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 4/6/2020 Page 1 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 2 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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) 4/6/2020 Page 3 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 4 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) ►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 4/6/2020 Page 5 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 6 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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) 4/6/2020 Page 7 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 8 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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) 4/6/2020 Page 9 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 10 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 11 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 12 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 13 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 14 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 15 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 16 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 17 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 18 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) ►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 -- 4/6/2020 Page 19 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 -- 4/6/2020 Page 20 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) 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 4/6/2020 Page 21 of 22 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Restructuring History There has been no restructuring to date. Related Project(s) P167312-Additional Financing for Pakistan National Immunization Support Project 4/6/2020 Page 22 of 22