The World Bank                                                                                    Implementation Status & Results Report
         Towards Zero Stunting in Djibouti (P164164)



Towards Zero Stunting in Djibouti (P164164)

 MIDDLE EAST AND NORTH AFRICA | Djibouti | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 1 | ARCHIVED on 22-Oct-2018 | ISR34007 |


 Implementing Agencies: Ministry of Health, Ministry of Economy and Finance



 Key Dates

  Key Project Dates

   Bank Approval Date: 09-Jul-2018                                                Effectiveness Date: --
   Planned Mid Term Review Date: --                                               Actual Mid-Term Review Date: --
   Original Closing Date: 31-Dec-2023                                             Revised Closing Date: 31-Dec-2023
 pdoTable

 Project Development Objectives
  Project Development Objective (from Project Appraisal Document)
  The project development objective is to reduce stunting among children under five in Djibouti.

  Has the Project Development Objective been changed since Board Approval of the Project Objective?
  No


 Components            Table




 Name
 High-impact Health and Nutrition Services to Reduce Stunting:(Cost $11.60 M)
 Strengthening Multi-sectoral Interventions for Stunting Reduction:(Cost $3.30 M)
 Strengthening Coordination, Project Management and Monitoring and Evaluation:(Cost $4.40 M)
 Contingent Emergency Response

 Overall Ratings

 Name                                                                        Previous Rating                           Current Rating

 Progress towards achievement of PDO                                         --                                        Satisfactory
 Overall Implementation Progress (IP)                                        --                                        Satisfactory
 Overall Risk Rating                                                         --                                        Substantial


 Implementation Status and Key Decisions
  This project was approved by the Bank's Executive Board on July 9, 2018, and the legal agreement was signed on July 26, 2018. The project is yet
  to be declared effective.




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                 The World Bank                                                                         Implementation Status & Results Report
                 Towards Zero Stunting in Djibouti (P164164)



  Risks

 Systematic Operations Risk-rating Tool

  Risk Category                                              Rating at Approval            Previous Rating             Current Rating

  Political and Governance                                   Substantial                  --                          Substantial
  Macroeconomic                                              Moderate                     --                          Moderate
  Sector Strategies and Policies                             Moderate                     --                          Moderate
  Technical Design of Project or Program                     Moderate                     --                          Moderate
  Institutional Capacity for Implementation and
  Sustainability                                             Substantial                  --                          Substantial
  Fiduciary                                                  High                         --                          High
  Environment and Social                                     Moderate                     --                          Moderate
  Stakeholders                                               Moderate                     --                          Moderate
  Other                                                      Substantial                  --                          Substantial
  Overall                                                    Substantial                  --                          Substantial


  Results

 PDO Indicators by Objectives / Outcomes


   To reduce stunting among children under five.
    IN00634394




    ►Percentage         of infants 0-5 months exclusively breastfed (Percentage, Custom)

                                          Baseline                 Actual (Previous)            Actual (Current)        End Target
    Value                                12.40                     --                           12.40                   36.00

    Date                                 31-Dec-2012               --                           27-Sep-2018            31-Dec-2023
    IN00634395




    ►Percentage         of children 6-23 months consuming a minimum acceptable diet/diverse diet (Percentage, Custom)

                                          Baseline                 Actual (Previous)            Actual (Current)        End Target
    Value                                0.00                      --                           0.00                    75.00

    Date                                 30-Mar-2018               --                           27-Sep-2018            31-Dec-2023
    IN00634431




    ►Women           who attended at least four antenatal care visits during their most recent pregnancy (Percentage, Custom)

                                          Baseline                 Actual (Previous)            Actual (Current)        End Target
    Value                                23.00                     --                           23.00                   50.00

    Date                                 31-Dec-2012               --                           27-Sep-2018            31-Dec-2023


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                 The World Bank                                                                       Implementation Status & Results Report
                 Towards Zero Stunting in Djibouti (P164164)


