The World Bank Report No: ISR116 Implementation Status & Results Kenya Public Disclosure Copy Total War Against HIV and AIDS (TOWA) Project (P081712) Operation Name: Total War Against HIV and AIDS (TOWA) Project (P081712) Project Stage: Implementation Seq.No: 8 Status: ARCHIVED Last Modified Date: 16-Mar-2011 Country: Kenya Approval FY: 2007 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): National AIDS Control Council Key Dates Board Approval Date 26-Jun-2007 Original Closing Date 31-Dec-2011 Planned Mid Term Review Date 21-Sep-2009 Last Archived ISR Date 14-Jun-2010 Effectiveness Date 12-Mar-2008 Revised Closing Date 30-Jun-2013 Actual Mid Term Review Date 21-Sep-2009 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objectives are to: (a) expand the coverage of targeted HIV and AIDS prevention and mitigation measures; and (b) expand access to bed nets among targeted people living with HIV and AIDS and other households in malaria risk areas. Has the Project Development Objective been changed since Board Approval of the Project? � Yes No Component(s) Component Name Component Cost Strengthening Governance and Coordination Capacity 29.80 Grant Awards 53.00 Mainstreaming Public Sector Programs 8.00 Essential Commodities 20.00 Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Medium-I Implementation Status Overview The implementation status is satisfactory. Results Page 1 of 8 The World Bank Report No: ISR116 Project Development Objective Indicators Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Proportion of recipients of subproject grants scoring #Very Good# or 0.00 71.60 80.00 #Excellent# for target achievement in the annual performance audit. Date Date Date during the year. 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Percentage N/A This is a new indicator which POI#1 Computed from quarters for was not being measured at the which an audit was conducted in start of the project in 2008 the year Indicator Baseline Current End Target Indicator Name Value Value Value Number (cumulative) of civil society/private sector grants supported by 0.00 3637.00 8400.00 the end of the year. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number There were no grants at the start of POI#2 the project Indicator Baseline Current End Target Indicator Name Value Value Value Proportion of sexually active youth 15- 24 who report having had sex F=30% F=33% F=20% with a non-spousal, non-regular partner in the past 12 months. M=84% (DHS 2003) M=83% (DHS 2008) M=70% Date Date Date Type Unit of Measure 01-Jan-2007 14-Dec-2010 30-Jun-2013 Custom Indicator Text Comment Comment Comment Public Disclosure Copy POI#3 Targets based on about 10% reduction every three years and apply if a KAIS or DHS will be done in 2012 or 2013 Page 2 of 8 The World Bank Report No: ISR116 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Proportion of youth aged 15-24 reporting condom use in the last sexual F=24% F=39.5%, F=55% encounter with a non-regular partner (of those reporting sexual M=47% M=64.6% (DHS 2008) M=75% intercourse with a non-regular partner in the last 12 months). (DHS 2003) Date Date Date 14-Dec-2009 30-Jun-2013 Type Unit of Measure 01-Jan-2007 Comment Comment Custom Indicator Text Comment POI#4 Targets based on 10% and 15% planned increase for female and male respectively, every three years. These KNASP III projections are for the same indicator but covering 15-49 yrs. (Targets apply if a KAIS or DHS will be done in 2012 or 2013) Indicator Baseline Current End Target Indicator Name Value Value Value Percentage of households in malaria endemic areas in the districts 27.6% Data available January 2011 80% supported by the TOWA Project that have at least one ITN. Date Date Date 01-Jan-2007 14-Dec-2010 30-Dec-2012 Type Unit of Measure Comment Comment Comment Custom Indicator Text POI#5 Malaria Control Division plans that by 2013, there should be universal coverage (100% net ownership and a use rate of 80%) Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Number of individuals provided with counseling and testing services 0.00 320886.00 172045.00 (through TOWA) in the past 12 months Date Date Date 01-Jan-2007 14-Dec-2009 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number This is a cumulative figure which POI#6 started at 0 at the beginning of the project Page 3 of 8 The World Bank Report No: ISR116 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Project beneficiaries, Number of individuals with access to an ITN. 250000.00 5100000.00 Date Date Date 01-Jan-2007 14-Dec-2009 30-Dec-2012 Type Unit of Measure Comment Comment Comment Custom Indicator Number Indicator on Beneficiaries See IOI#7 Indicator Baseline Current End Target Indicator Name Value Value Value Number of HIV+ clients provided with palliative care. