FOR OFFICIAL USE ONLY Report No: PPIAF000125 INTERNATIONAL DEVELOPMENT ASSOCIATION PROJECT PAPER ON A PROPOSED ADDITIONAL CREDIT IN THE AMOUNT OF EUR 19.3 MILLION (US$20.0 MILLION EQUIVALENT) TO THE ISLAMIC REPUBLIC OF MAURITANIA AND A PROPOSED ADDITIONAL CREDIT IN THE AMOUNT OF EUR 57.8 MILLION (US$60.0 MILLION EQUIVALENT) WITH AN ADDITIONAL GRANT IN THE AMOUNT OF US$15.0 MILLION FROM THE SAHEL ADAPTIVE SOCIAL PROTECTION PROGRAM MULTI-DONOR TRUST FUND TO THE REPUBLIC OF MALI FOR THE SUB-SAHARAN AFRICA WOMEN’S EMPOWERMENT AND DEMOGRAPHIC DIVIDEND PLUS PROJECT March 17, 2025 Health, Nutrition and Population Global Practice Western And Central Africa Region This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing CURRENCY EQUIVALENTS (Exchange Rate Effective January 31, 2025) Currency Unit = EURO Euro 1= US$1.08 US$1.00 = EUR 0.96 FISCAL YEAR January 1 - December 31 Regional Vice President: Ousmane Diagana Regional Director: Trina S. Haque Country Director: Marina Wes Practice Manager: Rifat Afifa Hasan Eleonora Cavagnero, Kofi Amponsah, Teegwende Valerie Porgo, Task Team Leaders: Olga Guerrero Horas, Djibrilla Karamoko The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing ABBREVIATIONS AND ACRONYMS AF Additional Financing AFW Western and Central Africa Region AGYW Adolescent Girls and Young Women ARISE Advancing Resilience and Inclusive Health Systems for Everyone CEN Country Engagement Note CPF Country Partnership Framework CRI Corporate Results Indicator E&S Environmental and social ECCAS Economic Community of Central African States ECOWAS Economic Community of West African States ESCP Environmental and Social Commitment Plan FGM Female Genital Mutilation GBV Gender-Based Violence GWE Girls’ and Women’s Empowerment HNP Health, Nutrition, and Population IPF Investment Project Financing IRI Intermediate Results Indicator MIQRA Improving the Quality and Outcomes of Education for All in Mali NDDO National Demographic Dividend Observatory PCU Project Coordination Unit PDO Project Development Objective PIU Project Implementation Unit POM Project Operations Manual PPA Project Preparation Advance PPSD Project Procurement Strategy for Development REC Regional Economic Communities RSU Unified Social Registry (Registre Social Unifié) RMNCAHN Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition SBCC Social and Behavior Change Communication Campaign SCD Systematic Country Diagnostic SEP Stakeholder Engagement Plan SRH Sexual and Reproductive Health SWEDD Sahel Women’s Empowerment and Demographic Dividend Project SWEDD+ Sub-Saharan Women’s Empowerment and Demographic Dividend Plus Project TA Technical Assistance The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing TABLE OF CONTENTS I. BACKGROUND AND RATIONALE FOR ADDITIONAL FINANCING ........................................................................... 1 II. DESCRIPTION OF ADDITIONAL FINANCING ........................................................................................................... 5 III. KEY RISKS ................................................................................................................................................................ 10 IV. APPRAISAL SUMMARY ........................................................................................................................................... 11 V. WORLD BANK GRIEVANCE REDRESS .................................................................................................................... 16 VI. PROPOSED CHANGES ........................................................................................................................................... 17 VII. DETAILED CHANGE(S) ........................................................................................................................................... 17 ANNEX 1. SWEDD+ RESULTS CHAIN............................................................................................................................. 49 ANNEX 2. REGIONAL APPROACH TO GIRLS AND WOMEN EMPOWEREMENT........................................................... 50 ANNEX 3. DESCRIPTION OF COUNTRY-SPECIFIC ACTIVITIES ....................................................................................... 51 ANNEX 4. CLIMATE CHANGE ........................................................................................................................................ 59 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing @#&OPS~Doctype~OPS^dynamics@afaprbasicdata#doctemplate OPERATION INFORMATION BASIC DATA - MAIN Product Information - Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Operation ID Product/Financing Instrument P176693 Investment Project Financing (IPF) Task Team Leaders Eleonora Del Valle Cavagnero, Kofi Amponsah, Teegwende Valerie Porgo, Djibrilla Karamoko, Olga Guerrero Horas Beneficiary Country/Countries Geographical Identifier Burkina Faso, Chad, Gambia, The, Senegal, Togo Western and Central Africa Requesting Unit Responsible Unit AFWRI (7960) HAWH3 (9322) Approval Date Closing Date 29-Sep-2023 31-Dec-2028 Practice Area (Lead) Approval Fiscal year Health, Nutrition & Population 2024 Environmental and Social Risk Classification (ESRC) Moderate Is there collaboration between Bank and IFC? No Implementing Agency Economic Community of Central African States (ECCAS), Economic Community of West African States (ECOWAS), Ministry of Development Planning and Cooperation Togo, Ministry of Economic Prospects and International Cooperation Chad, Ministry of Health Burkina Faso, Ministry of Health The Gambia, Ministry of Women, Family and Child Protection Senegal IMPLEMENTATION MODALITIES – MAIN Situations of Urgent Need of Assistance or Capacity Constraints [✓] Fragile State(s) [✓] Fragile within a non-fragile Country i The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing [ ] Small State(s) [ ] Conflict [ ] Responding to Natural or Man-made Disaster Other Situations [ ] Financial Intermediaries (FI) [ ] Series of Projects (SOP) [ ] Performance-Based Conditions (PBCs) [ ] Contingent Emergency Response Component (CERC) [ ] Alternative Procurement Arrangements (APA) [ ] Hands-on Expanded Implementation Support (HEIS) @#&OPS~Doctype~OPS^dynamics@afaproperationstatus#doctemplate OPERATION STATUS Development Objective (DO) Development Objective (Approved as part of Approval package on 29-Sep-2023) To increase girls’ and women’s access to learning, economic opportunities, and utilization of health services, and to strengthen the region-wide institutional capacity for gender equality. Key Information from Last ISR Operation Ratings NAME IMPLEMENTATION LAST ISR RATINGS 20-Dec-2023 21-Jun-2024 29-Jan-2025 Progress towards ⚫ Satisfactory ⚫ Satisfactory ⚫ Satisfactory achievement of PDO Overall Implementation ⚫ Satisfactory ⚫ Satisfactory ⚫ Satisfactory Progress (IP) Overall Risk ⚫ Substantial ⚫ Substantial ⚫ Substantial Overall ESS Performance ⚫ Satisfactory ⚫ Satisfactory ⚫ Satisfactory Financial Management ⚫ Satisfactory ⚫ Satisfactory ⚫ Moderately Satisfactory Project Management ⚫ Satisfactory ⚫ Satisfactory ⚫ Satisfactory Procurement ⚫ Satisfactory ⚫ Satisfactory ⚫ Moderately Satisfactory Monitoring and Evaluation ⚫ Satisfactory ⚫ Satisfactory ⚫ Satisfactory Disbursement Summary (in USD million) Source of Funds Net Commitment Disbursed Undisbursed % Disbursed IBRD -- -- -- 0 ii The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing IDA 357.93 24.94 332.63 6.97 Grants -- -- -- 0 @#&OPS~Doctype~OPS^dynamics@afaprprocessing#doctemplate BASIC DATA – ADDITIONAL FINANCING Additional Financing No. 1 Additional Financing Type [✓] Activities are being added to expand the scope of the operation, perhaps in geography