The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Benin Health System Enhancement Program (P172940) (P172940) WESTERN AND CENTRAL AFRICA | Benin | Health, Nutrition & Population Global Practice | Requesting Unit: AWCF2 (6551) | Responsible Unit: HAWH2 (9542) IBRD/IDA | Program-for-Results Financing | FY 2022 | Team Leader(s): Netsanet Walelign Workie, Fatoumata Binta Maama Barry Seq No: 6 | Archived on 15-Jan-2025 | ISR02809 | Created by: Lydia Ndebele on 06-Dec-2024 | Modified by: Fatoumata Binta Maama Barry on 15-Jan-2025 1. PROJECT DEVELOPMENT OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 27-Apr-2022) To improve the quality of and access to primary health care services with a focus on reproductive, maternal, neonatal, child, adolescent health and nutrition (RMNCAH+N) and strengthen public health emergency preparedness and response capacity 2. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Moderately Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate 3. KEY ISSUES & STATUS 3.1 Implementation Status and Key Decisions The Benin Health System Enhancement Program was approved by the Board of Directors of the World Bank on April 27, 2022. The Program was declared effective date on July 27, 2022. The program is progressing well and is rated as Satisfactory in terms of progress toward achieving the program's development objective (PDO) and Moderately Satisfactory for the implementation progress. Jan 15, 2025 Page 1 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) 4. DATA ON FINANCIAL PERFORMANCE 4.1 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IDA-E0020 Effective 93.50 85.65 0.00 21.64 63.85 25.31% IDA-70800 Effective 93.50 89.42 0.00 39.43 48.05 45.07% 4.2 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-70800 Effective 27-Apr-2022 10-May-2022 27-Jul-2022 30-Jun-2027 30-Jun-2027 IDA-E0020 Effective 27-Apr-2022 10-May-2022 27-Jul-2022 30-Jun-2027 30-Jun-2027 4.3 Program Action Plan Action Description Recruitment by the Ministry of Health of the firm and working group in support of works. Source DLI# Responsibility Timing Timing Value Status Project Technical NA Coordination Unit Due Date 30-Nov-2022 Completed (PCU) Recruitment of: Completion - The firm in charge of the detailed design and supervision of the construction, rehabilitation, Measurement and extension works of the health infrastructures supported by the programme - The working group for the preparation of tender documents Comments The AISEM has an operational manual for the preparation of tender documents. Action Description Development of the Procedure Manual Source DLI# Responsibility Timing Timing Value Status Ministry of Health Technical NA Due Date 31-Dec-2022 Completed (MOH), ANSSO Jan 15, 2025 Page 2 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Completion The Program's Procedure Manual is developed by the ANSSP. The World Bank approves the Measurement Procedure Manual. 120 days after entry into force of the programme. Comments The manual was completed and approved as an effectiveness condition Action Description Strengthening the Program Environmental and Social Management system. Source DLI# Responsibility Timing Timing Value Status UCP, Beninese Environmental and NA Environment Due Date 15-Feb-2024 Completed Social Systems Agency (ABE) Development of a Civic Engagement Plan and implementation of the civic engagement Completion mechanism. No later than six (6) months after the date of entry into force of the program Measurement and its implementation throughout the life cycle of the program. The consultant to develop the Stakeholder Engagement Plan (SEP) has been hired. The SEP Comments has been validated internally with the Client and at the Bank. Action Description Strengthening the Program Environmental and Social Management system. Source DLI# Responsibility Timing Timing Value Status PCU, Beninese Environmental and NA Environmental Due Date 29-Jun-2025 Delayed Social Systems Agency (ABE) Completion An agreement between ANSSP and Beninese Environmental Agency (ABE) will be concluded Measurement by June 30, 2025. The draft agreement is available. The Bank team recommends accelerating the process of establishing an ANSSP/ABE Comments agreement so that ABE can assist with these capacity-building activities. Action Description Strengthening the Program's Environmental and Social Management System. Source DLI# Responsibility Timing Timing Value Status Environmental and UCP, MS (CEGCC), NA Due Date 30-Jun-2024 Delayed Social Systems ABE, ANDF Development and implementation of the Technical Manual for Environmental and Social Completion Management of the Program. Preparation no later than three (3) months after the date of Measurement entry intro force of the program and implementation throughout the life cycle Jan 15, 2025 