The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
Rwanda Stunting Prevention and Reduction Project (P164845)
AFRICA EAST | Rwanda | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 7 | ARCHIVED on 02-Oct-2021 | ISR47756 |
Implementing Agencies: MINISTRY OF FINANCE AND ECONOMIC PLANNING, Rwanda Biomedical Center
Key Dates
Key Project Dates
Bank Approval Date: 28-Feb-2018 Effectiveness Date: 05-Jun-2018
Planned Mid Term Review Date: 10-Jan-2022 Actual Mid-Term Review Date:
Original Closing Date: 30-Apr-2023 Revised Closing Date: 30-Apr-2023
pdoTable
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The proposed Project Development Objective (PDO) is to contribute to the reduction in the stunting rate among children under five years of age
(with a focus on those under two) in the targeted districts.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
Components Table
Name
Component 1: Prevention of Stunting at Community and Household Levels:(Cost $35000000.00 M)
Component 2: High-impact Health and Nutrition Services:(Cost $14500000.00 M)
Component 3: Monitoring and Evaluation, and Program Management:(Cost $5500000.00 M)
CERC
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Satisfactory Satisfactory
Overall Risk Rating Substantial Substantial
Implementation Status and Key Decisions
The project was approved by the Board on February 28, 2018, and the legal agreements were signed between the Bank and the Government of
Rwanda on March 7, 2018. Immediately following the launch of the Rwanda’s Multi-sectoral program to Combat Chronic Malnutrition and Invest in
the early years in May 2018, the project became effective on June 5, 2018. The project is under implementation for almost 3 years and continues to
enjoy high-level political commitment and attention, strong capacity to mobilize communities, and good collaboration on the ground with other
development partners. Despite the impacts due to the global COVID-19 pandemic, the project implementation is steady with a disbursement rate of
64.7% as of July 2021. The project restructuring to reallocate the unused amount from the EVD-CERC is ongoing.
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
mpaTable
Multiphase Programmatic Approach (MPA) Status
mpaTableBody
Risks
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 Moderate Moderate Moderate
Technical Design of Project or Program Substantial Substantial Substantial
Institutional Capacity for Implementation and
Substantial Substantial Substantial
Sustainability
Fiduciary Moderate Moderate Moderate
Environment and Social Moderate Moderate Substantial
Stakeholders Moderate Moderate Moderate
Other -- -- --
Overall Substantial Substantial Substantial
Results
PDO Indicators by Objectives / Outcomes
To contribute to reduction in the stunting rate among children under five in the target districts
IN01024351
►Indicator 1a: Percentage of children under 5 years with height-for-age z-score below -2 standard deviations (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 43.60 0.00 33.10 32.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
The data for this indicator are national values from DHS 2019/2020.
Comments:
IN01024352
►Indicator 1b: Percentage of children under 2 years with height-for-age z-score below -2 standard deviations (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 37.10 28.90 27.30 27.20
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
The data for this indicator are national values from DHS 2019/2020.
Comments:
IN01024353
►Indicator 2: Percentage of children 6-23 months old who are fed a diverse diet (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 22.90 33.70 22.00 50.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
The data for this indicator are national values from DHS 2019/2020.
Comments:
IN01024354
►Indicator 3: Percentage of women who attended 4 or more ANC visits during their most recent pregnancy (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 36.00 35.00 45.00 55.00
Date 05-Sep-2019 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024355
►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 1,011,231.00 1,832,412.00 1,660,000.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024356
Number of women and children who have received basic nutrition services (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 1,011,231.00 1,832,412.00 1,660,000.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024357
Indicator 4a: Number of children under 5 were beneficiaries of project interventions (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 638,720.00 671,658.00 560,000.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024358
Indicator 4b: Number of women of reproductive age (including pregnant and lactating women) who were beneficiaries of project
interventions (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 857,372.00 1,160,754.00 1,100,000.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
Overall Comments PDO
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
The Results Framework will be updated and any necessary changes will be introduced after the MTR mission planned for January 2022.