or in outputs (Scale-up) The operation has incurred increased costs due to inflation, exchange rate changes, and factors that were not [ ] anticipated at appraisal (Cost-overrun) The operation has experienced shortfalls in co-financing, counterpart financing, or cost recovery that were [ ] anticipated at appraisal but did not materialize. (Financing gap) The design of the operation has changed, and the new designs cost more than the original ones (Change in Project [ ] Design) Expected Approval Date Review Type/Corporate Review Level 07-Apr-2025 Regular Decision Meeting (DM) Will consulting services be required? Is this an Urgent Need or Capacity Constraint request? Yes No Additional Beneficiary Country/Countries Mali, Mauritania IMPLEMENTATION MODALITIES – ADDITIONAL FINANCING Situations of Urgent Need of Assistance or Capacity Constraints [✓] Fragile State(s) [✓] Fragile within a non-fragile Country [ ] Small State(s) [ ] Conflict [ ] Responding to Natural or Man-made Disaster Other Situations [ ] Financial Intermediaries (FI) [ ] Series of Projects (SOP) iii The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing [ ] Performance-Based Conditions (PBCs) [ ] Contingent Emergency Response Component (CERC) [ ] Alternative Procurement Arrangements (APA) [ ] Hands-on Expanded Implementation Support (HEIS) @#&OPS~Doctype~OPS^dynamics@afaprcostfinancing#doctemplate COSTS & FINANCING Summary (Total Financing in US$, Millions) Proposed Last Approved Additional Cancellation Total Total Operation Cost 365.00 95.00 0.00 460.00 Total Financing 365.00 95.00 0.00 460.00 Of which IBRD/IDA 365.00 80.00 0.00 445.00 Financing Gap 0.00 0.00 Financing Details (in US$, Millions) Proposed Source Last Approved Additional Cancellation Total International Development 365.00 80.00 0.00 445.00 Association (IDA) IDA CreditNEW 0.00 20.00 0.00 20.00 IDA Grant 20.00 0.00 0.00 20.00 IDA Credit 75.00 0.00 0.00 75.00 IDA Credit 100.00 0.00 0.00 100.00 IDA Credit 62.50 0.00 0.00 62.50 IDA Grant 82.50 0.00 0.00 82.50 IDA Grant 25.00 0.00 0.00 25.00 IDA CreditNEW 0.00 60.00 0.00 60.00 Trust Funds 0.00 15.00 0.00 15.00 SAHEL ADAPTIVE SOCIAL PROTECTION 0.00 15.00 0.00 15.00 PROGRAMNEW iv The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Total Financing 365.00 95.00 0.00 460.00 IDA Resources (in US$, Millions)- Additional Financing Country/Region Regional Institution Credit Grant SML Guarantee Total Window Burkina Faso 0.00 0.00 0.00 0.00 0.00 National Performance- 0.00 0.00 0.00 0.00 0.00 Based Allocations (PBA) Regional 0.00 0.00 0.00 0.00 0.00 Mali 60.00 0.00 0.00 0.00 60.00 National Performance- 24.00 0.00 0.00 0.00 24.00 Based Allocations (PBA) Regional 36.00 0.00 0.00 0.00 36.00 Mauritania 20.00 0.00 0.00 0.00 20.00 National Performance- 8.00 0.00 0.00 0.00 8.00 Based Allocations (PBA) Regional 12.00 0.00 0.00 0.00 12.00 Senegal 0.00 0.00 0.00 0.00 0.00 National Performance- 0.00 0.00 0.00 0.00 0.00 Based Allocations (PBA) v The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Regional 0.00 0.00 0.00 0.00 0.00 Togo 0.00 0.00 0.00 0.00 0.00 National Performance- 0.00 0.00 0.00 0.00 0.00 Based Allocations (PBA) Regional 0.00 0.00 0.00 0.00 0.00 Total 80.00 0.00 0.00 0.00 80.00 @#&OPS~Doctype~OPS^dynamics@afaprsort#doctemplate SYSTEMATIC OPERATIONS RISK- RATING TOOL (SORT) Last Approved Rating Risk Category Proposed Rating (ISR Seq. 03) Package - 29 Jan 2025 Political and Governance ⚫ Substantial ⚫ Substantial Macroeconomic ⚫ Moderate ⚫ Moderate Sector Strategies and Policies ⚫ Substantial ⚫ Substantial Technical Design of Project or Program ⚫ Moderate ⚫ Moderate Institutional Capacity for ⚫ Substantial ⚫ Substantial Implementation and Sustainability Fiduciary ⚫ Substantial ⚫ Substantial Environment and Social ⚫ Moderate ⚫ Moderate Stakeholders ⚫ Moderate ⚫ Moderate Overall ⚫ Substantial ⚫ Substantial @#&OPS~Doctype~OPS^dynamics@afaprclimate#doctemplate CLIMATE Climate Change and Disaster Screening Has this operation been screened for short-term and long-term climate change and disaster risks? Yes, it has been screened and the results are discussed in the Appraisal Document Where risks exist, have potential resilience-enhancing measures been identified in the appraisal document? No, significant risks were not identified vi The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Does this operation address specific risks, vulnerabilities, gaps or needs with respect to Climate Change that are identified in the SCD or the CPF? No POLICY COMPLIANCE Does the operation depart from the CPF in content or in other significant respects? No Does the operation require any waivers from Bank policies? No @#&OPS~Doctype~OPS^dynamics@afaprteam#doctemplate TEAM Core Team Name Role Specialization ADM Responsible? Eleonora Del Valle Team Leader Team Leader Yes Cavagnero Co Team leader, Olga Guerrero Horas Team Leader No Adolescent health Kofi Amponsah Team Leader Co-team leader Chad No Co-team leader Regional Djibrilla Karamoko Team Leader No Economic Communities co-team leader The Teegwende Valerie Porgo Team Leader No Gambia Financial Management Josue Akre Financial management Yes Specialist Financial Management Tahirou Kalam Financial management No Specialist Financial Management Herve Cossi Ahouissou Financial management No Specialist Financial Management Seynabou Sarr Senegal No Specialist Ahohouindo Mongnihoude Financial Management The Gambia No Jean L Gbaguidi Specialist vii The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Burkina, Economic Financial Management Yeo Yenemanyan Community of West No Specialist African States Financial Management Angelo Donou Financial management No Specialist Mouhamadou Kabir Ndoye Procurement Specialist Procurement Yes Kouami Hounsinou Procurement Specialist Procurement No Messan Laurent Mehdi Brito Procurement Specialist Procurement No Mogesie Ayele Procurement Specialist Procurement No Burkina Faso, West Africa Mathias Gogohounga Procurement Specialist No Health Organization Maman Hassane Gabari Procurement Specialist Procurement Burkina Faso No Mamadou Sangare Procurement Specialist Procurement CHAD No Economic Community of Lanssina Traore Procurement Specialist No Central African States Salifou Abdou Dan Baba Procurement Specialist Procurement No Martin Salihou Bapetel Procurement Specialist Procurement No Ibrah Rahamane Sanoussi Procurement Specialist Burkina Procurement No Salifou Abdou Dan Baba Procurement Specialist Procurement No John Oliver Moss Procurement Specialist Procurement No Sophie Lo Diop Environmental Specialist Environment Yes Komlan Kpotor Environmental Specialist Environment No Souleymane Hussein Seye Environmental Specialist Safeguards No Abdelaziz Lagnaoui Environmental Specialist Environment No Ibrah Hachimou Environmental Specialist Safeguards No Eloise Sophie Fluet Social Specialist Safeguards Yes Sexual Exploitation and Daniela Greco Social Specialist No Abuse/Sexual Harassment viii The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Paivi Koskinen-Lewis Social Specialist Safeguards No Sophia Guerrier-Gray Counsel Lawyer No Edith Ruguru Mwenda Counsel Lawyer No Anta Tall Diallo Procurement Team Procurement No Maimouna Toure Procurement Team Procurement No Kossiwa Naman Procurement Team Team Assistant No Nikolai Alexei Sviedrys Procurement tracking Procurement Team No Wittich system Ndolassem Christabelle Procurement Team Program Assistant No Mbairo Djeneba Bambara Sere Procurement Team Program Assistant No Omer Ramses Zang Sidjou Team Member Health No Ousmane Makan Sidibe Team Member Procurement No Kalilou Sylla Team Member Social Protection No Aline Coudouel Team Member Social Protection No Anne Hilger Team Member Social Protection No Assane Dieng Team Member Education No