Public Disclosure Copy

        The World Bank                                                                             Implementation Status & Results Report
        HIV/AIDS Support Project 2 (P116167)


HIV/AIDS Support Project 2 (P116167)

AFRICA | Niger | Health, Nutrition & Population Global Practice |
IBRD/IDA | Specific Investment Loan | FY 2011 | Seq No: 10 | ARCHIVED on 23-May-2016 | ISR23415 |


Implementing Agencies: Coordination Intersectorielle de lute contre les IST/VIH/SIDA (CISLS)




Key Dates

  Key Project Dates

  Bank Approval Date:26-Apr-2011                                             Effectiveness Date:09-Sep-2011
  Planned Mid Term Review Date:30-Jun-2014                                   Actual Mid-Term Review Date:17-Mar-2014
  Original Closing Date:30-Jun-2016                                          Revised Closing Date:31-Dec-2016




Project Development Objectives

 Project Development Objective (from Project Appraisal Document)
 The development Objective of the project is to increase access to HV/AIDS/STI related services by high-risk groups.


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

 PHRPDODEL



Components

Name
1. Strengthening health service delivery for HIV/AIDS/STI:(Cost $10.00 M)
2. Prevention of HIV/AIDS/STI among high-risk groups:(Cost $7.00 M)
3. Management, monitoring and evaluation:(Cost $3.00 M)



Overall Ratings
Name                                                                        Previous Rating                        Current Rating

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


Implementation Status and Key Decisions

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        The World Bank                                                                               Implementation Status & Results Report
        HIV/AIDS Support Project 2 (P116167)



 The project continues to make progress on a number of Project Development Objectives (PDO) indicators as well as intermediate outcome
 indicators. Positive pregnant women who received a complete prophylaxis treatment for the mother to child transmission is 37.74% for an end target of
 25%. The number of sex workers referred to health center has been increased to 30096 which is far above the target set for the end of the project
 (5900). The indicator related to the use of condom by sex worker has been collected from the integrated behavioral surveillance survey carried out at
 the end of 2015. It is 87.97%, below the target set at the end of project (95%). Progress has also been noted in the number of sex workers treated for
 STI, 922 case of IST have been identified and treated at the end of December 2015.
 NGOs continues the implementation of their activities in all eight (8) regions of the country with the activities targeting most-at-risk populations. The
 contracts of the best performing NGOs will be extended to end of December 2016.
 The disbursement rate is around 97% and the remaining earmarked funds are committed to pay the completed contracts at the closing date.




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        The World Bank                                                  Implementation Status & Results Report
        HIV/AIDS Support Project 2 (P116167)




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        The World Bank                                                            Implementation Status & Results Report
        HIV/AIDS Support Project 2 (P116167)




Risks

 Systematic Operations Risk-rating Tool

 Risk Category                                    Rating at Approval      Previous Rating          Current Rating

 Political and Governance                          --                     Moderate                Moderate
 Macroeconomic                                     --                     Substantial             Substantial
 Sector Strategies and Policies                    --                     Substantial             Substantial
 Technical Design of Project or Program            --                     Low                     Low
 Institutional Capacity for Implementation and
 Sustainability
                                                   --                     Moderate                Moderate
 Fiduciary                                         --                     Moderate                Moderate


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               The World Bank                                                                     Implementation Status & Results Report
               HIV/AIDS Support Project 2 (P116167)


 Environment and Social                                      --                           Low                       Low
 Stakeholders                                                --                           Substantial               Substantial
 Other                                                       --                           Low                       Low
 Overall                                                     --                           Moderate                  Moderate


Results

 Project Development Objective Indicators
 PHINDPDOTBL




          Number of sex workers treated for STI (Number, Custom)


                                           Baseline                   Actual (Previous)           Actual (Current)           End Target

         Value                             0.00                       2603.00                     922.00                     5000.00

         Date                              25-Mar-2014                30-Jun-2015                 31-Dec-2015                30-Jun-2016


 PHINDPDOTBL




      Percentage of positive pregnant women who received a complete prophylaxis treatment for the mother-to-child transmission
     (Percentage, Custom)

                                           Baseline                   Actual (Previous)           Actual (Current)           End Target

         Value                             10.39                      23.87                       32.74                      25.00

         Date                              25-Mar-2014                30-Jun-2015                 31-Dec-2015                30-Jun-2016


 PHINDPDOTBL




          Sex worker using a condom at their most recent sexual encounter (Percentage, Custom)


                                           Baseline                   Actual (Previous)           Actual (Current)           End Target

         Value                             84.66                      94.80                       87.97                      95.00

         Date                              31-Oct-2008                30-Jun-2015                 29-Feb-2016                30-Jun-2016




 Overall Comments
 Source: Integrated Behavioral Surveillance Survey, 2015.


