The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Lao PDR Health Governance and Nutrition Development Project (P151425) EAST ASIA AND PACIFIC | Lao People's Democratic Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 11 | ARCHIVED on 29-Jan-2021 | ISR44774 | Implementing Agencies: Lao People's Democratic Republic, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 23-Jun-2015 Effectiveness Date: 12-Oct-2015 Planned Mid Term Review Date: 19-Nov-2018 Actual Mid-Term Review Date: 13-Nov-2018 Original Closing Date: 31-Dec-2020 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR, and to provide immediate and effective response in case of an Eligible Crisis or Emergency. Components Table Name Component 1: Health Sector Governance Reform:(Cost $2.00 M) Component 2: Service Delivery:(Cost $29.00 M) Component 3: Nutrition Social and Behavior Change Communication:(Cost $5.20 M) Component 4: Project Management, Monitoring and Evaluation:(Cost $5.20 M) Component 5: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project has advanced well despite the adverse impact of COVID-19 outbreak and lock downs. Significant progress has been made on accelerating the implementation of Component 1 (Health information systems): (1) The project is extensively supporting integration of Health and Nutrition Services Access project (HANSA) disbursement-linked indicators (DLIs) into DHIS2; (2) implementation of the village health information 1/29/2021 Page 1 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) system is expected to be completed by end December 2020; and (3) Wi-Fi connection has been expanded to all 182 health centers and training on district health information system ver. 2 (DHIS2) entry provided to health center staff. Component 3 (nutrition social and behavior change communication) continues to perform well with training to Phase 4 villages completed in addition to refresher training for Phase 1-3 villages. Activities related to HANSA preparation are progressing well – namely development of Quality Performance Scorecard at health center level and technical assistance to improve public financial management. Disbursement is currently at 93 percent with one year left for implementation. Restructured activities, including integrated outreach and immunization, have seen slow progress due to the delay in funds transfer. In addition, following Ministerial Decree 0872/MOH in April, part of earnings from disbursement-linked indicators (DLIs) Year 4 were reprogrammed for COVID- 19 emergency response purposes resulting in decreased transfer of funds to subnational levels to continue service delivery activities. With regard to progress towards achievement of PDO, two of the four PDO level indicators (antenatal care and family planning) have already achieved the end target; one (skilled birth attendants) is on track and one (Vitamin A) is unlikely to achieve the target if it continues at the current pace. Careful review of DHIS data suggests that the issue of data timeliness and completeness persists. The team is working closely with the relevant technical departments to address any bottlenecks. Most intermediate outcome level indicators have been achieved or are well on track. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Moderate Macroeconomic Substantial Substantial Moderate Sector Strategies and Policies Substantial Substantial Moderate Technical Design of Project or Program High Substantial Moderate Institutional Capacity for Implementation and High High Moderate Sustainability Fiduciary High High Moderate Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- Moderate Moderate Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes Increase coverage of reproducitve, maternal and child health and nutrition services in target areas IN00931274 ►Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 60,281.00 80,434.00 78,165.00 84,393.00 1/29/2021 Page 2 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Date 01-Oct-2015 31-May-2019 18-Dec-2020 31-Dec-2021 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) is for June 2019- May 2020 covering a period of 12 months from 14 Target Provinces, to enable comparison across the DLI years. The decline compared to last year may be due to reduced serviced utilization due to COVID-19 or delay in reporting in DHIS2. Mid year results of the current reporting period covering 5 months (June- October 2020) is at 36,537 and if the indicator continues to progress at the same pace it is likely to Comments: achieve end target. The indicator is also government priority as is included in the 10 National Assembly indicators, SDG indicator and their M&E for measuring progress towards universal health coverage. Data source: DHIS2. IN00931275 ►Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 54,802.00 82,128.00 78,546.00 76,723.00 Date 01-Oct-2015 31-May-2019 18-Dec-2020 31-Dec-2021 Baseline data covers the DLI Y0 period (June 2014- May 2015). Most recent data is for period from June 2019- May 2020 covering a period of 12 months implementation from 14 Target Provinces. End target is a 40 % increase over baseline. Achieved end target. Comments: Data source: DHIS2. IN00931501 ►Number of children 6-11 months who received first dose of Vitamin A (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 123,389.00 115,547.00 123,846.00 140,000.00 Date 30-Sep-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 Baseline is newly added from the September 2017 restructuring and captures CY 2016 (12 months) nationwide (18 provinces) as reported by DHIS2. Actual (current) covers the period from June 2019-May 2020. The mid year progress covering from June - October 2020 (5 months) is at 68,696. While a second round of mass distribution campaign in addition to routine distribution is planned for the