The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) Health Systems Strengthening and Ebola Preparedness Project (P147740) AFRICA | Cote d'Ivoire | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 9 | ARCHIVED on 28-Jun-2019 | ISR37555 | Implementing Agencies: Government of Côte d'Ivoire, Ministry of Health and the fight against HIV/AIDS Key Dates Key Project Dates Bank Approval Date: 25-Nov-2014 Effectiveness Date: 16-Mar-2015 Planned Mid Term Review Date: 15-Feb-2018 Actual Mid-Term Review Date: 12-Feb-2018 Original Closing Date: 31-Jan-2020 Revised Closing Date: 31-Jan-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To strengthen the health system and improve the utilization and quality of health and nutrition services in selected regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Results-based Financing:(Cost $36.50 M) Health System Strengthening:(Cost $38.50 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 The level of implementation of activities under all the project components is satisfactory. The project is on track to achieve its PDO and seven of the 13 intermediate level indicators have already been achieved. The disbursement rate is at 83%, with rapid disbursement of resources under category 2 (support for the implementation of PBF; 94.37% disbursed). Disbursement forecasts suggests that all funds will be depleted from category 2 before the closure of the project. As such, a reallocation of resources between project categories is needed to ensure that enough funds are available to pay PBF subsidies until project closure. Moreover, the disbursement plan suggests that several activities will only be implemented (and financed) at the end of 2019, and the beginning of 2020, well beyond the current closing date of the project. Revisions to the targets and definitions of some indicators are required to improve the relevance of the M&E to track changes supported by the project. The Governments investment case is being finalized, and the National platform for the coordination of Health Financing has been created by Presidential decree. 6/28/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) To address the points aforementioned, the project will be restructured to revise the results framework, extend the project closing date to June 30, 2020, and reallocate resources between categories 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 Sustainability -- Substantial Substantial Fiduciary -- Moderate Moderate Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes PDO Indicators IN00714602 ►Deliveries in health facilities by trained health personnel (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 143,151.00 151,860.00 191,209.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714603 ►Severely malnourished children detected and treated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 9,045.00 12,316.00 16,220.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714604 6/28/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) ►Vaccination coverage: DTC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97.00 100.00 98.00 99.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714605 ►Average quality score improvement for facilities covered by RBF (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 32.40 35.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714611 ►Per capita utilization of services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.35 50.00 52.70 0.56 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 Intermediate Results Indicators by Components Intermediate Results Indicators IN00714612 ►Women using modern family-planning methods (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13.80 18.60 15.43 15.60 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714613 ►Children under 5 who received Vitamin A supplementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 110,468.00 165,198.00 706,350.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714614 ►Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 371,640.00 404,797.00 368,048.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714615 6/28/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) ►People with access to a basic package of health, nutrition, or reproductive health services (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,957,781.00 7,788,773.00 7,433,532.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714616 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,466.00 4,766.00 4,720.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714617 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,850,283.00 4,866,166.00 7,433,532.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714618 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 73.00 61.00 60.00 IN00714619 ►Proportion of indigents among the total direct RBF beneficiaries (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714620 ►Indigents that remain enrolled in health insurance (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 201,354.00 201,354.00 150,000.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714621 ►Annual RASS produced (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714622 ►Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) 6/28/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 97.00 138.00 560.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714623 ►Service readiness of health facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 69.00 79.26 30.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00714624 ►Equip./supplies available in the National Institure for Public Hygiene (INHP) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 90.00 80.00 75.00 Date 01-Feb-2015 01-Oct-2018 18-Jun-2019 31-Jan-2020 IN00722872 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 640,676.00 900,381.00 Date 01-Feb-2015 -- 18-Jun-2019 31-Jan-2020 IN00722873 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 -- 384,059.00 540,229.00 IN00722874 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 120,092.00 126,401.00 Date 01-Feb-2015 -- 18-Jun-2019 31-Jan-2020 IN00722875 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 368,145.00 582,771.00 Date 01-Feb-2015 -- 18-Jun-2019 31-Jan-2020 IN00722876 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 6/28/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) Value 0.00 -- 152,439.00 191,209.00 Date 01-Feb-2015 -- 18-Jun-2019 31-Jan-2020 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P147740 IDA-55570 Effective USD 35.00 35.00 0.00 24.91 8.21 75% P147740 IDA-D0030 Effective USD 35.00 35.00 0.00 29.96 3.14 91% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147740 IDA-55570 Effective 25-Nov-2014 17-Dec-2014 16-Mar-2015 31-Jan-2020 31-Jan-2020 P147740 IDA-D0030 Effective 25-Nov-2014 17-Dec-2014 16-Mar-2015 31-Jan-2020 31-Jan-2020 Cumulative Disbursements 6/28/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Health Systems Strengthening and Ebola Preparedness Project (P147740) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/28/2019 Page 7 of 7