Public Disclosure Copy
The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
Nigeria HIV/AIDS Program Development Project II (P102119)
AFRICA | Nigeria | Social Protection Global Practice |
IBRD/IDA | Specific Investment Loan | FY 2009 | Seq No: 11 | ARCHIVED on 22-Dec-2014 | ISR17285 |
Implementing Agencies: National Agency for the Control of AIDS (NACA)
Key Dates
Key Project Dates
Board Approval date:16-Jun-2009 Effectiveness Date:25-Feb-2011
Planned Mid Term Review Date:15-Nov-2013 Actual Mid-Term Review Date:30-Oct-2013
Original Closing Date:31-Dec-2013 Revised Closing Date:30-Nov-2015
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The Project Development Objective is to reduce the risk of HIV infections by scaling up prevention interventions and to increase access to and
utilization of HIV counseling, testing, care and support services
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
PHRPDODEL
Components
Name
Expanding the Public Sector Response:(Cost $68.00 M)
Expanding the civil society and private sector response:(Cost $79.00 M)
Strengthening mechanisms for project coordination and management:(Cost $78.00 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
12/22/2014 Page 1 of 11
Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
Implementation Status and Key Decisions
- Implementation progress has been slow with a disbursement rate of 48% at the end of November, a 9% increase from the June 2014 implementation
support mission, and with just one year remaining to project closing.
- Generally, the completion rate of activities agreed to with States and NACA is low, as reflected by the disbursement rate. NACA and the Bank agreed
to put in place a number of actions to provide technical support to the States, the CSOs and the line ministries to enable them uptake funds at a higher
rate while providing results to the project.
- These actions are :
1. Finalizing the framework agreement between NACA and two commodity vendors to procure HIV tests kits to allow States to procure essential
commodities (condoms, lubricants, STI drugs) for the CSOs in their states. Also, the framework will allow NACA to procure commodities and
HIV test kits for health facilities. The purchase of HIV test kits and commodities by NACA and SACAs through the framework to be completed
by February 28, 2015.
2. Finalizing of the engagement of Performance Monitoring Service Support Organizations to provide tracking, documentation and reporting on
CSO activities.
3. Putting in place mechanisms to reduce the number of “NO” requests form SACAs and line ministries by approving detailed, costed work plans
indicating which activities are for post- or prior review. NACA to sign agreements with SACAs and Line Ministries for the implementation of
approved work plans by December 19, 2014.
4. Once agreements on work plans are signed with SACAs and Line Ministries, NACA will prepare a table of agreed upon targets by States to be
monitored over time by January 9, 2015. In parallel, the Bank will prepare and distribute to SACAs and Line Ministries, a user-friendly minimal
procurement guidelines to guide them during their implementation of approved work plans by January 9, 2015.
5. Providing approval for statutory regular meetings once and only requiring the States and NACA to request for activities not included in the
work plan. Travels and training related activities will continue to be considered for prior review.
6. Initiating of Integrative Supportive Supervision State visits by NACA to conduct high level advocacy to states with peculiar issues. NACA and
the Bank will conduct supervisory visits to problem States to find solutions on impending implementation by May 30, 2015.
