The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) AFRICA EAST | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 14 | ARCHIVED on 29-Jun-2021 | ISR46589 | Implementing Agencies: Ministry of Health, Democratic Republic of Congo, Ministry of Finance Key Dates Key Project Dates Bank Approval Date: 18-Dec-2014 Effectiveness Date: 30-May-2016 Planned Mid Term Review Date: 01-Jul-2019 Actual Mid-Term Review Date: 01-Jul-2019 Original Closing Date: 31-Dec-2019 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to improve utilization and quality of maternal and child health services in targetedareas within the Recipient's Territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) To improve utilization and quality of maternal and child health services in targeted areas within the Recipient's Territory and, to provide an immediate and effective response to an eligible crisis or emergency Components Table Name Improve Utilization and Quality of Health Services at Health Facilities through Performance-Based Financing:(Cost $226.67 M) Improve Governance, Purchasing and Coaching and Strengthen Health Administration Directorates and Services through Performance-Based Financing:(Cost $102.70 M) Strengthen Health System Performance - Financing, and Health Policy:(Cost $140.30 M) Disease Surveillance Strengthening and Response:(Cost $244.86 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 The PDSS has achieved 5 out of 6 Project Development Objective indicators and is providing essential health services to over 36 million people. The project is now in its fifth and final year of implementation, and data collection for it's impact evaluation is expected to begin in July 2021, with 6/29/2021 Page 1 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) preliminary results available in October 2021. Data from the National Health Information System indicates that the project has increased utilization of key health services, and especially the proportion of women who deliver in a health facility. The project has faced challenges in ensuring that health facility infrastructure is adequate, and that drugs and equipment are available in all health facilities. The project has revised its approach in these domains, and expects to see improvements in these areas in the final months of the project. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High High Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Substantial Substantial Institutional Capacity for Implementation and -- High High Sustainability Fiduciary -- High High Environment and Social -- Moderate Moderate Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the utilization and quality of maternal and child health services in targeted areas. IN00989718 ►Women having at least 4 antenatal care visits before delivery (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 36.00 58.00 62.00 55.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989720 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target 6/29/2021 Page 2 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Value 5,208,170.00 4,517,924.00 9,045,599.00 7,819,376.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 31-Dec-2021 IN00989746 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 434,750.00 473,616.00 927,365.00 1,063,706.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 30-Dec-2021 IN00989747 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4,352,206.00 3,435,114.00 6,952,744.00 5,505,670.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 30-Dec-2021 IN00989748 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 421,214.00 609,194.00 1,165,490.00 1,250,000.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 30-Dec-2021 IN00989749 ►Average score of the quality checklist at the health centers (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 21.00 54.00 51.00 60.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989750 ►Children Fully Immunized (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 62.00 73.00 74.00 70.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989751 ►New curative consultations per capita per year (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.38 0.52 0.53 0.50 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 6/29/2021 Page 3 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Provide an immediate and effective response to an eligible crisis or emergency IN00989719 ►Eligible individuals vaccinated during EVD (# - cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 217,157.00 217,157.00 120,000.00 Date 31-Jan-2019 30-Jun-2020 31-Mar-2021 31-Jul-2019 Intermediate Results Indicators by Components Improve Utilization and Quality of Health Services at Health Facilities through PBF IN00989752 ►New acceptors of modern contraceptives (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 19.00 16.00 15.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989754 ►First time adolescent girls acceptant of modern contraceptives (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 3.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989759 ►Pregnant women counseled and tested for HIV (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 28.00 15.00 25.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989764 ►Existing users of modern contraceptives (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 10.00 12.00 15.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989765 ►Contraceptive prevalence (new and existing female users %) (Percentage, Custom) 6/29/2021 Page 4 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 29.00 28.00 15.