The World Bank                                                                                      Implementation Status & Results Report
           National Immunization Support Project (P132308)



National Immunization Support Project (P132308)


 SOUTH ASIA | Pakistan | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 12 | ARCHIVED on 06-Apr-2020 | ISR40965 |


 Implementing Agencies: Economic Affairs Division, Federal EPI Cell, Ministry of Health and Population



 Key Dates


  Key Project Dates

   Bank Approval Date: 21-Apr-2016                                             Effectiveness Date: 23-Nov-2016
   Planned Mid Term Review Date: 03-Feb-2020                                   Actual Mid-Term Review Date: 03-Feb-2020
   Original Closing Date: 31-Dec-2021                                          Revised Closing Date: 31-Dec-2021
 pdoTable

 Project Development Objectives

  Project Development Objective (from Project Appraisal Document)
  The project development objective is to increase the equitable coverage of services for immunization against vaccine preventablediseases (VPD),
  including poliomyelitis, for children between 0 and 23 months in Pakistan.

  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)
  The project development objective is to increase the equitable coverage of services for immunization against vaccine preventablediseases (VPD),
  including poliomyelitis, for children between 0 and 23 months in Pakistan.


 Components Table

 Name
 Component 1: Strengthening Management, Governance and Stewardship Functions:(Cost $40.30 M)
 Component 2: Improving Service Delivery Performance:(Cost $19.75 M)
 Component 3: Demand Generation:(Cost $20.75 M)
 Component 4:Health Systems Strengthening:(Cost $34.00 M)
 Component 5: Improving Capacity in Technical Areas for Increased Immunization Coverage:(Cost $14.80 M)

 Overall Ratings

 Name                                                                        Previous Rating                           Current Rating

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


 Implementation Status and Key Decisions

  Overall, the project has made good progress towards achieving the development objectives. Updated data for the Project Development Objective
  and other indicators will be available in late 2020 from a national third-party validation immunization coverage survey that has been commissioned
  by the World Bank. Out of the seven DLIs due in the first three years of the project, in all provinces three DLIs (#2, #4 and #7) have been verified


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  and disbursed against and the rest are on course to achieve the targets and to be subsequently verified and disbursed. The mid-term review
  mission identified several project areas for further improvement and discussed sustainability of project achievements after its closure in December
  2021.




  Risks


 Systematic Operations Risk-rating Tool


  Risk Category                                               Rating at Approval              Previous Rating                Current Rating

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



  Results


 PDO Indicators by Objectives / Outcomes



   Increase equitable coverage of services for immunization againts vaccine preventable diseases (VPD)

    IN00818000
    ►Percent of children aged between 12-23 months in the province or territory who are fully immunized (Percentage, Custom)

                                       Baseline                     Actual (Previous)              Actual (Current)          End Target

    Value                              0.00                         0.00                           0.00                      0.00

    Date                               31-Dec-2014                  17-Jan-2019                    30-Jan-2020              30-Jun-2021

                                       Data from PDHS 2017-18
    Comments:

      IN00818001
      Balochistan (Percentage, Custom Breakdown)

                                     Baseline                      Actual (Previous)           Actual (Current)             End Target



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     Value                          16.00                     29.00                       29.00                     65.00

     Date                           31-Dec-2014               01-Jul-2019                 30-Jan-2020               30-Jun-2021

     IN00818002
     KP (Percentage, Custom Breakdown)

                                    Baseline                  Actual (Previous)           Actual (Current)          End Target

     Value                          53.00                     55.00                       55.00                     80.00

     Date                           31-Dec-2014               01-Jul-2019                 30-Jan-2020               30-Jun-2021

     IN00818003
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                  Actual (Previous)           Actual (Current)          End Target

     Value                          66.00                     80.00                       80.00                     77.00

     Date                           31-Dec-2014               01-Jul-2019                 30-Jan-2020               30-Jun-2021

     IN00818004
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                  Actual (Previous)           Actual (Current)          End Target

     Value                          29.00                     49.00                       49.00                     80.00

     Date                           31-Dec-2014               01-Jul-2019                 30-Jan-2020               30-Jun-2021