Comments: remainder of this year, progress to date suggests that there may be a slight risk of not achieving end target at 140,000. Close review of DHIS2 data also confirms delay in data reporting in DHIS2; which suggests that there may be an increase actual numbers. IN00931502 ►Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 186,556.00 186,556.00 205,212.00 223,867.00 Date 30-Sep-2017 31-May-2019 18-Dec-2020 31-Dec-2021 This is a cumulative number for all current continued users of: injectable, implants, IUDs and sterilization. Contributes to NA indicator on reducing maternal mortality. Actual (current) value is for period June 2019- May 2020 covering a period of 12 months implementation Comments: from 14 Target Provinces. Progress to date of 5 months (June - October 2020) suggests that the end target of 20% increase over baseline will be met. IN00931503 1/29/2021 Page 3 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 216,532.00 990,474.00 1,487,939.00 1,400,000.00 Date 31-May-2017 30-Apr-2019 18-Dec-2020 31-Dec-2021 This indicator is cumulative with baseline after September 2017 Additional Financing (AF)/restructuring, and includes data for: (1) assisted deliveries; (2) number of women aged 15-49 years who are continued users of long term family planning methods; (3) children 9-11 months receiving measles and rubella vaccination in Target Provinces; and (4) number of children under 2 years old who have 4 growth monitoring and promotion sessions in the year. Comments: Most recent data is cumulative covering the period June 2015- May 2020 from 14 Target Provinces. End target achieved, and expected to achieve higher by the end of project. IN00931504 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.00 69.00 80.00 Intermediate Results Indicators by Components Component 1: Health Sector Governance Reform IN00931505 ►Number of new born children provided with birth notification in target provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20,224.00 108,673.00 98,675.00 28,314.00 Date 31-Dec-2017 31-Oct-2019 31-Dec-2020 31-Dec-2021 End target is 40% increase over baseline. The baseline value has been revised during the 2017 restructuring but assumed to be underestimated as roll out of online birth notification using DHIS2 only started in August 2016. Actual value is from Jan-December 2020 (12 months) from 14 Target Provinces, Comments: far exceeding the end target. The team notes an error in the actual previous entry which should have been 95,721 based on DHIS2 data covering Jan-December 2019. Data source: DHIS2. IN00931509 ►Number of health centers directly entering DHIS2 data (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 203.00 379.00 200.00 Date 30-Sep-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 This is a new DLI introduced in the September 2017 Additional Financing/restructuring. Data is based on Comments: National Project Coordination Office (NPCO) report for implementation May 2017 - October 2020 (cumulative). Breakdown of actual (current) value of 379 HCs: (Luanprabang: 84; Oudomxay: 52, 1/29/2021 Page 4 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Salavanh: 72, Xaysomboun: 1, and Huaphan: 75, Xiengkhouang 55, Bokeo 40). Currently surpassed target for 2021. IN00931513 ►Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 54.10 96.00 97.00 90.00 Date 01-Oct-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) value is from June 2019- May 2020 covering a period of 12 months with timeliness 95%, completeness 99%. Currently surpassed target for 2021. Comments: Data source: DHIS2. Component 2: Service Delivery IN00931506 ►Number of immunization target districts that have increased their coverage of IPV (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 27.00 45.00 Date 30-Sep-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 Baseline was established in September 2017. Actual (current) value is the most recent data from DHIS2 for period June 2019- May 2020 for 12 months implementation for 50 target districts. 15 out of 50 target districts have the increase of IPV coverage by 8% target in May 2019. This indicator is significantly affected by the COVID-19 outbreak during the reporting period, as due to lock-down immunization Comments: campaigns had been halted between March to June 2020. However, six months report during June- October 2020 shows a better result with 27 having increased their IPV coverage. Source: DHIS2 IN00931510 ►Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 453,350.00 536,526.00 554,914 544,020 Date 31-May-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 Baseline was established in May 2017. Actual (current) value is for period from June 2019- May 2020 covering a period of 12 months for 14 Target Provinces. This indicator has been achieved its end target is a 20% increase over baseline. (ANC: 407,350, delivery: 66,509, PNC: 81,055) Data source: DHIS2. Comments: IN00931514 ►Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Custom, PBC) 1/29/2021 Page 5 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 95.00 64.50 80.00 Date 01-Oct-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 Actual (current) value is from June 2019- May 2020) covering a period of 12 months. Average of two rounds combined is 64.5%. This indicator is off track due to the impact on travel restriction and COVID-19 lockdown so supervision of round 2 achieved only 44% while round 1 was 85%. Mid year result for June - Comments: October 2020 is not yet available. Data source: DHIS2. IN00931516 ►Number of villages in Zones 2 and 3 in which complete Integrated Outreach Sessions are conducted at least three times during the year (DLI P5). (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,381.00 1,035.00 800.00 Date 01-Oct-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 Actual value is from June 2019- May 2020 covering a period of 12 months implementation for all 14 project target provinces. This indicator was affected by travel restrictions and COVID 19 lockdown with significant drop from 1,381 in May 2019 to 1,035 in 2020. However, the end target of 800 villages for 2021 Comments: has already overachieved. Data source: DHIS2. IN00931518 ►Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 32.00 11.00 40.00 Date 30-Sep-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 This is a new indicator (DLI P8) added during the September 2017 AF/ restructuring. The based line was 0. Actual value is the most recent data from DHIS2 for June 2019- May 2020 for 12 months implementation for 50 target districts. 