The World Bank Implementation Status & Results Report
Emergency Primary Healthcare Restoration Project (P152646)
Emergency Primary Healthcare Restoration Project (P152646)
MIDDLE EAST AND NORTH AFRICA | Lebanon | Health, Nutrition & Population Global Practice |
Recipient Executed Activities | Investment Project Financing | FY 2015 | Seq No: 8 | ARCHIVED on 21-Nov-2018 | ISR34727 |
Implementing Agencies: LEBANESE REPUBLIC, Ministry of Health
Key Dates
Key Project Dates
Bank Approval Date: 19-Mar-2015 Effectiveness Date: 22-Jul-2015
Planned Mid Term Review Date: 08-Jan-2018 Actual Mid-Term Review Date: 05-Feb-2018
Original Closing Date: 30-Dec-2018 Revised Closing Date: 30-Dec-2018
pdoTable
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The objective of the project is to restore access to essential healthcare services for poor Lebanese affected by the influx of Syrian refugees.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
Components Table
Name
Provision of Essential Health Care Services:(Cost $9.04 M)
Readiness and Capacity building of Primary Health Care Centers:(Cost $3.17 M)
Project Outreach, Management and Monitoring:(Cost $1.68 M)
Contingency:(Cost $1.11 M)
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Satisfactory Satisfactory
Overall Risk Rating Substantial Substantial
Implementation Status and Key Decisions
Commitment towards the project development objectives remains high and the Ministry of Public Health (MOPH)is exerting all efforts for rapid
implementation of project activities. Progress towards achievement of project development objective is rated satisfactory with disbursement rate of
64 %. Despite initial delays in the flow of funds from the Ministry of Finance to the MOPH, project implementation intensified since May 2016. To
date, significant progress has been made with 75 primary health care centers contracted clinic reaching the 75 targeted centers. In turn, centers
started conducting outreach activities among the different stakeholders and enrolling targeted beneficiaries reaching 103,752 beneficiaries.
Capacity building and on-the-job training continue to be a focus of the Project Management Unit and has exceeded the project target with 796
health personnel receiving training (with a target of 400). Building the capacity of the PHCCs to ensure their readiness for service delivery requires
more time and effort due to the intensity and number of new systems that have to be introduced. This is especially the case with the installation and
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The World Bank Implementation Status & Results Report
Emergency Primary Healthcare Restoration Project (P152646)
training on the new IT system, financial management and reporting mechanisms, enrollment, and outreach activities. System strengthening at the
central level is also underway. This includes the development of M&E and reporting policies and procedures, IT system modules, communication
strategy. Based on discussions held during the Mid-Term Review for the project in February 2018, it was agreed to extend the project closing date
by one year from December 30, 2018 to December 31, 2019 to allow the MoPH to fully achieve the Project Development Objective and deliver all
planned activities.
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance High High High
Macroeconomic Moderate Moderate Moderate
Sector Strategies and Policies Moderate Moderate Moderate
Technical Design of Project or Program Substantial Moderate Substantial
Institutional Capacity for Implementation and
Sustainability Substantial Substantial Substantial
Fiduciary Substantial Substantial Substantial
Environment and Social Low Low Low
Stakeholders Low Low Low
Other -- -- --
Overall Substantial Substantial Substantial
Results
PDO Indicators by Objectives / Outcomes
Restore access to essentail healtcare services to poor Lebanese
IN00568529
►Direct project beneficiaries (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 103,752.00 150,000.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568623
Female beneficiaries (Percentage, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 54.00 50.00
IN00568528
►Utilization of services: average no of visits per beneficiary per year (Number, Custom)
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Emergency Primary Healthcare Restoration Project (P152646)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.50 -- 0.93 2.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568527
►User Satisfaction (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 97.00 75.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
Intermediate Results Indicators by Components
Provision of Essential Health Care Services
IN00568621
►Pregnant women receiving at least four antenatal care visits (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 25.00 90.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568620
►Women aged 40 years and above screened for breast cancer (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 40.00 90.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568530
►Children immunized (number) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 3,445.00 10,000.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
This indicator will be dropped under the restructuring process to be covered under the Corporate Result
Comments: Indicator (CRI).
IN00568624
Children immunized - under 5 years against Polio (number) (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 3,445.00 10,000.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568622
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The World Bank Implementation Status & Results Report
Emergency Primary Healthcare Restoration Project (P152646)
►Target population 40 years and above who were screened for Diabetes Mellitus (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 87.00 90.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00647512
►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 3,445.00 0.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
The indicator measures the sum of the number of children immunized, the number of women and children
who have received basic nutrition services, and the number of deliveries attended by skilled health
Comments: personnel, through operations supported by the World Bank. In the case of this project, only the indicator
“children immunized” is captured.
IN00647513
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number,
Corporate Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 0.00
IN00647514
Number of children immunized (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 3,445.00 10,000.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00647515
Number of women and children who have received basic nutrition services (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 0.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00647536
Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 0.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
Readiness and Capacity building of Primary Health Care Centers
IN00568616
►Health personnel receiving training (number) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
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The World Bank Implementation Status & Results Report
Emergency Primary Healthcare Restoration Project (P152646)
Value 0.00 -- 796.00 400.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568617
►Health facilities contracted (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 75.00 75.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
Project Outreach, Management and Monitoring
IN00568618
►Timely transfer of contract payments to contracted health facilities (Months, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 1.00 2.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568619
►Grievances registered related to delivery of project benefits addressed (%) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 75.00 80.00
Date 07-Oct-2014 -- 30-Jun-2018 30-Dec-2018
IN00568625
Grievances related to delivery of project benefits that are addressed-(number) (Number, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 112.00 90.00
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P152646 TF-18845 Effective USD 15.00 15.00 0.00 9.58 5.42 64%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P152646 TF-18845 Effective 19-Mar-2015 22-Jul-2015 22-Jul-2015 30-Dec-2018 30-Dec-2018
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Emergency Primary Healthcare Restoration Project (P152646)
Cumulative Disbursements
Restructuring History
There has been no restructuring to date.
Related Project(s)
There are no related projects.
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