Claire Elise Boxho Team Member Gender No Mohamed I. Diaw Team Member Operations Officer No Albert Francis Atangana Ze Team Member Environment No Mousson Estelle Jamel Team Member Economist No Koussoube Nicolas Rosemberg Team Member Mali No Babacar Dione Team Member Disbursements No Astyanax Didier Ntiroranya Team Member Economist No Cedric Cubahiro Team Member Disbursements No Sexual Exploitation and Aida Diop Ep Keenan Team Member No Abuse/Sexual Harassment ix The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Cesaire Damien Team Member Operations No Ahanhanzo Diane Menda Assim Team Member Team Assistant No Aida Gadiaga Team Member Co-team leader Senegal No Uraidah Hassani Team Member Operations No Ndoh Ashken Sanogo Team Member Burkina Faso No Dame Seck Thiam Team Member Social protection No Jozefien Kathleen Erica Team Member Operations No Van Damme Monika Marta Bakayoko Team Member Gender-based violence No Topolska Amy Champion Team Member Operations No Leila Hanafi Team Member Legal platforms No Alejandra Linares-Rivas Team Member Communications No Barandiaran Mariam Noelie Hema Team Member Health No Fatoumata Binta Maama Team Member Togo No Barry Lea Marie Rouanet Team Member Economist No Ndeye Diouf Team Member Monitoring and evaluation No Thierno Mamadou Bocar Team Member Operations No Ba Amba Denise Sangara Team Member Program Assistant No My Driss Zine Eddine El Team Member Practice Manager No Idrissi Moussa Dieng Team Member Burkina Faso No Maryse Madikem Team Member Operations No Gomintan Alejandra Mia Garcia- Team Member Operations No Meza x The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Rakia Ali Aga Team Member Health No Uilrich Inespere Waffo Team Member Women Empowerment No Rifat Afifa Hasan Team Member Program Manager No Ibrahima Samba Team Member Education No xi The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing I. BACKGROUND AND RATIONALE FOR ADDITIONAL FINANCING INTRODUCTION AND BACKGROUND 1. This Project Paper seeks the approval of the Executive Directors of an Additional Financing (AF) in the amount of EUR 77.1 million (US$80 million equivalent) comprising an IDA credit in the amount of EUR 57.8 million (US$60.0 million equivalent) to the Republic of Mali and an IDA credit in the amount of EUR 19.3 million (US$20.0 million equivalent) to the Islamic Republic of Mauritania, to support expanding the geographic scope of the Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus (SWEDD+) Project (P176693) to two new Participating Countries: Mali and Mauritania. The financing envelope will include a grant to Mali in the amount of US$15 million from the Sahel Adaptive Social Protection Program Multi-donor Trust Fund (SASPP MTDF) as part of this AF. Mali and Mauritania are proposed to be new beneficiaries of SWEDD+, and the AF will enable the two countries to sustain the momentum towards empowering adolescent girls and young women (AGYW) achieved under the Sahel Women’s Empowerment and Demographic Dividend (SWEDD, P150080) Project, which closed on December 31, 2024. Mali and Mauritania were part of SWEDD and submitted formal requests to join SWEDD+ in 2024, as SWEDD was coming to a closure and key areas for additional support and impact under SWEDD+ had been identified.1 2. Empowering AGYW is essential to accelerate Africa’s demographic transition, improve human development outcomes, and build human capital and inclusive economic growth. Countries in Western and Central Africa Region (AFW) have the highest adolescent birth rates in the world.2 When young women have children at an earlier age, they tend to have more children over their lifetime,3 increasing total fertility rates. Early and unwanted childbearing4 also poses several critical challenges to young mothers, in terms of health, education, and life opportunities. AGYW who lack opportunities are vulnerable to child marriage, early pregnancy, and dropping out of school. This limits their employment and life options and can also put their health at risk. Conversely, young women with more years of schooling exercise greater control over their fertility, have increased economic opportunities, and tend to marry later. Girls’ and Women’s Empowerment (GWE)—in terms of their enhanced access to health services, education, economic participation, and increased agency—helps overcome poverty, reduces inequalities, increases productivity, and improves children’s nutrition, health, and school attendance. 3. SWEDD+ was approved by the Board on September 29, 2023, for a total US$365 million equivalent. This regional project currently covers five countries: Burkina Faso (US$75 million), Chad (US$82.5 million), The Gambia (US$25 million), Senegal (US$100 million), and Togo (US$62.5 million); and two regional economic communities (RECs): the Economic Community of West African States (ECOWAS, US$15 million) and the Economic Community of Central African States (ECCAS, US$5 million). SWEDD+ builds on the SWEDD Project, approved on December 18, 2014, and closed on December 31, 2024, which was the first ever multi-sectoral, government-led GWE program in the region. SWEDD tackled the root causes of child marriage, adolescent fertility and early school dropout in nine countries.5 1 Mali submitted a request to the World Bank to join SWEDD+ on May 30, 2024, and Mauritania requested to join SWEDD+ on July 9, 2024. 2 M. Szmigirera. 2021. Adolescent fertility rate worldwide as of 2020, by region (per 1,000 girls), Staista, Demographics, Dec 21, 2021. 3 A. Moran. 2020. What Factors Affect the Total Fertility Rate, or TFR? Sept 2020. 4 Approximately 40 percent of all pregnancies from developing countries are unplanned. (Bongaarts, J. and J. Casterline. 2013. Fertility transition: Is sub-Saharan Africa different? Popul. Dev. Rev. 38 (suppl. 1), 153–168. doi:10.1111/j.1728-4457.2013.00557.x pmid:24812439). 5 Countries included in the previous SWEDD Project were Benin, Burkina Faso, Cameroon, Chad, Cote d’ Ivoire, Guinea, Niger, Mali and Mauritania. Page 1 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 4. The Project Development Objective (PDO) of SWEDD+ is to increase girls’ and women’s access to learning, economic opportunities, and utilization of health services, and to strengthen the region-wide institutional capacity for gender equality. The SWEDD+ results chain is based on the existing evidence and understanding that multi- sectorial challenges hinder gender equality and women’s empowerment. The project brings about this positive change through access to learning, economic opportunities, and utilization of health services, whilst strengthening institutional capacity at the national and regional level to guarantee an enabling environment for gender equality. The simultaneous work in these four spaces (4E - Education, Enhancing utilization of health services, Economic opportunities and an Enabling environment) is referred to as a 4E approach and underpins the results chain for SWEDD+ (see Annex 1). 5. SWEDD+ activities are organized around three components that empower girls and women at the individual, community, and societal levels, building on the multisectoral “4E” approach. The components are: a. Component 1: Design and implement gender transformative interventions that promote girls’ and women’s social and economic autonomy. b. Component 2: Improve the availability of reproductive, maternal, newborn, child, adolescent health and nutrition (RMNCAHN) services and number of qualified health workers at the community level. c. Component 3: Foster regional and national commitment and capacity for policy making on gender equality, and project management. 