Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) Integrated Health and Water Management Project (SWAP) (P095171) LATIN AMERICA AND CARIBBEAN | Brazil | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2011 | Seq No: 11 | ARCHIVED on 20-Jul-2015 | ISR20273 | Implementing Agencies: Secretaria da Fazenda (Secretariat of Finance) - SEFAZ Key Dates Key Project Dates Board Approval date:02-Nov-2010 Effectiveness Date:30-Aug-2012 Planned Mid Term Review Date:27-Jun-2013 Actual Mid-Term Review Date:31-Aug-2014 Original Closing Date:31-Dec-2015 Revised Closing Date:31-Dec-2015 Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are to: (a) increase access to clean water, sanitation and basic health care in at least 10 SelectedMunicipalities most affected by infectious intestinal diseases (ID); and (b) improve Neonatal health care in 25 Selected Hospitals using a Barema indicator of quality and efficiency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Contribute to Reducing the Infant Mortality Rate (neonatal and post-neonatal) in the State of Bahia:(Cost $48.58 M) Technical Assistance for the Institutional Modernization of Health, Water, and Planning Sectors:(Cost $8.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Moderately Satisfactory Overall Risk Rating  Moderate  Moderate Implementation Status and Key Decisions 7/20/2015 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) The Project was approved by the Board on November 2, 2010; the Loan Agreement was signed on July 18, 2012, and became effective on August 30, 2012. This ISR is being updated based on the implementation support in place since the conclusion of the MTR (held in March 2015). Several weekly contacts with the Borrower have taken place to monitor the signed action plan to improve Project implementation and disbursements. After the MTR, the State is showing commitment and strong participation in the implementation of the action plan in all Sectors. Implementation: The overall implementation progress (IP) rating was upgraded from Moderately Unsatisfactory to Moderately Satisfactory given: (i) recent improvements in disbursements, (ii) progress in the water sector - procurement of simplified water systems, sanitary modules, and consulting services; and (iii) progress in the health sector - enrollment of pregnant adolescents in the program, and Project’s coordination strengthening. Results. While three of the four PDO indicators continue showing important progress (one of them using State’s resources), one PDO indicator is still a challenge. It was agreed that such indicator will be measured again, using the new methodology agreed during the MTR, in August 2015. PDIs’ results are the same as in the last ISR. Next Steps: (i) Continue monitoring the action plan; (ii) conclude discussion on the restructuring process with the Government of Bahia. 7/20/2015 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Substantial  Moderate Macroeconomic  --  Moderate  Moderate Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators 7/20/2015 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDPDOTBL  Number of people served by simplified water supply systems, and basic sanitation in at least 10 selected municipalities prioritized by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32295.00 42174.00 42174.00 72295.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDPDOTBL  Percentage of annually investigated hospitalizations of children under five, due to intestinal infectious diseases, in 25 hospitals. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 50.00 50.00 50.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDPDOTBL  Number of the 25 hospitals that have achieved at least 80% of the Barema indicators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 15.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDPDOTBL  Percentage of the overall Barema indicators improved in all 25 reference hospitals. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 71.60 71.60 80.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 Overall Comments Intermediate Results Indicators 7/20/2015 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDIRITBL  Number of simplified water supply system constructed and operating in at least 10 selected municipalities. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 99.00 170.00 170.00 299.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Number of rural sanitary pilot modules built in at least 10 selected municipalities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 19.00 19.00 1019.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Number of River Basin Plans prepared and approved by River Basin Committee bodies and ratified by CONERH including studies for classifying water. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Number of Community Voluntary Agents Trained and operational (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 722.00 722.00 772.00 Date 02-Nov-2010 20-Mar-2015 20-Mar-2015 31-Dec-2015 7/20/2015 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDIRITBL  Annual increase of coverage rate of vaccination against human rotavirus. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.00 84.80 84.80 70.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Population coverage by family health teams in the state of Bahia (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 53.20 71.07 71.07 68.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Efficiency increased in 25 hospitals based on the overall number of deliveries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 59432.00 61790.00 61790.00 65000.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Percentage of neonatal deaths occurring in the selected maternity hospitals investigated, analyzed and discussed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80.75 80.75 80.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 7/20/2015 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDIRITBL  Number of public officials certified in management by results in the three secretariats involved. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Number of strategic agendas in the health sector that prioritize maternal and child health. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4.00 4.00 4.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Control Processing System updated and integrated into the other TCE systems (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  CERB Geographic Information System Unit established and operational and Bahia state map of infectious intestinal diseases prevalence and water systems updated. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 7/20/2015 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDIRITBL  Study consolidating information of operation and maintenance of rural systems. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  State Water Resources Plan Reviewed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Studies for restructuring of Riverine Riparian Forests Program elaborated and under implementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 PHINDIRITBL  Communication strategy Action Plan elaborated and under implementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 7/20/2015 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) PHINDIRITBL  River Basin Committees created and operational (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 02-Nov-2010 31-Dec-2014 31-Dec-2014 31-Dec-2015 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P095171 IBRD-79510 Effective USD 60.00 60.00 0.00 14.65 45.35 24% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P095171 IBRD-79510 Effective 02-Nov-2010 18-Jul-2012 30-Aug-2012 31-Dec-2015 31-Dec-2015 Cumulative Disbursements 7/20/2015 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Integrated Health and Water Management Project (SWAP) (P095171) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 7/20/2015 Page 10 of 10 Public Disclosure Copy