Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) AFRICA | Uganda | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 2 | ARCHIVED on 01-Jun-2017 | ISR27570 | Implementing Agencies: Ministry of Finance, Planning and Economic Development, Ministry of Health Key Dates Key Project Dates Bank Approval Date:04-Aug-2016 Effectiveness Date:-- Planned Mid Term Review Date:-- Actual Mid-Term Review Date:-- Original Closing Date:30-Jun-2021 Revised Closing Date:30-Jun-2021 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objectives (PDOs) are to: (a) improve utilization of essential health services with a focus on reproductive, maternal, newborn, child and adolescent health services in target districts; and (b) scale up birth and death registration services Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Results-Based Financing for Primary Health Care Services:(Cost $68.00 M) Component 2: Strengthen Health Systems to Deliver RMNCAH Services:(Cost $54.50 M) Component Three: Strengthen Capacity to Scale-up Delivery of Births and Deaths Registration Services:(Cost $10.00 M) Component Four: Enhance Institutional Capacity to Manage Project Supported Activities:(Cost $7.50 M) 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 6/1/2017 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) Implementation Status and Key Decisions This is the second ISR of the project, which received Board approval on August 4th, 2016. The effectiveness deadline has been extended to August 19, 2017 to provide more time for the submission of the only outstanding condition, which is submission of a separate legal opinion on the Subsidiary Agreement between MOH and NIRA. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Substantial  Substantial  Substantial 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 Sustainability  High  High  High Fiduciary  Substantial  Substantial  Substantial Environment and Social  Moderate  Moderate  Moderate Stakeholders  Substantial  Substantial  Substantial Other  --  --  -- Overall  Substantial  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Children under one year immunized with 3rd dose of pneumococcal conjugate vaccine (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 79.00 -- -- 90.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/1/2017 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) Value 50.00 -- -- 65.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Couple Years of Protection (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3,308,142.00 -- -- 4,500,000.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Children under five years with birth registration (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 58.00 -- -- 75.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Pregnant women who received IPT2 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 53.00 -- -- 80.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Total number of deaths registered (Percentage, Custom) 6/1/2017 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 -- -- 25.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDPDOTBL  People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 4,800,000.00 Date 30-Jun-2016 -- -- 30-Jun-2021 PHINDPDOTBL  Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 3,000,000.00 Date 30-Jun-2016 -- -- 30-Jun-2021 PHINDPDOTBL  Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 1,800,000.00 Date 30-Jun-2016 -- -- 30-Jun-2021 Overall Comments Since the project is not effective, the Results Framework was not updated. In view of the new corporate results indicators (CRIs), two PDO indicators were added to the Results Framework: children immunized (number); and “Deliveries attended by skilled health personnel (number, core)”. Intermediate Results Indicators 6/1/2017 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) PHINDIRITBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,500,000.00 -- -- 1,650,000.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 150.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 400.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health facilities with placed orders that are fully filled by National Medical Stores (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.00 -- -- 80.00 Date 30-Jun-2015 -- -- 30-Jun-2021 6/1/2017 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) PHINDIRITBL  Reported maternal deaths that are audited (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 -- -- 65.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Approved posts in public facilities filled by qualified health workers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.00 -- -- 75.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDIRITBL  HC IVs offering caesarian section (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 -- -- 75.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDIRITBL  Districts with functional ambulance and referral system (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 60.00 Date 30-Jun-2015 -- -- 30-Jun-2021 6/1/2017 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) PHINDIRITBL  Health facilities attaining at least 2 star rating under the QA Program (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 30.00 Date 30-Jun-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health facilities without stock-outs of any of the six tracer drugs in the previous three months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 64.00 -- -- 80.00 Date 30-Jun-2015 -- -- 30-Apr-2021 PHINDIRITBL  RBF health facilities with functional HUMCs with citizen representation (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 -- -- 100.00 Date 30-Jun-2015 -- -- 30-Jun-2021 Overall Comments Since the project is not yet effective, the Results Framework was not updated. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P155186 IDA-58970 XDR 78.50 78.50 0.00 0.00 78.50 0% Effective Key Dates (by loan) 6/1/2017 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uganda Reproductive, Maternal and Child Health Services Improvement Project (P155186) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P155186 IDA-58970 04-Aug-2016 -- -- 30-Jun-2021 30-Jun-2021 Effective Restructuring History There has been no restructuring to date. Related Project(s) P163691-Additional Financing Uganda Reproductive Maternal and Child Health Services Improvement Project 6/1/2017 Page 8 of 8 Public Disclosure Copy