The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) AFRICA EAST | Somalia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 1 | ARCHIVED on 12-Oct-2021 | ISR48493 | Implementing Agencies: Federal Ministry of Health, Federal Ministry of Finance Key Dates Key Project Dates Bank Approval Date: 28-Jun-2021 Effectiveness Date: -- Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 30-May-2025 Revised Closing Date: 30-May-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to improve the coverage of essential health and nutrition services in Project areas and strengthen stewardship capacity of Ministries of Health. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Expanding the coverage of high-impact health and nutrition services in select geographic areas:(Cost $75.50 M) Component 2: Strengthening Government’s stewardship to enhance service delivery:(Cost $11.50 M) Component 3: Project management, knowledge management and learning:(Cost $6.00 M) Component 4: Contingent Emergency Response Component (CERC) Project Activities in Somaliland (Details TBD):(Cost $7.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Damal Caafimaad project was approved by the World Bank’s Board of Directors on June 28, 2021, with the legal agreement signed on June 30th, 2021.The Federal Ministry of Health (the implementing agency) is working towards fulfilling the conditions of project effectiveness, which include: (i) Establishment of the Project Coordination and Implementation Unit (ongoing); (ii) Execution and delivery of the GFF Grant Agreement (complete); and (iii) Issuance of a legal opinion by the Attorney General (complete). The remaining Project effectiveness condition is projected to be fully met by November 2021. In addition, the FMoH has been working to advance major procurement activities under Component 1 of the project, which include NGO service contracting, third-party monitoring (TPM), and security risk assessments. 10/12/2021 Page 1 of 6 The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) mpaTable Multiphase Programmatic Approach (MPA) Status mpaTableBody Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- High Macroeconomic Substantial -- Substantial Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and High -- High Sustainability Fiduciary High -- High Environment and Social Substantial -- Substantial Stakeholders Substantial -- Substantial Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes 1: Expanding the coverage of high-impact health and nutrition services in select geographic areas IN01046506 ►Percentage of births attended by skilled health personnel in a health facility (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 -- 28.00 60.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046508 ►Percentage of children between 6-59 months old receiving Vitamin A supplementation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 -- 10.00 70.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046510 10/12/2021 Page 2 of 6 The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) ►Percentage of children under one year of age receiving Pentavalent 3 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 -- 6.00 54.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046511 ►Percentage of women of childbearing age using modern contraceptives (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.30 -- 0.30 8.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 2: Strengthening Government’s stewardship to enhance service delivery IN01046507 ►Percentage of contracted service providers paid on time (within 45 days of receipt of reports and invoices) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046509 ►Percentage of government health facilities that submit timely and complete HMIS reports by the 15th of the following month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 Overall Comments PDO Implementation of project activities have not started, so there are no updated values for the Results Framework. Hence, the task team have maintained the baseline figures. Intermediate Results Indicators by Components 1: Expanding the coverage of high-impact health and nutrition services in select geographic areas IN01046512 ►Number of outpatient department visits per 10,000 population per year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5,452.00 -- 5,452.00 10,905.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046514 ►Percentage of outpatient department (OPD) visits attended by females (Percentage, Custom) 10/12/2021 Page 3 of 6 The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) Baseline Actual (Previous) Actual (Current) End Target Value 62.00 -- 62.00 62.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046516 ►Percentage of newborns receiving a postnatal care within two days of birth. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9.00 -- 9.00 42.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046518 ►Percentage of pregnant women who receive Tetanus Toxoid Vaccine during ANC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 -- 52.00 70.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046520 ►TB treatment completion rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 93.00 -- 93.00 98.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046521 ►Number of GBV services delivered (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 500,000.00 Date 22-Mar-2021 -- 29-Sep-2021 30-Jun-2025 2: Strengthening Government’s stewardship to enhance service delivery IN01046513 ►Percentage of health facilities with no stock out of essential medicines in the last 6 months (availability of tracer medicines from the Government’s approved essential medicines list) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046515 ►Percentage of health facilities received supportive supervision using supervisory checklist by the Government or contractor in the preceding quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 -- 55.00 90.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 10/12/2021 Page 4 of 6 The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) IN01046517 ►Number of functional health regulatory bodies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3.00 Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 IN01046519 ►A semi-annual monitoring bulletin report summarizing TPM results, including beneficiary feedback and actions taken to address grievances (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 22-Mar-2021 -- 29-Sep-2021 30-May-2025 Overall Comments IR Implementation of project activities have not started, so there is no updated values for the Results Framework. Hence, the task team have maintained the baseline figures. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P172031 IDA-D8620 USD 75.00 75.00 0.00 0.00 74.32 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P172031 IDA-D8620 28-Jun-2021 30-Jun-2021 -- 30-May-2025 30-May-2025 Effective Cumulative Disbursements 10/12/2021 Page 5 of 6 The World Bank Implementation Status & Results Report Improving Healthcare Services in Somalia Project (“Damal Caafimaad”) (P172031) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/12/2021 Page 6 of 6