The World Bank Report No: ISR2472 Implementation Status & Results Solomon Islands Public Disclosure Copy SB Health Sector Support Project (TA) (P097671) Operation Name: SB Health Sector Support Project (TA) (P097671) Project Stage: Implementation Seq.No: 4 Status: ARCHIVED Last Modified Date: 29-Apr-2011 Country: Solomon Islands Approval FY: 2008 Product Line: IBRD/IDA Region: EAST ASIA AND PACIFIC Lending Instrument: Technical Assistance Loan Implementing Agency(ies): Ministry of Health and Medical Services Key Dates Board Approval Date 20-Mar-2008 Original Closing Date 31-Mar-2011 Planned Mid Term Review Date 02-Sep-2010 Last Archived ISR Date 22-May-2010 Effectiveness Date 14-Jul-2008 Revised Closing Date 31-Dec-2011 Actual Mid Term Review Date 02-Sep-2010 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project's development objective is to improve the institutional capacity of MHMS in the areas of public expenditure management and sector performance monitoring. Such capacity development would be critical to the overall success of the Program in improving health services delivery and outcomes. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Public Expenditure Management 0.01 Sector Performance Monitoring 1.01 Training and Capacity Building 0.30 Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Implementation Status Overview The HSSP-TA grant is supporting the Ministry of Health and Medical Services to strengthen its public expenditure management, and broader sector planning and performance monitoring. Grant implementation is generally progressing well. With support from the grant, the Ministry of Health and Medical Services is finalising its National Health Strategic Plan 2011-2015 and the associated monitoring and evaluation framework, and medium term expenditure framework. Results Page 1 of 6 The World Bank Report No: ISR2472 Project Development Objective Indicators Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Completion of the first rolling medium term sector expenditure program To be indicated by Initial Work progressing linking resources with priorities Assessment Report Date Date Date 01-Apr-2011 Type Unit of Measure 30-Aug-2009 Comment Comment Custom Indicator Text Comment A final draft MTEF has been completed. This a) forms the basis for the resource envelope for the new NHSP and b) will inform subsequent annual operational plans. Indicator Baseline Current End Target Indicator Name Value Value Value Increased proportion of health sector expenditures on primary health services and provincial health programs Date Date Date 01-Apr-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text The Planning Division is in consultation with national and provincial program managers on needs and priorities. The MHMS will work with the Ministry of Provincial Government on how to best allocate resources. The MTEF documents the baseline and will help to monitor trends overtime. Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Participatory joint annual reviews conducted Date Date Date 01-Feb-2008 13-Sep-2010 Type Unit of Measure Comment Comment Comment Custom Indicator Text Less substantial reviews were Formal joint annual reviews were undertaken in 2007 and 2008. conducted in 2009 and 2010 and an agreement is in place for a Joint Annual Review in 2011. Page 2 of 6 The World Bank Report No: ISR2472 Intermediate Results Indicators Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Increased community participation in health services planning at the provincial level Date Date Date 01-Feb-2008 Type Unit of Measure Comment Comment Comment Custom Indicator Text All health planning had been The new NHSP involves a conducted in a centralized and top- strategic shift towards program down manner prior to the planning, implementation and preparation of the new NHSP. monitoring at the provincial level. Provincialplans are being developed by provincial level officials with guidance to involve communities. It is anticipated that annual operational plans (currently under development) will have increased community participation. Indicator Baseline Current End Target Indicator Name Value Value Value Budget planning and development, and accounting processes enhanced and institutionalized Date Date Date 01-Feb-2008 01-Apr-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text All financial systems were fragile. Agreements were reached on At the provincial level, the system coding structures, the use of was unable to separate MYOB and initial training activities. expenditures from the hospital and A senior financial management Public Disclosure Copy primary health care programs. specialist was recruited and further systems are being developed and institutionalized. These, systems (though still fragile) are being used for the NHSP and its operational plans. Page 3 of 6 The World Bank Report No: ISR2472 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Comprehensive sector performance indicators and monitoring system developed Date Date Date 01-Feb-2008 05-Jan-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Health information systems are It was agreed with the MHMS very fragile, unsystematic and Executive the focus would be on often subject to delays in developing the new NHSP processing. 2011-2015 which would have a Monitoring and Evaluation framework attached. The framework development is part of the ongoing work of the new NHSP. The MHMS executive is finalising the TOR for a consultant to assess and make recommendations on how to improve the HMIS to underpin the plan. Indicator Baseline Current End Target Indicator Name Value Value Value MHMS Executive making decisions based on Monitoring and Evaluation reports Date Date Date 23-Feb-2007 04-Jan-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Previously the executive team MHMS are making decisions placed less priority on the need for based on a range of assessments Public Disclosure Copy timely information to inform their and have demonstrated strong strategic decisions. support for the draft monitoring and evaluation framework. Page 4 of 6 The World Bank Report No: ISR2472 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Provincial planning process including medium term plan and annual operational planning system adopted with strong M&E framework Date Date Date 07-Feb-2008 12-Jan-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text The Ministry had top-down annual The new NSHP emphasises the operational planning system important role of provinces and without strong and timely M&E enhanced responsibility for framework. planning and implementing programs. Five year annual operational plans are under preparation together with a rolliing MTEF. These have a very strong M&E framework (currently under development). Indicator Baseline Current End Target Indicator Name Value Value Value Provincial health plans developed, implemented and monitored for progress against agreed targets Date Date Date 14-Feb-2008 04-Jan-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Provincial plans were top-down Provincial M&E framework being and often comprised of a series of developed as part of the NHSP in activity lists without a strategic 2011. program focus or M&E framework. Data on Financial Performance (as of 10-Mar-2011) Public Disclosure Copy Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P097671 IDA-H3600 Effective 20-Mar-2008 14-Apr-2008 14-Jul-2008 31-Dec-2011 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P097671 IDA-H3600 Effective XDR 1.00 1.00 0.00 0.53 0.47 53.00 Disbursement Graph Page 5 of 6 The World Bank Report No: ISR2472 Public Disclosure Copy Key Decisions Regarding Implementation The next implementation support mission is scheduled for June 2011. The mission will contribute to preparations for the 2011 Joint Annual Planning and Performance Review. Restructuring History Level two Approved on 28-Sep-2010 Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6