The World Bank                                                                                      Implementation Status & Results Report
           Yemen Emergency Human Capital Project (P176570)



Yemen Emergency Human Capital Project (P176570)


 MIDDLE EAST AND NORTH AFRICA | Yemen, Republic of | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 3 | ARCHIVED on 08-Jul-2022 | ISR52343 |


 Implementing Agencies: United Nations Children's Fund, United Nations Children's Fund, United Nations Office for Project Services, United Nations
 Office for Project Services, World Health Organization, World Health Organization



 Key Dates


  Key Project Dates

   Bank Approval Date: 30-Jun-2021                                             Effectiveness Date: 27-Sep-2021
   Planned Mid Term Review Date: 31-Jan-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 is to provide essential health, nutrition, water and sanitation services to the population of Yemen.

  Has the Project Development Objective been changed since Board Approval of the Project Objective?
  No


 Components Table

 Name
 Improving Access to Healthcare, Nutrition, and Public Health Services:(Cost $104.95 M)
 Improving Access to Water Supply and Sanitation and Strengthening Local Systems:(Cost $26.24 M)
 Project Support, Management, Evaluation and Administration:(Cost $18.81 M)
 Contingent Emergency Response

 Overall Ratings

 Name                                                                        Previous Rating                           Current Rating

 Progress towards achievement of PDO                                         Satisfactory                             Satisfactory
 Overall Implementation Progress (IP)                                        Satisfactory                             Satisfactory
 Overall Risk Rating                                                         High                                     High


 Implementation Status and Key Decisions

  As of May 31, 2022, US$97.9 million has been disbursed to the implementing agencies for implementation of project activities. EHCP is on track to
  reach and exceed the planned results. Over 2.56 million beneficiaries have received health and nutrition services in EHCP-supported health
  facilities in all governorates in Yemen. This includes 1,408,667 beneficiaries receiving services in supported hospitals and through measles
  vaccination campaign, and 1,150,666 women and children receiving basic health and nutrition services at the primary health care (PHC) level.
  Through the EHCP, 1,866 health workers have also been trained within six months compared to an annual target of 2,000. In addition, one round of
  integrated outreach was conducted nationally. The project end target of reaching 3.65 million beneficiaries receiving health, nutrition or population
  services, is likely to be surpassed. Furthermore, around 100,000 people have been provided with access to improved water supply and sanitation
  services, exceeding a total target of 850,000. The EHCP is expected to continue successful implementation in the months ahead.



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            Yemen Emergency Human Capital Project (P176570)




  Risks


 Systematic Operations Risk-rating Tool


  Risk Category                                             Rating at Approval               Previous Rating                 Current Rating

  Political and Governance                                  High                            High                           High
  Macroeconomic                                             Substantial                     Substantial                    Substantial
  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                                                 High                            High                           High
  Environment and Social                                    Substantial                     Substantial                    Substantial
  Stakeholders                                              High                            High                           High
  Other                                                     --                               --                              --
  Overall                                                   High                            High                           High



  Results


 PDO Indicators by Objectives / Outcomes



   Provision of essential health and nutrition services

    IN01167716
    ►Beneficiaries of health, nutrition and/or population services provided through the project (Number, Custom)

                                       Baseline                    Actual (Previous)              Actual (Current)           End Target

    Value                              0.00                       0.00                            2,797,857.00               3,650,000.00

    Date                               30-Apr-2021                09-Dec-2021                     31-May-2022               30-Jun-2024

                                       Number of all people who have benefited from health, nutrition, and/or population services provided
   Comments:
                                       through the project.
     IN01167718
     Beneficiaries of health, nutrition, and/or population services provided through the project, of which female (Number, Custom Breakdown)

                                     Baseline                    Actual (Previous)            Actual (Current)              End Target

     Value                           0.00                        0.00                         1,532,747.00                  2,000,000.00




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           Yemen Emergency Human Capital Project (P176570)




     Date                           30-Apr-2021                  09-Dec-2021                  31-May-2022                30-Jun-2024

     IN01167720
     Beneficiaries of health, nutrition, and/or population services provided through the project - of which children under 5 (Number, Custom
     Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         0.00                         1,750,705.00               2,170,000.00

