The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) Emergency Health and Nutrition Project (P161809) MIDDLE EAST AND NORTH AFRICA | Yemen, Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 9 | ARCHIVED on 20-Dec-2020 | ISR44241 | Implementing Agencies: United Nations Children's Fund, World Health Organization, United Nations Children's Fund, World Health Organization Key Dates Key Project Dates Bank Approval Date: 17-Jan-2017 Effectiveness Date: 06-Feb-2017 Planned Mid Term Review Date: 03-Jun-2019 Actual Mid-Term Review Date: 19-Jan-2019 Original Closing Date: 31-Jan-2020 Revised Closing Date: 30-Jun-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to the provision of basic health and essential nutrition services for the benefit of the population of the Republic of Yemen. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) To contribute to the provision of basic health, essential nutrition, water and sanitation services for the benefit of the population of the Republic of Yemen. Components Table Name Improving Access to Health, Nutrition, Public Health, and Water and Sanitation Services:(Cost $650.57 M) Project Support, Management, Evaluation and Administration:(Cost $32.43 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The EHNP was approved by the Bank's Board on January 17, 2017, signed on February 4, 2017 and declared effective on February 6, 2017. Subsequently, a first additional financing (AF) was approved on May 19, 2017 to address the unprecedented rates of malnutrition and risk of food insecurity, and a second AF was approved on August 25, 2017, in response to the cholera outbreak. In May 2019, a third AF was approved to scale up the ongoing health, nutrition, water and sanitation activities with a focus on the psycho-social support at the community level linked with mental health services at the hospital level and on system and institutional building as well as rehabilitation of key sanitation facilities in urban and peri- urban areas. 12/20/2020 Page 1 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) The project is rated Satisfactory for the likelihood of achieving the project development objective and Moderately Satisfactory for implementation progress. To date, the project has reached more than 22 million Yemenis with essential health and nutrition services, and provided over 2 million people with access to improved water sources and sanitation in urban and rural areas. In addition, 5.7 million people have received hygiene consumables. As agreed, UNICEF and WHO will fund WASH emergency interventions from other sources and therefore World Bank’s remaining fund under the second AF along with the allocated amount of the third AF will be used for rehabilitation/development interventions. Given the COVID-19 crisis, the Contingent Emergency Response Component has been triggered to reallocate funds for UNICEF to carry out COVID-19 response activities. These include: (a) supporting infection prevention and control through the provision of water, sanitation and hygiene services and supplies to communities and isolation units; (b) filling the gap in support of case management supplies (e.g. PPE in isolation units, polymerase chain reaction test kits, oxygen supply); and (c) ensuring the continuity of primary health and nutrition services by sensitizing and providing PPE for facility and community health workers and establishing triage at primary health facilities. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies High High High Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary High High High Environment and Social High High High Stakeholders High High High Other High High High Overall High High High Results PDO Indicators by Objectives / Outcomes To contribute to the provision of basic health and essential nutrition services for the Yemenis IN00916595 ►People who have received essential health, nutrition and population services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,056,347.00 22,184,337.00 16,000,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2019 30-Jun-2022 IN00916672 12/20/2020 Page 2 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) People who have received essential health, nutrition and population services (% female) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 52.00 52.00 55.00 IN00916674 People who have received essential health, nutrition and population services (% IDPs) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 10.00 10.00 IN00916676 People who have received essential health, nutrition and population services (% children under 5) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 52.00 44.00 50.00 To contribute to the provision of water and sanitation services for the Yemeni population IN00916671 ►People provided with access to improved water sources in cholera affected areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,071,617.00 2,126,617.00 2,500,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916673 People provided with access to improved water sources in cholera affected areas - rural (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 221,617.00 221,617.00 450,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916675 People provided with access to improved water sources in cholera affected areas - urban (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,850,000.00 1,905,000.00 2,050,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 Intermediate Results Indicators by Components Improving Access to Health, Nutrition, and Public Health Services IN00916679 ►Number of outreach rounds conducted (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/20/2020 Page 3 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) Value 0.00 13,785.00 18,125.00 12,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916682 ►People who have received hygiene consumables (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,718,000.00 