The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) Rwanda JSDF - Support to Community Health Workers Project (P175583) EASTERN AND SOUTHERN AFRICA | Rwanda | IBRD/IDA | Investment Project Financing (IPF) | FY 2024 | Seq No: 2 | Archived on 18-Mar-2025 | ISR03326 Implementing Agencies: Rwanda Biomedical Center, MoH 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 08-Sep-2023) The proposed Project Development Objective (PDO) is to strengthen the capacity of female-led Community Health Workers (CHWs) cooperatives in the targeted districts with a view to improve their operational and financial performance. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate 3. KEY ISSUES & STATUS 3.1 Implementation Status and Key Decisions The Rwanda JSDF project was approved by the Bank on September 8, 2023 and the Grant Agreement was signed between the Government of Rwanda and the World Bank on September 27, 2023. The project has been effective since December 22, 2024. The training of participating community health workers (CHWs)' cooperatives has kicked off. Meanwhile, participating cooperatives are developing their business plans for income generating activities (IGAs). The next step will include disbursing funds related to the implementation of approved business plans. Mar 18, 2025 Page 1 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 01 - 26 Feb Proposed Rating 08 Sep 2023 2024 Overall Moderate Moderate Moderate Mar 18, 2025 Page 2 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) 6. RESULTS 6.1 PDO Indicators Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Proportion of supported 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 80.00 Dec/2025 CHW cooperatives that have Comments on Not yet achieved. The capacity building plan is underway, which will be followed by funds achieved a satisfactory achieving targets disbursement for the implementation of business plan. The assessment will happen after the operational performance execution of the business plan during the previous fiscal year (Percentage) Proportion of supported 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 75.00 Dec/2025 CHW cooperatives that have Comments on Not yet achieved. The capacity building plan is underway, which will be followed by funds reported improved financial achieving targets disbursement for the implementation of business plan. The assessment will happen after the performance (positive net execution of the business plan profit) during the previous fiscal year (Percentage) Percentage of CHW 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 75.00 Dec/2025 cooperative members and Comments on Not yet achieved. The capacity building plan is underway. A post training assessment will be leaders demonstrating achieving targets conducted, and subsequent assessments will be performed during the implementation of improved knowledge in CHWs business plan cooperative management (operational, financial, managerial and compliance) (Percentage) 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 16,000.00 Dec/2025 Mar 18, 2025 Page 3 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) Number of beneficiaries of Comments on Not yet achieved. The capacity building plan is underway, which will be followed by funds project interventions achieving targets disbursement for the implementation of business plan. The assessment will happen during (disaggregated by gender and and after the execution of the business plans location) (Number) 6.2 Intermediate Results Indicators Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of CHW cooperative 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 4,000.00 Dec/2025 members and leaders trained Comments on The execution of the capacity building plan is under way on cooperative management, achieving targets including the development of business plan, financial management and market linkages (by gender and location) (Number) Number of income- 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 160.00 Dec/2025 generating activity proposals Comments on The proposals will be developed, assessed and financed upon successful execution of the developed, submitted, achieving targets capacity building plan, which is still underway financed and implemented by beneficiary cooperatives (by location) (Number) Proportion of benefiting 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 75.00 Dec/2025 cooperative that have Comments on The assessment will happen after CHWs have received funds for the implementation of their received a clean report or achieving targets business plans unqualified opinion on financial management during Mar 18, 2025 Page 4 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) the past fiscal year (Percentage) Percentage of CHW 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2025 75.00 Dec/2025 cooperative members Comments on The assessment will happen after CHWs have received funds for the implementation of their reporting satisfaction with achieving targets business plans cooperative management and performance (by gender and location) (Percentage) Number of exchange visits or 0.00 Jul/2023 0 15-Jan-2024 0 15-Jan-2024 26.00 Dec/2025 peer to peer learning events Comments on Exchange / learning visits and the assessment will happen after CHWs have received funds conducted by CHW achieving targets for the implementation of their business plans cooperative members (Number) Mar 18, 2025 Page 5 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) 6. DISBURSEMENTS 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed TF-C2224 Effective 2.76 2.76 0.00 0.63 2.13 22.70% 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing TF-C2224 Effective 08-Sep-2023 27-Sep-2023 22-Dec-2023 31-Oct-2025 31-Oct-2025 Mar 18, 2025 Page 6 of 7 The World Bank Implementation Status & Results Report Rwanda JSDF - Support to Community Health Workers Project (P175583) 7. RESTRUCTURING HISTORY 8. ASSOCIATED OPERATION(S) There are no associated operations Mar 18, 2025 Page 7 of 7