The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Mozambique Public Financial Management for Results Program (P124615)
AFRICA | Mozambique | Governance Global Practice | Requesting Unit: AFCS2 | Responsible Unit: GGOAC
IBRD/IDA | Program-for-Results | FY 2014 | Team Leader(s): Joseph Kizito Mubiru, Ana Ruth Menezes
Seq No: 8 | ARCHIVED on 29-Jun-2018 | ISR32780 | Created by: Ana Ruth Menezes on 25-May-2018 | Modified by: Emerson John Vasco Siquice on 28-
Jun-2018
Program Development Objectives
Program Development Objective (from Program Appraisal Document)
The Program Development Objective is to improve the transparency and efficiency of expenditures for the storage, distribution and availability of
medicines and for more transparent and accountable management of Complete Primary Schools
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Satisfactory Satisfactory
Implementation Status and Key Decisions
The Program ratings for progress toward the achievement of the Program Development Objective (PDO) and overall implementation remain
Satisfactory. As of March 2018, 88 percent of disbursement-linked indicator (DLI) targets have been validated, strengthening the medicine supply
chain and primary school management. Given that most of the program results are either fully achieved or close to achievement, the overall risk
rating has been upgraded to Moderate.
The Program extension contributed to the consolidation of the program achievements and internalizing the public sector reform process initiated
under the program. The health and education sectors have demonstrated sustained progress across the majority of the Program’s nine DLIs, and
on overall Program implementation to improve service delivery. In health progress has been registered but “last mile” delivery remains a challenge.
The Government and its Health Partners continue to demonstrate satisfactory commitment to support systems improvements, and they have
contributed to resilience in the distribution of medicines (despite fiscal crisis and arrears, no major regressions in results).
In Education all DLIs have now been achieved. The timely disbursement of school grants, Apoio Directo às Escolas (ADE), to 100% of Complete
Primary Schools has been sustained. The revised district budget classifications is being applied across districts. MINEDH plans to pilot a model of
Performance-Based Allocation of ADE (ADE-D). School supervision has been expanded slightly above targeted rated and all schools sampled had
functioning school councils.
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P124615 IDA-H9680 Effective USD 50.00 50.00 0.00 46.57 0.00 100%
Key Dates (by loan)
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
Program Action Plan
Update reports regarding legal covenants on complaints and submit report to verify the quality of procurement of
Action Description
medicines through Program funds
Responsibility Recurrent Frequency Due Date DLI# Status
Yes Average availability of
a tracer set of
essential maternal
Client Yearly In Progress
and reproductive
health medicines at
health facility level.
Comments
Continue to train SC on the new SC Manual and intensify SC mass communication campaigns through community
Action Description
radios and other platforms
Responsibility Recurrent Frequency Due Date DLI# Status
Yes Proportion of
complete primary
schools that comply
with standards for
Client Yearly In Progress
transparency and
accountability, as
defined, agreed and
distributed in 2014
Comments
Develop pharmaceutical disposal plans for each type of facility consistent with the Norms, and determine the
Action Description requirements for equipment, training and reporting of pharmaceutical product disposals made (products, volumes and
their place & disp method.
Responsibility Recurrent Frequency Due Date DLI# Status
Client Yes Yearly In Progress
Comments
Provide an annual summary report detailing pharmaceutical products disposed of by facilities, their volumes, and
Action Description
places and methods of disposal in accordance with the Norms.
Responsibility Recurrent Frequency Due Date DLI# Status
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Client Yes Yearly In Progress
Comments
Provide a report detailing activities undertaken at the Recipient’s provincial and district levels to disseminate
Action Description information to the public regarding the mechanisms and procedures for complaints handling in the health and
education sectors.
Responsibility Recurrent Frequency Due Date DLI# Status
Client Yes Yearly In Progress
Comments
Provide a report for each procurement of medicines under the Financing confirming that each such procurement has
Action Description
been carried out in accordance with the Quality-Assurance Protocol.
Responsibility Recurrent Frequency Due Date DLI# Status
No Average availability of
a tracer set of
essential maternal
Client 05-Jul-2018 In Progress
and reproductive
health medicines at
health facility level.
Comments
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance -- Substantial Substantial
Macroeconomic -- Substantial Substantial
Sector Strategies and Policies -- Moderate Moderate
Technical Design of Project or Program -- Moderate Moderate
Institutional Capacity for Implementation and
Sustainability
-- Moderate Moderate
Fiduciary -- Substantial Substantial
Environment and Social -- Moderate Substantial
Stakeholders -- Moderate Moderate
Other -- -- --
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Overall -- Moderate Moderate
RiskComments
Comments
The disposal of pharmaceuticals is not yet following all required procedures
Results
PDO Indicators by Objectives / Outcomes
Increased number of schools with active school councils
►Proportion of complete primary schools that comply with standards for transparency and accountability, as defined, agreed
and distributed in 2014 (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 76.00 76.00 60.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
Increased acess to essential maternal and reproductive medicines
►Average availability of a tracer set of essential maternal and reproductive health medicines at health facility level.