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance -- -- Substantial
Macroeconomic -- -- Moderate
Sector Strategies and Policies -- -- Moderate
Technical Design of Project or Program -- -- Substantial
Institutional Capacity for Implementation and
Sustainability
-- -- Substantial
Fiduciary -- -- Substantial
Environment and Social -- -- Substantial
Stakeholders -- -- Moderate
Other -- -- --
Overall -- -- Substantial
12/22/2014 Page 2 of 11
Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
Results
Project Development Objective Indicators
PHINDPDOTBL
Young women and men aged 15-24 reporting the use of a condom during the last sexual intercourse with a non-regular
partner (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value -- -- -- --
Date 31-Dec-2007 -- -- 30-Nov-2015
PHINDPDOTBL
Male (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 52.20 61.20 61.20 69.20
Date 31-Dec-2007 31-Dec-2012 31-Dec-2012 30-Nov-2015
PHINDPDOTBL
Female (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 34.30 43.00 43.00 40.00
Date 31-Dec-2007 31-Dec-2012 31-Dec-2012 30-Nov-2015
PHINDPDOTBL
Women and men aged 15-49 who have had sexual intercourse with more than one partner in the last 12 months (Percentage,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value -- -- -- --
Date 31-Dec-2007 -- -- 30-Nov-2015
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Public Disclosure Copy
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDPDOTBL
Male (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 9.90 19.20 10.80 5.00
Date 31-Dec-2008 31-Dec-2011 31-Dec-2013 30-Nov-2015
PHINDPDOTBL
Female (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 1.00 3.20 1.10 0.60
Date 31-Dec-2008 31-Dec-2011 31-Dec-2013 30-Nov-2015
PHINDPDOTBL
Percentage of Female Sex Workers (Brothel-Based and Non Brothel-Based) reporting consistent condom use with casual
partner in the last 12 months (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value -- -- -- --
Date 31-Dec-2007 -- -- 30-Nov-2015
PHINDPDOTBL
Female sex workers (brothel based) (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 68.00 70.20 70.20 72.00
Date 31-Dec-2007 31-Dec-2010 31-Dec-2010 30-Nov-2015
PHINDPDOTBL
Female sex workers (non-brothel based) (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 61.00 62.40 62.40 65.00
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
Date 31-Dec-2007 31-Dec-2010 31-Dec-2010 30-Nov-2015
PHINDPDOTBL
Number of women and men aged 15-49 who received an HIV test in the last 12 months and who know their results (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 2287805.00 3810103.00 4077663.00 --
Date 31-Dec-2010 31-Dec-2012 31-Dec-2013 30-Nov-2015
PHINDPDOTBL
Pregnant women living with HIV who receive a complete course of antiretroviral prophylaxis to reduce the risk of mother to
child transmission (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 26133.00 40465.00 57871.00 --
Date 31-Dec-2010 31-Dec-2012 31-Dec-2013 30-Nov-2015
PHINDPDOTBL
Percentage of most-at-risk populations who both correctly identify ways of preventing the sexual transmission of HIV and who
reject major misconceptions about HIV transmission (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value -- -- -- --
Date 31-Dec-2010 -- -- 30-Nov-2015
PHINDPDOTBL
Female Sex Workers (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 33.70 35.00 35.00 50.00
Date 31-Dec-2007 30-Jun-2010 30-Jun-2010 31-Dec-2013
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Public Disclosure Copy
The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDPDOTBL
Men who have sex with men (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 44.00 33.10 33.10 57.00
Date 31-Dec-2007 31-Dec-2010 31-Dec-2010 30-Nov-2015
PHINDPDOTBL
IDUs (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 45.00 30.70 30.70 47.00
Date 31-Dec-2010 31-Dec-2010 31-Dec-2010 30-Nov-2015
Overall Comments
Progress has been made in three out of six PDO indicators while the remaining 3 PDO indicators have shown little progress
to meeting targets at the end of the project:
7. Percentage of young women and men reporting condom use during last sexual intercourse with non-regular partner in the last 12
months increased from 34.3% to 43% amongst women (surpass end of project target of 40%) and from 52.2% to 61.2% amongst men
(on track to meet the end of project target of 69.2%).
8. Percentage of female sex workers (FSWs) reporting consistent condom use with last casual partner in last 12 months increased from
68% to 70.2 % amongst brothel –based FSW (on track to meet the end of project target of 72%) and from 61% to 62.4% amongst non-
brothel based FSW (on track to meet the end of project target of 65%).
9. Number of women living with HIV who received a complete course of ARV prophylaxis for Prevention of Mother to Child Transmission
(PMTCT) increased from 26,133 in 2010 to 57,871 in 2013 which has exceeded the end of project target of 40,000.