    IN00634432




    ►Percentage         of children 6-59 months who are stunted (Percentage, Custom)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 29.70                     --                        29.70                   24.00

    Date                                  31-Dec-2013               --                        27-Sep-2018             31-Dec-2023
    IN00634433




    ►Women           referred by CHWs and registered at the health facility within 4 months of pregnancy (DLI 1A) (Text, Custom, DLI)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 0.00                      --                        0.00                    4,000.00

    Date                                  31-Mar-2018               --                        27-Sep-2018             31-Dec-2023
    IN00634434




    ►Women           referred by CHWs, who completed at least 3 antenatal visits at the health facility (DLI 1B) (Text, Custom, DLI)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 0.00                      --                        0.00                    4,000.00

    Date                                  31-Mar-2018               --                        27-Sep-2018             31-Dec-2023
    IN00634435




    ►Women           referred by CHWs, who completed at least 2 postnatal visits at the health facility (DLI 1C) (Text, Custom, DLI)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 0.00                      --                        0.00                    4,000.00

    Date                                  31-Mar-2018               --                        27-Sep-2018             31-Dec-2023



 Intermediate Results Indicators by Components


   High-impact Health and Nutrition Services to Reduce Stunting
    IN00634436




    ►Percentage         of children fully immunized before their first birthday (Percentage, Custom)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 67.98                     --                        67.98                   80.00

    Date                                  31-Dec-2016               --                        27-Sep-2018             31-Dec-2023
    IN00634439




    ►Percentage         of 15-19 year-old girls supplemented with iron and folic acid (Percentage, Custom)

                                          Baseline                  Actual (Previous)         Actual (Current)        End Target
    Value                                 0.00                      --                        0.00                    80.00

    Date                                  31-Mar-2018               --                        27-Sep-2018             31-Dec-2023
    IN00634442




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                               The World Bank                                                                       Implementation Status & Results Report
                               Towards Zero Stunting in Djibouti (P164164)



    ►Percentage                        of pregnant and lactating women counselled on infant and young child feeding (Percentage, Custom)

                                                         Baseline                     Actual (Previous)     Actual (Current)        End Target
    Value                                                0.00                     --                        0.00                    80.00

    Date                                                 31-Mar-2018              --                        27-Sep-2018            31-Dec-2023
    IN00634443




    ►Percentage                        of children 6-23 months having received micronutrient powder supplement (Percentage, Custom)

                                                         Baseline                     Actual (Previous)     Actual (Current)        End Target
    Value                                                32.00                    --                        32.00                   80.00

    Date                                                 31-Dec-2016              --                        27-Sep-2018            31-Dec-2023
    IN00634444




    ►People                        who have received essential health, nutrition, and population (HNP) services (Number, Corporate)

                                                         Baseline                     Actual (Previous)     Actual (Current)        End Target
    Value                                                0.00                     --                        0.00                    150,000.00

    Date                                                 31-Mar-2018              --                        27-Sep-2018            31-Dec-2023
                 IN00634445




                 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number,
                 Corporate Breakdown)

                                                       Baseline                  Actual (Previous)         Actual (Current)        End Target
                 Value                                 0.00                      --                       0.00                     100,000.00

                 Date                                  31-Mar-2018               --                       27-Sep-2018              31-Dec-2023
                 IN00634446




                 Number              of women and children who have received basic nutrition services (Number, Corporate Breakdown)

                                                       Baseline                  Actual (Previous)         Actual (Current)        End Target
                 Value                                 0.00                      --                       0.00                     150,000.00

                 Date                                  31-Mar-2018               --                       27-Sep-2018              31-Dec-2023



   Strengthening Multi-sectoral Interventions for Stunting Reduction
    IN00634437




    ►A                        multi-sectoral nutrition coordinating mechanism that meets at least twice a year (Yes/No, Custom)

                                                         Baseline                     Actual (Previous)     Actual (Current)        End Target
    Value                                                No                       --                        No                      Yes