6. The design of SWEDD+ follows the recommendations from the recent "Pathways to Prosperity for Adolescent Girls in Africa" report.6 The publication, which primarily builds on the learnings and evidence drawn from SWEDD through impact evaluations and qualitative studies, urges a multi-pronged approach to empower adolescent girls and unlock their potential. SWEDD+ fully aligns with these recommendations by seeking to improve access to quality health and education services while reducing associated costs, promoting economic success through integrated technical and life skills training, coupled with employment support, and prioritizing the most vulnerable girls to ensure no one is left behind. In addition, SWEDD+ continues to provide a regional platform for evidence and learning about the impact of investments made on adolescent girls, through planned impact and nimble evaluations in collaboration with the World Bank Africa Gender Innovation Lab. 7. Project implementation of SWEDD+ is progressing well. Significant advances have been made in The Gambia and Chad, which have disbursed 21 percent and 10 percent of project funds, respectively. Project activities in Senegal, Togo, Burkina Faso, ECOWAS, and ECCAS are in advanced preparatory stages, relying on the experience and tools such as process guides and terms of reference available from other SWEDD+ countries, and building on the lessons learned from SWEDD. Implementation in Burkina Faso has been delayed given that project effectiveness was only declared on February 5, 2025. The effectiveness dates for other participating countries and institutions are: Chad on April 18, 2024; The Gambia on October 26, 2023; Senegal on October 10, 2024; Togo on May 9, 2024; ECOWAS on June 21, 2024; and ECCAS on May 15, 2024. The progress towards achievement of the PDO and Implementation Progress were rated Satisfactory in the last approved Implementation Status and Results (ISR) Report of January 2025, with countries moving towards implementation through the preparation and approval of Annual Work Plans and Budgets (AWPB) and the setup of robust monitoring and evaluation systems. To date, no results have been reported for PDO or IRI indicators given the short time of implementation in many of the countries, but this is expected in the next ISR. Other key ratings are Satisfactory except from Financial Management (FM) and 6 Ajayi, Kehinde, and Estelle Koussoubé, eds. 2024. Pathways to Prosperity for Adolescent Girls in Africa. Washington, DC: World Bank. doi:10.1596/978-1-4648-2061- Page 2 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Procurement which were recently downgraded to Moderately Satisfactory (MS). The team is working closely with each country procurement and financial specialists to regularly update activities and resolve any outstanding issues. RATIONALE FOR ADDITIONAL FINANCING 8. The proposed AF will help Mali and Mauritania to sustain the momentum towards AGYW empowerment achieved under SWEDD, at a period of heightened fragility in the Sahel region whilst continuing to contribute to the regional learning and exchanging platform that SWEDD has created. The expansion of the geographical coverage of SWEDD+ to include Mali and Mauritania will strengthen the regional political commitment towards AGYW empowerment in terms of: (i) the value added of a decade of SWEDD implementation to share with peer SWEDD+ countries, including pioneering experience in religious leader mobilization, sexual and reproductive health (SRH) community-based strategies and the establishment of National Demographic Dividend Observatories (NDDO) and the adoption of demographic-dividend budgeting (in Mali); (ii) an important geopolitical role critical to advance the AGYW empowerment strategy at the regional level, by completing the puzzle not just geographically but also by enabling SWEDD+ to tackle clusters of vulnerability that do not necessarily comply with borders; and (iii) cost-efficiencies for project design and implementation, given the project’s approach of replicating successfully evidence-based interventions in participating countries simultaneously. 9. Investing in AGYW is a long-term agenda that requires additional investments for the prosperity and stability of the region. Both Mali and Mauritania rank lower in their Human Capital Index (32 and 38, respectively) than the Sub- Saharan Africa region (40). 7 In Mali, despite achievements in project intervention areas under SWEDD, school enrolment rates are still very low, and it is estimated that only half of children ages 12-15 (50 percent for girls; 51.2 percent for boys) were enrolled in primary school and less than 20 percent of children 15-18 were enrolled in secondary school (16.4 percent girls; 16.5 percent boys).8 Access to quality essential health services continues to be broadly inadequate: 55.9 percent of pregnant women do not receive the recommended four antenatal care visits and 23.9 percent of teenage and married women lack access to contraception. Gender gaps, gender-based violence (GBV), and unfavorable social norms such as, female genital mutilation (FGM), affects 89 percent of girls and women aged 15 to 49.9 Mauritania continues to fall behind the national targets for RMNCAHN outcomes. With a maternal mortality ratio of 424 per 100,000 live births, the country surpasses the lower-middle-income country average (253 per 100,000 live births).10 Maternal mortality is especially high among women ages 15 to 19, who account for 27 percent of maternal deaths. Notably, the adolescent fertility rate has increased, with over one-quarter of young women in rural areas beginning childbearing before the age of 19. Early marriages are common, with the median age of first marriage being 17 and FGM affects 64 percent of women ages 15-49 years old.11 At the national level, family planning services are primarily available to married people, yet one-third of married women have unmet need for family planning and only 13 percent of married women use modern contraceptives. In terms of education, the Learning Poverty Rate in Mauritania reaches 95 percent. 7 World Bank Databank. 2020. 8 Government of Mali, Statistical Yearbook (2022-2023). 9 UNICEF. "Mutilations génitales féminines au Mali." (2022) UNICEF Mali, n.d., https://www.unicef.org/mali/rapports/mutilations-g%C3%A9nitales-f%C3%A9minines- au-mali. 10 WHO (World Health Organization), UNICEF (United Nations Children’s Fund), UNFPA (United Nations Population Fund), World Bank Group, and United Nations Department of Economic and Social Affairs Population Division. 2023. Trends in Maternal Mortality 2000 to 2020: Estimate by Geneva: WHO. 11 Mauritania MICS (2020). Page 3 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 10. The continuation and expansion of SWEDD activities in Mali and Mauritania, through SWEDD+, is justified by nearly a decade of strong performance, with activities backed by rigorous impact evaluations,12 and an ambition to bring best-practice to scale. In Mali, the project supported 300,250 girls from upper primary school, achieving a retention rate of 97.75 percent. In addition, 323 midwives were deployed to reach more than 2.6 million women through RMNCAHN services, and over 71,000 adolescent girls and boys learned about SRH and critical life skills through safe spaces and husbands’/future husbands’ clubs. In addition, over 6,300 religious leaders have been trained and engaged on women empowerment issues. In Mauritania, activities to support school enrollment and retention increased school retention rates in project intervention areas from 61 percent to 97 percent by the end of the project. Further, through community-based safe spaces activities, more than 26,044 girls increased their SRH knowledge, 170 midwives were trained to provide RMNCAHN services in underserved settings and over 1,000 leaders were trained and engaged to promote girls’ education, SRH best practices, and to denounce GBV. Both Mali and Mauritania have successfully established NDDOs which have produced 58 and 25 publications, respectively, on topics related to demographic dividend issues. 