Intermediate Results Indicators by Components
Component 1: Prevention of Stunting at Community and Household Levels
IN01024363
►IRI 1: Percentage of home-based ECD centers with satisfactory scores on quality score card (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 80.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
IN01024366
►IRI 2: % of CHWs who received a quarterly supportive supervision visit from HC (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 40.00 85.00 100.00 80.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024368
►IRI 3: Percentage of pregnant women who attended the first ANC visit during the first trimester (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 40.00 46.00 48.00 70.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024369
►IRI 4: Percentage of pregnant women with anemia (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 2.00 0.70 0.90 1.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024371
►IRI 5: Percentage of participants at CHW education sessions surveyed who demonstrate knowledge of proper care, feeding, and WASH
practices (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 50.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
IN01024372
►IRI 6: Percentage of children 6-23 months old receiving micronutrient powders (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 31.00 39.00 90.00
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024373
►IRI 7: Percentage of children under two with diarrhea treated with ORS and zinc. (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 77.00 84.00 50.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024374
►IRI 8: Number of Ubudehe 1 households with improved latrines (from project interventions) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 5,500.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
IN01024375
►IRI 9: Number of districts with satisfactory ratings on the DPEM activity scorecard (to be developed) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 13.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
Component 2: High-impact Health and Nutrition Services
IN01024359
►IRI 10: Percentage of children under 5 with height measured and recorded at health facility (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 88.00 44.00 75.00
Date 28-Feb-2018 25-Jun-2020 15-Apr-2021 30-Apr-2023
IN01024361
►IRI 11: Percentage of CHWs with no stock out of Zinc for diarrhea treatment. (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 92.00 95.00 100.00
Date 28-Feb-2018 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024364
►IRI 12: Percentage of women of reproductive age who are new acceptors of modern contraceptives (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 32,440.00 60.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
IN01024365
►IRI 13: Percentage of fortified blended food (FBF) distribution centers with no stock outs in the previous quarter. (Percentage, Custom)
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Rwanda Stunting Prevention and Reduction Project (P164845)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 86.00 32.00 100.00
Date 20-Jun-2019 10-Dec-2020 10-Jun-2021 30-Apr-2023
IN01024367
►IRI 14: Percent of eligible pregnant and lactating women from ubudehe 1 & 2 households who consumed FBF in the past 24 hours.
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 5.70 0.00 80.00
Date 20-Jun-2019 10-Dec-2020 10-Aug-2021 30-Apr-2023
IN01024370
►IRI 15: Percentage of children 6-23 months old who consumed FBF in the past 24 hours (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 21.10 0.00 75.00
Date 09-Aug-2019 10-Dec-2020 10-Aug-2021 30-Apr-2023
Component 3: Monitoring and Evaluation, and Program Management
IN01024360
►IRI 16: Percentage of participating health facilities that receive satisfactory rating from women and caregivers whose children received
nutrition services (Citizen Engagement indicator) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 90.00
Date 28-Feb-2018 15-Oct-2018 10-Aug-2021 30-Apr-2023
IN01024362
►IRI 17: Number of peer learning events conducted (within and between districts and sectors) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 10.00 0.00 25.00
Date 28-Feb-2018 25-Jun-2020 10-Aug-2021 30-Apr-2023
Overall Comments IR
The Results Framework will be updated and any necessary changes introduced after the MTR mission planned for January 2022.
Performance-Based Conditions
Data on Financial Performance
Disbursements (by loan)
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P164845 IDA-61870 Effective USD 25.00 25.00 0.00 18.27 6.44 74%
P164845 TF-A6567 Effective USD 20.00 20.00 0.00 7.95 12.05 40%
P164845 TF-A6783 Effective USD 10.00 10.00 0.00 9.20 0.80 92%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P164845 IDA-61870 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 30-Apr-2023
P164845 TF-A6567 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 30-Apr-2023
P164845 TF-A6783 Effective 29-Jan-2018 07-Mar-2018 05-Jun-2018 31-Dec-2021 31-Dec-2021
Cumulative Disbursements
Restructuring History
Level 2 Approved on 20-Aug-2019
Related Project(s)
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The World Bank Implementation Status & Results Report
Rwanda Stunting Prevention and Reduction Project (P164845)
There are no related projects.
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