11 target districts out of 50 target districts have achieved an increase of 8% Comments: coverage of Penta 3 and MR the period. This indicator significantly dropped from 32 in May 2019 to 11 in May 2020 due to the COVID-19 outbreak. Mid year results from June-October 2020 shows 11 districts achieving increase of 8%, but largely off track to meet the end target of 40 villages. Data Source: DHIS2 IN00931519 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,057,468.00 1,287,648.00 1,200,000.00 Date 31-Oct-2018 31-Oct-2019 18-Dec-2020 31-Dec-2021 Comments: As per definition of CRI, this indicator's baseline is 0, cumulative from the beginning of project until the latest information available. This Corporate Results Indicator (CRI) reflects the three indicators that are supported/tracked under the project: (i) number of women who deliver with a skilled birth attendant at home or at a health facility; (ii) 1/29/2021 Page 6 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) number of children immunized (MR); and (iii) number of children 6-11 months who received first dose of Vitamin A. Most recent data is cumulative from June 2015- May 2020 (59 months) implementation from 14 Target Provinces. End target already achieved. Data source: DHIS2. IN00931520 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 0.00 740,227.00 1,023,654.00 960,000.00 IN00931521 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 324,152.00 353,696.00 400,000.00 Date 31-Oct-2018 31-Oct-2019 18-Dec-2020 31-Dec-2021 IN00931522 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 221,105.00 311,573.00 300,000.00 Date 31-Oct-2018 31-Oct-2019 18-Dec-2020 31-Dec-2021 IN00931523 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 326,796.00 404,961.00 400,000.00 Date 31-Oct-2018 31-Oct-2019 18-Dec-2020 31-Dec-2021 Component 3: Nutrition and Social and Behavioral Change Communication IN00931507 ►Children age 0-6 months in target high priority nutrition districts exclusively breastfed. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.20 56.20 56.20 60.00 Date 29-Sep-2017 31-Oct-2019 18-Dec-2020 31-Dec-2021 Based on preliminary results from the Baseline KAP survey; no updated data available. This indicator can only be collected from the KAP survey so baseline number, obtained from the baseline survey, continues Comments: until the next follow-on survey where results will be available before the end of project. IN00931511 ►Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts (Number, Custom) 1/29/2021 Page 7 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,762.00 1,762.00 1,200.00 Date 01-Oct-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 The target number was reduced to 800 villages during the September 2017 restructuring. Current results include female village facilitators training in SBCC activities for Phase 1, 2, 3 and 4 villages as per NPCO report. The training of village phase 4 completed in third quarter of 2020. The end target is largely over Comments: achieved. IN00931515 ►Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89,158.00 90,486.00 40,000.00 Date 31-Dec-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 Definition of this indicator was modified during the September 2017 restructuring from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth plotted in the child's growth chart (for Year 0-2); to "Number of children under 2 years in the Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Y3 and 4), Comments: Actual (current) value is from June 2019- May 2020 covering a period of 12 months implementation from all 14 project target provinces. Target largely overachieved. Data source: DHIS2 IN00931517 ►Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 466.00 100.00 Date 01-Oct-2015 31-Oct-2019 18-Dec-2020 31-Dec-2021 Actual value is based on National Coordination Project Office (NPCO) report - Semi Annual Report January - June 2020. Actual (current) achievement cumulative data from July 2017, when the ODF activity were carried out at the targeted village in the 12 nutrition SBCC districts in the 4 nutrition provinces, to Comments: May 2020. The end target of 100 ODF villages, which has been revised from 400 to 100 trough restructuring in 2017, has been largely over achieved. Component 4: Project Management, M&E IN00931508 ►QPS pilot tests in selected health centers in 4 nutrition convergence provinces completed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2020 01-Apr-2020 18-Dec-2020 31-Dec-2021 Comments: This indicator is still ongoing and has not been completed. 