The World Bank Report No: ISR3708 Implementation Status & Results Zambia Public Disclosure Copy Zambia Malaria Booster Project (P096131) Operation Name: Zambia Malaria Booster Project (P096131) Project Stage: Implementation Seq.No: 10 Status: ARCHIVED Last Modified Date: 20-Jun-2011 Country: Zambia Approval FY: 2006 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Ministry of Health Key Dates Board Approval Date 15-Nov-2005 Original Closing Date 31-Jan-2010 Planned Mid Term Review Date Last Archived ISR Date 20-Dec-2010 Effectiveness Date 13-Mar-2006 Revised Closing Date 31-Jan-2013 Actual Mid Term Review Date 15-May-2008 Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO of the project has been modified during restructuring: To increase coverage of interventions for malaria prevention and treatment and other key maternal and child health interventions. The target value of 3 indicators have been changed and one indicator has been added. The new indicators and targets are: 1. To increase the percentage of children under 5 years of age who sleep under a treated bednet from 41% to 55% by 2012. 2. To increase the percentage of pregnant women who receive a complete course of intermittent presumptive treatment for malaria from 66% to 75% by 2012. 3. To increase the percentage of people in IRS-eligible district who sleep in appropriately sprayed structures from 40% to 60% by 2008. 4. To increase the percentage of women delivering in facilities by skilled birth attendant from 34% to 50% by 2012. Has the Project Development Objective been changed since Board Approval of the Project? � Yes No Component(s) Component Name Component Cost Public Disclosure Copy Support to the national health system Community response to malaria Program management Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Moderate Page 1 of 5 The World Bank Report No: ISR3708 Implementation Status Overview The 2010 Malaria Indicator Survey shows on average an improvement in all Project Development Oobjective indicators for the project.However within the context of these overall Public Disclosure Copy major improvements, the 2010 survey results also underline the fragility of these early achievements and the need to ensure critical targets for intervention coverage are met. Between 2008 and 2010, Zambia experienced resurgence in malaria and severe anemia, most notably in three provinces: Luapula, Northern and Eastern. The additional financing of US$30 million was board approved on December 9, 2010 and implementation has focused on addressing the identified gaps. An emergency procurement of nets took place in January 2011 and an additional net and IRS campaign is scheduled to take place before the 2011 malaria season. The preparations are on schedule. The RBF grant has been signed and the preparations for roll out to the 9 intervention districts are on schedule. Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Children under 5 years of age who slept under Percentage Value 24.00 50.00 55.00 an insecticide treated net last night from 50% to 55% by 2013 Date Comments To increase the percentage of mothers who Percentage Value 59.00 70.00 75.00 took 2+ doses of (IPT) for malaria from 70% to 75% by 2013 Date Comments To increase percentage of households reported Percentage Value 23.00 26.00 sprayed within the previous 12 months from 23% to 26% by 2013 Date Comments To increase the percentage of women Percentage Value 31.00 36.00 delivering in facilites by a skilled birth attendant in RBF eligible districts from 31% to 36% by Date 2013 Comments Public Disclosure Copy Direct Project Beneficiaries, of which female Number Value 0.00 5800000.00 8000000.00 Date Comments Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Long-lasting insecticide-treated malaria nets Number Value 0.00 1200000.00 3700000.00 purchased and/or distributed Date Comments Page 2 of 5 The World Bank Report No: ISR3708 Children under 5 years of age with fever in Percentage Value 18.00 76.00 85.00 previous two weeks and who took an anti- Public Disclosure Copy malaria, % who took the first-line drug Date (Coartem) Comments Children under 5 years of age with fever in Percentage Value previous two weeks who took anti-malarial drug same day/next day reported having fingeror Date heel stick Comments Women attending postnatal visit by health Percentage Value 47.00 52.00 center staff (delivery at home or facility) in RBF eligible district Date Comments Pregnant women receiveing antenatal care Text Value TBD TBD during a visit to a health provider Date Comments Women using any type of contraception (new Text Value 0 TBD TBD acceptors) in RBF eligible districts Date Comments Health facilities constructed, rehabilitated and/ Number Value 0.00 40.00 180.00 or equipped (number) Date Comments Children immunized Text Value 0 TBD TBD Date Comments Public Disclosure Copy Malaria prone districts in COMBOR provinces Text Value 0 TBD TBD that have at least one CBO/NGO receiving grant to implement malaria control activities in Date communities Comments Health personnel receiving training (number) Number Value 0.00 0.00 300.00 Date Comments Page 3 of 5 The World Bank Report No: ISR3708 Indicator Name Core Unit of Measure Baseline Current End Target Baseline and follow up surveys at the Number Value 0.00 2.00 0.00 Public Disclosure Copy household and facility levels for impact evaluation completed Date Comments An article on the impact of the RBF component Text Value No No Yes is drafted Date Comments Data on Financial Performance (as of 20-May-2011) Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P096131 IDA-41260 Effective 15-Nov-2005 12-Dec-2005 13-Mar-2006 31-Jan-2012 P096131 IDA-48510 Effective 09-Dec-2010 17-Dec-2010 09-Feb-2011 31-Jan-2013 P096131 TF-91376 Effective 22-Feb-2008 22-Feb-2008 22-Feb-2008 31-Jan-2013 P096131 TF-92280 Closed 15-Sep-2008 12-May-2009 12-May-2009 12-Nov-2010 P096131 TF-95772 Effective 30-Dec-2010 30-Dec-2010 16-Mar-2011 31-Jan-2013 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P096131 IDA-41260 Effective USD 20.00 20.00 0.00 20.93 0.23 105.00 P096131 IDA-48510 Effective USD 30.00 30.00 0.00 5.02 25.16 17.00 P096131 TF-91376 Effective USD 3.92 3.92 0.00 4.36 2.49 111.00 P096131 TF-92280 Closed USD 0.20 0.20 0.00 0.09 0.11 46.00 P096131 TF-95772 Effective USD 17.00 17.00 0.00 1.50 15.26 9.00 Public Disclosure Copy Disbursement Graph Page 4 of 5 The World Bank Report No: ISR3708 Public Disclosure Copy Key Decisions Regarding Implementation NA Restructuring History Board Approved on 31-Aug-2009 Related Projects P120872-Malaria Booster Project Additional financing Public Disclosure Copy Page 5 of 5