The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Punjab Family Planning Program (P178410) SOUTH ASIA | Pakistan | Health, Nutrition & Population Global Practice | Requesting Unit: SACPK (1539) | Responsible Unit: HSAHP (9543) IBRD/IDA | Program-for-Results Financing | FY 2024 | Team Leader(s): Jahanzaib Sohail Seq No: 4 | Archived on 17-Mar-2025 | ISR03302 | Created by: Abid Khan on 10-Feb-2025 | Modified by: Abid Khan on 13- Mar-2025 1. PROJECT DEVELOPMENT OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 12-Jul-2023) To increase utilization of effective quality family planning services in Punjab. 2. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial 3. KEY ISSUES & STATUS 3.1 Implementation Status and Key Decisions The Punjab Family Planning Program was approved on July 12, 2023, with financing of US$100 million from the International Development Association (IDA). It was declared effective on September 25, 2023. The Program is progressing satisfactorily toward its development objectives, with ongoing efforts to achieve the remaining Year 1 and Year 2 Disbursement Linked Indicators (DLIs). Some DLIs are expected to be verified before the end of fiscal year. 4. DATA ON FINANCIAL PERFORMANCE 4.1 Disbursements (by loan) Mar 17, 2025 Page 1 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IDA-73840 Effective 100.00 100.00 0.00 31.27 68.73 31.27% 4.2 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-73840 Effective 12-Jul-2023 20-Sep-2023 25-Sep-2023 30-Jun-2027 30-Jun-2027 4.3 Program Action Plan Prepare an environmental screening checklist inclusive of PEPA 2012 compliance, Good Action Description International Industrial Practices (GIIP) system for supplier industries of family planning commodities to the program. Source DLI# Responsibility Timing Timing Value Status Environmental and NA PWD & P&SHD Other First six months Completed Social Systems Completion Screening checklist has been endorsed by Punjab Environment Protection Agency Measurement Comments Document submitted and endorsed by the E&S Team Enforce and conduct third-party monitoring of guidelines prepared for Healthcare Waste Action Description Management Spill Management, Injection Safety and Personal Protective Equipment. Source DLI# Responsibility Timing Timing Value Status Environmental and NA PWD and P&SHD Recurrent Yearly In Progress Social Systems Completion Third-party monitoring reports Measurement Comments Action in process Enforce the Hazardous Substances Rules and Hospital Waste Management Rules at Action Description healthcare facilities by the implementing agencies Source DLI# Responsibility Timing Timing Value Status Mar 17, 2025 Page 2 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Environmental and NA PWD and P&SHD Recurrent Continuous In Progress Social Systems Completion Internal Monitoring Reports of PWD and P&SHD Measurement Comments Action in process Prepare SOPs for the management of construction related impacts by the implementing Action Description departments. The compliance of the SOPs will be compulsory for the civil contractors and workers. Source DLI# Responsibility Timing Timing Value Status Environmental and NA PWD and P&SHD Other First six months Completed Social Systems Completion SOPs document, contractor bidding documents, and Contract Agreement Measurement Comments SOPs for the construction and civil work have been developed. Establish a formal GRM within PWD to receive and handle grievances from beneficiaries of Action Description family planning services Source DLI# Responsibility Timing Timing Value Status Established within first year Environmental and NA PWD and P&SHD Other and monitored Completed Social Systems throughout the project life Completion GRM system document and third-party monitoring reports of GRM implementation Measurement Comments GRM is now functional Each agency will report the compliance of ACG to World Bank annually in a format mutually Action Description agreed with the World Bank. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA PWD & P&SHD Recurrent Yearly In Progress Completion Report through mutually agreed format Measurement Mar 17, 2025 Page 3 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Comments Reporting is ongoing Preparation of the Program financial statements within two months of the close of the Action Description financial year Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA P&SHD and PWD Recurrent Yearly Completed Completion Financial statements submitted Measurement Comments Reporting ongoing Procurement plan for all anticipated Program procurements under P&SHD and PWD will be Action Description prepared and duly disclosed annually and updated regularly in case of changes Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems NA PWD and P&SHD Recurrent Yearly Completed Completion Procurements plans shared with the Bank for review and approval Measurement Comments Plans uploaded on STEP and regularly updated 5. KEY DATES Key Events Planned Actual Approval 12-Jul-2023 12-Jul-2023 Effectiveness 25-Sep-2023 25-Sep-2023 Mid-Term Review No. 01 15-Aug-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. 