Page 3 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) The contract of the consultant to draft the technical manual for E&S management of the Program is signed. The feedback workshop on the draft Comments E&S manual took place on September 9, 2024. The consultant is incorporating comments from the WB team review Action Description Strengthening the technical and institutional capacities of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status UCP, MS, ABE, Environmental and NA ANDF, DDS, Recurrent Continuous In Progress Social Systems DDCVDD Organization of training sessions directly targeting the parties involved in the Completion implementation of the project. Start of sessions in the first half of the year after the date of Measurement entry into force of the program. Refresher sessions throughout the life The Stakeholder Engagement Plan has been finalized. Following the restitution workshop for the draft E&S manual held on September 9, Comments 2024, the Bank suggests that ANSSP begins drafting the ToR for these training sessions. Action Description Capacity building (technical and institutional) of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status Environmental and NA UCP, MS (CEGCC) Due Date 30-Aug-2022 In Progress Social Systems Appointment/recruitment of four environmental specialists (2) and social specialists (2), for Completion the PCU and within MOH (CEGCC) and within the MOH (Gender Environment Unit (1) and Measurement Climate Change (1) (CEGCC) at the start of implementation. Two specialists have been appointed: (i) an environmental specialist on Climate Change and Comments (ii) a social specialist from the Gender and Environment Unit of the Ministry of Health to support the ANSSP. Action Description Capacity building (technical and institutional) of actors and stakeholders Source DLI# Responsibility Timing Timing Value Status Environmental and UCP, MC (CEGCC), NA Recurrent Continuous In Progress Social Systems ABE Information and awareness activities on environmental and social management will be Completion implemented in the first year and continue throughout the Program. This includes Measurement information sessions, workshops, and media, with communication specialists involved. Jan 15, 2025 Page 4 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) The WB fiduciary team conducted capacity-building sessions in July 2024, with another Comments session planned for December 2024. Action Description Strengthening the Program Environmental and Social Management System. Source DLI# Responsibility Timing Timing Value Status Environmental and UCP, MS (CEGCC), NA Due Date 30-May-2024 Completed Social Systems DPHAB Development and implementation of a guide for the development of waste management Completion plans (biomedical waste). No later than 90 days after the date of entry into force of the Measurement program. (Biomedical and other waste). NB: waste produced in health facilities The biomedical waste plan has been validated. There has been an exchange and document Comments sharing with REDISSE. The nominated environmental specialist will take the lead in the implementation of the biomedical waste plan. Action Description Strengthening the Program's Environmental and Social Management system. Source DLI# Responsibility Timing Timing Value Status Environmental and PCU, MOH (CEGCC), NA Due Date 29-May-2024 In Progress Social Systems DPHAB Development and implementation of the grievance mechanism (GRM). No later than six (6 Completion months) after the date of entry into force of the program and its implementation Measurement throughout the life cycle of the program. The GRM document has been prepared and validated by the Bank. The implementation of Comments the GRM is ongoing and the consultant is integrating the inputs from the WB and the MoH. Action Description Report on and investigate fraud and corruption Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MOH Recurrent Semi-Annually Completed Two internal audit missions will be conducted: Semester 1 by internal auditors of Completion implementing structures, with reports compiled by ANSSP's internal auditor. Semester 2 by Measurement IGM, based on reports from all implementing structures. Comments There is no suspected cases of corruption and fraud since the start of the Program. Jan 15, 2025 Page 5 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Implement the 2020 Public Procurement Code so SOBAPS operates with appropriate Action Description procurement regulations. