The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) WESTERN AND CENTRAL AFRICA | Togo | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 5 | ARCHIVED on 26-Oct-2022 | ISR53452 | Implementing Agencies: Ministry of Health, Public Hygiene and Universal Access to Care, Office of President, Republic of Togo Key Dates Key Project Dates Bank Approval Date: 11-Mar-2021 Effectiveness Date: 05-Aug-2021 Planned Mid Term Review Date: 15-Jan-2024 Actual Mid-Term Review Date: Original Closing Date: 30-Apr-2026 Revised Closing Date: 30-Apr-2026 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the provision of essential health and nutrition services and quality of care for pregnant women, children and vulnerable populations Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Increasing demand and supply of quality health and nutrition services:(Cost $32600.00 M) Bringing health facilities and services close to households:(Cost $30000.00 M) Strengthening the national social health insurance scheme:(Cost $4300.00 M) Improving stewardship, oversight and management:(Cost $3100.00 M) Contingency Emergency Response Component Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The effectiveness and the disbursement conditions of the project have been lifted up. Necessary steps are taken to ensure a smooth implementation of the project. 10/26/2022 Page 1 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate 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 Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes People who have received essential health, nutrition and population services (Number) IN01203397 ►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 0.00 15,015,200.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203401 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 0.00 7,270,459.00 Persons receiving services from newly established health facilities (Number) IN01203398 ►Persons receiving services from newly established health facilities (Number (Thousand), Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target 10/26/2022 Page 2 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Value 0.00 0.00 0.00 14,550,000.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: This indicator measures number of person accessing services at new facilities IN01203402 Females receiving services from newly established health facilities (Number (Thousand), Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 7,275,000.00 Date 30-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Health facilities accredited to provide essential health services under insurance IN01203399 ►Health facilities on health insurance contract passing national accreditation standards (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 The indicator measures the number of facilities accredited who passed at mid-point and above of Comments: assessment grading and submitting service claims (annual and non cumulative) Tracer drug availability in peripheral unit health facilities IN01203400 ►Tracer drug availability in peripheral unit health facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Refers to the number of specific tracer drugs agreed nationally to be available at the primary level among Comments: all primary health facilities Intermediate Results Indicators by Components Increasing demand and supply of quality health and nutrition services IN01203404 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 15,015,200.00 10/26/2022 Page 3 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203407 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 0.00 7,270,459.00 IN01203412 Number of children immunized (Number, Corporate Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,726,015.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203414 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 0.00 5,151,714.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203416 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 57,917.00 0.00 0.00 318,634.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203417 Households visited by health workers, including CHWs (disaggregated by sex) (Number, Custom Supplement, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3,336,711.00 IN01203419 ►Persons registered onto the health insurance scheme (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,007,916.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: This measure the number of person enrolled onto the scheme IN01203420 Pregnant women registered onto the health insurance scheme (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 318,634.00 10/26/2022 Page 4 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203421 Children under five years of age registered onto the health insurance scheme (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,056,403.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203422 School-aged children at age of 6-19 registered onto the health insurance scheme (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 932,458.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203423 Rural populations at the age 20 and above registered onto the health insurance scheme (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,700,419.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203424 ►Newly recruited health professionals deployed to the four most deprived prefectures (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,880.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Indicator measures redistribution of health professionals to the most deprived communities to correct the Comments: inequities in staff availability IN01203425 Newly recruited doctors (generalists and specialists) deployed to the four most deprived regions (Number, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 300.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203426 Newly recruited nurses, midwives and physician assistants deployed to the four most deprived regions (Number, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,580.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 IN01203427 10/26/2022 Page 5 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) ►Tracer drug available at the primary healthcare level (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 This indicator monitor the country specific tracer drugs agreed nationally to be available at the primary Comments: level for all health facilities. It will measure the indicator as a national aggregate. Bringing health facilities and services close to households IN01203405 ►Primary health facilities newly built (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 200.