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989766 ►Births attended by skilled professional (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 97.00 91.00 85.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989767 ►Health service delivered to target population through PDSS support (# – annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10,645,754.00 23,523,356.00 20,000,000.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 31-Dec-2021 Reports beneficiaries for six months towards annual target. Comments: Improve Governance, Purchasing and Coaching and Strengthen Health Administration Directorates and Services through PBF IN00989757 ►Health personnel receiving training (# - cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,296.00 5,296.00 10,000.00 Date 31-Jul-2014 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989761 ►Average availability of tracer medicines at hospitals/health centers (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 69.00 68.00 65.00 70.00 Date 31-Dec-2017 30-Jun-2020 31-Mar-2021 31-Dec-2021 IN00989762 ►Single contract signed at province level (# – annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 8.00 8.00 11.00 Date 30-Jun-2016 30-Jun-2020 31-Dec-2020 31-Dec-2021 IN00989763 6/29/2021 Page 5 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) ►Average performance score of Provincial Health Directorates under Single Contract (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 72.00 74.00 74.00 77.00 Date 30-Sep-2017 30-Jun-2020 30-Sep-2020 31-Dec-2021 Strengthen Health Sector Performance – Financing and Health Policy Capacities IN00989753 ►Civil servants eligible for retirement in the Ministry of Health that have received their retirement indemnities/packages (# - cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000.00 Date 30-Jun-2016 30-Jun-2020 31-Mar-2021 31-Dec-2021 No data for current reporting period Comments: IN00989755 ►Poor people benefiting from fee exemption mechanisms (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17.00 17.00 20.00 Date 30-Jun-2016 30-Sep-2019 30-Sep-2019 31-Dec-2021 Disease Surveillance Strengthening and Response IN00989756 ►Contacts of suspected or confirmed EVD cases lost to follow up (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 0.00 0.00 Date 31-Jan-2019 30-Jun-2020 31-Mar-2020 31-Jul-2019 N/A for this reporting period Comments: IN00989758 ►Suspected EVD samples received that have been tested (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 0.00 100.00 Date 31-Jan-2019 30-Jun-2020 31-Mar-2021 31-Jul-2019 N/A for this reporting period Comments: IN00989760 6/29/2021 Page 6 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) ►Suspected and confirmed EVD cases for whom safe and dignified burials have been carried out (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 58.00 0.00 100.00 Date 31-Jan-2019 30-Jun-2020 31-Mar-2021 31-Jul-2019 N/A for this reporting period Comments: Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P147555 IDA-55720 Effective USD 130.00 130.00 0.00 119.15 3.39 97% P147555 IDA-59980 Effective USD 120.00 120.00 0.00 119.08 4.03 97% P147555 IDA-67050 Effective USD 121.00 121.00 0.00 86.26 34.74 71% P147555 IDA-D0210 Effective USD 90.00 90.00 0.00 82.92 1.55 98% P147555 IDA-D4390 Effective USD 120.00 120.00 0.00 118.37 0.65 99% P147555 IDA-D6750 Effective USD 79.00 79.00 0.00 55.14 27.48 67% P147555 TF-18375 Effective USD 6.50 6.50 0.00 6.50 0.00 100% P147555 TF-A4579 Effective USD 40.00 40.00 0.00 31.49 8.51 79% P147555 TF-A5096 Closed USD 3.50 3.47 0.03 3.47 0.00 100% P147555 TF-A6945 Closed USD 10.00 4.53 5.47 4.53 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147555 IDA-55720 Effective 18-Dec-2014 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 IDA-59980 Effective 31-Mar-2017 19-Apr-2017 13-Feb-2018 31-Dec-2021 31-Dec-2021 P147555 IDA-67050 Effective 11-Jun-2020 29-Jun-2020 08-Sep-2020 31-Dec-2021 31-Dec-2021 P147555 IDA-D0210 Effective 18-Dec-2014 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 IDA-D4390 Effective 27-Feb-2019 06-Mar-2019 28-Aug-2019 31-Dec-2021 31-Dec-2021 6/29/2021 Page 7 of 8 The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) P147555 IDA-D6750 Effective 11-Jun-2020 29-Jun-2020 08-Sep-2020 31-Dec-2021 31-Dec-2021 P147555 TF-18375 Effective 20-Jan-2015 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 TF-A4579 Effective 19-Apr-2017 19-Apr-2017 18-Aug-2017 31-Dec-2021 31-Dec-2021 P147555 TF-A5096 Closed 24-May-2017 24-May-2017 22-Nov-2017 30-Jun-2019 30-Jun-2019 P147555 TF-A6945 Closed 24-Jan-2018 14-Mar-2018 14-Aug-2018 31-Aug-2018 31-Aug-2018 Cumulative Disbursements 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 01-Sep-2015 ,Level 2 Approved on 31-Oct-2018 ,Level 2 Approved on 06-Dec-2018 ,Level 2 Approved on 19-Aug-2019 ,Level 2 Approved on 26-Feb-2020 ,Level 2 Approved on 27-Aug-2020 Related Project(s) P157864-DRC Health System Strengthening Additional Financing ,P165435-DRC - Additional Financing Health System Strengthening Project for Better Maternal and Child Health Results ,P166004-Health System Strengthening for Better Maternal and Child Health Results AF2 ,P167766- Health System Strengthening for Better Maternal and Child Health PEF AF ,P169753-AF III DRC Health System Strengthening for Better Maternal and Child Health Results ,P170995-AFIV DRC Health System Strengthening for Better Maternal and Child Health Results ,P173415-Fourth Additional Financing for Health System Strengthening for Better Maternal and Child Health Results Project 6/29/2021 Page 8 of 8