5,718,000.00 6,000,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916684 ►People vaccinated with oral cholera vaccine (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,000,000.00 2,633,072.00 9,000,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916685 ►People provided with access to improved sanitation services in cholera affected areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,970,000.00 2,185,000.00 3,000,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916686 People provided with access to improved sanitation services in cholera affected areas - rural (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 120,000.00 120,000.00 500,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916687 People provided with access to improved sanitation services in cholera affected areas - urban (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,850,000.00 2,065,000.00 2,500,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916688 ►Number of mobile team rounds (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,928.00 2,084.00 2,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916689 12/20/2020 Page 4 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) ►Health facilities provided with equipment and medical/non-medical supplies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,610.00 4,246.00 3,800.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916690 ►Pregnant women receiving antenatal care during a visit to a health provider (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 950,115.00 1,077,435.00 700,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916691 ►New electronic disease early warning system (eDEWS) data collection sites (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,991.00 1,991.00 2,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916692 ►Health personnel receiving training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26,978.00 31,143.00 15,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916693 ►Number of community nutrition sites covered by a new Integrated Nutrition Surveillance System (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 114.00 1,100.00 Date 01-Jun-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916694 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11,693,426.00 12,083,159.00 12,025,000.00 Date 31-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916695 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 12/20/2020 Page 5 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) Value 0.00 7,285,740.00 7,458,596.00 7,000,000.00 Date 31-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916696 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,079,397.00 4,228,439.00 4,800,000.00 Date 31-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916697 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 328,289.00 396,124.00 225,000.00 Date 31-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 Project Support, Management, Evaluation and Administration IN00916678 ►Local NGOs involved in service provision (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 44.00 30.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916681 ►Beneficiaries satisfied with services provided (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 94.00 95.00 60.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 Contingent Emergency Response IN00916677 ►Children U5 who have received basic nutrition services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,228,604.00 3,247,829.00 4,000,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916680 ►Women who have received basic nutrition services (Number, Custom) 12/20/2020 Page 6 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 850,793.00 980,610.00 800,000.00 Date 13-Jan-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 IN00916683 ►People who have received cholera treatment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,271,563.00 1,424,075.00 800,000.00 Date 15-Aug-2017 31-Oct-2019 30-Apr-2020 30-Jun-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P161809 IDA-D1630 Effective USD 76.25 76.25 0.00 77.97 0.00 100% P161809 IDA-D1640 Effective USD 123.75 123.75 0.00 120.14 4.57 96% P161809 IDA-D1950 Effective USD 62.00 62.00 0.00 58.04 5.16 92% P161809 IDA-D1960 Effective USD 21.00 21.00 0.00 21.26 0.00 100% P161809 IDA-D2310 Effective USD 70.00 70.00 0.00 70.91 0.00 100% P161809 IDA-D2320 Effective USD 130.00 130.00 0.00 128.50 2.94 98% P161809 IDA-D4640 Effective USD 65.24 65.24 0.00 50.00 16.09 76% P161809 IDA-D4650 Effective USD 134.76 134.76 0.00 40.23 92.14 30% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P161809 IDA-D1630 Effective 17-Jan-2017 04-Feb-2017 06-Feb-2017 31-Jan-2020 30-Jun-2022 P161809 IDA-D1640 Effective 17-Jan-2017 04-Feb-2017 06-Feb-2017 31-Jan-2020 30-Jun-2022 P161809 IDA-D1950 Effective 19-May-2017 30-May-2017 30-May-2017 31-Jan-2020 30-Jun-2022 P161809 IDA-D1960 Effective 19-May-2017 30-May-2017 30-May-2017 31-Jan-2020 30-Jun-2022 P161809 IDA-D2310 Effective 25-Aug-2017 06-Sep-2017 10-Sep-2017 30-Jun-2020 30-Jun-2022 12/20/2020 Page 7 of 8 The World Bank Implementation Status & Results Report Emergency Health and Nutrition Project (P161809) P161809 IDA-D2320 Effective 25-Aug-2017 07-Sep-2017 07-Sep-2017 30-Jun-2020 30-Jun-2022 P161809 IDA-D4640 Effective 14-May-2019 30-May-2019 30-May-2019 30-Jun-2022 30-Jun-2022 P161809 IDA-D4650 Effective 14-May-2019 29-May-2019 29-May-2019 30-Jun-2022 30-Jun-2022 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 16-May-2017 Related Project(s) P163741-Yemen Emergency Health and Nutrition Project Additional Financing ,P164466-Yemen Emergency Health and Nutrition Project Second Additional Financing ,P167195-Yemen Emergency Health and Nutrition Project Third Additional Financing ,P175532-Yemen Emergency Health and Nutrition Project Fourth Additional Financing 12/20/2020 Page 8 of 8