The World Bank Report No: ISR4847 Implementation Status & Results Congo, Republic of HIV/AIDS and Health (MAP program) (P077513) Public Disclosure Copy Operation Name: HIV/AIDS and Health (MAP program) (P077513) Project Stage: Implementation Seq.No: 17 Status: ARCHIVED Archive Date: Country: Congo, Republic of Approval FY: 2004 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Permanent Executive Secretariat, National HIV/AIDS Commission Key Dates Board Approval Date 20-Apr-2004 Original Closing Date 30-Jun-2009 Planned Mid Term Review Date 04-May-2007 Last Archived ISR Date 28-Mar-2011 Effectiveness Date 28-Oct-2004 Revised Closing Date 30-Jun-2012 Actual Mid Term Review Date 04-May-2007 Project Development Objectives Project Development Objective (from Project Appraisal Document) The revised project development objective is to contribute to the recipient's efforts (i) to limit the spread of HIV/AIDS and STIs; (ii) to mitigate the health and socioeconomic impact of HIV/AIDS and STIs on persons infected with or affected by HIV/AIDS and STIs; and (iii) to build strong and sustainable national capacity to respond to the HIV/AIDS epidemic. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost PUBLIC SECTOR RESPONSE 4.70 CIVIL SOCIETY RESPONSE 3.50 ORPHANS & OTHER EXTREMELY VULNERABLE CHILDREN 3.50 Public Disclosure Copy MANAGEMENT AND COORDINATION, CAPACITY BUILDING, AND MONITORING & 6.30 EVALUATION Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Page 1 of 6 The World Bank Report No: ISR4847 Implementation Status Overview Project activities to attain PDOs and activities have been focused on improving knowledge to limit the spread of HIV/AIDS and STIs through: (i) a recently completed behavioral change study on commercial sex workers to map the location of prostitution in Brazzaville and Pointe Noire thereby better targeting prevention interventions for this high risk group; (ii) an HIV/AIDS and STIs prevalence survey of Men who have sex with Men (MSM) and of prisoners to be completed by December 2011 will provide similar data for these two high Public Disclosure Copy risk groups; (iii) strong implementation dialogue and collaboration among all stakeholders involved in the HIV/AIDS and STIs response, including payment of counterpart funds has been sustained throughout implementation with strong government and donor involvement; (iv) strong government sustenance of a credible national coordinating organ (SEP/CNLS) with fully operational decentralized units has built sustainable national capacity for the multi-sector decentralized HIV/AIDS response now funded by participating donors; (v) the law protecting the legal rights of persons living with HIV (PLHIV) was signed by the President on June 3, 2011 and its dissemination nationwide should be completed by end November 2011; (vi) greater collaborative work between SEP/CNLS and key sectors (e.g. Ministry of Health (MoH) M&E, academia, private sector and civil society) has enhanced the integration of HIV testing, counseling, preventive treatment, MTCT and TB programs; improved joint annual monitoring and review of all project activities. Locations Country First Administrative Division Location Planned Actual Congo Region de la Sangha Region de la Sangha Congo Pointe-Noire Pointe-Noire Congo Region du Niari Region du Niari Congo Region du Niari Dolisie Congo Region de la Lekoumou Region de la Lekoumou Congo Region du Kouilou Region du Kouilou Congo Not Entered Republic of the Congo Congo Commune de Brazzaville Brazzaville Congo Commune de Brazzaville Brazzaville Results Project Development Objective Indicators Public Disclosure Copy Page 2 of 6 The World Bank Report No: ISR4847 Indicator Name Core Unit of Measure Baseline Current End Target Number of orphans and vulnerable children Text Value 500 12,438 OVC received 25,200 (OVC) receiving a package of services services from 12 NGOs in 9 to Public Disclosure Copy (education, health, and psychosocial support) 12 departments nationwide. Date 12-Feb-2004 31-Dec-2010 30-Jun-2012 Comments CREDES survey 2004 The number of NGOs Source: SEP/CNLS; annual decreased because the M&E report project focused on main NGOs for more impact and many are