The World Bank Report No: ISR11761 Implementation Status & Results Liberia Liberia Health Systems Strengthening (P128909) Public Disclosure Copy Operation Name: Liberia Health Systems Strengthening (P128909) Project Stage: Implementation Seq.No: 1 Status: ARCHIVED Archive Date: 23-Sep-2013 Country: Liberia Approval FY: 2013 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Ministry of Health and Social Welfare Key Dates Board Approval Date 30-May-2013 Original Closing Date 30-May-2018 Planned Mid Term Review Date 30-May-2016 Last Archived ISR Date Effectiveness Date Revised Closing Date 30-May-2018 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to improve the quality of maternal health, child health, and infectious disease services in selected secondary-level health facilities. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Strengthening the institutional capacity needed to improve the quality of select 10.00 Improving health worker competencies to address key health-related concerns at t 4.20 Project Management 0.80 Overall Ratings Previous Rating Current Rating Public Disclosure Copy Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Overall Risk Rating Substantial Implementation Status Overview Declaration of Project effectiveness is expected by Sept 30, 2013 pending official confirmation from the Government of Liberia (GoL) that the Credit has been approved by the Liberian Parliament. The first project activities to be implemented will be the launch of a performance based financing (PBF) pre-pilot, and the recruitment of faculty for the Graduate Medical Residency Program (GMRP). These are expected to start around Oct 1, 2013. Locations Page 1 of 5 The World Bank Report No: ISR11761 Country First Administrative Division Location Planned Actual Liberia Nimba County Nimba County ✔ Public Disclosure Copy Liberia Montserrado County Montserrado County ✔ Liberia Maryland County Maryland County ✔ Liberia Lofa County Lofa County ✔ Liberia Bong County Bong County ✔ Liberia Margibi County Margibi County ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Health Facility Quality Index at Target PBF Text Value The baseline value for Target to be set following Facilities Redemption Hospital is 45%. determination of baseline Baseline for other facilities should be available in March 2014. Date 31-Jul-2013 30-May-2018 Comments Maternal and child death audits carried out Percentage Value 0.00 100.00 routinely by target PBF health facilities Date 03-Jan-2013 30-May-2018 according to national guidelines Comments Direct project beneficiaries Number Value 0.00 444000.00 Date 03-Jan-2013 30-May-2018 Comments This is a cumulative indicator. It includes expected inpatient Public Disclosure Copy admission and health personnel who receive training. It will be disaggregate by the number of women who receive training, and obstetric admissions. Female beneficiaries Percentage Value 0.00 50.00 Page 2 of 5 The World Bank Report No: ISR11761 Sub Type Supplemental Public Disclosure Copy Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Performance contracts negotiated and signed Number Value 0.00 6.00 with target facilities, and updated annually Date 18-Jan-2013 30-May-2018 based on modifications to the quality checklist Comments Proportion of facilities that received quarterly Percentage Value 0.00 100.00 performance-based payments based on their Date 18-Jan-2013 30-May-2018 performance, and as per their contracts Comments Proportion of PBF target facilities with no stock- Text Value Baseline to be collected 100% outs of Essential MNCH Drugs and during the first year of project commodities implementation Date 18-Jan-2013 30-May-2018 Comments Proportion of counter-verification reports Percentage Value 0.00 100.00 submitted to the MOHSW within two weeks Date 18-Jan-2013 30-Jan-2018 after the end of each 6 month period Comments Targeted PBF facilities that achieve at least Percentage Value 0.00 100.00 80% of the activities defined in annual business Date 18-Jan-2013 30-May-2018 plans Comments In-Service Training programs in Obstetrics, Text Value 0 42 Pediatrics, Surgery, and internal medicine Date 18-Jan-2013 30-May-2018 carried out on a quarterly basis in project target Comments This corresponds to at least 1 facilities training session per month in each target facility. Public Disclosure Copy Knowledge score of residents according to key Number Value 60.00 75.00 curriculum benchmarks Date 18-Jan-2013 30-May-2018 Comments This baseline exam- which will determine entry into the residency program took place in August 2013. Health personnel receiving training (number) Number Value 0.00 500.00 Date 18-Jan-2013 30-Jan-2018 Page 3 of 5 The World Bank Report No: ISR11761 Comments This indicator is cumulative and includes the 32 residents that are expected to graduate from the residency program. Public Disclosure Copy Data on Financial Performance (as of 25-Jul-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P128909 IDA-52440 Not Effective 30-May-2013 03-Jul-2013 30-May-2018 30-May-2018 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P128909 IDA-52440 Not Effective XDR 6.70 6.70 0.00 0.00 6.70 0.00 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation N/A Restructuring History There has been no restructuring to date. Page 4 of 5 The World Bank Report No: ISR11761 Related Projects There are no related projects. Public Disclosure Copy Public Disclosure Copy Page 5 of 5