The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Investing in Early Years for Growth and Productivity in Malawi (P164771) AFRICA EAST | Malawi | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 8 | ARCHIVED on 09-Dec-2021 | ISR48932 | Implementing Agencies: Government of Malawi, Ministry of Gender, Child Development and Community Development, Ministry of Health, Ministry of Local Government and Rural Development Key Dates Key Project Dates Bank Approval Date: 19-Dec-2018 Effectiveness Date: 24-Jul-2019 Planned Mid Term Review Date: 07-Mar-2022 Actual Mid-Term Review Date: Original Closing Date: 28-Jun-2024 Revised Closing Date: 28-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to improve coverage and utilization of early childhood development services with focus on nutrition, stimulation and early learning from conception to 59 months in selected districts of Malawi. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Community-based nutrition and early stimulation interventions:(Cost $26.20 M) Center-based early learning, nutrition and health interventions:(Cost $19.30 M) Multisectoral coordination, capacity and system strengthening:(Cost $14.50 M) Contingent Emergency Response Component 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 Substantial Substantial Implementation Status and Key Decisions Implementation of the project has advanced despite the impact of the COVID-19 pandemic. Highlights include: (i) steady progress in the formation of care groups to roll-out community-based nutrition interventions; (ii) delivery of anthropometric equipment to all project districts; (iii) progress on implementation of the Integrated Household Farming (IHF); (iv) construction of the community-based childcare center (CBCC) infrastructure has started in 137 of the 150 sites and borehole drilling has been completed in 83 out of 117 sites; (v) progress on the Interactive Radio Instruction (IRI) activities including training, development of a parenting package, and engagement with community radio stations to broadcast the program; and (vi) roll-out of Village Savings and Loans (VSLs) reaching a total of 474 VSL groups formed, with at least one in each of the 150 CBCCs supported by the project. The project remains a catalyst to support multisectoral approaches, bringing various stakeholders together to improve child development. The World Bank team will continue to work closely with government to accelerate project implementation. 12/9/2021 Page 1 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High Substantial Substantial Macroeconomic High Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- Substantial Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improved coverage of ECD services IN01060115 ►Children aged 6-23 months receiving a minimum acceptable diet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13.00 13.00 13.00 46.00 Date 23-Feb-2018 13-May-2021 18-Nov-2021 28-Jun-2024 This indicator will be updated using data from the midline survey planned between December 2021 and January 2022. Comments: IN01060117 ►Children aged 0-6 months who were exclusively breastfed (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target 12/9/2021 Page 2 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Value 60.00 60.00 60.00 81.00 Date 23-Feb-2018 13-May-2021 18-Nov-2021 28-Jun-2024 This indicator will be updated using data from the midline survey planned between December 2021 and Comments: January 2022. IN01060118 ►Project beneficiaries who are children 0-59 months, adolescent girls 11-19 years and pregnant women (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 745,709.00 879,901.00 2,600,000.00 Date 31-Aug-2018 13-May-2021 18-Nov-2021 28-Jun-2024 The data refers to the number of under-fives and pregnant women from project districts benefiting from IHF and GMP interventions. Beneficiaries from component 2 of the project, namely children aged 36-59 Comments: months who completed at least one year of early learning in CBCCs will be added after the end of the school calendar year (from November 2021). Improved utilization of ECD services IN01060116 ►Children aged 36-59 months who completed at least one year of early learning in CBCCs (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 31-Aug-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: Number of children aged 36-59 months who have completed at least one year of early learning in CBCCs in project areas Denominator: Number of children aged 36-59 months who enrolled in CBCCs in project areas Comments: Data will be available at the end of the current school calendar year (from November 2021). Intermediate Results Indicators by Components Component 1: Community-based nutrition and early stimulation interventions IN01060119 ►Households practicing integrated homestead farming (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 28.00 25.00 38.00 Date 23-Feb-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: Number of households practicing integrated homestead farming (IHF). Denominator: Total number of households in the project districts. The variation in achievement can be attributed to Comments: seasonality. 