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MS/SOBAPS Due Date 30-Sep-2022 Completed Completion - SOBAPS procurement regulations are enacted by decree (see CCJ) Measurement Comments This has been completed. Action Description Procurement of works Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA Ministry of Health Recurrent Continuous Completed Completion Update the standard plans for the construction of health infrastructure (see DG AISEM) Measurement Comments This has been completed. Action Description Management of works contracts Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA Ministry of Health Due Date 30-Nov-2022 Completed Works contract management manual. Establishment of a contract performance management Completion plan, definition of roles and responsibilities of stakeholders. A first manual is needed and Measurement thereafter it must be continuously updated. Comments This has been completed. Action Description Budget planning Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA Ministry of Health Recurrent Yearly Completed Transmission of the draft budget N + 1 budget and the DPPD N + 1 DPPD (Multi Annual Completion expenditure Programming Document) to IDA for technical opinion before 30/09/N (share Measurement with the Bank the draft budget each year, at the latest on 30 September. Comments This action has been completed during this budget cycle (CY24). Action Description Cash Management Source DLI# Responsibility Timing Timing Value Status Jan 15, 2025 Page 6 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Fiduciary Systems NA MOH/MEF Recurrent Quarterly In Progress Transmission of the quarterly statement of payment arrears on the 60 days program at the Completion end of each quarter. (DPAF/DAF will have to issue the instances of payment of benefits. Measurement Clarify the situation with the Treasury. Comments This has not been completed as of yet. No payment in arrears. Action Description Conduct Internal Audits Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MoH/ MEF Recurrent Semi-Annually In Progress Conduct two internal audit missions of the Program per year by the IGF and the IGM with Completion transmission of reports to IDA 60 days after the end of the semester. Compilation of the Measurement reports of the different missions in one semester: IGM/IGF. The team noted that ANSSP has its own internal audit unit consisting of two auditors, under Comments the supervision of the IGF/IGM. The internal audit of the Program has yet to be submitted. Action Description Transmission of external audit reports Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MOH Recurrent Yearly In Progress Completion Transmission of the external audit report nine (9) months after the end of each budgetary Measurement year (i.e. 30 September). Audit reports are due since 30 September 2024. The recruitment of the external audit is still Comments in progress with the Court of Accounts. Action Description Recruitment of independent external auditor Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA MOH/SAI Due Date 28-Jan-2022 Delayed Completion Recruitment of an independent external auditor within six (6) months of entry into force to Measurement conduct an annual audit of the Program. (Legal Commitment) Comments The external auditor will be recruited by the Court of Accounts. 5. KEY DATES Jan 15, 2025 Page 7 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Key Events Planned Actual Approval 27-Apr-2022 27-Apr-2022 Effectiveness 27-Jul-2022 27-Jul-2022 Mid-Term Review No. 01 30-May-2025 Operation Closing/Cancellation 30-Jun-2027 6. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 05 - 01 Aug Proposed Rating 27 Apr 2022 2024 Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Substantial Moderate Moderate Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Substantial Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Moderate Moderate Stakeholders Moderate Moderate Moderate Overall Substantial Moderate Moderate Jan 15, 2025 Page 8 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) 7. RESULTS 7.1 PDO Indicators by PDO Outcomes Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Pregnant women of 0.00 06-May-2024 reproductive age accessing health facilities for reproductive health consultation (Percentage) Quality Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Health facilities offering basic 27.42 Dec/2022 0.00 06-May-2024 69.35 15-Nov-2024 47.42 Dec/2026 emergency obstetric and Comments on Waiting on ISRP validation report neonatal care (BEmONC) achieving targets (DLI1) (Percentage) DLI Long-Acting Contraceptive 5.56 Dec/2022 6.88 06-May-2024 10.74 15-Nov-2024 8.20 Dec/2026 users (DLI 2) Comments on Waiting on ISRP validation report (Percentage) DLI achieving targets Full immunization coverage 54.90 Dec/2022 49.56 06-May-2024 57.00 15-Nov-2024 61.90 Dec/2026 for children between the Comments on Waiting on ISRP validation report ages of 12 to 23 months (DLI achieving targets 3) (Percentage) DLI 90.50 Dec/2022 99.60 06-May-2024 92.04 15-Nov-2024 94.00 Dec/2026 Jan 