The World Bank                                                           Implementation Status & Results Report
           Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)



Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)

 LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 8 | ARCHIVED on 03-Apr-2019 | ISR36266 |


 Implementing Agencies: National Ministry of Health, Ministry of Health, Ministry of Health



 Key Dates

  Key Project Dates

   Bank Approval Date: 11-Jun-2015                                              Effectiveness Date: 20-Nov-2015
   Planned Mid Term Review Date: 20-May-2018                                    Actual Mid-Term Review Date: 06-Jul-2018
   Original Closing Date: 31-Dec-2020                                           Revised Closing Date: 31-Dec-2020
 pdoTable

 Project Development Objectives
  Project Development Objective (from Project Appraisal Document)
  To contribute to: (i) improving the readiness of public health facilities to deliver higher quality NCD-services for vulnerable population groups and
  expanding the scope of selected services; and (ii) protecting vulnerable population groups against prevalent NCD risk factors.

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


 Components            Table




 Name
 Component 1: Improving the readiness of public health care facilities to provide higher quality services for
 NCDs for vulnerable population groups and expanding the scope of selected services.:(Cost $189.00 M)
 Component 2: Protecting vulnerable population groups against prevalent NCD risk factors.:(Cost $73.00 M)
 Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance,
 monitoring, promotion, prevention and control of NCDs, injuries, and risk factors.:(Cost $175.50 M)

 Overall Ratings

 Name                                                                          Previous Rating                           Current Rating

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


 Implementation Status and Key Decisions
  Project Development Indicators (PDI) are on track to support the Government of Argentina to: (i) improving the readiness of public health facilities to
  deliver higher quality NCD-services for vulnerable population groups and expanding the scope of selected services; and (ii) protecting vulnerable
  population groups against prevalent NCD risk factors. As of March, the loan has disbursed US$119.7million (34%).




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           The World Bank                                                           Implementation Status & Results Report
           Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)




  Risks

 Systematic Operations Risk-rating Tool

  Risk Category                                    Rating at Approval        Previous Rating        Current Rating

  Political and Governance                         --                        High                  High
  Macroeconomic                                    --                        Moderate              Moderate
  Sector Strategies and Policies                   --                        High                  High
  Technical Design of Project or Program           --                        Substantial           Substantial


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                 The World Bank                                                           Implementation Status & Results Report
                 Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)


  Institutional Capacity for Implementation and
  Sustainability
                                                                --                              Substantial                 Substantial
  Fiduciary                                                     --                              Substantial                 Substantial
  Environment and Social                                        --                              Low                         Low
  Stakeholders                                                  --                              Moderate                    Moderate
  Other                                                         --                              --                           --
  Overall                                                       --                              High                        High


  Results

 PDO Indicators by Objectives / Outcomes


   Improving the Readiness of Public Health Facilities to Deliver Higher-quality NCD-Services for Vulne
    IN00678525




    ►Percentage of public primary health care facilities certified to provide quality services for the detection and control of NCDs.
    (Percentage, Custom)
                                          Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                 0.00                       --                              29.40                   50.00

    Date                                  15-Jan-2015                --                              31-Dec-2018            31-Dec-2020

                                          This indicator achieved 98% (29.4%/30%) of its 2018 end year target.
    Comments:
    IN00678532




    ►Number          of public health care facilities providing new services for early detection of colon cancer. (Number, Custom)

                                          Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                 0.00                       --                              315.00                  700.00

    Date                                  15-Jan-2015                --                              31-Dec-2018            31-Dec-2020

                                          This indicator surpassed the 2018 end-year target (315/300).
    Comments:



   Protecting Vulnerable Population Groups Against Prevalent NCD Risk Factors.
    IN00678531




    ►Prevalence         of tobacco consumption among vulnerable population. (Percentage, Custom)

                                          Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                 33.00                      --                              27.70                   31.00

    Date                                  15-Jan-2015                --                              31-Dec-2018            31-Dec-2020
                                          This indicator is being measured through Telephone Surveillance Survey, while data from the National
                                          Risk Factor Survey are still under process, to be released on April 30-2019. Therefore, it could vary.
    Comments:

    IN00678533




    ►Prevalence         of sodium consumption among vulnerable population. (Percentage, Custom)


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                 The World Bank                                                           Implementation Status & Results Report
                 Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)



                                         Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                29.00                      --                              13.30                   16.00

    Date                                 15-Jan-2015                --                              31-Dec-2018            31-Dec-2020
                                         This indicator is being measured through Telephone Surveillance Survey, while data from the National
    Comments:                            Risk Factor Survey are still under process, to be released on April 30-2019. Therefore, it could vary.