12/9/2021 Page 3 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) IN01060122 ►Children aged 6-24 months who received micronutrient powder supplementation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 5.00 5.00 50.00 Date 23-Feb-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: number of children aged 6-24 months who received micronutrient powder supplementation. Denominator: total number of children aged 6-24 months. Comments: Procurement and distribution of nutrition commodities including MNPs is currently under way. Data for this indicator will be updated in the next ISR IN01060125 ►Pregnancies registered in the community (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 16-Jul-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: number of pregnant women who receive at least 2 home visits by a HSA Denominator: total number of pregnant women recorded. Comments: Currently through formation of care groups, information on the total number of pregnant women is available (denominator), but the numerator will be available once the visits start. IN01060128 ►Adolescent girls aged 11-19 who received iron-folate supplementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,700,000.00 Date 31-Aug-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: number of adolescent girls aged 11-19 years who receive iron-folate supplementation in project areas. Denominator: total number of adolescent girls in project areas. A total of 287,344 adolescent girls aged 11-19 years have been registered in the project areas. Data for Comments: this indicator will be available in the next ISR. IN01060131 ►Care group cluster leaders and promoters who received an integrated training package (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Aug-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: Number of care group cluster leaders and promoters that received an integrated training package in the project areas Denominator: Number of care group cluster leaders and promoters in the project areas. Comments: Trainings of care group cluster leaders and promoters are expected to start in November 2021. Data for this indicator will be available in the next ISR. IN01060134 12/9/2021 Page 4 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 913,849.00 2,600,000.00 Date 07-Jun-2019 13-May-2021 18-Nov-2021 28-Jun-2024 This is a corporate results indicator capturing the cumulative number of people receiving essential nutrition services over the project life cycle. Comments: IN01060136 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 879,901.00 2,600,000.00 Date 18-Nov-2021 13-May-2021 18-Nov-2021 28-Jun-2024 Component 2: Center-based early learning, nutrition and health interventions IN01060120 ►Model CBCCs upgraded and equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 13-Sep-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Number of model CBCCs that are upgraded and equipped. Currently construction of 137 CBCC’s is in progress at different levels. Comments: IN01060123 ►Model CBCCs in target communities engaged in VSL activities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 150.00 150.00 250.00 Date 16-Jul-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Number of model CBCCs in each project district integrated VSL activities participated by caregivers, Comments: mentors and management committee members. IN01060126 ►Children aged 48-59 months achieved at least 50% score on literacy and numeracy components of the MDAT (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 20.90 20.90 50.00 Date 31-Aug-2018 13-May-2021 18-Nov-2021 28-Jun-2024 12/9/2021 Page 5 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Numerator: number of children aged 48-59 months achieved at least 50% score on literacy and numeracy components of the MDAT in project districts. Denominator: total number of children aged 48-59 months took MDAT in project districts. Comments: Update will be provided after completion of the second MDAT survey IN01060129 ►CBCC caregivers and mentors that received an integrated training package (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 42.10 80.00 Date 16-Jul-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: Number of CBCC caregivers and mentors that received an integrated training package in project districts. Denominator: total number of CBCC caregivers and mentors in 25 model CBCCs and at least 25% of other CBCCs in project districts. Comments: Currently 1,307 out of 3,146 caregivers and 170 mentors out of 363 have been trained, representing a total of 1,477 caregivers and mentors trained out of a total of 3,509 (42.1%). IN01060132 ►Adolescent girls aged 15-19 years who have begun childbearing (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 29.00 29.00 21.00 Date 01-Feb-2017 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: number of adolescent girls aged 15-19 years with first pregnancy in the project districts.. Denominator: total number of adolescent girls aged 15-19 years in the project districts. Comments: This indicator will be updated using data from the midline survey planned between December 2021 and January 2022. IN01060135 ►Households where children 0-36 months play with toys made from locally available materials (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 54.40 54.40 58.00 Date 