   IN00818005
   ►Percentage of districts in each province reporting coverage of >80% Penta3 in children between 12-23 months which have these reports
   validated (Percentage, Custom)

                                      Baseline                 Actual (Previous)           Actual (Current)          End Target

    Value                             0.00                     0.00                        0.00                      0.00

    Date                              31-Dec-2015              17-Jan-2019                 30-Jan-2020              30-Jun-2021

     IN00818006
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                  Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                      24.00                       39.00                     60.00

     Date                           31-Dec-2015               01-Jul-2019                 30-Jan-2020               30-Jun-2021

     IN00818007
     KP (Percentage, Custom Breakdown)

                                    Baseline                  Actual (Previous)           Actual (Current)          End Target

     Value                          52.00                     80.00                       68.00                     90.00

     Date                           31-Dec-2015               01-Jul-2019                 30-Jan-2020               30-Jun-2021

     IN00818008
     Punjab (Percentage, Custom Breakdown)


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                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          25.00                    100.00                  100.00                    61.00

     Date                           31-Dec-2015              01-Jul-2019             30-Jan-2020               30-Jun-2021

     IN00818009
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          33.00                    52.00                   66.00                     75.00

     Date                           31-Dec-2014              01-Jul-2019             30-Jan-2020               30-Jun-2021

    IN00818010
    ►Drop-out rate between Penta1 and Penta3 in each province (Percentage, Custom)

                                      Baseline                Actual (Previous)       Actual (Current)          End Target

    Value                             0.00                    0.00                    0.00                      0.00

    Date                              31-Dec-2014             17-Jan-2019             30-Jan-2020              30-Jun-2021

     IN00818011
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          11.00                    18.00                   14.00                     10.00

     Date                           31-Dec-2014              01-Jul-2019             30-Jan-2020               30-Jun-2021

     IN00818012
     KP (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          10.00                    7.00                    9.00                      7.00

     Date                           31-Dec-2014              01-Jul-2019             30-Jan-2020               30-Jun-2021

     IN00818013
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          11.00                    3.00                    4.00                      10.00

     Date                           31-Dec-2014              01-Jul-2019             30-Jan-2020               30-Jun-2021

     IN00818014
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)       Actual (Current)          End Target

     Value                          26.00                    9.00                    13.00                     8.00

     Date                           31-Dec-2014              01-Jul-2019             30-Jan-2020               30-Jun-2021

    IN00818015


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    ►Penta3 coverage in each province between the lowest and the highest wealth quintile (Percentage, Custom)

                                      Baseline                   Actual (Previous)            Actual (Current)          End Target

    Value                             0.00                       0.00                         0.00                      0.00

    Date                              31-Dec-2014                17-Jan-2019                  30-Jan-2020              30-Jun-2021

                                      A TPVICS survey is underway which will provide update on this indicator.
   Comments:

     IN00818016
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          35.00                       0.00                        0.00                       20.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                30-Jun-2021

     IN00818017
     KP (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          43.00                       0.00                        0.00                       15.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                30-Jun-2021

     IN00818018
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          41.00                       0.00                        0.00                       28.00

     Date                           31-Dec-2014                 01-Jul-2020                 30-Jan-2020                30-Jun-2021

     IN00818019
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          30.00                       0.00                        0.00                       15.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                30-Jun-2021



 Intermediate Results Indicators by Components



   Component 1: Strengthening Management, Governance and Stewardship Functions

    IN00818020
    ►Percentage of Districts in each province with at least 80% timeliness and completeness reporting on vLMIS (Percentage, Custom)

                                      Baseline                   Actual (Previous)            Actual (Current)          End Target

    Value                             0.00                       0.00                         0.00                      0.00



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    Date                              31-Dec-2014                  17-Jan-2019                  30-Jan-2020                31-Dec-2021

     IN00818027
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target

     Value                          0.00                         76.00                         82.00                      70.00

     Date                           31-Dec-2014                  01-Jul-2019                   30-Jan-2020                31-Dec-2021

     IN00818030
     KP (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target

     Value                          0.00                         80.00                         84.00                      100.00