15, 2025 Page 9 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) Births attended by skilled Comments on Waiting on ISRP validation report health personnel (DLI 6) achieving targets (Percentage) DLI Health facilities with no 32.11 Dec/2022 0.00 06-May-2024 82.20 15-Nov-2024 50.00 Dec/2026 stock-out of essential tracer Comments on Waiting on ISRP validation report drugs for maternal and child achieving targets health in the last three (3) months (DLI 4) (Percentage) DLI Access Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Health facilities built and 0.00 Dec/2022 6 05-May-2024 6 15-Nov-2024 25.00 Dec/2026 equipped as further detailed Comments on Waiting on ISRP validation report for two of the health facilities. in the POM (DLI7) achieving targets (Number) DLI Emergency Preparedness and Response Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Operationalization of the No Dec/2022 No 06-May-2024 No 15-Nov-2024 Yes Dec/2026 health sector quality Comments on Waiting on ISRP validation report for DLR 8.2 and 8.3. DLR 8.4 has not commenced. assurance system (DLI 8) achieving targets (Yes/No) DLI A Regulatory Health No Dec/2021 Yes 06-May-2024 Yes 15-Nov-2024 Yes Dec/2022 Sector Authority is Comments on Completed. established and achieving targets operational as evidenced by the achievement of specific Jan 15, 2025 Page 10 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) milestones detailed in the POM on or before December 31, 2022 (Yes/No) DLI Adopted Patient Safety No Dec/2021 No 06-May-2024 Yes 15-Nov-2024 Yes Dec/2024 Assessment Manual Comments on Waiting on ISRP validation report (DLI8.2) (Yes/No) DLI achieving targets Establishment of No Dec/2021 No 06-May-2024 Yes 15-Nov-2024 Yes Dec/2025 patient safety Comments on Waiting on ISRP validation report assessment system (DLI achieving targets 8.3) (Yes/No) DLI Healthcare facilities 0.00 Dec/2021 0 06-May-2024 No 15-Nov-2024 174 Dec/2026 that have completed a patient safety assessment verified by ARS (DLI8.4) (Number) DLI 7.2 Intermediate Results Indicators by Results Areas Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year People with strengthened False food and nutrition security (Number of people) CRI People with False strengthened food and Jan 15, 2025 Page 11 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) nutrition security – Female (Number of people) CRI People with False strengthened food and nutrition security – Youth (Number of people) CRI Percentage of newborns 0.00 06-May-2024 attended by skilled provider within 48 hours of birth (Percentage) Number of Adolescent and 11 06-May-2024 Youth Friendly Centers (Number) Children less than 6 months 0.00 06-May-2024 exclusively breastfed (Percentage) Access and Quality Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Pregnant women who 47.00 Dec/2022 46.48 06-May-2024 43.52 15-Nov-2024 49.50 Dec/2026 receive four ante-natal care (ANC) consultations (Percentage) Children cured from severe 85.00 Dec/2022 0.00 06-May-2024 90.00 15-Nov-2024 90.00 Dec/2026 acute malnutrition (Percentage) Jan 15, 2025 Page 12 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) People who have received 6,492,740 Dec/2022 0 06-May-2024 2,007,200 15-Nov-2024 8,568,618 Dec/2026 quality health, nutrition, and population services (Corporate Scorecard (CS), number) (Number) People who received 3,622,304 Dec/2022 0.00 06-May-2024 4,750,716 15-Nov-2024 4,792,894 Dec/2026 quality health, nutrition and population services (women) (Number) Children immunized 0.00 06-May-2024 (Number) Women and children 0.00 06-May-2024 who have received basic nutrition services (Number) Deliveries attended by 0.00 06-May-2024 skilled health personnel (Number) Clients satisfied with care 60.00 Dec/2022 0.00 06-May-2024 0.00 15-Nov-2024 80.00 Dec/2026 received (Percentage) Grievances responded 60.00 Dec/2022 0.00 06-May-2024 0.00 15-Nov-2024 80.00 Dec/2027 and/or resolved within the stipulated service standards for response times (Percentage) Number of children 856,495 Dec/2022 0 06-May-2024 1,147,815 15-Nov-2024 1,053,596 Dec/2026 immunized (Number of people) CRI Number of women and 1,540,702 Dec/2022 0 06-May-2024 2,133,253 15-Nov-2024 2,163,625 Dec/2026 children who have received Jan 15, 2025 Page 13 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) basic nutrition services (Number of people) CRI Number of women receiving 455,007 Dec/2022 0 06-May-2024 583,045 15-Nov-2024 549,772 Dec/2026 deliveries attended by skilled health personnel (Number of people) CRI Health System Capacity and Emergency Preparedness and Response Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Health facilities with at least 72.38 Dec/2022 0.00 06-May-2024 0.00 15-Nov-2024 91.49 Dec/2026 one qualified staff in the dispensary and maternity ward (Percentage) Private