The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) DRC Human Development Systems Strengthening (P145965) AFRICA EAST | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 13 | ARCHIVED on 13-Apr-2021 | ISR45199 | Implementing Agencies: Democratic Republic of Congo, The World Bank, DRC Ministry of Finance, CFEF-Ministry of Finance, World Bank, World Bank Key Dates Key Project Dates Bank Approval Date: 23-Apr-2014 Effectiveness Date: 20-Jan-2015 Planned Mid Term Review Date: 11-Jun-2018 Actual Mid-Term Review Date: 30-Jul-2018 Original Closing Date: 31-Dec-2018 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to strengthen select management systems for education and health services in targetedgeographic areas in the Recipient's territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Information Systems:(Cost $40.52 M) Component 2: Systems for Safe Essential Medicines:(Cost $12.71 M) Component 3: Analytical Products:(Cost $2.85 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Over 90% of educational sub-Provinces and health zones have workplans. The Logistic Management Information System (LMIS) and CVRS strategies have now been finalized and validated. Of the 15 intermediate indicators, 13 have already been achieved, including the GIS mapping of health facilities and the development of a Business Plans which supported the creation of an autonomous regulatory agency (ACOREP). The implementation of the Service Delivery Indicator (SDI) surveys and Civil Registration and Vital Statistics (CRVS) reforms are underway, but will not be completed before the project closing date. The geo-mapping of health facilities in the areas covered by the project is underway as well as for the mapping of school facilities at kindergarten and primary levels. For those project areas that have been a clear success, it will be important to support the country in making alternative arrangements for their completion. This includes: (i) the expanded CRVS catch-up campaigns; (ii) the creation of an autonomous regulatory agency (which is able to fast- track registration of new COVID -19 therapies as it did for Ebola); (iii) the geo-mapping of primary schools following a successful exercise for 4/13/2021 Page 1 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) secondary schools which is informing implementation of the new Education project. The project did not disburse all its funds, therefore about US$ 6.16 million will be cancelled from the project. 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 -- Substantial Substantial Institutional Capacity for Implementation and -- Substantial Substantial Sustainability Fiduciary -- Substantial Substantial Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Strengthen select management systems for education and health services in targeted geogr. areas IN00944343 ►Educational sub-provinces in targeted areas with annual plans and reports based on improved SIGE data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 01-Apr-2014 11-Oct-2019 31-Dec-2020 31-Dec-2020 Achievements for this PDO-level indicator has surpassed the target by 10 percentage points. Comments: IN00944344 ►Strategy for a national CRVS system developed and endorsed by the various stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/13/2021 Page 2 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Value No No Yes Yes Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this PDO-level indicator was reached. Comments: IN00944345 ►National LMIS strategy, based upon pilot testing, endorsed by the stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this PDO-level indicator was reached. Comments: IN00944351 ►Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 95.00 71.00 90.00 Date 01-Apr-2014 11-Oct-2019 31-Dec-2020 31-Dec-2020 While this PDO-level indicator was well on track, its target was not reached due to late expansion (with 169 additional health zones using PHRD funding) of the contract with the TA firm and interruptions due to Comments: COVID-19 regulations. The sub-indicator attached to this indicator reflects better the performance gap. IN00944352 Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (PHRD-financed areas) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 25.80 90.00 54.10 90.00 Date 31-Dec-2015 11-Oct-2019 31-Dec-2020 31-Dec-2018 IN00944353 ►Priority action points in the first SDI action plan which have been completed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target of this indicator was not reached as no SDI surveys were delivered under the timeframe of the Comments: project. Overall Comments PDO Three out of five outcome indicators reached or surpassed their targets. 4/13/2021 Page 3 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Intermediate Results Indicators by Components Component 1: Information Systems IN00944355 ►Territorial coverage of the GIS-based education map system in the targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 This intermediary indicator's target was not reached. Overall, the Education portion of this project faced several implementation challenges: late procurement, poor responsiveness and low coordination among Comments: stakeholders IN00944358 ►Territorial coverage of the GIS-based health map system in the targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 96.77 96.77 90.