     Date                           31-Dec-2014                  01-Jul-2019                   30-Jan-2020                31-Dec-2021

     IN00818035
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target

     Value                          0.00                         100.00                        100.00                     100.00

     Date                           31-Dec-2014                  01-Jul-2019                   30-Jan-2020                31-Dec-2021

     IN00818037
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target

     Value                          0.00                         82.70                         97.00                      100.00

     Date                           31-Dec-2014                  01-Jul-2019                   30-Jan-2020                31-Dec-2021

   IN00818042
   ►Percentage of districts in each province with their recognized surveillance sites having functional online surveillance for Vaccine
   Preventable Diseases & Adverse Events Following Immunization (Percentage, Custom)

                                      Baseline                     Actual (Previous)            Actual (Current)           End Target

    Value                             0.00                         0.00                         0.00                       0.00

    Date                              31-Dec-2014                  17-Jan-2019                  30-Jan-2020                31-Dec-2021

     IN00818043
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target

     Value                          0.00                         80.00                         94.00                      80.00

     Date                           31-Dec-2014                  01-Jul-2019                   30-Jan-2020                31-Dec-2021

     IN00818046
     KP (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)             Actual (Current)           End Target



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     Value                          0.00                     100.00                 100.00                    80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

     IN00818051
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)      Actual (Current)          End Target

     Value                          0.00                     100.00                 100.00                    80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

     IN00818054
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)      Actual (Current)          End Target

     Value                          0.00                     100.00                 100.00                    80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

   IN00818055
   ►Percentage of total combined number of EDOs/EDO(H) in each province EDOs/EDO(H)s have attended MLM courses (Percentage,
   Custom)

                                      Baseline                Actual (Previous)      Actual (Current)          End Target

    Value                             0.00                    0.00                   0.00                      0.00

    Date                              31-Dec-2014             17-Jan-2019            30-Jan-2020              31-Dec-2021

     IN00818060
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)      Actual (Current)          End Target

     Value                          0.00                     89.00                  79.00                     80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

     IN00818061
     KP (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)      Actual (Current)          End Target

     Value                          0.00                     100.00                 100.00                    80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

     IN00818063
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                 Actual (Previous)      Actual (Current)          End Target

     Value                          0.00                     72.00                  94.00                     80.00

     Date                           31-Dec-2014              01-Jul-2019            30-Jan-2020               31-Dec-2021

     IN00818066
     Sindh (Percentage, Custom Breakdown)


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                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         100.00                       100.00                     80.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021


   Component 2: Improving Service Delivery Performance

   IN00818021
   ►Percentage of UC in each province for which revised computerized UC level micro plans are in functional use at district and provincial
   levels (Percentage, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                             0.00                        0.00                         0.00                      0.00

    Date                              31-Dec-2014                 17-Jan-2019                  30-Jan-2020               31-Dec-2021

     IN00818026
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         75.00                        80.00                      80.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818031
     KP (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         100.00                       100.00                     100.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818034
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         100.00                       100.00                     100.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818036
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)           End Target

     Value                          0.00                         100.00                       100.00                     90.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

    IN00818041
    ►Percentage of secure districts in each province with functional electronic tracking of the vaccinators and supervisors (Percentage, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)          End Target




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    Value                             0.00                       0.00                         0.00                      0.00

    Date                              31-Dec-2014                17-Jan-2019                  30-Jan-2020              31-Dec-2021

     IN00818044
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          0.00                        52.00                       55.00                      0.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818047
     KP (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          0.00                        92.00                       92.00                      15.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818050
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          0.00                        100.00                      100.00                     100.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818053
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          0.00                        100.00                      100.00                     30.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                31-Dec-2021

    IN00818056
    ►Percentage of UC in each province with at least two skilled staff capable of providing immunization (Percentage, Custom)

                                      Baseline                   Actual (Previous)            Actual (Current)          End Target

    Value                             0.00                       0.00                         0.00                      0.00

    Date                              31-Dec-2014                17-Jan-2019                  30-Jan-2020              31-Dec-2021

     IN00818059
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                    Actual (Previous)           Actual (Current)           End Target