    Date                                                 31-Mar-2018              --                        27-Sep-2018            31-Dec-2023
    IN00634440




    ►Households                         that have a handwashing facility with soap (Percentage, Custom)

                                                         Baseline                     Actual (Previous)     Actual (Current)        End Target



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                 The World Bank                                                                     Implementation Status & Results Report
                 Towards Zero Stunting in Djibouti (P164164)



    Value                                   0.00                      --                     0.00                   75.00

    Date                                    31-Mar-2018               --                     27-Sep-2018            31-Dec-2023



   Strengthening Coordination, Project Management and Monitoring and Evaluation
    IN00634438




    ►Beneficiaries        that feel services provided satisfy their needs (Percentage, Custom)

                                            Baseline                  Actual (Previous)      Actual (Current)       End Target
    Value                                   0.00                      --                     0.00                   75.00

    Date                                    31-Mar-2018               --                     27-Sep-2018            31-Dec-2023
    IN00634441




    ►Percentage         of health facilities that have annual disaggregated data using DHIS2 (DLI 2) (Text, Custom, DLI)

                                            Baseline                  Actual (Previous)      Actual (Current)       End Target
    Value                                   0%                        --                     0%                     80%

    Date                                    31-Mar-2018               --                     27-Sep-2018            31-Dec-2023



 Disbursement Linked Indicators
    IN00634447




    ►DLI 1 Women referred by CHWs and registered at the health facility within 4 months of pregnancy (DLI 1A) (Text, Outcome,
    800,000.00, 0.00%)

                                     Baseline                    Actual (Previous)         Actual (Current)          Year 5

    Value                            0.00                        --                        0.00                      4,000.00

    Date                             --                          --                        27-Sep-2018               --
    IN00634448




    ►DLI 2 Women referred by CHWs, who completed at least 3 antenatal visits at the health facility (DLI 1B) (Text, Outcome,
    325,000.00, 0.00%)

                                     Baseline                    Actual (Previous)         Actual (Current)          Year 5

    Value                            0.00                        --                        0.00                      4,000.00

    Date                             --                          --                        27-Sep-2018               --
    IN00634449




    ►DLI 3 Women referred by CHWs, who completed at least 2 postnatal visits at the health facility (DLI 1C) (Text, Outcome,
    325,000.00, 0.00%)

                                     Baseline                    Actual (Previous)         Actual (Current)          Year 5

    Value                            0.00                        --                        0.00                      4,000.00

    Date                             --                          --                        27-Sep-2018               --
    IN00634450




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           The World Bank                                                                          Implementation Status & Results Report
           Towards Zero Stunting in Djibouti (P164164)



    ►DLI 4 Percentage of health facilities that have annual disaggregated data using DHIS2 (DLI 2) (Text, Intermediate Outcome,
    500,000.00, 0.03%)

                                Baseline                      Actual (Previous)             Actual (Current)           Year 5

    Value                       0%                            --                            0%                         80%

    Date                        --                            --                            --                         --



 Data on Financial Performance

 Disbursements (by loan)

 Project      Loan/Credit/TF    Status       Currency      Original   Revised        Cancelled   Disbursed     Undisbursed                 % Disbursed

                                Not
 P164164      IDA-62900                      USD             15.00      15.00             0.00         0.00           14.66                        0%
                                Effective


 Key Dates (by loan)
 Project       Loan/Credit/TF    Status      Approval Date     Signing Date     Effectiveness Date      Orig. Closing Date      Rev. Closing Date

                                 Not
 P164164       IDA-62900                     09-Jul-2018       26-Jul-2018      --                      31-Dec-2023             31-Dec-2023
                                 Effective


Cumulative Disbursements




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          The World Bank                                Implementation Status & Results Report
          Towards Zero Stunting in Djibouti (P164164)



  Restructuring History

  There has been no restructuring to date.


  Related Project(s)

  There are no related projects.




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