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number Indicator on beneficiaries See IOI#8 Indicator Baseline Current End Target Indicator Name Value Value Value Project Benificiaries, Number of youth reached with HIV prevention N/A messages Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Text Indicator on beneficiaries see IOI#7 Public Disclosure Copy Intermediate Results Indicators Indicator Baseline Current End Target Indicator Name Value Value Value Issues in NACC#s qualified report to be addressed by end of March of Yes Yes following year Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Yes/No N/A This is a new indicator which IOI# 2 Audit conducted by was not being December. Issues then to be addressed within three months. Page 4 of 8 The World Bank Report No: ISR116 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value The proportion o f KNASP M&E indicators included in the annual M&E 55.00 80.00 85.00 report, disseminated and available on time for the JAPR. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Percentage IOI#3 Indicator Baseline Current End Target Indicator Name Value Value Value Proportion of registered CBOs reporting through COBPAR at the time 65.80 95.70 100.00 of the JAPR. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Percentage IOI#4 Indicator Baseline Current End Target Indicator Name Value Value Value Number of persons who undergo testing and counseling in the last 12 949250.00 3471567.00 4500000.00 months. (national, from NASCOP). Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#5 The target for 2012 is based on KNASP III. Public Disclosure Copy Page 5 of 8 The World Bank Report No: ISR116 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Number of couples counseled and tested under the TOWA project- up 11759.00 6305.00 to the end of the reporting year Date Date Date Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#6 Since targets can only be known after grant award, these targets are arrived at by blowing up the current (2010) achievement using the same rate of increase in number of grants awarded over time (i.e. targets set proportional to the number of grants where CfP3 grants=2730, CfP4 grants=1950, and CfP5 grants=1950 whose results will be realized in 2011, 2012, and 2013 respectively) Indicator Baseline Current End Target Indicator Name Value Value Value Number of youth reached with BCE messages in the past 12 months. 649497.00 348232.00 Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#7 Same as under beneficiaries section Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Number of HIV+ individuals provided with Home-Based Care (Palliative 6496.00 3483.00 care) through the TOWA interventions in the past 12 months. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#8 Same as above Page 6 of 8 The World Bank Report No: ISR116 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Number of male and female condoms distributed in the last 12 months 144000000.00 146400000.00 150000000.00 (national, from NASCOP). Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#9 Indicator Baseline Current End Target Indicator Name Value Value Value Number of long lasting insecticide treated malaria nets purchased and/ 0.00 500000.00 or distributed. Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Number IOI#10 Cumulative Indicator Baseline Current End Target Indicator Name Value Value Value Level of stakeholder satisfaction with NACC 70.00 78.00 75.00 Date Date Date 01-Jan-2007 14-Dec-2010 30-Jun-2013 Type Unit of Measure Comment Comment Comment Custom Indicator Percentage IOI#1 Data on Financial Performance (as of 16-Dec-2010) Financial Agreement(s) Key Dates Public Disclosure Copy Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P081712 IDA-43360 Effective 26-Jun-2007 18-Jul-2007 12-Mar-2008 31-Dec-2011 P081712 IDA-48410 Not Effective 14-Dec-2010 30-Jun-2013 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P081712 IDA-43360 Effective XDR 52.90 52.90 0.00 36.79 16.11 70.00 P081712 IDA-48410 Not Effective XDR 35.00 35.00 0.00 0.00 35.00 0.00 Disbursement Graph Page 7 of 8 The World Bank Report No: ISR116 Public Disclosure Copy Key Decisions Regarding Implementation In December 2010 Additional Finance was approved for US$55m which included a project extension until June 2013. The project remains very similar to the original design with support to two components. The first component is strengthening of governance and coordination capacity to support the continued development of the coordination function of the NACC, the monitoring and evaluation framework of the KNASP and capacity building of beneficiaries in the use of grants. The second component is to support program implementation to make financial resources available to civil society, public sector, private sector, and research institutions, focusing on initiatives in line with the KNASP and responding to priorities identified in the JAPR, and also some essential commodities. Restructuring History Level two Approved on 23-Aug-2010 Public Disclosure Copy Related Projects P122491-KE-Total War Against HIV & AIDS (TOWA) - Additional Financing Page 8 of 8