Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
Uganda Reproductive Health Voucher Project (P144102)
AFRICA | Uganda | Health, Nutrition & Population Global Practice |
Recipient Executed Activities | Investment Project Financing | FY 2015 | Seq No: 4 | ARCHIVED on 13-Dec-2016 | ISR25922 |
Implementing Agencies: Republic of Kenya
Key Dates
Key Project Dates
Bank Approval Date:03-Oct-2014 Effectiveness Date:02-Sep-2015
Planned Mid Term Review Date:16-Apr-2017 Actual Mid-Term Review Date:--
Original Closing Date:29-Dec-2017 Revised Closing Date:29-Dec-2017
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The project development objective is to increase access to skilled care among poor women living in rural and disadvantaged areasduring
pregnancy and delivery.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
PHRPDODEL
Components
Name
Component One - Package of Safe Delivery Services to Poor Pregnant Women.:(Cost $9.50 M)
Capacity Building and Project Management.:(Cost $3.80 M)
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Moderately Satisfactory
Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory
Overall Risk Rating Moderate Moderate
Implementation Status and Key Decisions
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
The Uganda RHVP is financed by a Grant from the Swedish International Development Agency (Sida) through the Global Partnership on Output Based
Aid (GPOBA). The project objective is to increase access to skilled care among poor women living in rural and disadvantaged areas during pregnancy
and delivery. The Project comprises two components: (a) Package of Safe Delivery Services to Poor Pregnant Women; and (b) Capacity Building and
Project Management.
The Project is expected to support 132,400 pregnant women to deliver under skilled attendance through a subsidized voucher scheme offering a
package of safe delivery services consisting of: four antenatal visits, safe delivery, one postnatal visit, treatment and management of selected
pregnancy-related medical conditions and complications (including caesarian sections), and emergency transport.
Due to the earlier delays in project approval and effectiveness, this is the first full year of project implementation and overall implementation is
progressing well. Implementation rollout has been completed with a total of 253 health facilities contracted (125 health facilities in Eastern Uganda and
128 in South Western Uganda); 44 percent of the health facilities are public and 56 percent private. Project performance has greatly improved with
11,507 deliveries conducted in July-September compared to 1,540 deliveries in the previous quarter, and 21,959 women attending at least one ante
natal care visit.
As of September 30, 2016, the project supported (a) 13,000 assisted deliveries, (b) 31,000 women to attend at least one ante natal visit, and (c) 2,743
women to obtain postnatal care. While about 20,000 pregnant women tested for HIV, uptake for HIV testing is low as is post-natal care. Claims
processing, which was initially a problem, especially following the breakdown of the system, was rectified.
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
Risks
Systematic Operations Risk-rating Tool
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance -- Substantial Substantial
Macroeconomic -- Substantial Substantial
Sector Strategies and Policies -- Moderate Moderate
Technical Design of Project or Program -- Moderate Moderate
Institutional Capacity for Implementation and
Sustainability
-- Substantial Substantial
Fiduciary -- Substantial Substantial
Environment and Social -- Moderate Moderate
Stakeholders -- Low Low
Other -- -- --
Overall -- Moderate Moderate
Results
Project Development Objective Indicators
PHINDPDOTBL
Number and percentage of deliveries assisted under the project; (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 13053.00 132400.00
Date 02-Dec-2013 31-Mar-2016 30-Sep-2016 31-Dec-2017
PHINDPDOTBL
Number and percentage of vouchers distributed and redeemed for deliveries under the project; (Percentage, Custom
Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.17 20.00 70.00
PHINDPDOTBL
Number and percentage of women attending at least one ANC visits under the project. (Percentage, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.13 48.00 90.00
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
PHINDPDOTBL
Direct project beneficiaries (Number, Core)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 179.00 25976.00 264000.00
Date 01-Jan-2014 31-Mar-2016 30-Sep-2016 31-Oct-2017
PHINDPDOTBL
Female beneficiaries (Percentage, Core Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 100.00 100.00 100.00
Overall Comments
Intermediate Results Indicators
PHINDIRITBL
Number and percentage of vouchers distributed and redeemed for postnatal care. (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 4.20 35.00
Date 01-Oct-2013 31-Mar-2016 30-Sep-2016 31-Dec-2017
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Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
PHINDIRITBL
Percentage of pregnant women tested for HIV; (Percentage, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 62.00 90.00
PHINDIRITBL
Number and percent of mothers referred; (Percentage, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 9.00 14.00
PHINDIRITBL
Number of fresh still births (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 3.00 330.00
Date 30-Dec-2012 31-Mar-2016 30-Sep-2016 30-Jun-2017
PHINDIRITBL
Number of pregnant women with HIV who receive EMTCT (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 223.00 7100.00
Date 01-Jan-2014 31-Mar-2016 30-Sep-2016 31-Dec-2017
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
PHINDIRITBL
Percentage of claims reimbursed timely (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 63.00 80.00
Date 01-Jan-2014 31-Mar-2016 30-Sep-2016 31-Dec-2017
PHINDIRITBL
Timely verification reports provided (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 1.00 2.00 8.00
Date 01-Jan-2014 31-Mar-2016 30-Sep-2016 31-Dec-2017
Overall Comments
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed
P144102 TF-15995 Effective USD 13.30 13.30 0.00 1.21 12.09 9%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P144102 TF-15995 Effective 18-Dec-2014 18-Dec-2014 02-Sep-2015 29-Dec-2017 29-Dec-2017
Cumulative Disbursements
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Uganda Reproductive Health Voucher Project (P144102)
Restructuring History
There has been no restructuring to date.
Related Project(s)
There are no related projects.
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