11. The inclusion of Mali and Mauritania under the proposed AF will increase the project’s regional benefits and expand the positive cross-border externalities among the participating countries. The project’s reach will be enhanced thanks in part to the geographical relevance of Mali and Mauritania’s shared borders, cultures and customs with other SWEDD+ countries (Senegal, Burkina Faso). Key factors affecting AGYW, such as early fertility rates, fragility and poverty, cluster regionally, without necessarily aligning to national borders. In addition to reaching hotspots of vulnerable AGYW that transcend borders, the proposed AF will provide robust regional responses to common challenges and will help manage the political economy around AGYW issues in sub-Saharan Africa. Finally, Mali and Mauritania will bring their positive implementation track record, and substantive contributions to championing AGYW empowerment in the region from their participation in SWEDD since 2014. 12. As in the parent project, the regional learning agenda and knowledge platform lies at the core of the regional approach. This project differs from a typical multi-country approach by using a regional learning platform, put in place under the previous SWEDD Project, to share knowledge and implementation science from within and beyond the region to SWEDD+ countries. Participating countries will benefit from those lessons learned, which in turn will reduce design and implementation costs and contribute to a more efficient support to AGYWs. Most activities in Mali and Mauritania are regional in nature by: (i) involving collaboration or collective action to plan, implement, and evaluate interventions, often with a role for a regional coordinating entity; (ii) building regional knowledge, capacity, commitment, or harmonized policies; and/or (iii) tapping economies of scale through pooled procurement of commodities and technical expertise. The benefits of this, notably the quality, efficiency, accountability, and sustainability of solutions, required coordination among SWEDD+ countries, which in turn creates externalities across boundaries to accrue benefits to any one country. A more detailed explanation of those activities by sub-components and how they are fostering integration among the countries within the project are in Annex 2. 13. Moreover, activities under SWEDD+ will leverage the experience under SWEDD to enable a quicker scaleup to new areas and beneficiaries and introduce new approaches focused on the longer-term sustainability of the GWE agenda. This includes promoting income-generating activities that beneficiaries can maintain post-project closure and ensuring government commitment to sustaining operating costs for activities and equipment (like mobile clinics, trained midwives, or school safe spaces). Through this AF, and partly through the contributions from SASPP (for Mali), 12Boulhane,Othmane; Boxho,Claire Elise; Cavagnero,Eleonora Del Valle; et al.Combining Safe Spaces with Accompanying Measures: A Solution to Empower Adolescent Girls in Côte d’Ivoire (English). Gender Innovation Lab Washington, D.C.: World Bank Group. http://documents.worldbank.org/curated/en/099830011202438011/IDU11d34de6a1f2e11452f190a71030e73084215 Page 4 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing both Mali and Mauritania will work to develop sustainability strategies to be built into project design and phased-in throughout implementation. 14. Climate change is exacerbating the challenges faced by women in Mali and Mauritania when it comes to access to RMNCAHN services, GBV, access to school, economic empowerment, and food security. Extreme weather events associated with climate change can disrupt access to education and essential health services, particularly among women.13,14 Climate-induced displacement and extreme events also expose women to particular risk of GBV, early marriage, early pregnancy and food insecurity in both Mali and Mauritania.15 15. In line with the parent project, this AF maintains the project’s gender focus. Activities seek to address key gender gaps, with a special focus on addressing sociocultural norms that often favor conditions that, in turn, negatively impact school attendance for girls, child marriage and early pregnancies, which are highly prevalent in Mali and Mauritania and highly correlated with a lack of education. As in the parent project, the AF in Mali and Mauritania maintains the gender indicator “Retention rate of adolescent girls who are beneficiaries of a schooling intervention in secondary schools” and now includes two new indicators from the gender corporate scorecard: ”People benefiting from actions to increase access to more and better jobs to advance gender equality” and ”People benefiting from actions to improve SRH”. 16. The project has a strong citizen engagement and continuously monitors the impact of interventions through the routine collection of data through the “Grievances addressed within stipulated service standards for response” intermediate result indicator (IRI). In addition to the citizen engagement indicator, the proposed AF and parent project also measure beneficiary satisfaction through the IRI “Women who used a family planning service at a project- supported health facility who reported receiving the contraceptive method of their choice on the day of their visit” indicator. The proposed AF is also aligned with both the mitigation and adaptation goals of the Paris Agreement (details in Section IV). II. DESCRIPTION OF ADDITIONAL FINANCING 17. This AF will help expand the geographic coverage of the SWEDD+ regional project to include Mali and Mauritania as the sixth and seventh SWEDD+ countries, without changing the project’s original design. The PDO of the project will remain unchanged. Similar to the approach for countries already benefiting from the project, activities to be supported by the AF in Mali and Mauritania will be selected from a menu of evidence-based interventions and adapted to country contexts. 18. The components and sub-components of the project will be maintained. Proposed activities for Mali and Mauritania build on the experience of interventions that performed well under SWEDD, with an additional focus on sustainability and leveraging innovations and synergies with projects in the education, social protection and health sectors in Mali and Mauritania. Following the evidence generated from SWEDD, both Mali and Mauritania (in addition to original SWEDD+ countries) are designing packages of interventions to provide a multi-sectoral, community-wide approach 13 Université des Lettres et des Sciences Humaines de Bamako, & Loua, S. (2021). Décrochage scolaire des jeunes filles au Mali: Contraintes et défis. The Journal of Quality in Education, 11(17), 231–246. https://doi.org/10.37870/joqie.v11i17.258 14 World Bank (2024, November 18). Climate Change and Human Health in the Sahel and Mali . https://documents.banquemondiale.org/fr/publication/documents- reports/documentdetail/099111724080243083/P1741311b4563a021aff61bdbe7db55b3c 15 Daalen, K. R. van, Kallesøe, S. S., Davey, F., Dada, S., Jung, L., Singh, L., Issa, R., Emilian, C. A., Kuhn, I., Keygnaert, I., & Nilsson, M. (2022). Extreme events and gender- based violence: A mixed-methods systematic review. The Lancet Planetary Health, 6(6), e504–e523. https://doi.org/10.1016/S2542-5196(22)00088-2 Page 