     Value                          70.00                       72.00                       66.00                      100.00

     Date                           31-Dec-2014                 01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818062
     KP (Percentage, Custom Breakdown)



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                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          91.00                      100.00                      100.00                     100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818064
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          96.00                      96.00                       100.00                     100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818065
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          91.00                      97.00                       100.00                     100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

   IN00818067
   ►Percentage of detailed UC supervisory plans implemented by District supervisors and made available to supervisor officers in each Project
   Province (Percentage, Custom)

                                      Baseline                  Actual (Previous)            Actual (Current)          End Target

    Value                             0.00                      0.00                         0.00                      0.00

    Date                              31-Dec-2014               17-Jan-2019                  30-Jan-2020              31-Dec-2021

     IN00818068
     Balochistan (Percentage, Custom Breakdown, DLI)

                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          0.00                       67.00                       76.00                      100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818069
     KP (Percentage, Custom Breakdown, DLI)

                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          0.00                       100.00                      100.00                     100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818070
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)            Actual (Current)          End Target

     Value                          0.00                       100.00                      100.00                     100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818071



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     Sindh (Percentage, Custom Breakdown, DLI)

                                    Baseline                   Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                       93.00                       100.00                    100.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020               31-Dec-2021


   Component 3: Demand Generation

    IN00818023
    ►Number of contracts by each province with CSOs for provision of immunization services in urban slums awarded (Number, Custom)

                                      Baseline                  Actual (Previous)            Actual (Current)         End Target

    Value                             0.00                      0.00                        0.00                      0.00

    Date                              31-Dec-2014               17-Jan-2019                 30-Jan-2020              31-Dec-2021

     IN00818024
     Balochistan (Number, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                       0.00                        0.00                      2.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020               31-Dec-2021

     IN00818028
     KP (Number, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                       0.00                        0.00                      2.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020               31-Dec-2021

     IN00818032
     Punjab (Number, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                       0.00                        0.00                      4.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020               31-Dec-2021

     IN00818039
     Sindh (Number, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)          End Target

     Value                          0.00                       0.00                        0.00                      3.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020               31-Dec-2021

    IN00818040
    ►Percentage of children under two years of age with vaccination card available (Percentage, Custom)

                                      Baseline                  Actual (Previous)            Actual (Current)         End Target


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    Value                             0.00                      0.00                         0.00                      0.00

    Date                              31-Dec-2014               17-Jan-2019                  30-Jan-2020              31-Dec-2021

                                      Survey in process. Punjab result is from Punjab MICS 2018.
   Comments:

     IN00818045
     Balochistan (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)           End Target

     Value                          8.00                       0.00                        0.00                       50.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818048
     KP (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)           End Target

     Value                          39.70                      0.00                        0.00                       80.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818049
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)           End Target

     Value                          40.70                      0.00                        80.00                      85.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

     IN00818052
     Sindh (Percentage, Custom Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)           End Target

     Value                          25.90                      0.00                        0.00                       75.00

     Date                           31-Dec-2014                01-Jul-2019                 30-Jan-2020                31-Dec-2021

    IN00818057
    ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate)

                                      Baseline                   Actual (Previous)           Actual (Current)          End Target

    Value                             0.00                      23,887,775.00                25,556,687.00             41,794,171.00

    Date                              31-Dec-2016               31-Oct-2019                  30-Jan-2020              31-Dec-2021

     IN00818058
     Number of children immunized (Number, Corporate Breakdown)

                                    Baseline                   Actual (Previous)           Actual (Current)           End Target

     Value                          0.00                       23,887,757.00               25,556,687.00              41,794,171.00

     Date                           31-Dec-2016                31-Oct-2019                 30-Jan-2020                31-Dec-2021




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   Component 4:Health Systems Strengthening

   IN00818022
   ►Percentage of districts in each province with functional cold chain equipment in place as per specifications >95% in each tier of health
   system (Percentage, Custom)

                                      Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                             0.00                        0.00                         0.00                       0.00

    Date                              31-Dec-2014                 17-Jan-2019                  30-Jan-2020                31-Dec-2021