not experienced. SEP/CNLS report, December 31, 2010. Number of PLWHA benefiting from ARV Text Value 4,600 14,864 patients are on ARV in 15,000 treatment and monitoring at the frequency 57 hospitals nationwide. defined by the National Guidelines Date 31-Dec-2010 30-Jun-2012 Comments MOH annual report SEP/CNLS report, December MOH annual report 2010 Percentage of men and women aged 15-49 Text Value 42.8% (men); 21% (women) 27,9% (men); 29% (women) 60% (men); 40% (women) having used a condom duringtheir last sexual contact with a casual partner Date 31-Dec-2010 30-Jun-2012 Comments Source: DHS 2005 The DHS survey planned for DHS 2012 will report more information about this indicator. Percentage of men and women aged 15 to 49 Text Value a= 86%; 66.7% women on ARVs for a=90%; a. reporting knowledge that HIV can be b=84% (men); 72% (women) PMTCT; 30,537 women b=95% (men); 75% (women) transmitted from mother to child during tested, 932 positive; 622 on pregnancy,and b. identifying condoms as a ARVs prevention method Date 31-Dec-2010 30-Jun-2012 Comments Source: DHS 2005 Source: Enque de sopralence DHS et sur les indicateurs du SIDA Public Disclosure Copy du Congo ESISC 2009 HIV prevalence among 15- 19 yearoldwomen Text Value 1.4% 1.96% 1.4% Date 30-Nov-2009 30-Jun-2012 Comments ESIC-1 2009. (Enque de sopralence et sur les indicateurs du SIDA du Congo 12,412 people ( 6,550 men and 5,863 women) aged 15-49 nationwide (3,5 million) Page 3 of 6 The World Bank Report No: ISR4847 Indicator Name Core Unit of Measure Baseline Current End Target Percentage of pregnant women living with HIV Text Value 41.7% 66.7% women on ARVs for 80% who received antiretrovirals to reduce the risk PMTCT; 30,537 women Public Disclosure Copy of mother to child transmission tested, 932 positive; 622 on ARVs Date 31-Mar-2011 30-Jun-2012 Comments MOH Annual report 2006 Source: SEP/CNLS report, Annual MOH Report Sept 2010 PNLS reports Number of regional HIV/AIDS units (UDLS) Text Value 11 12 12 reporting annually on at least 75% of M&E indicators Date 31-Dec-2010 30-Jun-2012 Comments Annual M&E report - SEP/ All 12 UDLS are reporting CNLS annually Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of blood units used for transfusion Text Value 40409 units in 2010 100% screened for HIV, HpB ,HpC and syphilis HIV 100%; HpB 100%; Syphilis 100%; HpC 100% Date 12-Feb-2005 31-Dec-2010 30-Jun-2012 Comments SEP/CNLS report 2009 Source: CNTS and SEP/ 100% of blood units are CNLS reports December 2010 screened Percent of population reached through HIV/ Text Value 53.9% 53.9% 90% AIDS IEC/BCC radio/television programs Date 12-Feb-2004 12-Feb-2004 30-Jun-2012 Comments CREDES Survey 2004 Source: This data should be done by DHS planned on January 2012 Number of Community projects approved and Text Value 0 72 35 started Date 12-Feb-2004 31-Dec-2010 30-Jun-2012 Public Disclosure Copy Comments Source: SEP/CNLS report (December 2010). The project focuses on vulnerable groups: MSM, CSW, organized groups, pygmies, youth, girls with children etc. Number of private enterprises that offer HIV/ Text Value 2 41 40 AIDS services to workers Date 12-Feb-2004 31-Dec-2010 30-Jun-2012 Page 4 of 6 The World Bank Report No: ISR4847 Indicator Name Core Unit of Measure Baseline Current End Target Comments SEP/CNLS report, December 2010 Public Disclosure Copy Data on Financial Performance (as of 21-Sep-2011) Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P077513 IDA-H0820 Effective 20-Apr-2004 05-May-2004 28-Oct-2004 30-Jun-2012 P077513 IDA-H4940 Effective 23-Jun-2009 21-Jul-2009 15-Jan-2010 30-Jun-2012 P077513 TF-90324 Closed 09-Aug-2007 09-Aug-2007 09-Aug-2007 31-Oct-2009 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P077513 IDA-H0820 Effective USD 19.00 19.00 0.00 19.42 0.00 102.00 P077513 IDA-H4940 Effective USD 5.00 5.00 0.00 1.79 3.55 36.00 P077513 TF-90324 Closed USD 0.97 0.84 0.13 0.84 0.00 100.00 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation Page 5 of 6 The World Bank Report No: ISR4847 N/A Restructuring History Public Disclosure Copy There has been no restructuring to date. Related Projects P116637-HIV/AIDS & Health - Additional Financing Public Disclosure Copy Page 6 of 6