5 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing to GWE. Activities specific to Mali and Mauritania are described in Annex 3 and the respective allocation by component summarized in Table 1 below. In Mali, the co-financing from the SASPP will support activities under Sub- component 1.4, namely the implementation of the economic inclusion program and the strengthening of national government systems for improved targeting and enhanced impact of economic inclusion activities, as well as support Project Management and M&E activities under Sub-component 3.3. Project components are as follows (and more details are under Annex 2): Component 1: Design and implement gender transformative interventions that promote girls’ and women’s social and economic autonomy a. Sub-component 1.1: Social and Behavior Change Communication Campaign (SBCC). b. Sub-component 1.2: Improve life skills and SRH knowledge of adolescents. c. Sub-component 1.3: Keep girls in school through at least secondary level to delay marriage and early childbearing. d. Sub-component 1.4: Economic and financial inclusion to increase agency and opportunities for AGYW. e. Sub-component 1.5: Strengthen GBV prevention and response actions. Component 2: Improve the availability of RMNCAHN services and number of qualified health workers at the community level a. Sub-component 2.1: Enhance the availability of contraceptives and RMNCAHN services at the community level. b. Sub-component 2.2: Enhance the performance of the pharmaceutical supply chain, including last mile delivery. c. Sub-component 2.3: Improve the availability and capacity of health workers providing RMNCAHN services in rural/isolated areas. Component 3: Foster regional and national commitment and capacity for policy making on gender equality, and project management. a. Sub-component 3.1: Strengthen legal frameworks and political commitment for girls’ and women’s reproductive health rights at continental, regional, and national levels. b. Sub-component 3.2: Strengthen capacity for policy making and M&E related to demographic dividend and gender issues. c. Sub-component 3.3: Support project implementation capacity. Table 1: Estimated Project Budget Allocations by Component (US$ million) Project Components Parent AF Mauritania AF Mali Total Project16 IDA SASPP TF IDA Component 1. Design and implement gender transformative interventions that promote girls’ 220.3 12.9 13.0 40.5 286.7 and women’s social and economic autonomy Component 2. Improve the availability of RMNCAHN services and number of qualified 66.0 2.7 10.5 79.2 health workers at the community level Component 3. Foster regional and national commitment and capacity for policy making on 78.7 4.4 2.0 9.0 94.1 gender equality, and project management 16 The parent project allocations are for activities corresponding to: Burkina Faso, Chad, Gambia, Senegal, Togo, ECOWAS and ECCAS. Page 6 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Total 365.0 20.0 15.0 60.0 460.0 19. Results framework: The PDO and IRI indicators have been revised to ensure that the data collected through the project contributes to the corporate scorecard through Corporate Results Indicators (CRI) for health, gender, and education, without impacting the project design or M&E plans. The PDO indicator “Innovative regional initiatives implemented with regional institutional support (number)” will be maintained to capture the project’s regional dimension and cross-border spillovers through the exchange of knowledge and implementation science amongst participating countries. Targets for PDO indicators and IRIs will be revised upwards to include results for Mali and Mauritania. The end target dates have also been adjusted to June 2030, to align with Mali’s closing date. In addition, the project will include additional relevant indicators to national reporting frameworks, such as marital status for community-based safe spaces for both countries. These indicators will be defined in the Project Operations Manual (POM) and monitored by the project implementation/coordination unit (Project Implementation Unit (PIU)/Project Coordination Unit (PCU)) as part of the project’s regular implementation support. Adjustments to the RF are as follows: a. PDO level indicators: i. Beneficiaries of job-focused interventions: marked for deletion and re-assigned. This was the original CRI in the parent project but is no longer categorized as such. The targets for this indicator are moved to the new CRI as mentioned above: “People benefiting from actions to increase access to more and better jobs to advance gender equality (number)” (Gender CRI). ii. People receiving outpatient services (number): new. This indicator will capture the previous “Modern contraceptive users in project intervention areas” indicator to contribute to the Health, Nutrition, and Population (HNP) CRI. The indicator is disaggregated by youth (women under 24 years of age) and females (all modern contraceptives users in project intervention areas). iii. Modern contraceptive users in project intervention areas: (number) marked for deletion. This indicator has been removed as it is now captured under the PDO HNP CRI indicator mentioned above, rather than as a standalone indicator. b. Intermediate results indicators: i. Beneficiaries who have completed training in safe spaces: (number) marked for deletion and re- assigned. This indicator is still measured by the project but is now included as: “People benefiting from actions to improve SRH” (Gender CRI). ii. Adolescent girls having benefitted from at least one schooling intervention (number): marked for deletion and re-assigned. This indicator is still measured by the project but is now included as: “Students supported with better education, in secondary school” (Education CRI). 20. Closing date: For Mali, the closing date will be June 30, 2030. For Mauritania, the closing date is aligned with the parent project (December 31, 2028). The financing agreements of the countries in the parent project will not be extended through this AF. 21. Institutional arrangements: There are no changes in implementation arrangements at the regional level. For Mali specifically, the institutional arrangements of the recently closed SWEDD Project will be maintained and reinforced. The supervisory ministry of SWEDD+ will be the ministry responsible for demographic issues (Ministry of Urban Planning, Housing, Estates, Territorial Planning and Population). Given the successful implementation of SWEDD, its coordinating body (national steering committee) will serve as a basis for multi-sectoral collaboration. The national Page 7 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing steering committee membership will be revised based on the current institutional landscape, and it will include representatives from all implementing bodies, such as: the Ministry of Economy and Finance, the Ministry of Health and Social Affairs, the Ministry of National Education, the Ministry of Employment and Vocational Training, the Ministry responsible for the advancement of women, the Ministry of Youth, the Ministry of Foreign Affairs, and the PCU. In addition, the key personnel from the PCU that managed the SWEDD Project will be maintained (subject to satisfactory performance evaluations). The PCU will be supported by the approved Project Preparation Advance (PPA) until project effectiveness.17 Minimal additional personnel is required and this is primarily related to the recruitment of additional technical personnel to comply with environmental and social (E&S) standards, to provide technical support to accompany the design and implementation of economic inclusion investments and to support the FM of the project. Implementation of community-based activities in Mali under Component 1 will continue to leverage civil society actors and non-governmental organizations. For Mauritania, the institutional arrangements of SWEDD will also remain in place. The supervisory ministry for SWEDD+ will be the Ministry of Economy and Finance. Building on the successful implementation of SWEDD, its coordinating body (national steering committee) will continue to serve as the foundation for multi-sectoral collaboration. This committee will include representatives from key implementing entities, including the Ministry of Health, the Ministry of Education and Reform of Education, the Ministry of Islamic Affairs and Original Education, ministry of youth, sports and civic service and the Ministry of Childhood and Family, as well as the PIU. The project may also collaborate with the Taazour General Delegation for National Solidarity and the Fight Against Exclusion18 on social protection and economic inclusion activities. The PIU personnel from the SWEDD Project will be maintained, at the government’s request, subject to satisfactory performance evaluations. 