 Intermediate Results Indicators




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                  HIV/AIDS Support Project 2 (P116167)

 PHINDIRITBL




              Health personnel receiving training (number) (Number, Core)

                                                 Baseline                    Actual (Previous)   Actual (Current)      End Target

               Value                             0.00                        2422.00             1833.00               5000.00

               Date                              --                          30-Jun-2015         31-Dec-2015           30-Jun-2016




 PHINDIRITBL




              RBF pilot design validated by Government of Niger/MOH/CISLS (Text, Custom)

                                                 Baseline                    Actual (Previous)   Actual (Current)      End Target

               Value                             No                          Yes                 Yes                   Yes

               Date                              20-May-2011                 30-Jun-2015         31-Dec-2015           30-Jun-2016




 PHINDIRITBL




              RBF contracts signed with health centers (Text, Custom)

                                                 Baseline                    Actual (Previous)   Actual (Current)      End Target

               Value                             No                          Yes                 Yes                   Yes

               Date                              20-May-2011                 13-Mar-2015         31-Dec-2015           30-Jun-2016




 PHINDIRITBL




              Direct project beneficiaries (Number, Core)

                                                 Baseline                    Actual (Previous)   Actual (Current)      End Target

               Value                             0.00                        41820.00            66244.00              45000.00

               Date                              31-Dec-2009                 30-Jun-2015         31-Dec-2015           30-Jun-2016




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                  HIV/AIDS Support Project 2 (P116167)

 PHINDIRITBL




              Female beneficiaries (Percentage, Core Supplement)

                                                Baseline                   Actual (Previous)      Actual (Current)        End Target

               Value                            0.00                       73.03                  90.00                   65.00




 PHINDIRITBL




              Number of condoms distributed to sex workers by NGOs (Number, Custom)

                                                Baseline                   Actual (Previous)      Actual (Current)        End Target

               Value                            0.00                       1858641.00             2785767.00              3694375.00

               Date                             31-Dec-2013                30-Jun-2015            31-Dec-2015             30-Jun-2016




 PHINDIRITBL




              Number of pregnant women tested for HIV and who know their results during the past year (Number, Custom)

                                                Baseline                   Actual (Previous)      Actual (Current)        End Target

               Value                            0.00                       181624.00              403092.00               278457.00

               Date                             31-Dec-2013                30-Jun-2015            31-Dec-2015             30-Jun-2016




 PHINDIRITBL




              Number of sex workers seen at health facilities after referral by NGOs (Number, Custom)

                                                Baseline                   Actual (Previous)      Actual (Current)        End Target

               Value                            0.00                       2653.00                4067.00                 4598.00

               Date                             31-Dec-2013                30-Jun-2015            31-Dec-2015             30-Jun-2016




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                  The World Bank                                                                      Implementation Status & Results Report
                  HIV/AIDS Support Project 2 (P116167)

 PHINDIRITBL




              Number of sex workers referred to health facilities for services by NGOs (Number, Custom)

                                                  Baseline                    Actual (Previous)       Actual (Current)      End Target

               Value                              0.00                        5683.00                 30096.00              5911.00

               Date                               31-Dec-2013                 30-Jun-2015             31-Dec-2015           30-Jun-2016




 PHINDIRITBL




            Number of reports produced by the national program according to the agreed standards (template, deadline and quality)
           (Number, Custom)

                                                  Baseline                    Actual (Previous)       Actual (Current)      End Target

               Value                              0.00                        2.00                    4.00                  4.00

               Date                               31-Dec-2013                 30-Jun-2015             31-Dec-2015           --



 PHINDIRITBL




              Number of stakeholders meetings per year at central and regional levels (Number, Custom)

                                                  Baseline                    Actual (Previous)       Actual (Current)      End Target

               Value                              0.00                        0.00                    4.00                  9.00

               Date                               25-Mar-2014                 30-Jun-2015             31-Dec-2015           30-Jun-2016




 PHINDIRITBL




              Pilot health districts with RBF results fully verified by independent third party (Number, Custom)

                                                  Baseline                    Actual (Previous)       Actual (Current)      End Target

               Value                              0.00                        24.00                   26.00                 24.00

               Date                               25-Mar-2014                 30-Sep-2015             31-Dec-2015           30-Jun-2016




 Overall Comments



Data on Financial Performance


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           The World Bank                                                                          Implementation Status & Results Report
           HIV/AIDS Support Project 2 (P116167)


Disbursements (by loan)

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

 P116167       IDA-49190          Effective   XDR               12.80      12.80           0.00         12.44            0.36                        97%


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

 P116167       IDA-49190          Effective   26-Apr-2011        12-May-2011       09-Sep-2011           30-Jun-2016            31-Dec-2016



Cumulative Disbursements




 Restructuring History

  Level 2 Approved on 22-Aug-2014 ,Level 2 Approved on 13-Mar-2016




 Related Project(s)

 There are no related projects.




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        HIV/AIDS Support Project 2 (P116167)




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