health facilities, 38.00 Dec/2022 0.00 06-May-2024 53.40 15-Nov-2024 70.00 Dec/2026 including faith-based health facilities, with data fully integrated into DHIS2 (Percentage) Health professionals trained 134 Dec/2022 57 06-May-2024 229 15-Nov-2024 386 Dec/2026 in epidemiology or laboratory in public health emergency surveillance, preparedness and response (DLI 5) (Number) DLI Health facilities that submit 75 Dec/2022 0 06-May-2024 96.80 15-Nov-2024 90 Dec/2026 weekly reports on epidemic potential diseases (EPDs) on time (Percentage) Jan 15, 2025 Page 14 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) 7.3 Disbursement Linked Indicators (DLI) Actual (Previous) Actual (Current) PBC Name Baseline Closing Period Value Date Value Date 1:Proportion of Value 27.42 69.35 69.35 47.42 Targeted Health Facilities Offering Basic Emergency Obstetric and Allocated 15-Nov-2024 15-Nov-2024 Newborn Care 0.00 0.00 3,600,000.00 Amount (BEmONC) Services (Percentage) Achieved DLI allocation 14,400,000.00 2:Proportion of Long- Value 5.56 10.74 10.74 8.20 Acting Contraceptive Allocated 15-Nov-2024 15-Nov-2024 Users (Percentage) 0.00 0.00 5,302,800.73 Achieved Amount DLI allocation 14,000,000.00 3:Proportion of full Value 54.90 57 57 61.90 immunization coverage for children between the ages of Allocated 15-Nov-2024 15-Nov-2024 12 to 23 months 0.00 0.00 5,714,285.71 Amount (Percentage) Partially achieved DLI allocation 20,000,000.00 Jan 15, 2025 Page 15 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) 4:Proportion of Value 32.11 82.20 82.20 50 Health Facilities with no stock-out of Maternal and Child Allocated 15-Nov-2024 15-Nov-2024 Health Tracer Drugs 0.00 0.00 4,052,543.32 in the past three (3) Amount months (Percentage) Achieved DLI allocation 14,500,000.00 5:Health Value 134 229 229 386 professionals trained in epidemiology or laboratory in public health emergency Allocated 15-Nov-2024 15-Nov-2024 surveillance, 0.00 0.00 6,615,000.00 preparedness and Amount response (DLI 5) (Number) Partially achieved DLI allocation 26,460,000.00 6:Proportion of births Value 90.50 92.04 92.04 94 attended by a Skilled Health Professional Allocated 15-Nov-2024 15-Nov-2024 (Percentage) 0.00 0.00 3,651,428.57 Amount Achieved DLI allocation 12,780,000.00 Value 0.00 6 15-Nov-2024 6 15-Nov-2024 25.00 Jan 15, 2025 Page 16 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) 7:Health facilities built and equipped Allocated (number) (DLI7) 0.00 0.00 9,310,000.00 Amount (Number) Partially achieved DLI allocation 33,250,000.00 8:Operationalization Value No No No Yes of the Health Sector Quality Assurance Allocated 15-Nov-2024 15-Nov-2024 System (Yes/No) 0.00 0.00 1,834,482.76 Amount Not Due DLI allocation 11,420,000.00 8.1:Proportion of Value Targeted Health Facilities Offering Basic Emergency Obstetric and Allocated Newborn Care Amount (BEmONC) Services (Percentage) DLI allocation 0.00 8.2:DLR 8.1: A Value No Yes Yes Yes Regulatory Health Sector Authority is Allocated 15-Nov-2024 15-Nov-2024 established and 0.00 0.00 0.00 Amount operational as evidenced by the Jan 15, 2025 Page 17 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) achievement of specific milestones detailed in the POM on or before December 31, 2022 (Yes/No) Achieved DLI allocation 3,790,000.00 8.3:Adopted Value No Yes Yes Yes Patient Safety Assessment Allocated 15-Nov-2024 15-Nov-2024 Manual (DLI8.2) 0.00 0.00 (Yes/No) Amount Achieved DLI allocation 2,910,000.00 8.4:Establishment Value No Yes Yes Yes of patient safety assessment Allocated 15-Nov-2024 15-Nov-2024 system (DLI 8.3) 0.00 0.00 (Yes/No) Amount Achieved DLI allocation 2,910,000.00 8.5:Healthcare Value 0.00 0 0 174 facilities that have completed a Allocated 15-Nov-2024 15-Nov-2024 patient safety 0.00 1,834,482.76 assessment Amount verified by ARS Jan 15, 2025 Page 18 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) (DLI8.4) (Number) Not Due DLI allocation 5,600,000.00 8.6:DLR 8.2: The Value No Health Sector Quality Assurance Policy has been adopted by the Allocated 06-May-2024 Regulatory Amount Health Sector Authority on or before December 31, 2024 (Yes/No) DLI allocation 0.00 8.7:DLR 8.3: 70% Value 0.00 of Health Districts that have began implementing the Health Sector Quality Assurance Policy Allocated 06-May-2024 as evidenced by Amount the achievement of key milestones further detailed in the POM (Percentage) Jan 15, 2025 Page 19 of 20 The World Bank Implementation Status & Results Report Benin Health System Enhancement Program (P172940) (P172940) DLI allocation 0.00 8.8:DLR 8.4: The Value No Ministry of Health has approved an accreditation process for health personnel Allocated 06-May-2024 and certification Amount process for Health Facilities on or before December 31, 2026 (Yes/No) DLI allocation 0.00 Jan 15, 2025 Page 20 of 20