22. The activities supported by the proposed AF are well aligned to the World Bank’s investments and priorities, and to national strategies in Mali and Mauritania. These follow the Africa West Regional Integration update strategy for FY21-23, 19 and particularly the Human Capital Development pillar’s focus on “pandemic response, disease surveillance, skills and capacity building, harmonized statistics, Identification for Development, and demographics and women’s empowerment.” The project is aligned with the goals of the World Bank AFW Region priorities 2021- 2025 “Supporting a Resilient Recovery: Africa ACT- Adapt Connect and Transform, People First” 20 transformational goal one on “Rebuilding trust between citizens and the state to create a new social contract” and transformational goal three on “Strengthening human capital and empowering women to help ensure that all boys and girls reach their full potential.” The project is in harmony with the World Bank’s Strategy for Fragility, Conflict, and Violence 2020-2025, 21 particularly: (i) investing in human capital and building the resilience; and (ii) preparedness of communities, including the ability to manage climate change and environmental degradation. Finally, the project is directly linked to the Gender Strategy for 2024-203022 and its three strategic objectives: (i) End GBV and elevate human capital; (ii) Expand and enable economic opportunities for all; (iii) Engage women as leaders. 17 The request for a PPA from Mali was received on November 28, 2024. The PPA was signed by the Government of Mali on February 25,2025. 18 Taazour is a government entity whose primary mission is to address poverty and social exclusion in the country through various initiatives including maintaining a Social Registry and running social protection programs. 19 World Bank. 2020. Supporting Africa’s Recovery and Transformation: Regional Integration and Cooperation Assistance Strategy - Update for the Period FY21–FY23. Washington, D.C.: World Bank Group. https://documentsinternal.worldbank.org/search/32673155 20 World Bank. 2021. Supporting A Resilient Recovery: The World Bank’s Western and Central Africa Region Priorities 2021-2025. Washington, D.C.: World Bank Group. https://documentsinternal.worldbank.org/search/33107623 21 World Bank. 2020. World Bank Group Strategy for Fragility, Conflict, and Violence 2020 –2025. Vol. 1 of 2Washington, D.C.: World Bank Group. https://documentsinternal.worldbank.org/search/31820313 22 World Bank.2024. World Bank Gender Strategy 2024-2030 - Accelerate Gender Equality for a Sustainable, Resilient, and Inclusive Future: Consultation Draft. Washington, D.C.: World Bank Group. https://documentsinternal.worldbank.org/search/34358465 Page 8 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 23. In Mali, SWEDD+ aligns with the Mali Vision 2063 and the National Strategy for Emergence and Sustainable Development (Stratégie nationale pour l'émergence et le développement durable, SNEDD) 2024-2033. It focuses on the provision of basic services to benefit the population and thereby strengthens the role of the state. A Country Partnership Framework (CPF) for FY26-30 is under preparation and the proposed AF is directly aligned with Outcome 1 related to improving service delivery and human capital. It also contributes to Outcome 2 related to more resilient communities. The project is consistent with the Systematic Country Diagnostic Update (SCD) for Mali (2022, P500039) that highlights rebuilding capabilities for a stronger social contract (pathway 1) and investing in Mali’s people to build human capital (pathway 2). 24. SWEDD+ is also designed to maximize synergies with other World Bank-funded projects in Mali. In the education sector, the Improving the Quality and Outcomes of Education for All in Mali (MIQRA, P164032) Project is helping to improve access to and quality of primary and secondary education. MIQRA will support the construction of schools and invest in the training of teachers and other quality improvement measures. Through its community engagement activities, SWEDD+ will encourage parents in the zones of MIQRA-financed schools to enroll their children and provide support to keep girls in school. Further, SWEDD+ will complement MIQRA’s investments by providing support to children who have dropped out of school so that they can be brought back to the schooling system and complete their education. In the health sector, the Advancing Resilience and Inclusive Health Systems for Everyone (ARISE/Keneya Yiriwali, P503776) Project is strengthening the health system and improving the autonomy of health facilities through performance-based subsidies. SWEDD+ will contribute to higher utilization of the services supported by ARISE/Keneya Yiriwali by creating demand for these services. Further, SWEDD+ will contribute to improvements in the quality of care by enhancing the availability of trained staff and pharmaceuticals in hard-to- reach areas. SWEDD+ investments in economic inclusion can also help to mobilize private sector investment and will be coordinated with the Promote Access to Finance, Entrepreneurship and Employment in Mali Project (PAFEEM, P168812). In the sector of Agriculture, the joint SP-Agri- Mali Dryland Development Project (P164052) seeks to improve agricultural productivity and strengthen the resilience of rural households living in the targeted dryland areas. The project supports the promotion of emerging high value crops value chains and the investment in productive infrastructure at the community level through the development of small, irrigated perimeters and pond landscaping used for livestock watering or fish farming or season vegetable production by groups of women and young people. SWEDD+ will offer opportunity to adolescents and women to access to agriculture sector innovations, productive infrastructures and production techniques that have been developed or piloted under the Dryland Development Project. 