 Intermediate Results Indicators by Components


   Component 1: Improving the readiness of public health care facilities to provide higher quality services for NCDs for
   vulnerable population groups and expanding the scope of selected services.
    IN00678534




    ►Percentage of public PHC facilities that have been evaluated regarding changes in their model of care for NCDs.
    (Percentage, Custom)
                                         Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                0.00                       --                              30.00                   60.00

    Date                                 15-Jan-2014                --                              31-Dec-2018            31-Dec-2020

                                         This indicator achieved 75% of the 2018 end-year target.
    Comments:
    IN00678537




    ►Health         personnel receiving training (number) (Number, Custom)

                                         Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                0.00                       --                              2,141.00                3,000.00

    Date                                 15-Jan-2015                --                              31-Dec-2018            31-Dec-2020

                                         2017 end year target surpassed (1200).
    Comments:



   Component 2: Protecting vulnerable population groups against prevalent NCD risk factors.
    IN00678535




    ►Number          of Provinces that have developed an NCD Plan. (Number, Custom)

                                         Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                0.00                       --                              16.00                   22.00

    Date                                 15-Jan-2015                --                              31-Dec-2018            31-Dec-2020

                                         This indicator achieved 10% of the 2017 end-year target (10).
    Comments:
    IN00678538




    ►Number          of Provinces that have implemented recommended actions for tobacco control. (Number, Custom)

                                         Baseline                    Actual (Previous)              Actual (Current)        End Target
    Value                                16.00                      --                              22.00                   22.00




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                 The World Bank                                                           Implementation Status & Results Report
                 Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)



    Date                                  15-Jan-2015                 --                              31-Dec-2018               31-Dec-2020
    IN00678539




    ►Prevalence         of tobacco consumption among adults. (Percentage, Custom)

                                           Baseline                    Actual (Previous)              Actual (Current)          End Target
    Value                                 27.00                       --                              16.90                     23.00

    Date                                  15-Jan-2015                 --                              31-Dec-2018               31-Dec-2020
                                           This indicator is being measured through Telephone Surveillance Survey, while data from the National
    Comments:                              Risk Factor Survey are still under process, to be released on April 30-2019. Therefore, it could vary.
    IN00678540




    ►Number of Provinces that have implemented recommended actions to reduce population sodium consumption. (Number,
    Custom)
                                           Baseline                    Actual (Previous)              Actual (Current)          End Target
    Value                                 4.00                        --                              19.00                     22.00

    Date                                  15-Jan-2015                 --                              31-Dec-2018               31-Dec-2020

                                           2018 end-year target surpassed .
    Comments:


   Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance, monitoring,
   promotion, prevention and control of NCDs, injuries, and risk factors.
    IN00678536




    ►Number of Provinces that have an Intersectional working table in place with an NCD focus that include CSOs and NGOs.
    (Number, Custom)
                                           Baseline                    Actual (Previous)              Actual (Current)          End Target
    Value                                 0.00                        --                              14.00                     15.00

    Date                                  15-Jan-2015                 --                              31-Dec-2018               31-Dec-2020




 Data on Financial Performance

 Disbursements (by loan)

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

 P133193            IBRD-85080        Effective   USD             350.00       350.00          0.00           119.71           230.29                      34%


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

 P133193             IBRD-85080       Effective   11-Jun-2015        09-Oct-2015        20-Nov-2015              31-Dec-2020             31-Dec-2020


Cumulative Disbursements

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           The World Bank                                                           Implementation Status & Results Report
           Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193)




  Restructuring History

  There has been no restructuring to date.


  Related Project(s)

  There are no related projects.




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