03 - 09 Sep Proposed Rating 12 Jul 2023 2024 Mar 17, 2025 Page 4 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Overall Substantial Substantial Substantial Mar 17, 2025 Page 5 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) 7. RESULTS 7.1 PDO Indicators by PDO Outcomes Increase utilization of quality family planning services in Punjab Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year P&SHD facilities and PWD To be decided Jul/2023 TBD 20-Aug-2024 P&SHD 47%, 17-Feb-2025 P&SHD= Jun/2027 facilities have availability of PWD 51% 70%PWD=70% the required mix of contraceptives (Text) Improved modern To be decided Jul/2023 TBD 20-Aug-2024 TBD 17-Feb-2025 4% points Jun/2027 Contraceptive Prevalence above baseline Rate, disaggregated by Comments on Data gathering has been completed, baseline analysis is expected to be provided soon wealth quintiles, education achieving targets and rural-urban. (Text) Family Planning users have 18.80 Jul/2023 18.80 20-Aug-2024 18.80 17-Feb-2025 35% Jun/2027 been counselled Comments on Data gathering has been completed, baseline analysis is expected to be provided soon appropriately (Percentage) achieving targets 7.2 Intermediate Results Indicators by Results Areas Improved availability of family planning services and commodities. Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year 0 29-Aug-2024 0 17-Feb-2025 0 Jun/2027 Mar 17, 2025 Page 6 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) People receiving quality Comments on Waiting for completion of household survey health, nutrition, and achieving targets population services (Number of people) CRI People receiving quality 0 29-Aug-2024 0 17-Feb-2025 0 Jun/2027 health, nutrition, and Comments on Waiting for completion of household survey population services – achieving targets Youth (Number of people) CRI People receiving quality 0 29-Aug-2024 0 17-Feb-2025 0 Jun/2027 health, nutrition, and Comments on Waiting for completion of household survey population services – achieving targets Female (Number of people) CRI Procurement of family 0 Jun/2023 Not available 20-Aug-2024 P&SHD=43%, 17-Feb-2025 P&SHD=70%, Jun/2027 planning commodities as per now PWD 47% PWD=70% the individual annual Comments on Procurement is underway projection executed achieving targets individually by P&SHD and PWD (Text) 0 Jun/2023 Not available 20-Aug-2024 Not available 17-Feb-2025 P&SHD=6% Jun/2027 now now additional users above Additional family planning last year; users over last year as per PWD=6% projections individually by additional P&SHD and PWD facilities users over last (Text) year Comments on Baseline to be generated from July 2024 to June 2025. 6 month data shows 987,835 achieving targets registered FP users (P&SHD=717423, PWD=269,835) Mar 17, 2025 Page 7 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Review and establishment of No Jun/2023 Not available 20-Aug-2024 Yes 17-Feb-2025 Yes Jun/2027 IT based information system now by P&SHD and PWD for Comments on Dashboard developed, data entry ongoing informed decision-making achieving targets capturing commodities utilization,stock positions,forecasting and profile of family planning users (Text) Surveys completed for i) 0 Jun/2023 0 20-Aug-2024 0 17-Feb-2025 2 Jun/2027 PPFP/PAFP services ii) quality Comments on Household survey results awaited to establish baseline of family planning achieving targets counselling services and iii) mCPR (Number) LHW-uncovered population 0.00 Jun/2023 0.00 20-Aug-2024 0.00 17-Feb-2025 40% Jun/2027 are reached with family Comments on Baseline being worked on by PMU planning services achieving targets (Percentage) Additional deliveries/ 0 Jun/2023 0 20-Aug-2024 6,954 17-Feb-2025 45,000 Jun/2027 abortion avail PPFP/PAFP Comments on PPFP/PAFP user baseline estimated at 13,677, total LARC users to date 20631 (immediate post- achieving targets partum/post-abortion) over baseline with long-acting reversible contraceptives (Number) Increased demand for Family Planning Commodities Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Mar 17, 2025 Page 8 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) Performance based contract No Jul/2023 No 20-Aug-2024 Yes 17-Feb-2025 Yes Jun/2027 for social marketing developed (Text) A comprehensive gender No Jul/2023 Yes 20-Aug-2024 Yes 17-Feb-2025 Yes Jun/2027 responsive SBCC strategy developed (Text) BISP beneficiaries availed 0.00 Jul/2023 0.00 20-Aug-2024 14,595 17-Feb-2025 300,000.00 Jun/2027 family planning services at Comments on Reported data is from four districts (DG Khan, Layyah, Rajanpur, and Muzaffargarh) public and private facilities achieving targets through voucher schemes in conjunction with clinical franchising (Number) Districts have engaged the 0 Jul/2023 0.00 20-Aug-2024 5 17-Feb-2025 36.00 Jun/2027 required number of Comments on Activity ongoing community leaders for family achieving targets planning messaging as agreed in the SBCC strategy (Number) 0.00 Jul/2023 12 20-Aug-2024 P&SHD 100%, 17-Feb-2025 80.00 Jun/2027 Grievances that have been PWD 97% redressed (Percentage) Comments on During the reporting period, IRMNCH (12) and PWD (30) received a total of 42 complaints, achieving