Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) Nicaragua Strengthening the Public Health Care System (P152136) LATIN AMERICA AND CARIBBEAN | Nicaragua | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 3 | ARCHIVED on 27-Sep-2016 | ISR25229 | Implementing Agencies: Ministry of Health Key Dates Key Project Dates Bank Approval Date:04-Jun-2015 Effectiveness Date:17-Sep-2015 Planned Mid Term Review Date:30-Apr-2018 Actual Mid-Term Review Date:-- Original Closing Date:30-Sep-2020 Revised Closing Date:30-Sep-2020 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objectives (PDO) are to: (a) strengthen quality and access to health services; (b) contribute to adapting the public health system to the country’s changing epidemiological profile; and (c) secure financial support in case of Public HealthAlert or Public Health Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1. Strengthening the quality and access to health care services:(Cost $28.07 M) Component 2. Institutional strengthening of MOH to respond to the Country’s changing epidemiological profile:(Cost $24.58 M) Component 3. Contingency Financing of a Public Health Emergency or Public Health Alert and Capacity Building:(Cost $6.55 M) Component 4. Project Management:(Cost $0.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Overall Risk Rating  Moderate  Moderate 9/27/2016 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) Implementation Status and Key Decisions The Nicaragua Strengthening the Public Health Care System (P152136) was approved by the Board on June 4, 2015 and signed on June 26, 2015. The Project was declared effective on September 17, 2015. Project implementation is underway and the grant has disbursed US$9.13 million (15.3%). Risks 9/27/2016 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) 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  Low  Low  Low Technical Design of Project or Program  Moderate  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  Moderate  Moderate  Moderate Fiduciary  Moderate  Moderate  Moderate Environment and Social  Low  Low  Low Stakeholders  Moderate  Moderate  Moderate Other  --  --  -- Overall  Moderate  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  1. Percentage of women receiving prenatal care coverage (at least four visits) (Percentage. List of municipalities in Annex 2 of the PAD) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target G1: 53% G1: 53% G1; 70% G2: Value G2: 71% -- G2: 71% 80% G3: 85% G3: 83% G3: 83% Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDPDOTBL  2. Percentage of children under 1 year of age receiving three doses of pentavalent vaccine.(List of municipalities in An nex 2). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target G1: 94 % G2: 96% G3: G1: 97% G2: Value -- -- 96% 98% G3: 98% Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDPDOTBL 3. Percentage of municipalities that have more than 50 percent compliance with their quality health care plan (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 9/27/2016 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) Value 0.00 -- -- 66.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDPDOTBL  4. Number of health centers certified on hypertension screening. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 40.00 Date 31-Dec-2014 -- -- 30-Sep-2020 Overall Comments Intermediate Results Indicators PHINDIRITBL  Percentage of women receiving postpartum care within 2 to 10 days of delivery (List of municipalities in Annex 2). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target G1: 37% G2: 58% G3: G1: 55% G2: Value -- -- 73% 70% G3: 82% Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Number of municipalities with signed annual performance agreements (acuerdos sociales) with SILAIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 66.00 -- -- 66.00 Date 31-Dec-2014 -- -- 30-Sep-2020 9/27/2016 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) PHINDIRITBL  Percentage of health centers certified on quality of care. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 33.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 1000.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Number of municipal health units implementing traditional medicine. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 12.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Number of schools participating in the children fluoridation program. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 4040.00 Date 31-Dec-2014 -- -- 30-Sep-2020 9/27/2016 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) PHINDIRITBL  Percentage of cold chain networks rehabilitated at the primary health care level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 88.00 -- -- 93.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 44.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Number of reference centers with capacity to treat cervical cancer ( infrastructure, equipment, and qualified human resources) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 10.00 Date 31-Dec-2014 -- -- 30-Sep-2020 PHINDIRITBL  Number of home visits to promote awareness on prevention of vector borne diseases (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5000000.00 -- -- 8200500.00 Date 31-Dec-2014 -- -- 30-Sep-2020 9/27/2016 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) PHINDIRITBL  Percentage of reference hospitals with updated and implemented waste management plans (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 11.00 -- -- 83.00 Date 31-Dec-2014 -- -- 30-Sep-2020 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P152136 IDA-D0720 Effective XDR 42.70 42.70 0.00 6.55 36.15 15% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P152136 IDA-D0720 Effective 04-Jun-2015 26-Jun-2015 17-Sep-2015 30-Sep-2020 30-Sep-2020 Cumulative Disbursements 9/27/2016 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nicaragua Strengthening the Public Health Care System (P152136) Restructuring History There has been no restructuring to date. Related Project(s) P161099-AF to the Strenthening the Public Heath Care System Project 9/27/2016 Page 8 of 8 Public Disclosure Copy