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 78.60 82.00 82.00 88.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
Improved management of medicines
►Number of provinces achieving the minimum acceptable score of compliance with standards for stock management,
warehousing, and distribution of medicines, as assessed by the CMAM Internal Audit Unit (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 8.00 8.00 8.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
Intermediate Results Indicators by Results Areas
Results Area 1: Fiduciary integrity and proper monitoring of medicines storage and distribution
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
►Proportion of treatment sites with stock-outs of a tracer set of ARVs at the end of each semester (final stock value)
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 27.00 5.77 5.77 21.00
Date 30-Jun-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
►Fill rate of approved requisitions from CMAM clients for tracer medicines (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 72.00 84.00 84.00 84.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
►Proportion of districts which report logistics information to CMAM through the SIMAM system (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 77.00 95.80 95.80 87.00
Date 31-Dec-2012 30-Dec-2016 30-Dec-2016 31-Dec-2018
Results Area 2: Transparent and accountable school-based management
►Proportion of complete primary schools visited for supervision by SDEJTs (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 74.00 74.00 50.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
►Proportion of complete primary schools which receive direct school grant funds on or before February 28 each year
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 99.00 99.00 90.00
Date 31-Dec-2013 28-Feb-2017 28-Feb-2017 28-Feb-2019
►Revised budget classification by sub-sector, configured and applied (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N Y Y Y
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 31-Dec-2018
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Disbursement Linked Indicators
DLI_IND_TABLE
►DLI 1 Average availability of a tracer set of essential maternal and reproductive health medicines at health facility level.
(Process, 2,635,417.00, 22%)
Baseline Actual (Previous) Actual (Current) 2016
Value 78.60 82.00 82.60 88.00
Date 31-Dec-2013 30-Dec-2016 31-Dec-2017 --
Comments
►DLI 2 Number of provinces achieving the minimum acceptable score of compliance with standards for stock management,
warehousing, and distribution of medicines, as assessed by the CMAM Internal Audit (Output, 4,468,750.00, 76%)
Baseline Actual (Previous) Actual (Current) 2016
Value 0.00 8.00 4.00 8.00
Date 31-Dec-2013 30-Dec-2016 31-Dec-2017 --
Comments
►DLI 3 Proportion of complete primary schools that comply with standards for transparency and accountability, as defined,
agreed and distributed in 2014 (Output, 5,940,000.00, 33%)
Baseline Actual (Previous) Actual (Current) 2016
Value 0.00 76.00 76.00 60.00
Date 31-Dec-2013 30-Dec-2016 31-Dec-2017 --
Comments
►DLI 4 Proportion of treatment sites with a stock-out of key Anti-retroviral drugs at the end of each month (Output,
2,215,277.00, 66%)
Baseline Actual (Previous) Actual (Current) 2016
Value 27.00 5.77 7.00 21.00
Date 30-Jun-2013 30-Dec-2016 31-Dec-2017 --
Comments
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
►DLI 5 Proportion of districts for which CMAM receives logistics information through the SIMAM system (Process,
4,048,611.00, 77%)
Baseline Actual (Previous) Actual (Current) 2016
Value 73.50 95.80 95.80 87.00
Date 31-Dec-2012 30-Dec-2016 30-Dec-2016 --
Comments
►DLI 6 Fill rate of approved requisitions from CMAM’s clients for tracer medicines (Process, 3,131,945.00, 61%)
Baseline Actual (Previous) Actual (Current) 2016
Value 72.00 84.00 84.00 84.00
Date 31-Dec-2013 30-Dec-2016 30-Dec-2016 --
Comments
►DLI 7 Proportion of complete primary schools which receive direct school grant funds on or before February 28 each year
(Output, 3,960,000.00, 100%)
Baseline Actual (Previous) Actual (Current) 2016
Value 0.00 99.00 100.00 90.00
Date 31-Dec-2013 28-Feb-2017 31-Dec-2017 --
Comments
►DLI 8 Proportion of complete primary schools visited for supervision by SDEJTs (Output, 2,649,000.00, 0%)
Baseline Actual (Previous) Actual (Current) 2016
Value 0.00 74.00 75.00 50.00
Date 31-Dec-2013 30-Dec-2016 31-Dec-2017 --
Comments
►DLI 9 Revised district-level budget classification by sub-sector, configured, and applied (Output, 3,960,000.00, 100%)
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The World Bank Implementation Status & Results Report
Mozambique Public Financial Management for Results Program (P124615)
Baseline Actual (Previous) Actual (Current) 2016
Value 15-Mar-2016 -- 30-Nov-2016 15-Mar-2016
Date -- -- 30-Nov-2016 --
Comments
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