Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Lao PDR Health Governance and Nutrition Development Project (P151425) EAST ASIA AND PACIFIC | Lao People's Democratic Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 3 | ARCHIVED on 12-Sep-2016 | ISR24265 | Implementing Agencies: Ministry of Health Key Dates Key Project Dates Bank Approval Date:23-Jun-2015 Effectiveness Date:12-Oct-2015 Planned Mid Term Review Date:02-Oct-2017 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2020 Revised Closing Date:31-Dec-2020 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Health Sector Governance Reform:(Cost $0.50 M) Component 2: Service Delivery:(Cost $19.40 M) Component 3: Nutrition Social and Behavior Change Communication:(Cost $4.00 M) Component 4: Project Management, Monitoring and Evaluation:(Cost $2.50 M) Component 5: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory 9/12/2016 Page 1 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Overall Risk Rating  Substantial  Substantial Implementation Status and Key Decisions The Health Governance and Nutrition Development Project is making significant progress towards achievement of Project Development Objectives. All central disbursement-linked indicators (DLIs) are showing promising results for Year 1while the provincial level DLIs are showing mixed results. Disbursement continues to be steadily strong. The independent academic institution (IAI) is currently verifying the DLI reports submitted by both central and provincial levels that report the annual DLI performance covering the period June 2015 to May 2016. The World Bank team has a number of questions to the IAI report which will require clarification. The final validation of Year 1 DLIs will take place during a DLI workshop scheduled for September 29-30, 2016 followed by a joint implementation support mission by the World Bank and ADB teams. 9/12/2016 Page 2 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) 9/12/2016 Page 3 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) 9/12/2016 Page 4 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Substantial  Substantial  Substantial Macroeconomic  Substantial  Substantial  Substantial Sector Strategies and Policies  Substantial  Substantial  Substantial Technical Design of Project or Program  High  High  High Institutional Capacity for Implementation and Sustainability  High  High  High Fiduciary  High  High  High Environment and Social  Moderate  Moderate  Moderate Stakeholders  Moderate  Moderate  Moderate Other  --  --  -- Overall  Substantial  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 72889 (12 Months, 50% over Value 63380 -- cumulative from June baseline 2015-May 2016) Date 01-Jun-2015 -- 01-Jun-2016 31-Dec-2020 9/12/2016 Page 5 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDPDOTBL  Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 71724 (12 Months, cumulative from June 50% over Value 59960 -- 2015 - May 2016) baseline Date 01-Oct-2015 31-Dec-2015 01-Jun-2016 31-Dec-2020 PHINDPDOTBL  Number of new women aged 15-49 years adopting long term methods of family planning (DLI P3). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 59883 (12 Months, cumulative from June 50% over Value 54569 -- 2015 to May 2016) baseline Date 01-Oct-2015 31-Dec-2015 01-Jun-2016 24-Oct-2020 PHINDPDOTBL  Children age 0-6 months in target high priority nutrition districts exclusively breastfed. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Baseline not available until Baseline survey is conducted. Results should Value -- Not available TBD be available by November/December 2016. Date 01-Oct-2015 -- 29-Apr-2016 31-Dec-2020 PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 1400000.00 Date 01-Oct-2015 29-Feb-2016 29-Apr-2016 31-Dec-2020 9/12/2016 Page 6 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Comments Data is not available for both director project beneficiaries and females beneficiaries PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 80.00 Overall Comments Intermediate Results Indicators PHINDIRITBL  Number of new born children provided with birth notification in target provinces (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 40% over Value TBD -- Not available baseline Date 01-Oct-2015 29-Feb-2016 01-Jun-2016 31-Dec-2020 Comments Reporting of birth notification is currently being put in the DHIS2 system and no data has been available as yet. The team expects to update this indicator in the next mission in October 2016. PHINDIRITBL  Number of villages in Zones 2 and 3 in in the areas of the health centers which Integrated Outreach Sessions are conducted at leastfour times during the year (DLI P5). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 50% over Value 1954 -- Not available baseline Date 01-Oct-2015 -- 01-Jun-2016 31-Dec-2020 Comments 9/12/2016 Page 7 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Year 1 target is by June 2016 this indicator must be increased by 10%. The team expects to update this indicator in the next mission in October 2016. It has become clear that the baseline recorded represents EPI visits and not integrated outreach; four provinces have reported 0 because they are not doing integrated outreach in zones 2 and 3 villages. All provinces will be informed that they have to revise their baseline as well as revise their reporting for the past year and that only ‘stamp’ villages – not EPI villages should be included. PHINDIRITBL  Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 202789 (8 Months, cumulative from October 40% over Value TBD -- 2015 to May 2016) baseline Date 01-Oct-2015 -- 29-Apr-2016 31-Dec-2020 Comments The current data includes numbers of ANC and PNC in facility and during outreach, Institutional Delivery, cumulative from October 2015 to May 2016. PHINDIRITBL  Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist for every quarter of the Year (DLI P6). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD -- Not available 80% or more Date 01-Oct-2015 29-Feb-2016 31-May-2016 31-Dec-2020 Comments The indicator for Year 1 DLI is (1) Training of at least 2 health facility staff in each district of the target provinces in the use of Standard Supervisory Checklists completed; and (2) Standard Supervisory Checklist scores for all health centers and district hospitals in Target Province for two quarters of the Year completed and recorded by PHO. All provinces have completed the training. But it is most likely some provinces will not complete scoring for all health centers by June 1, 2016. 9/12/2016 Page 8 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDIRITBL  Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0 -- Not available 1600 Date 01-Oct-2015 -- 31-May-2016 31-Dec-2020 Comments List of female village facilitators are being finalized. SBCC package is also being finalized. Project is planning to provide the CLTS training first then other SBCC session later. The first training would take place in October 2016. PHINDIRITBL  Social and Behavior Change Communication - Number of children under 5 years who receive nutrition counselling and an updated growth chart in accordance with MOH guidelines (DLI P4). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 28960 (cumulative for July-Dec 2015, first 6 50% over Value 18398 -- months of DLI Year 1) baseline Date 31-Dec-2015 31-Dec-2015 31-May-2016 31-Dec-2020 Comments Year 1 target is baseline established for the number of children who have been weighed bi-monthly and have received nutrition counseling in the year 25015-2016 as recorded in the DHIS2 by June 1, 2016. The baseline will be updated after the full meaning of this indicator has been clarified with the provinces. PHINDIRITBL  Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD -- Not available 400 Date 01-Oct-2015 -- 31-May-2016 31-Dec-2020 Comments Value for this activity will not be available until the KAP baseline survey is completed (end December 2016). Procurement of survey firm is ongoing and field works is expected to be in October, 2016. 9/12/2016 Page 9 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDIRITBL  Percent of beneficiaries reporting satisfaction with social and behavior change communications activities taking place in their communities. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 25% increase Value TBD -- Not available over baseline Date 01-Oct-2015 -- 31-May-2016 31-Dec-2020 Overall Comments Baseline will be established when the KAP baseline survey results are made available. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P151425 IDA-56760 Effective XDR 9.40 9.40 0.00 0.00 9.40 0% P151425 IDA-D0730 Effective XDR 9.40 9.40 0.00 4.97 4.43 53% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P151425 IDA-56760 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 IDA-D0730 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 9/12/2016 Page 10 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Restructuring History Level 2 Approved on 14-Aug-2015 Related Project(s) There are no related projects. 9/12/2016 Page 11 of 11 Public Disclosure Copy