The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) DRC Multisectoral Nutrition and Health Project (P168756) AFRICA EAST | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 3 | ARCHIVED on 25-Jan-2021 | ISR44710 | Implementing Agencies: National Nutrition Program (PRONANUT), Democratic Republic of the Congo Key Dates Key Project Dates Bank Approval Date: 28-May-2019 Effectiveness Date: 21-Apr-2020 Planned Mid Term Review Date: 19-Jul-2021 Actual Mid-Term Review Date: Original Closing Date: 04-Jul-2024 Revised Closing Date: 04-Jul-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of this project is to increase the utilization of nutrition-specific and nutrition-sensitive interventions targeting children 0-23 months of age and pregnant and lactating women in the project regions and to respond to an eligible crisis or emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Improving the Delivery of Community Interventions and Social and Behavioral Change:(Cost $177.80 M) Improving Service Supply and Strategic Purchasing:(Cost $247.00 M) Convergence Demonstration Project:(Cost $47.00 M) Capacity Strengthening and Project Management:(Cost $30.20 M) CERC 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 The Project was declared effective in April 2020. The Project Coordination Team (PCT) continues to work on initiating various project activities, however, there have been some delays due to the COVID-19 situation. Progress has been made with regards to the disbursements (first disbursement was in October 2020), compliance with most of the legal covenants, and selection of key staff in the Project Coordination Team including the hiring of the Project Coordinator, Monitoring and Evaluation Specialist, and Environmental and Social Safeguards Specialists. A gender-based violence prevention action plan has also been developed. The preparation of terms of reference, and contract agreements for several 1/25/2021 Page 1 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) key procurements for the nutrition, family planning, agriculture and social and behavior change communication activities has also advanced over the last several months. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Substantial Substantial High Sector Strategies and Policies Substantial Substantial Moderate Technical Design of Project or Program Substantial Substantial Moderate Institutional Capacity for Implementation and Substantial Substantial Moderate Sustainability Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase utilization of nutrition-specific/sensitive interventions targeting project beneficiaries IN00929684 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 IN00929685 Number of women who received essential nutrition services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,500,000.00 1/25/2021 Page 2 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 IN00929706 Number of children aged 0-23 months who received essential nutrition services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,500,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 IN00929707 ►Number of children who received post-natal consultations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 613,684.00 613,684.00 613,684.00 816,200.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of children who received post-natal consultation during the semester IN00929708 ►Number of women who received post-partum family planning services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 134,806.00 134,806.00 134,806.00 138,850.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of women who received family planning services after they gave birth during the semester IN00929709 ►Number of pregnant women who received iron and folic acid supplementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42,798.00 42,798.00 42,798.00 59,917.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of pregnant women who received iron and folic acid supplements during the past semester IN00929710 ►Number of households that received food production kits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 18,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Sum of households who received household food production kits during the quarter through project Comments: support IN00929711 ►Number of beneficiaries who received cash transfers (Number, Custom) 1/25/2021 Page 3 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of people who received cash transfers during the quarter Intermediate Results Indicators by Components C1: Improving the Delivery of Community Interventions and Social and Behavioral Change IN00929712 ►Number of villages/neighborhoods with a NAC (Nutritoin a Assis Communautaire) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,030.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Annual sum of villages and neighborhoods with a NAC IN00929718 ►Percentage of children 6-23 months of age who benefit from an acceptable diet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9.00 9.00 9.00 15.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 C2: Improving the Service Supply and Strategic Purchasing IN00929714 ►Average quality of care score at health centers supported by performance-based financing (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 25.00 25.00 65.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Numerator: sum of quality of care scores at all health centers supported by performance-based financing Comments: during the semester Denominator: total number of health centers supported by performance-based financing during the semester IN00929716 ►Percentage of children who received treatment and recovered from Severe Acute Malnutrition (SAM) in target health zones (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 45.00 70.00 1/25/2021 Page 4 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Numerator: Number of children who had Severe Acute Malnutrition, defined as very low weight for height (below -3z scores of the median WHO growth standards) or by the presence of nutritional oedema, Comments: received treatment and recovered during the semester. Denominator: Number of children who had Severe Acute Malnutrition IN00929720 ►Number of first-time users of modern contraception (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 536,001.00 536,001.00 536,001.00 577,425.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Sum of people in target health zone who accept for the first time in their lives any modern family planning method provided by the project during the semester. “Modern” family planning methods refer to: pill, Comments: intrauterine device, implant, injectable, condom (male and female), spermicide, diaphragm, patch, vaginal ring, sponge, and sterilization (tubal ligation and vasectomy). IN00929722 ►Number of women using family planning services in targeted health zones (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 323,154.00 323,154.00 323,154.00 348,129.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Sum of women using family planning services in targeted health zones during the semester. Family planning services may include: pill, IUD, implant, injection, condom (male and female), Comments: spermicides/foam/jelly, diaphragm, tubal ligation, sterilization (male and female), vaginal ring, patch, sponge, and lactational amenorrhea method (LAM) IN00929724 ►Number of women aged 15−49 years who received antenatal care, four times or more (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 216,987.00 216,987.00 216,987.00 373,760.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Number of women aged 15−49 years in target health zones who received antenatal care four or more Comments: times during the semester. C3: Convergence Demonstration Pilot IN00929717 ►Number of adolescent girls who receive iron and folic acid supplements in school (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 18,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of students in target schools who received iron and folic acid supplements during the quarter IN00929723 1/25/2021 Page 5 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) ►Number of multipliers who produce biofortified crops in project zones (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100,000.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of multipliers who produce fortified crops in project zones during semester C4: Capacity Strengthening and Project Management IN00929713 ►Number of Community Health Development Committees (CoDeSa) who submitted quarterly activity reports (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,030.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Sum of CoDeSa who submitted their quarterly activity reports during the quarter IN00929715 ►Average community health development committee (CoDeSa) functionality score (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Comments: Measurement of functioning to be determined IN00929719 ►Percentage of complaints addressed within the period specified in the Project Operations Manual (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Numerator: number of complaints addressed within specified number of weeks during the quarter, as Comments: determined by the Project Operations Manual Denominator: number of complaints received during the quarter IN00929721 ►Execution rate of the Provincial Health Directorate’s approved work plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 52.00 52.00 75.00 Date 18-Jul-2019 19-May-2020 04-Dec-2020 18-Jul-2024 Numerator: sum of expenditures from start of the year to current reporting period Denominator: annual Comments: budget amount approved in Provincial Health Directorate’s work plan 1/25/2021 Page 6 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P168756 IDA-64410 Effective USD 246.00 246.00 0.00 8.28 247.70 3.2% P168756 IDA-D4790 Effective USD 246.00 246.00 0.00 8.80 247.23 3.4% P168756 TF-A9954 Effective USD 10.00 10.00 0.00 0.00 10.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P168756 IDA-64410 Effective 28-May-2019 20-Jun-2019 21-Apr-2020 04-Jul-2024 04-Jul-2024 P168756 IDA-D4790 Effective 28-May-2019 20-Jun-2019 21-Apr-2020 04-Jul-2024 04-Jul-2024 P168756 TF-A9954 Effective 21-May-2019 20-Jun-2019 21-Apr-2020 04-Jul-2024 04-Jul-2024 Cumulative Disbursements 1/25/2021 Page 7 of 8 The World Bank Implementation Status & Results Report DRC Multisectoral Nutrition and Health Project (P168756) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 1/25/2021 Page 8 of 8