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: This measures the number of PHC facilities built in the three target regions (Savane, Central and Kara) IN01203408 ►Primary health facilities renovated or refurbished (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 300.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: Number of PHC facilities renovated or refurbished in the three target regions (Savane, Central and Kara) IN01203411 ►Newly built and refurbished health facilities with off-grid power solar electricity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Referred to the number of newly built and refurbished health facilities with off-grid power solar electricity Comments: among the total newly refurbished health facilities IN01203413 ►Newly built and refurbished health facilities with disability friendly designs of access and water and sanitation facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Referred to as the number of newly built and refurbished health facilities with disability friendly designs of Comments: access and water and sanitation facilities 10/26/2022 Page 6 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) IN01203415 ►Beneficiaries of these newly refurbished health facilities satisfied with the quality of services and facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Referred to as the proportion of beneficiaries of these newly refurbished health facilities satisfied with the Comments: quality of services and facilities IN01203418 ►Health facilities with Quality Improvement Plan (QIP) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: Indicator measures the number of accredited Health facilities with Quality Improvement Plan (QIP) Strengthening the national social health insurance scheme IN01203403 ►Established social health insurance scheme (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 14-Oct-2021 The indicator validates the legal covenant/conditions and the establishment of the TSHIA's Office with the Comments: full complement of staff based on an existing manual and legislation IN01203410 ►Health facilities accredited to the TSHIA (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: This measures the number of facilities accredited and submitting claims to the scheme Improving stewardship, oversight and management IN01203406 ►Complaints for grievances responded and resolved within two weeks (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 10/26/2022 Page 7 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Refers to the number of grievances responded to and/or resolved within two weeks or within the stipulated Comments: service standard for response times, per the project implementing manual, among total number of complaints for grievances received in the project IN01203409 ►Quarterly reports submitted in a timely manner (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2020 31-Mar-2022 18-Oct-2022 30-Apr-2026 Comments: Refers to the quarterly reports submitted in a timely manner in the two previous quarters (average) Performance-Based Conditions IN01203428 ►PBC 1 People who have received essential health, nutrition, and population (HNP) services (Number, Intermediate Outcome, 667,343.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 1.1 Persons receiving services from newly established health facilities (Number (Thousand), Intermediate Outcome, 667,343.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 1.2 Number of children immunized (Number, Intermediate Outcome, 2,669,370.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 1.3 Number of deliveries attended by skilled health personnel (Number, Intermediate Outcome, 2,002,027.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 10/26/2022 Page 8 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Value 57,917.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 1.4 Households visited by health workers, including CHWs (disaggregated by sex) (Number, Intermediate Outcome, 1,334,684.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 31-Mar-2022 -- IN01203433 ►PBC 2 Persons registered onto the health insurance scheme (Number, Intermediate Outcome, 8,000,000.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 2.1 Persons registered onto the health insurance scheme (Number, Intermediate Outcome, 641,266.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 2.2 Persons registered onto the health insurance scheme (Number, Intermediate Outcome, 3,046,015.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 2.3 Persons registered onto the health insurance scheme (Number, Intermediate Outcome, 2,164,274.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 2.4 Persons registered onto the health insurance scheme (Number, Intermediate Outcome, 2,164,274.00, 0.00%) 10/26/2022 Page 9 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- IN01203438 ►PBC 3 Newly recruited health professionals deployed to the four most deprived prefectures (Number, Intermediate Outcome, 2,900,000.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 3.1 Newly recruited doctors (generalists and specialists) deployed to the four most deprived regions (Number, Intermediate Outcome, 1,171,200.00, 4%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- PBC 3.2 Newly recruited nurses, midwives and physician assistants deployed to the four most deprived regions (Number, Intermediate Outcome, 1,756,800.00, 0.00%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- IN01203441 ►PBC 4 Tracer drug available at the primary healthcare level (Percentage, Intermediate Outcome, 15,015,200.00, 24%) January - December Baseline Actual (Previous) Actual (Current) 2025 Value 0.00 0.00 0.00 -- Date -- 31-Mar-2022 18-Oct-2022 -- Data on Financial Performance 10/26/2022 Page 10 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P174266 IDA-68530 Effective USD 35.00 35.00 0.00 0.00 34.12 0% P174266 IDA-D7870 Effective USD 35.00 35.00 0.00 5.85 26.07 18% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P174266 IDA-68530 Effective 11-Mar-2021 31-Mar-2021 05-Aug-2021 30-Apr-2026 30-Apr-2026 P174266 IDA-D7870 Effective 11-Mar-2021 31-Mar-2021 05-Aug-2021 30-Apr-2026 30-Apr-2026 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/26/2022 Page 11 of 12 The World Bank Implementation Status & Results Report Togo Essential Quality Health Services For Universal Health Coverage Project (P174266) 10/26/2022 Page 12 of 12