     IN00818025
     Balochistan (Percentage, Custom Breakdown, DLI)

                                    Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                          63.00                        85.00                        85.00                       95.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818029
     KP (Percentage, Custom Breakdown, DLI)

                                    Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                          89.00                        96.00                        98.00                       95.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818033
     Punjab (Percentage, Custom Breakdown)

                                    Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                          73.00                        100.00                       100.00                      95.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021

     IN00818038
     Sindh (Percentage, Custom Breakdown, DLI)

                                    Baseline                     Actual (Previous)            Actual (Current)            End Target

     Value                          56.00                        100.00                       100.00                      95.00

     Date                           31-Dec-2014                  01-Jul-2019                  30-Jan-2020                31-Dec-2021



 Disbursement Linked Indicators




   IN00818072
   ►DLI 1 Percent of children aged between 12-23 months in the province or territory who are fully immunized (Percentage, Outcome, 12.87,
   0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5



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    Value                        0.00                          0.00                        0.00                         --

    Date                         --                            16-Sep-2018                 30-Jan-2020                  --

     DLI 1.1 Balochistan (Percentage, Outcome, 1.08, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       16.00                         29.00                       29.00                        50.00

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 1.2 KP (Percentage, Outcome, 1.91, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       53.00                         55.00                       55.00                        80.00

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 1.3 Punjab (Percentage, Outcome, 5.74, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       66.00                         80.00                       80.00                        80.00

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 1.4 Sindh (Percentage, Outcome, 4.14, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       29.00                         49.00                       49.00                        80.00

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --




   IN00818077
   ►DLI 2 Percentage of UC in each province for which revised computerized UC level micro plans are in functional use at district and
   provincial levels (Percentage, Process, 6.43, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

    Value                        0.00                          0.00                        0.00                         --

    Date                         --                            16-Sep-2018                 30-Jan-2020                  --

     DLI 2.1 Balochistan (Percentage, Process, 0.54, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5


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     Value                       0.00                        93.00                       93.00                      --

     Date                        --                          01-Jul-2019                30-Jan-2020                  --

     DLI 2.2 KP (Percentage, Process, 0.95, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5

     Value                       0.00                        99.00                       99.00                      --

     Date                        --                          01-Jul-2019                30-Jan-2020                  --

     DLI 2.3 Punjab (Percentage, Process, 2.87, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5

     Value                       0.00                        97.00                       97.00                      --

     Date                        --                          01-Jul-2019                30-Jan-2020                  --

     DLI 2.4 Sindh (Percentage, Process, 2.07, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5

     Value                       0.00                        100.00                      100.00                     --

     Date                        --                          01-Jul-2019                30-Jan-2020                  --




   IN00818082
   ►DLI 3 Percentage of districts in each province reporting coverage of >80% Penta3 in children between 12-23 months which have these
   reports validated (Percentage, Outcome, 12.89, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5

    Value                        0.00                        0.00                        0.00                        --

    Date                         --                          16-Sep-2018                30-Jan-2020                  --

     DLI 3.1 Balochistan (Percentage, Outcome, 1.08, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5

     Value                       0.00                        24.00                       39.00                      35.00

     Date                        --                          01-Jul-2019                30-Jan-2020                  --

     DLI 3.2 KP (Percentage, Outcome, 1.92, 0.00%)


                                 Baseline                    Actual (Previous)           Actual (Current)            Year 5


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     Value                       52.00                       80.00                        68.00                       60.00

     Date                        --                          01-Jul-2019                 30-Jan-2020                  --

     DLI 3.3 Punjab (Percentage, Outcome, 5.74, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5

     Value                       25.00                       100.00                       100.00                      80.00

     Date                        --                          01-Jul-2019                 30-Jan-2020                  --

     DLI 3.4 Sindh (Percentage, Outcome, 4.14, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5

     Value                       33.00                       52.00                        66.00                       80.00

     Date                        --                          01-Jul-2019                 30-Jan-2020                  --




   IN00818087
   ►DLI 4 Percentage of Districts in each province with at least 80% timeliness and completeness reporting on vLMIS (Percentage,
   Intermediate Outcome, 6.43, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5