     Date                           30-Apr-2021                  09-Dec-2021                  31-May-2022                30-Jun-2024

     IN01167721
     Percentage of beneficiaries of health, nutrition, and/or population services provided through the project - IDPs (Percentage, Custom
     Supplement)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         0.00                         4.00                       10.00


   Provision of Essential Water and Sanitation Services

    IN01167717
    ►People provided with access to improved water and sanitation services in selected urban and rural areas (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                            0.00                         0.00                         100,200.00                850,000.00

    Date                             30-Apr-2021                  09-Dec-2021                  31-May-2022               30-Jun-2024
                                      The indicator measures the cumulative number of people who benefited from improved sanitation facilities
   Comments:                          that have been constructed/rehabilitated through operations supported by the World Bank. Peri-urban
                                      areas will be considered as part of urban areas.
     IN01167719
     People provided with access to improved water and sanitation services in selected urban and rural areas - female (Percentage, Custom
     Supplement)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         0.00                         48.10                      48.00



 Intermediate Results Indicators by Components



   Improving Access to Health, Nutrition, and Public Health Services

    IN01167722
    ►Number of outreach rounds conducted (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                            0.00                         0.00                         0.00                      23,480.00

    Date                             30-Apr-2021                  09-Dec-2021                  31-May-2022               30-Jun-2024




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           Yemen Emergency Human Capital Project (P176570)



                                      Number of outreach rounds provided by health workers who normally work at a health facility. The project
   Comments:                          is expected to cover 1,257 primary health care facilities with each facility conducting one round of four
                                      weekly outreach visits each month over 12 months.
    IN01167725
    ►Health facilities provided with equipment and medical/non-medical supplies (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          76.00                      2,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                      Number of primary or secondary health facilities provided with equipment and medical/non-medical
   Comments:
                                      supplies provided by the project
    IN01167728
    ►Pregnant women receiving antenatal care during a visit to a health provider (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          133,389.00                 200,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                      This indicator measures the cumulative number of pregnant women receiving at least one antenatal care
   Comments:
                                      visit (ANC1) to a health provider as a result of Bank-financed activities
    IN01167731
    ►Health personnel receiving training (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          1,992.00                   3,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                      This indicator measures the cumulative number of health personnel of different cadres receiving training
   Comments:
                                      through the project.
    IN01167733
    ►Number of people receiving mental health and psychosocial support (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          4,366.00                   160,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                      Number of people benefiting from services at primary health care facilities with a child friendly space; plus
   Comments:
                                      hospitals providing mental health services
    IN01167735
    ►Number of facility-based nutrition sentinel sites (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          300.00                     337.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024




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           Yemen Emergency Human Capital Project (P176570)



                                     Number of nutrition facility-based sentinel sites in Hospital and Primary health care integrated or not in
   Comments:
                                     maternal and child health service delivery platform
    IN01167737
    ►Women receiving breastfeeding and complementary feeding counselling (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                            0.00                         0.00                          232,006.00                 250,000.00

    Date                             31-Mar-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                     Women with a child 0 to 24 months of age receiving breastfeeding and complementary feeding
   Comments:
                                     counselling
    IN01167739
    ►People receiving essential drugs for non-communicable diseases (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                            0.00                         0.00                          0.00                       100,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                     Cumulative number of beneficiaries diagnosed with NCD and who received NCD drugs for at least one
   Comments:
                                     time during the duration of project
    IN01167742
    ►Training on good hygiene and sanitation practices to prevent the spread of diseases exacerbated by climate change (Yes/No, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                            No                           No                            Yes                        Yes

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                     Conducting training in selected areas to promote good hygiene/sanitation practices to prevent the spread
   Comments:
                                     of diseases exacerbated by climate change
    IN01167743
    ►New electronic integrated disease early warning system (eIDEWS) data collection sites established (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                            1,991.00                     1,991.00                      2,379.00                   2,379.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

                                     The number of health facilities reporting to the eDIEWS platform through immediate, weekly, and monthly
   Comments:
                                     reports
    IN01167746
    ►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                          2,232,125.00               2,944,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022                30-Jun-2024