Intermediate Results Indicators
PHINDIRITBL
Number (and percentage) of health facilities that provide HIV counseling and testing services (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 1064.00 2624.00 7075.00 1600.00
Date 31-Dec-2010 31-Oct-2012 31-Dec-2013 30-Nov-2015
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDIRITBL
Percentage of HIV-positive patients who were screened for TB in HIV care or treatment settings (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 87.00 87.00 28.10 90.00
Date 31-Dec-2008 31-Dec-2008 31-Dec-2013 30-Nov-2015
PHINDIRITBL
Schools that provided life skills-based HIV education in the last academic year (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 22.80 13.00 30.00 30.00
Date 31-Dec-2009 31-Oct-2013 31-Dec-2013 30-Nov-2015
PHINDIRITBL
Private Sector and CSOs that report regularly and on time on agreed project indicators (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 80.00
Date 31-Dec-2010 31-May-2012 31-May-2012 30-Nov-2015
PHINDIRITBL
Fed Level PSOs (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 50.00
Date 31-Dec-2010 31-May-2012 31-May-2012 30-Nov-2015
12/22/2014 Page 7 of 11
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDIRITBL
Fed Level CSOs (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 95.00
Date 31-Dec-2010 31-May-2012 31-May-2012 30-Nov-2015
PHINDIRITBL
State Level CSOs (Percentage, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 80.00
Date 31-Dec-2010 31-May-2012 31-May-2012 30-Nov-2015
PHINDIRITBL
Percentage of organizations that submit quarterly Financial Management and Procurement reports according to specific
guidelines (disaggregated by Private Sector Organizations and CSOs) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 20.00 80.00
Date 31-Dec-2010 31-May-2012 31-Dec-2013 30-Nov-2015
PHINDIRITBL
Availability of Annual HAF performance report prepared by NACA (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N N Y Y
Date 31-Dec-2010 31-May-2012 31-Dec-2013 30-Nov-2015
12/22/2014 Page 8 of 11
Public Disclosure Copy
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDIRITBL
Percentage of SACAs and Public Sector Organizations that hold quarterly partner forums to report on planning, decisions and
progress (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 30.00 78.30 83.00 80.00
Date 31-Dec-2010 31-Oct-2013 30-Jun-2014 30-Nov-2015
PHINDIRITBL
SACAs, State and Federal leval public sector organizations that have a written strategic plan clearly linked to the National
Strategic objectives and priorities (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 20.00 100.00 100.00 100.00
Date 01-Jul-2009 30-Nov-2012 30-Nov-2012 30-Nov-2015
PHINDIRITBL
SACAs (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 37.00 37.00 37.00
Date 31-Dec-2010 31-Oct-2013 31-Oct-2013 30-Nov-2015
PHINDIRITBL
Federal LM (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 13.00 13.00 13.00
Date 31-Dec-2010 31-Oct-2013 31-Oct-2013 30-Nov-2015
12/22/2014 Page 9 of 11
Public Disclosure Copy
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
PHINDIRITBL
Number of LACAs implementing HIV/AIDS workplans (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 272.00 603.00 272.00
Date 31-Dec-2010 31-Oct-2013 31-Oct-2013 30-Nov-2015
Overall Comments
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed
P102119 IDA-45960 Effective XDR 150.40 150.40 0.00 72.28 78.12 48%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P102119 IDA-45960 Effective 16-Jun-2009 25-Nov-2010 25-Feb-2011 31-Dec-2013 30-Nov-2015
Cumulative Disbursements
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The World Bank Implementation Status & Results Report
Nigeria HIV/AIDS Program Development Project II (P102119)
Restructuring History
Level Approved on 16-Dec-2011 ,Level 2 Approved on 23-May-2014
Related Project(s)
There are no related projects.
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