    Value                        0.00                        0.00                         0.00                        --

    Date                         --                          16-Sep-2018                 30-Jan-2020                  --

     DLI 4.1 Balochistan (Number, Intermediate Outcome, 0.54, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5

     Value                       0.00                        30.00                        30.00                       --

     Date                        --                          01-Jul-2019                 30-Jan-2020                  --

     DLI 4.2 KP (Number, Intermediate Outcome, 0.95, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5

     Value                       0.00                        25.00                        25.00                       --

     Date                        --                          01-Jul-2019                 30-Jan-2020                  --

     DLI 4.3 Punjab (Number, Intermediate Outcome, 2.87, 0.00%)


                                 Baseline                    Actual (Previous)            Actual (Current)            Year 5


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     Value                       0.00                           36.00                         36.00                        --

     Date                        --                             01-Jul-2019                   30-Jan-2020                   --

     DLI 4.4 Sindh (Number, Intermediate Outcome, 2.07, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5

     Value                       0.00                           28.00                         28.00                        --

     Date                        --                             01-Jul-2019                   30-Jan-2020                   --




   IN00818092
   ►DLI 5 Percentage of districts in each province with their recognized surveillance sites having functional online surveillance for Vaccine
   Preventable Diseases & Adverse Events Following Immunization (Percentage, Output, 6.44, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5

    Value                        0.00                           0.00                          0.00                          --

    Date                         --                             16-Sep-2018                   30-Jan-2020                   --

     DLI 5.1 KP (Percentage, Output, 0.54, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5

     Value                       0.00                           100.00                        100.00                       --

     Date                        --                             01-Jul-2019                   30-Jan-2020                   --

     DLI 5.2 Balochistan (Percentage, Output, 0.96, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5

     Value                       0.00                           80.00                         94.00                        --

     Date                        --                             01-Jul-2019                   30-Jan-2020                   --

     DLI 5.3 Punjab (Percentage, Output, 2.87, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5

     Value                       0.00                           100.00                        100.00                       --

     Date                        --                             01-Jul-2019                   30-Jan-2020                   --

     DLI 5.4 Sindh (Percentage, Output, 2.07, 0.00%)


                                 Baseline                       Actual (Previous)             Actual (Current)              Year 5


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     Value                       0.00                          100.00                        100.00                       --

     Date                        --                            01-Jul-2019                   30-Jan-2020                   --




   IN00818097
   ►DLI 6 Percentage of districts in each province with functional cold chain equipment in place as per specifications >95% in each tier of
   health system (Percentage, Intermediate Outcome, 6.43, 0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5

    Value                        0.00                           0.00                         0.00                          --

    Date                         --                             16-Sep-2018                  30-Jan-2020                   --

     DLI 6.1 Sindh (Percentage, Intermediate Outcome, 0.54, 0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5

     Value                       56.00                         100.00                        100.00                       --

     Date                        --                            01-Jul-2019                   30-Jan-2020                   --

     DLI 6.2 KP (Percentage, Intermediate Outcome, 0.95, 0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5

     Value                       89.00                         96.00                         98.00                        --

     Date                        --                            01-Jul-2019                   30-Jan-2020                   --

     DLI 6.3 Balochistan (Percentage, Intermediate Outcome, 2.87, 0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5

     Value                       63.00                         85.00                         85.00                        --

     Date                        --                            01-Jul-2019                   30-Jan-2020                   --

     DLI 6.4 Sindh (Percentage, Intermediate Outcome, 2.07, 0.00%)


                                 Baseline                       Actual (Previous)            Actual (Current)              Year 5

     Value                       56.00                         75.60                         100.00                       --

     Date                        --                            16-Sep-2018                   30-Jan-2020                   --




   IN00818102


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   ►DLI 7 Percentage of detailed UC supervisory plans implemented by District supervisors and made available to supervisor officers in each
   Project Province (Percentage, Process, 10.00, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

    Value                        0.00                          0.00                        0.00                         --

    Date                         --                            16-Sep-2018                 30-Jan-2020                  --

