The World Bank Report No: ISR9818 Implementation Status & Results Tunisia Community Health Collaborative JSDF (P125657) Public Disclosure Copy Operation Name: Community Health Collaborative JSDF (P125657) Project Stage: Implementation Seq.No: 3 Status: ARCHIVED Archive Date: 15-May-2013 Country: Tunisia Approval FY: 2011 Product Line: Recipient Executed Activities Region: MIDDLE EAST AND NORTH AFRICA Lending Instrument: Technical Assistance Loan Implementing Agency(ies): Key Dates Board Approval Date 24-Mar-2011 Original Closing Date 22-Nov-2015 Planned Mid Term Review Date 30-May-2014 Last Archived ISR Date 26-Sep-2012 Effectiveness Date 18-Jul-2012 Revised Closing Date 22-Nov-2015 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The main objective of this Grant is to improve the quality and responsiveness of health service delivery for reproductive health through community involvement and empowerment in planning and delivering health services in under-served areas of the Republic of Tunisia's peri-urban and rural governorates in the southeast (Tataouine), central west (Kasserine), and northwest (Jendouba). Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Community Education and Mobilization 0.44 Community Outreach and Master Planning for Improving Delivery of Maternal Care 0.19 Health Services Delivery Performance Monitoring 0.23 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Implementation Status Overview This JSDF Grant (US$878,550) was declared effective on July 18, 2012. While the project had a slow initial implementation period, several necessary ground-setting actions have recently taken place. A central level project team at the "Direction de soins de santé de base" (DSSB), Ministry of Health, has recruited a financial/administrative management specialist and is in the Page 1 of 4 The World Bank Report No: ISR9818 process of recruiting a technical specialist in reproductive health and a project secretary/ administrative assistant. An implementation plan covering the period of January - May 2013 was prepared by the DSSB. A contract between the DSSB and a national NGO (ATSR- Association Tunisienne de la santé pour la réproduction) was signed on March 18, 2013. A Project Operations Manual Public Disclosure Copy and Procurement Plan were validated. Locations Country First Administrative Division Location Planned Actual Tunisia Gouvernorat de Tataouine Gouvernorat de Tataouine ✔ Tunisia Gouvernorat de Jendouba Gouvernorat de Jendouba ✔ Tunisia Gouvernorat de Kasserine Gouvernorat de Kasserine ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Births attended by skilled personnel in rural Percentage Value 65.00 0.00 85.00 regions (%) Date 18-Jul-2012 11-Mar-2013 01-Jul-2013 Comments NGO contract signed and project activities planned to commence in April 2013. Proportion of women waiting 4 hours or less for Percentage Value 30.00 0.00 80.00 ambulatory care (general; obstetrics and Date 18-Jul-2012 11-Mar-2013 01-Jul-2013 gynecology) Comments NGO contract signed and project activities planned to commence in April 2013. Proportion of citizens satisfied or very satisfied Percentage Value 55.00 0.00 70.00 with maternal health services (% of women Date 18-Jul-2012 11-Mar-2013 01-Jul-2013 Public Disclosure Copy satisfied or verysatisfied) Comments NGO contract signed and project activities planned to commence in April 2013. Intermediate Results Indicators Page 2 of 4 The World Bank Report No: ISR9818 Indicator Name Core Unit of Measure Baseline Current End Target Proportion of women receiving antenatal care Percentage Value 40.00 0.00 70.00 (4 visits) Date 18-Jul-2012 11-Mar-2013 01-Jul-2013 Public Disclosure Copy Comments NGO contract signed and project activities planned to commence in April 2013. Data on Financial Performance (as of 27-Sep-2012) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P125657 TF-99374 Effective 21-Nov-2011 22-Nov-2011 18-Jul-2012 22-Nov-2015 22-Nov-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P125657 TF-99374 Effective USD 0.88 0.88 0.00 0.10 0.78 11.00 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation NA Page 3 of 4 The World Bank Report No: ISR9818 Restructuring History There has been no restructuring to date. Public Disclosure Copy Related Projects There are no related projects. Public Disclosure Copy Page 4 of 4