     IN01167748



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           Yemen Emergency Human Capital Project (P176570)




     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                       1,075,735.00              1,600,000.00

     IN01167750
     Number of children immunized (Number, Corporate Breakdown)

                                  Baseline                    Actual (Previous)          Actual (Current)          End Target

     Value                        0.00                        0.00                       747,013.00                2,000,000.00

     Date                         30-Apr-2021                 09-Dec-2021                31-May-2022               30-Jun-2024

     IN01167752
     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                       1,400,536.00              794,000.00

     Date                         30-Apr-2021                 09-Dec-2021                31-May-2022               30-Jun-2024

     IN01167754
     Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown)

                                  Baseline                    Actual (Previous)          Actual (Current)          End Target

     Value                        0.00                        0.00                       84,576.00                 150,000.00

     Date                         30-Apr-2021                 09-Dec-2021                31-May-2022               30-Jun-2024


   Improving Access to Water Supply and Sanitation and Strengthening Local Systems

    IN01167724
    ►People provided with access to improved water sources (Number, Corporate)

                                    Baseline                   Actual (Previous)           Actual (Current)         End Target

    Value                           0.00                       0.00                        100,200.00               300,000.00

    Date                            30-Apr-2021                09-Dec-2021                 31-May-2022             30-Jun-2024

                                    This indicator measures the cumulative number of people who benefited from improved water supply
   Comments:
                                    services that have been constructed through operations supported by the World Bank.
     IN01167726
     People provided with access to improved water sources - Female (RMS requirement) (Number, Corporate Supplement)

                                  Baseline                    Actual (Previous)          Actual (Current)          End Target

     Value                        0.00                        0.00                       48,096.00                 144,000.00

     IN01167730
     People provided with access to improved water sources - rural (Number, Corporate Supplement)

                                  Baseline                    Actual (Previous)          Actual (Current)          End Target

     Value                        0.00                        0.00                       23,200.00                 100,000.00


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           Yemen Emergency Human Capital Project (P176570)



     IN01167732
     People provided with access to improved water sources - urban (Number, Corporate Supplement)

                                   Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                         0.00                         0.00                         77,000.00                   200,000.00

    IN01167734
    ►People provided with access to improved sanitation services (Number, Corporate)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        0.00                          0.00                      550,000.00

    Date                             30-Apr-2021                 09-Dec-2021                   31-May-2022               30-Jun-2024

                                     The indicator measures the cumulative number of people who benefited from improved sanitation facilities
   Comments:
                                     that have been constructed through operations supported by the World Bank.
     IN01167736
     People provided with access to improved sanitation services - Female (RMS requirement) (Number, Corporate Supplement)

                                   Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                         0.00                         0.00                         0.00                        264,000.00

     IN01167738
     People provided with access to improved sanitation services - rural (Number, Corporate Supplement)

                                   Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                         0.00                         0.00                         0.00                        50,000.00

     IN01167740
     People provided with access to improved sanitation services - urban (Number, Corporate Supplement)

                                   Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                         0.00                         0.00                         0.00                        500,000.00

   IN01167741
   ►Percentage of WASH focus groups attendees who were satisfied with the participatory approach in the planning process of the project
   (Percentage, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        0.00                          80.00                     80.00

    Date                             30-Apr-2021                 09-Dec-2021                   31-May-2022               30-Jun-2024

   Comments:                         The level of satisfaction of the participatory approach by the focus groups in the planning process

     IN01167744
     Percentage of WASH focus groups attendees who were satisfied with the participatory approach in the planning process of the project - of
     which female (Percentage, Custom Breakdown)

                                   Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                         0.00                         0.00                         40.00                       40.00

     Date                          30-Apr-2021                  09-Dec-2021                  31-May-2022                 30-Jun-2024

    IN01167745


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           Yemen Emergency Human Capital Project (P176570)




    ►Number of people trained from government institutions to improving local WASH capacity at the institutional level (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          0.00                      200.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022               30-Jun-2024

   Comments:                          Number Staff of local government institutions who received training/capacity building