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this intermediary level indicator was exceeded by almost 7 percentage points. Comments: IN00944360 ►HMIS reports submitted in a timely fashion in health zones supported by PHRD grant (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.90 38.90 71.00 60.00 Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2018 The target for this intermediary level indicator was exceeded by 11 percentage points. Comments: IN00944362 ►Action plans developed based on Service Delivery Indicators (SDI) surveys and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 0.00 2.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 This indicator was not reached as no SDI survey was delivered in the timeframe of the project. Comments: IN00944363 ►CRVS-linked feedback cases addressed and closed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/13/2021 Page 4 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Value 0.00 57.00 85.00 90.00 Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this intermediary indicator was closed to reach. It registered a gap of 5 percentage points. Comments: IN00944364 ►Children receiving a birth registration certificate (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 314,016.00 1,266,977.00 600,000.00 Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator was more than doubled thanks to very successful birth registration campaigns Comments: in schools. IN00944365 Children receiving a birth registration certificate (under 5 years of age) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 62,803.00 276,881.00 150,000.00 Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 IN00944366 ►Health and education workers trained on information management systems in targeted areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,806.00 3,294.00 2,480.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator has been exceeded by more than 30 percent. Comments: IN00944367 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,428,013.00 1,428,013.00 603,130.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator was more than tripled. It also captures CRVS activities including children Comments: receiving birth certificates. Additional funds was made available to surpass the target on CRVS. IN00944368 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 49.00 49.00 45.00 4/13/2021 Page 5 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Component 2: Systems for Safe Essential Medicines IN00944354 ►Business plan for a more autonomous essential medicines regulatory authority developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 01-Apr-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator has been achieved. Comments: IN00944357 ►Action plan to optimize logistics of essential medicines in targeted provinces developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator has been achieved. Comments: IN00944359 ►Business plan for the FEDECAME developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 01-Apr-2014 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator has been achieved. Comments: IN00944361 ►Recommendations from 2014 WHO evaluation of the DPM which have been implemented with support from the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 20.00 20.00 Date 31-Dec-2015 15-May-2020 31-Dec-2020 31-Dec-2020 The target for this indicator has been achieved. Comments: Component 3: Analytical Products IN00944356 ►Studies supported by Component 3 of the project which have been completed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 6.00 4/13/2021 Page 6 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Date 01-Apr-2015 11-Oct-2019 31-Dec-2020 31-Dec-2020 The target for this indicator has been achieved. However, the target was lowered over COVID-19 Comments: restrictions through a late restructuring of the project. Overall Comments IR In component 1, seven out of 9 intermediary indicators reached their targets. In component 2 and 3, all intermediary indicators targets were reached. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P145965 IDA-D1110 Closed USD 30.00 30.00 0.00 27.64 2.84 91% P145965 IDA-H9360 Closed USD 15.00 15.00 0.00 12.20 1.34 90% P145965 TF-A1960 Closed USD 10.00 10.00 0.00 9.43 0.57 94% P145965 TF-A2421 Closed USD 1.08 1.08 0.00 0.85 0.23 78% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P145965 IDA-D1110 Closed 29-Mar-2016 13-May-2016 17-Nov-2017 31-Dec-2020 31-Dec-2020 P145965 IDA-H9360 Closed 23-Apr-2014 19-Jun-2014 20-Jan-2015 31-Dec-2018 31-Aug-2020 P145965 TF-A1960 Closed 25-Feb-2016 13-May-2016 17-Nov-2017 31-Dec-2020 31-Dec-2020 P145965 TF-A2421 Closed 05-Apr-2016 13-May-2016 17-Nov-2017 30-Jun-2019 31-Aug-2020 Cumulative Disbursements 4/13/2021 Page 7 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 12-Jan-2016 ,Level 2 Approved on 17-Jun-2019 ,Level 2 Approved on 05-Sep-2019 ,Level 2 Approved on 02-Sep-2020 ,Level Approved on 15-Oct-2020 Related Project(s) P156421-AF-DRC Human Development Systems Strengthening 4/13/2021 Page 8 of 8