     DLI 7.1 Sindh (Percentage, Process, 0.84, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       0.00                          89.00                       100.00                       --

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 7.2 KP (Percentage, Process, 1.49, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       0.00                          88.00                       100.00                       --

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 7.3 Balochistan (Percentage, Process, 4.45, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       0.00                          89.00                       89.00                        --

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --

     DLI 7.4 Sindh (Percentage, Process, 3.22, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

     Value                       0.00                          80.00                       80.00                        --

     Date                        --                            01-Jul-2019                 30-Jan-2020                  --




   IN00818107
    ►DLI 8 Percentage of children under two years of age with vaccination card available (Percentage, Output, 6.44, 0.00%)


                                 Baseline                      Actual (Previous)           Actual (Current)             Year 5

    Value                        0.00                          0.00                        0.00                         --

    Date                         --                            16-Sep-2018                 30-Jan-2020                  --



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     DLI 8.1 Balochistan (Percentage, Output, 0.54, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

     Value                       25.90                        0.00                        0.00                        --

     Date                        --                           01-Jul-2019                 30-Jan-2020                  --

     DLI 8.2 KP (Percentage, Output, 0.96, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

     Value                       39.70                        0.00                        0.00                        --

     Date                        --                           01-Jul-2019                 30-Jan-2020                  --

     DLI 8.3 Punjab (Percentage, Output, 2.87, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

     Value                       40.70                        0.00                        80.00                       --

     Date                        --                           01-Jul-2019                 30-Jan-2020                  --

     DLI 8.4 Sindh (Percentage, Output, 2.07, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

     Value                       25.90                        0.00                        0.00                        --

     Date                        --                           01-Jul-2019                 30-Jan-2020                  --




   IN00818112
   ►DLI 9 Budget allocations for immunization are continuous, adequate and can be easily tracked within the provinical financial management
   information systems (Text, Outcome, 12.87, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

    Value                        No                           No                          No                           --

    Date                         --                           --                          30-Jan-2020                  --

     DLI 9.1 Balochistan (Text, Intermediate Outcome, 1.08, 0.00%)


                                 Baseline                     Actual (Previous)           Actual (Current)             Year 5

     Value                       No                           No                          No                          --

     Date                        --                           16-Sep-2018                 30-Jan-2020                  --


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     DLI 9.2 KP (Text, Intermediate Outcome, 1.92, 0.00%)


                                 Baseline                        Actual (Previous)             Actual (Current)              Year 5

     Value                       No                              No                            No                           --

     Date                        --                              16-Sep-2018                   30-Jan-2020                   --

     DLI 9.3 Punjab (Text, Intermediate Outcome, 5.74, 0.00%)


                                 Baseline                        Actual (Previous)             Actual (Current)              Year 5

     Value                       No                              Yes                           No                           --

     Date                        --                              16-Sep-2018                   30-Jan-2020                   --

     DLI 9.4 Sindh (Text, Intermediate Outcome, 4.14, 0.00%)


                                 Baseline                        Actual (Previous)             Actual (Current)              Year 5

     Value                       No                              No                            No                           --

     Date                        --                              16-Sep-2018                   30-Jan-2020                   --



 Data on Financial Performance


 Disbursements (by loan)

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


 P132308       IDA-57860         Effective    USD               50.00      50.00             0.00         21.31            28.41                    43%

 P132308       TF-A2189          Effective    USD               56.90      56.90             0.00         31.50            25.40                    55%


 Key Dates (by loan)

 Project        Loan/Credit/TF    Status      Approval Date       Signing Date       Effectiveness Date      Orig. Closing Date    Rev. Closing Date

 P132308        IDA-57860         Effective   21-Apr-2016         31-Aug-2016        23-Nov-2016             31-Dec-2021           31-Dec-2021
 P132308        TF-A2189          Effective   21-Apr-2016         31-Aug-2016        23-Nov-2016             31-Dec-2021           31-Dec-2021


Cumulative Disbursements




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  Restructuring History


  There has been no restructuring to date.


  Related Project(s)


  P167312-Additional Financing for Pakistan National Immunization Support Project




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