    IN01167747
    ►Schools with improved WASH facilities (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          0.00                      30.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022               30-Jun-2024
                                      Number of schools for which the WASH facilities have been rehabilitated according to specific selection
   Comments:                          criteria and integrated planned activities/ interventions under the other project subcomponents to improve
                                      the basic functionalities of target facilities and to ensure sustainability.
    IN01167749
    ►Health care establishments with improved WASH facilities (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          0.00                      20.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022               30-Jun-2024
                                      Number of health facilities for which the WASH facilities have been rehabilitated according to specific
   Comments:                          selection criteria and integrated planned activities/ interventions under the other project subcomponents to
                                      improve the basic functionalities of target facilities and to ensure sustainability.
    IN01167751
    ►IDPs benefiting from emergency WASH response (rural and urban) (Number, Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          0.00                      5,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022               30-Jun-2024

                                      Number of IDPs benefiting from services such as water tracking, latrine construction, rehabilitated wells
   Comments:
                                      and water distribution points, and hygiene kits
   IN01167753
   ►People who have access to water monitored for quality using critical parameters related to cholera and water borne diseases (Number,
   Custom)

                                     Baseline                     Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                          0.00                      200,000.00

    Date                             30-Apr-2021                  09-Dec-2021                   31-May-2022               30-Jun-2024

                                      Number of people who have access to water source which has gone through regular water testing for
   Comments:
                                      water borne diseases




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           Yemen Emergency Human Capital Project (P176570)




   Project Support, Management, Evaluation and Administration

    IN01167723
    ►Local NGOs involved in service provision (Number, Custom)

                                      Baseline                       Actual (Previous)               Actual (Current)         End Target

    Value                            0.00                           0.00                             2.00                     10.00

    Date                             30-Apr-2021                    09-Dec-2021                      31-May-2022              30-Jun-2024

   Comments:                          Local non-governmental organizations hired for project activities

    IN01167727
    ►Beneficiaries satisfied with services provided (Percentage, Custom)

                                      Baseline                       Actual (Previous)               Actual (Current)         End Target

    Value                            0.00                           0.00                             95.00                    85.00

    Date                             30-Apr-2021                    09-Dec-2021                      31-May-2022              30-Jun-2024
                                      Beneficiaries satisfied with health, nutrition and WASH services provided (neutral + satisfied). The above
   Comments:                          result is for WHO only. Data from UNICEF and UNOPS is awaited.

     IN01167729
     An action plan to follow up on the findings from TPM surveys is prepared and monitored (Yes/No, Custom Supplement)

                                    Baseline                       Actual (Previous)             Actual (Current)             End Target

     Value                          No                             No                            No                           Yes



 Performance-Based Conditions



 Data on Financial Performance


 Disbursements (by loan)

 Project       Loan/Credit/TF    Status      Currency          Original    Revised       Cancelled      Disbursed       Undisbursed            % Disbursed


 P176570       IDA-D8800         Effective   USD                 74.54       74.54            0.00           44.03            26.82                   62%

 P176570       IDA-D8810         Effective   USD                 30.00       30.00            0.00           10.44            18.92                   36%

 P176570       IDA-D8820         Effective   USD                 45.46       45.46            0.00           43.44             0.00                  100%


 Key Dates (by loan)

 Project        Loan/Credit/TF   Status        Approval Date       Signing Date      Effectiveness Date        Orig. Closing Date     Rev. Closing Date

 P176570        IDA-D8800        Effective     30-Jun-2021         02-Oct-2021       02-Oct-2021               30-Jun-2024            30-Jun-2024
 P176570        IDA-D8810        Effective     30-Jun-2021         29-Jul-2021       27-Sep-2021               30-Jun-2024            30-Jun-2024


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           Yemen Emergency Human Capital Project (P176570)




 P176570        IDA-D8820        Effective   30-Jun-2021     02-Aug-2021   27-Sep-2021           30-Jun-2024         30-Jun-2024


Cumulative Disbursements




  Restructuring History


  There has been no restructuring to date.


  Related Project(s)


  P178664-Yemen EHCP Additional Financing ,P178665-Yemen: Additional Financing for Emergency Human Capital Project




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