The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 13 | ARCHIVED on 11-Nov-2021 | ISR48720 | Implementing Agencies: Argentine Republic, Ministry of Health, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 11-Jun-2015 Effectiveness Date: 20-Nov-2015 Planned Mid Term Review Date: 20-May-2018 Actual Mid-Term Review Date: 06-Jul-2018 Original Closing Date: 31-Dec-2020 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to: (i) improving the readiness of public health facilities to deliver higher quality NCD-services for vulnerable population groups and expanding the scope of selected services; and (ii) protecting vulnerable population groups against prevalent NCD risk factors. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Improving the readiness of public health care facilities to provide higher quality services for NCDs for vulnerable population groups and expanding the scope of selected services.:(Cost $239.21 M) Component 2: Protecting vulnerable population groups against prevalent NCD risk factors.:(Cost $38.16 M) Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance, monitoring, promotion, prevention and control of NCDs, injuries, and risk factors.:(Cost $25.56 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 High Substantial Implementation Status and Key Decisions It is expected that the Project will contribute to protect vulnerable population to COVID-19 through the implementation of an adequate care model for non-communicable diseases and the acquisition of medical supplies and equipment to improve primary health care centers. To cope with the negative impacts of the COVID- 19 pandemic on Project’s activities, it has been restructured and extended until October 31, 2022 to allow more time to reach the Project Development Indicator's end-targets. 11/11/2021 Page 1 of 6 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High Substantial Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- High Substantial Technical Design of Project or Program -- Substantial Substantial Institutional Capacity for Implementation and -- Substantial Substantial Sustainability Fiduciary -- Substantial Substantial Environment and Social -- Moderate Moderate Stakeholders -- Moderate Moderate Other -- High Substantial Overall -- High Substantial Results PDO Indicators by Objectives / Outcomes Improving the Readiness of Public Health Facilities to Deliver Higher-quality NCD-Services for Vulne IN01053306 ►Percentage of public primary health care facilities certified to provide quality services for the detection and control of NCDs. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 49.20 51.77 60.00 Date 15-Jan-2015 31-Dec-2020 30-Jun-2021 31-Dec-2021 This indicator achieved 86 % (51.77%/60%) of its 2021 end year target. Comments: IN01053308 ►Number of public health care facilities providing new services for early detection of colon cancer. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 536.00 603.00 850.00 Date 15-Jan-2015 31-Dec-2020 30-Jun-2021 31-Dec-2021 11/11/2021 Page 2 of 6 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) This indicator achieved 71% (603/850) of its 2021 end year target. Partial accomplishment is explained by the difficulties to incorporate new active health care facilities due to the suspension of screening activities Comments: in the context of COVID-19 pandemic Protecting Vulnerable Population Groups Against Prevalent NCD Risk Factors. IN01053307 ►Prevalence of tobacco consumption among vulnerable population. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 29.10 29.10 31.00 Date 15-Jan-2015 31-Dec-2019 31-Dec-2019 31-Dec-2021 This indicator was being measured through Telephone Surveillance Survey. It was adjusted with data from the National Risk Factor Survey (NRFS), carried out during last months of 2018, and released in Comments: 2019. This indicator is expected to be measured in 2022 with a Telephone Surveillance Survey. IN01053309 ►Prevalence of sodium consumption among vulnerable population. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 18.90 18.90 16.00 Date 15-Jan-2015 31-Dec-2019 31-Dec-2019 31-Dec-2021 This indicator was being measured through Telephone Surveillance Survey. It was adjusted with data from the National Risk Factor Survey (NRFS), carried out during last months of 2018, and released in Comments: 2019. This indicator is expected to be measured in 2022 with a Telephone Surveillance Survey. Intermediate Results Indicators by Components Component 1: Improving the readiness of public health care facilities to provide higher quality services for NCDs for vulnerable population groups and expanding the scope of selected services. IN01053310 ►Percentage of public PHC facilities that have been evaluated regarding changes in their model of care for NCDs. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 48.23 54.70 65.00 Date 15-Jan-2014 31-Dec-2020 30-Jun-2021 31-Dec-2021 IN01053313 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,828.00 4,828.00 3,500.00 Date 15-Jan-2015 30-Dec-2020 30-Dec-2020 31-Dec-2021 Comments: Final project target (3500) surpassed . 11/11/2021 Page 3 of 6 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Component 2: Protecting vulnerable population groups against prevalent NCD risk factors. IN01053311 ►Number of Provinces that have developed an NCD Plan. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 16.00 19.00 22.00 Date 15-Jan-2015 31-Dec-2020 30-Jun-2021 31-Dec-2021 This indicator achieved 72% (16/22) of its 2020 end year target and do not present progress compare to Comments: 2019. IN01053314 ►Number of Provinces that have implemented recommended actions for tobacco control. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 16.00 15.00 15.00 22.00 Date 15-Jan-2015 31-Dec-2020 31-Dec-2020 31-Dec-2021 This indicator presents no progress compare to 2019. Comments: IN01053316 ►Prevalence of tobacco consumption among adults. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.00 19.60 21.00 22.00 Date 15-Jan-2015 31-Dec-2019 30-Jun-2020 31-Dec-2021 This indicator is expected to be measured in 2022 with a Telephone Surveillance Survey. Comments: IN01053318 ►Number of Provinces that have implemented recommended actions to reduce population sodium consumption. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 19.00 19.00 22.00 Date 15-Jan-2015 31-Dec-2019 31-Dec-2019 31-Dec-2021 This indicator achieved 86% (19/22) of its 2020 end year target and do not present progress compare to Comments: 2019. Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance, monitoring, promotion, prevention and control of NCDs, injuries, and risk factors. IN01053312 ►Number of Provinces that have an Intersectional working table in place with an NCD focus that include CSOs and NGOs. (Number, Custom) 11/11/2021 Page 4 of 6 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 21.00 21.00 19.00 Date 15-Jan-2015 31-Dec-2020 31-Dec-2020 31-Dec-2021 Final target (19) surpassed . Comments: IN01053315 ►Number of Provinces that have a regulation in place to prevent childhood obesity through actions in school environments (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 8.00 Date 31-May-2019 31-Dec-2020 31-Dec-2020 31-Dec-2021 Chaco and Neuquen implemented regulations to prevent childhood obesity through actions in school Comments: environments. IN01053317 ►Number of provinces that implement changes to the regulatory standards regarding the advertisements and sponsorhips for tobacco products (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 6.00 Date 31-May-2019 31-Dec-2020 31-Dec-2020 31-Dec-2021 Cordoba and Tierra del Fuero accomplished the end-Project target. Comments: Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P133193 IBRD-85080 Effective USD 350.00 303.82 46.18 201.98 101.84 66% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P133193 IBRD-85080 Effective 11-Jun-2015 09-Oct-2015 20-Nov-2015 31-Dec-2020 31-Dec-2021 Cumulative Disbursements 11/11/2021 Page 5 of 6 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) 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 28-Jun-2019 Related Project(s) There are no related projects. 11/11/2021 Page 6 of 6