1/29/2021 Page 8 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) IN00931512 ►Number of health centers in selected districts trained on FM (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 01-Apr-2020 01-Apr-2020 18-Dec-2020 31-Dec-2021 Performance-Based Conditions IN00931524 ►PBC 1 Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Process, 588,000.00, 97.88%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 54.10 96.00 97.00 -- Date -- 31-Oct-2019 18-Dec-2020 -- Comments: Values of financing and actual disbursed are in USD. IN00931525 ►PBC 2 Number of Target Provinces which have two quarters’ stock of Essential Family Planning and Nutrition Commodities in the provinces or regional stores (DLI C2) (Number, Output, 4,994,000.00, 88.46%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 8.00 8.00 12.00 Date -- 28-Jun-2019 28-Jun-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00931526 ►PBC 3 Number of Target Provinces in which the number of health centers without a community midwife as reported in DHIS2 has been reduced (DLI C3) (Number, Output, 1,000,000.00, 78.40%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 12.00 12.00 12.00 1/29/2021 Page 9 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Date -- 31-May-2019 31-May-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00931527 ►PBC 4 Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Outcome, 2,114,000.00, 92.75%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 453,350.00 536,526.00 554,914 -- Date -- 31-Oct-2019 18-Dec-2020 -- Values of financing and actual disbursed are in USD and disbursement includes up to Y2. End target is Comments: average of 14 provinces that have increased 20% over baseline. IN00931528 ►PBC 5 Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Outcome, 2,912,000.00, 93.29%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 60,281.00 80,434.00 78,165.00 -- Date -- 31-May-2019 18-Dec-2020 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target reflects 40% increase over baseline. IN00931529 ►PBC 6 Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Outcome, 2,912,000.00, 94.80%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 54,802.00 82,128.00 78,546.00 -- Date -- 31-May-2019 18-Dec-2020 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target is 40% over baseline. IN00931530 ►PBC 7 Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Outcome, 2,912,000.00, 71.51%) 1/29/2021 Page 10 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 186,556.00 186,556.00 205,212.00 -- Date -- 31-May-2019 18-Dec-2020 -- Definition of indicator changed from " Number of new women aged 15-49 years adopting long-term methods of Comments: family planning (up to Y2), during the Additional Financing/Restructuring. Actuals off target with 93% of target met for Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00931531 ►PBC 8 Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Intermediate Outcome, 2,445,332.00, 57.67%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 89,158.00 90,486.00 -- Date -- 31-Oct-2019 18-Dec-2020 -- Definition of indicator changed from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth is plotted in the child’s growth chart (for Comments: Year 0-2); Number of children under 2 years in the Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Years 3-4). On track for target Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00931532 ►PBC 9 Number of villages in Zones 2 and 3 in which Integrated Outreach Sessions are conducted at least three times during the Year and reported in DHIS2 (DLI P5) (Number, Intermediate Outcome, 3,600,000.00, 80.21%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 1,381.00 1,381.00 800.00 Date -- 31-May-2019 31-May-2019 -- Definition of indicator changed during September 2017 AF/restructuring from % increase to scalable (actually counting the number of villages where target was achieved). The status of target achievement for this DLI is Comments: currently being validated so current value is tentative based on NPCO reporting and is subject to change upon final validation. But largely on track for Y3 target.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00931533 ►PBC 10 Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Output, 2,900,000.00, 86.10%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 95.00 64.50 -- 1/29/2021 Page 11 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Date -- 31-Oct-2019 18-Dec-2020 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00931534 ►PBC 11 Percentage increase in Target Province non-salary health recurrent expenditure allocated to the districts (DLI P7) (Text, Intermediate Outcome, 2,158,000.00, 54.85%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 16% increase over Each target province Value 16 percent 16 percent Target Province baseline Baseline Date -- 31-May-2018 31-May-2018 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00931535 ►PBC 12 Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Intermediate Outcome, 2,000,000.00, 76.00%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 32.00 11.00 -- Date -- 31-Oct-2019 18-Dec-2020 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P151425 IDA-56760 Effective USD 13.20 13.20 0.00 13.03 0.26 98% P151425 IDA-61450 Effective USD 10.00 10.00 0.00 7.79 2.26 78% P151425 IDA-D0730 Effective USD 13.20 13.20 0.00 12.90 0.01 100% P151425 TF-A5620 Effective USD 4.00 4.00 0.00 3.63 0.37 91% P151425 TF-A6106 Effective USD 1.00 1.00 0.00 1.00 0.00 100% 1/29/2021 Page 12 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P151425 IDA-56760 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2021 P151425 IDA-61450 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2021 P151425 IDA-D0730 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2021 P151425 TF-A5620 Effective 06-Nov-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2021 P151425 TF-A6106 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2021 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 14-Aug-2015 ,Level 2 Approved on 18-May-2020 ,Level Approved on 28-Jul-2020 Related Project(s) 1/29/2021 Page 13 of 14 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) P163949-Additional Financing to Lao PDR Health Governance and Nutrition Development Project 1/29/2021 Page 14 of 14