100 IN01090285 ►Couple-Years Protection (CYP) in targeted areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 531,695.00 531,695.00 244,321.00 1,102,522.00 Date 31-Dec-2017 06-May-2021 30-Sep-2021 30-Jun-2023 Estimated protection provided by family planning services during a one year period, based upon the volume of all contraceptives sold or distributed free of charge to clients during that period. CYP is Comments: calculated by multiplying the quantity of each method distributed to clients by a conversion factor, which yields an estimate of the duration of contraceptive protection provided per unit of that method Overall Comments PDO 1/27/2022 Page 3 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) This figure covers the six provinces targeted in project. Project M&E is flagging the risk that the target might be overestimated. Intermediate Results Indicators by Components Community interventions to increase coverage of nutrition services and utilization of FP IN01090289 ►Community steering committees meeting quarterly and providing inputs into the project's quarterly reports, including on quality of and satisfaction with community nutrition interventions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 6.00 133.00 Date 27-Sep-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Steering committee meeting were hold at the targeted provincial level, and will start at the targeted Comments: collines' level in February 2022. IN01090291 ►Mothers participating in behavior change activities (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 607,454.00 Date 21-Aug-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Number of mothers benefiting from behavior change activities; cumulative Comments: IN01090293 ►Targeted households with targeted groups (children under two, pregnant and lactating women, adolescent girls) benefiting from nutrition sensitive community initiatives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 35,886.00 Date 21-Aug-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Comments: Cumulative number of Households/ targeted households in project areas IN01090294 ►Pregnant women benefiting from iron and folic acid supplementation (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 325,150.00 362,925.00 1,738,047.00 Date 16-Nov-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Comments: Number of Pregnant women receiving supplementation in project areas IN01090295 ►Community Health workers trained to deliver Sayana Press (Percentage, Custom) 1/27/2022 Page 4 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4.40 14.00 100.00 Date 16-Nov-2018 06-May-2021 30-Sep-2021 30-Jun-2023 This indicator is in good progress. It is aligned with the community-based distribution of contraceptives. Comments: Strengthening institutions, leadership and monitoring IN01090290 ►Faith-based health facilities staff trained on family planning methods and referrals in in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 21-Aug-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Comments: Staff trained (at least 1 per facility)/Targeted staff in project provinces*100 IN01090292 ►Number of people trained in Masters level training (1 year) (nutrition, reproductive health, and environmental public health) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 9.00 Date 16-Nov-2018 06-May-2021 30-Sep-2021 30-Jun-2023 Number of students registered to a masters level training in nutrition, reproductive health or environmental Comments: health Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P165253 IDA-D5140 Effective USD 30.00 30.00 0.00 5.18 25.20 17% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P165253 IDA-D5140 Effective 05-Sep-2019 19-Sep-2019 28-Feb-2020 30-Jun-2024 30-Jun-2024 Cumulative Disbursements 1/27/2022 Page 5 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 1/27/2022 Page 6 of 6