23-Feb-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: Number of households where children 0-36 months play with toys made from locally available materials in project districts. Denominator: Number of households with children 0-36 months in the project Comments: districts. Component 3: Multisectoral coordination, capacity and systems strengthening IN01060121 ►Councils that receive a satisfactory rating from women and caregivers whose children received nutrition interventions and early learning and stimulation services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13.00 12/9/2021 Page 6 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Date 16-Jul-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Number of District Councils that receive a satisfactory rating from women and caregivers whose children received nutrition interventions and early learning and stimulation services. Comments: Data for this indicator will be collected using the citizen engagement score card. IN01060124 ►Percentage of districts budget allocated for nutrition and early learning in the project districts (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 16-Jul-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: total budget allocated for nutrition and early learning in the project districts. Denominator: total budget in the project districts. Guidelines for Integration of Nutrition and Early Childhood Development in the District Development Plans Comments: were disseminated in all the districts. The criteria for assessing the integration of ECD/nutrition in district budgets is yet to be concluded. IN01060127 ►Councils that submitted a monthly report into the nutrition database on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 0.00 90.00 Date 13-Sep-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Numerator: number of project District Councils that submitted a monthly report into the nutrition database on time. Denominator: total number of project districts. Due to non-functionality of the NNIS, no district was able to submit nutrition data into NNIS. In order to Comments: resolve accessibility challenges, the system has now been deployed into the cloud server . District Councils will be re-oriented on the system in November/December 2021. IN01060130 ►Staff completed short and long term courses including diploma and master programs (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 01-Feb-2019 13-May-2021 18-Nov-2021 28-Jun-2024 Number of government staff completed Diploma and Masters degree programs in ECD and/or nutrition that have been approved and offered in Malawi. This indicator is aligned with DLR 6.3 which is due in Comments: FY23. IN01060133 ►Councils incorporated and implemented DIPs with ECD and nutrition (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13.00 12/9/2021 Page 7 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Date 13-Sep-2018 13-May-2021 18-Nov-2021 28-Jun-2024 Total number of project District Councils incorporated and implemented DIPs with ECD and nutrition. Data for this indicator will be updated in the next ISR. Comments: The criteria for assessing the integration of ECD/nutrition in district budgets is yet to be concluded Performance-Based Conditions IN01060137 ►PBC 1 Care group cluster leaders and promoters who received an integrated training package (Percentage, Intermediate Outcome, 6,214,000.00, 20.32%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 13-May-2021 18-Nov-2021 -- IN01060138 ►PBC 2 Children aged 0-6 months who were exclusively breastfed (Percentage, Outcome, 1,000,000.00, 0.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 60.00 60.00 60.00 -- Date -- 13-May-2021 18-Nov-2021 -- IN01060139 ►PBC 3 CBCC caregivers and mentors that received an integrated training package (Percentage, Intermediate Outcome, 2,660,000.00, 20.85%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 15.00 42.10 -- Date -- 13-May-2021 18-Nov-2021 -- IN01060140 12/9/2021 Page 8 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) ►PBC 4 Children aged 36-59 months who completed at least one year of early learning in CBCCs (Percentage, Outcome, 250,250.00, 0.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 13-May-2021 18-Nov-2021 -- IN01060141 ►PBC 5 Councils incorporated and implemented DIPs with ECD and nutrition (Number, Intermediate Outcome, 1,060,000.00, 1.77%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 13-May-2021 18-Nov-2021 -- IN01060142 ►PBC 6 Staff completed short and long term courses including diploma and master programs (Number, Intermediate Outcome, 1,200,000.00, 2.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 13-May-2021 18-Nov-2021 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164771 IDA-D4000 Effective USD 50.00 50.00 0.00 17.18 33.04 34% P164771 TF-A8736 Effective USD 10.00 10.00 0.00 3.35 6.65 34% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date 12/9/2021 Page 9 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) P164771 IDA-D4000 Effective 19-Dec-2018 14-Mar-2019 24-Jul-2019 28-Jun-2024 28-Jun-2024 P164771 TF-A8736 Effective 19-Dec-2018 14-Mar-2019 24-Jul-2019 28-Jun-2024 28-Jun-2024 Cumulative Disbursements 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. 12/9/2021 Page 10 of 10