targets with 41 resolved and one under review Population of districts of 0 Jul/2023 0 20-Aug-2024 Ongoing 17-Feb-2025 10 districts Jun/2027 Punjab are covered by social Comments on Activity in progress marketing contracts (Text) achieving targets 0 Jul/2023 0 20-Aug-2024 Ongoing 17-Feb-2025 2 education Jun/2027 High intensity mass media family implemented (Text) planning melas over a year, in Mar 17, 2025 Page 9 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) each district, for two years 3 Social/ digital media campaigns for raising awareness Comments on The number of activities conducted during the reporting period (July–December 2024). TV achieving targets ads: 902 Improved advocacy and leadership Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Advocacy workshop of key 0.00 Jul/2023 0.00 20-Aug-2024 1 17-Feb-2025 4.00 Jun/2027 stakeholders from Comments on The Punjab Family Planning Programs Stakeholder Conference for aligning partner efforts in parliament, ministries and achieving targets FP was conducted by the program partners conducted (Number) TV talk shows/ debate on 0.00 Jul/2023 0.00 20-Aug-2024 1 17-Feb-2025 6.00 Jun/2027 family planning/population growth/climate change impact/ economic growth with parliamentarians (Number) Timely release of allocated No Jul/2023 Yes 20-Aug-2024 Yes 17-Feb-2025 NA Jun/2027 budgets for family planning to P&SHD and PWD (Text) Mar 17, 2025 Page 10 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) 7.3 Disbursement Linked Indicators (DLI) Actual (Previous) Actual (Current) PBC Name Baseline Closing Period Value Date Value Date DLR 1.2c: 70% of procurement of 1:Family planning family planning commodities as commodities per individual annual projection procurement and executed by P&SHD and PWD; DLR Year 1 DLR management Year 1 DLR found 1.3c: 70% of P&SHD facilities and achieved - strengthened and Value Not measured partially achieved outreach and 70% of PWD facilities pending 17-Feb- integrated within 20-Aug-2024 after verification and outreach have availability of verification 2025 the province’s the required mix of contraceptives; Management DLR 1.4b: 6% of additional family Information planning users over baseline by System (Text) P&SHD and PWD facilities. Partially achieved Allocated 0.00 3,140,000.00 Amount DLI allocation 15,970,000.00 DLR 2.1b: Endline survey 2:Improvement in established for: (i) PPFP/PAFP Year 1 DLR services; (ii) Assessment of quality the use of partially achieved Year 1 DLR of family planning counselling modern - Only DLR 2.1a partially achieved - 17-Feb- services; and (iii) mCPR; DLR 2.2b: contraceptives Value To be decided 20-Aug-2024 (i) achieved, Only DLR 2.1a (i) 2025 40% of LHW-uncovered population and quality of pending achieved. in urban slums and rural areas are care (Text) verification. reached with family planning Partially achieved services; DLR 2.3b: Additional 15,000 of deliveries/abortion avail Mar 17, 2025 Page 11 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) PPFP/PAFP (immediate post- partum/post-abortion) over Year 3 with long-acting reversible contraceptives; DLR 2.4b: 35% of family planning users have been counselled appropriately; DLR 2.5: mCPR increased by 4 percentage points over baseline established. Allocated 0.00 12,450,000.00 Amount DLI allocation 25,250,000.00 DLR 3.2c: 300,000 BISP beneficiaries availed family planning services at public and 3:Increased use Year 1 DLR private facilities through voucher of social achieved - Year 1 DLR Value 0 schemes in conjunction with marketing and pending achieved 17-Feb- 20-Aug-2024 clinical franchising; DLR 3.3b: private sector verification 2025 Population of 10 districts of Punjab (Text) are covered by social marketing Achieved contracts. Allocated 0.00 7,902,600.00 Amount DLI allocation 21,380,600.00 4:Improved DLR 4.2c: 12 additional districts Year 1 DLR have engaged the required number demand for achieved - Year 1 DLR 17-Feb- of community leaders for family family planning Value Not measured 20-Aug-2024 pending achieved 2025 planning messaging as agreed in services (Text) verification the SBCC strategy; DLR 4.3a: TV Achieved jingles/advertisement/commercials Mar 17, 2025 Page 12 of 13 The World Bank Implementation Status & Results Report Punjab Family Planning Program (P178410) aired throughout the year for two years; DLR 4.3b: Radio jingles/advertisement aired throughout the year, for two years; DLR 4.3c: TV drama serials aired twice for two years; DLR 4.3d: 2 education family planning fairs (melas) over a year, in each district, for two years; DLR 4.3e: Social/digital media campaigns for raising awareness. Allocated 0.00 9,120,000.00 Amount DLI allocation 13,400,000.00 DLR 5.2: Advocacy workshop of key stakeholders from parliament, Year 1 DLR ministries and partners conducted; 5:Improved achieved - Year 1 DLR DLR 5.3: TV talk shows/debate on Value Not measured advocacy and pending achieved 17-Feb- family planning/population verification 20-Aug-2024 growth/climate change leadership (Text) 2025 Achieved impact/economic growth with parliamentarians. Allocated 0.00 3,000,000.00 Amount DLI allocation 9,000,000.00 Mar 17, 2025 Page 13 of 13