25. In Mauritania, a new CPF (FY26-30) is under preparation (P505242) and expected to be delivered this calendar year. SWEDD+ is consistent with the National Health Policy—Vision 2030, the National Health Development Plan (NHDP) 2021–2030, which outlines the government’s vision for achieving Universal Health Coverage, ensuring that all individuals in the Mauritanian population, including refugees, have access to quality essential health and nutrition services and are protected against financial risks. The program is also aligned with the National Strategy for Accelerated Growth and Shared Prosperity (Stratégie Nationale de Croissance Accelerée et de Prosperité Partagée, SCAPP) 2016–2030 and other relevant national policies and plans in the health sector, in line with Sustainable Development Goal 3: ensuring healthy lives and promoting well-being for all at all ages. SWEDD+ will contribute to five strategic pillars of the national health strategy: (a) health; (b) resilience of vulnerable groups; (c) political governance, social cohesion, peace, and security; (d) capturing of the demographic dividend; and (e) promotion of women’s civic participation and fight against GBV. Page 9 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 26. SWEDD+ will be implemented in close collaboration with other sectoral projects in Mauritania. The project is being designed in close coordination with the Mauritania Health System Support Project (INAYA) (P179558). Particularly, the community component linked to performance-based financing (PBF) will be linked to the social and behavior communication campaign (SBCC) and health personnel deployment efforts in hard-to-reach areas, helping to ensure equity through geographical outreach. Activities on income-generation build on the knowledge, institutions and tools used for the Youth Employability Project (P162916), and will find synergies for life skills, employment readiness training, and technical skills training, support for micro-entrepreneurship, meant to strengthen the employability of vulnerable youth. Finally, education activities will be linked to the Improving Education Quality, Results, and Access for All (IQRAA) (P509243) Project. SWEDD+ beneficiaries will receive support to stay in school, which will be combined with IQRAA’s efforts towards building teachers’ capacities, gender-sensitive school infrastructure, aligned efforts to tackle structural and socio-cultural barriers, enabling girls to enroll, stay, and succeed in school. III. KEY RISKS 27. The overall risk rating of the project remains Substantial, taking into account mitigation measures that are implemented and planned under the proposed AF. The main risks and mitigation measures are below. 28. Political and governance risk remains rated Substantial. The project will be carried out in the sub-Saharan region, which is affected in several countries by fragility, socio-political instability, violence, and weaknesses in governance. Insecurity and instability risks could spill over borders and render regional cooperation difficult. Mali and Mauritania are no exceptions to this. In addition, project interventions will seek to reach vulnerable communities in potentially unsafe areas. Another political and governance risk specific to Mali concerns the country’s exit from ECOWAS. These risks will be mitigated by close dialogue with key government personnel, the World Bank, and PIU/PCU, and tight coordination with project partners, including other donors. Regional collaboration will be achieved through other platforms, including SWEDD+ specific platforms that promote knowledge sharing and exchange of information among countries. Personal data, personally identifiable information, and sensitive data are likely to be collected and used in connection with the management of the project interventions. To guard against abuse of that data, the project will incorporate best international practices for dealing with such data, including data minimization, data accuracy, use limitations, data retention, informing data subjects of use and processing of data, and allowing data subjects the opportunity to correct information about themselves. 29. Sector strategy and policy risk remains rated Substantial. SWEDD+ country development strategies recognize the importance of the demographic transition and GWE, and many have supportive legal and policy frameworks for GWE. At the same time, implementation of these frameworks is rarely supported by strong, coordinating institutions or by sufficient funding. The evolving discourse around demographic issues could impact the design and implementation of core strategies and policies that are needed for the effective implementation of SWEDD+ activities. The project includes activities to support capacity, political commitment, and legal frameworks related to demographic dividend and gender issues. These activities cut across various stakeholders, including traditional and religious leaders, as well as decision makers in central agencies like Ministries of Finance. Even though Mali and Mauritania have already embarked on the process of institutionalizing these discussions under the leadership of the NDDOs, additional efforts will be required to integrate this agenda into relevant government reforms and policies. Moreover, continuous community engagement will be needed to ensure that the voice of beneficiaries is heard in the design/revision of critical policy documents. Page 10 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 30. Institutional capacity for implementation and sustainability risk remains rated Substantial. Most countries, and the RECs, have limited capacity for implementation of projects on a technical and administrative level, especially multi- sectoral projects that require significant inter-ministerial coordination. To address this issue, partnership and implementation arrangements of the project will be kept as simple as possible. The project will also rely on the expertise of regionally recruited TA providers to ensure that the project is implemented in a smooth and timely fashion. Moreover, the proposed AF will include capacity building and the institutionalization of critical activities to promote the sustainability of past and future investments. 31. Fiduciary risks remain rated Substantial. Procurement risks are rated Substantial. This rating is based on Procurement Assessment and Management Systems carried out during the preparation of the parent project and whilst are still applicable and which primarily relate to: (i) limited capacity to comply adequately with procurement policies and procedures in a timely manner; (ii) restricted competition for procurement processes in local markets; (iii) administrative routines with the potential of delaying implementation. FM risks are also considered Substantial. While FM arrangements are considered adequate, a review of the FM capacity of the entities that will be involved in the implementation of the parent project in Mauritania and Mali has identified inherent and control risks. Corresponding mitigating measures such as ensuring adequate qualified staffing within the PIU/PCU, closely monitoring the POM and quarterly reports and ensuring the project’s accounting systems adequately tracks financial transactions. IV. APPRAISAL SUMMARY A. Economic and Financial Analysis 32. The economic analysis conducted for the parent project remains unchanged with the expansion of the project through the AF, as the underlying assumptions have not changed. The SWEDD+ Project is expected to have short- and long-term economic benefits through increasing access to learning, health services, and economic opportunities for women and girls in AFW region. The recently published "Pathways to Prosperity for Adolescent Girls in Africa" report23 suggests that investing in adolescent girls through a combination of education, access to RMNCAHN, and economic inclusion can yield a tenfold return in economic impact over the next 15 years. 33. Each additional year of schooling of a girl translates into higher earnings. Globally, women with primary education earn 14–19 percent more than women without a primary education, women with secondary education earn twice as much, and women with tertiary education earn three times as much.24 Continued schooling also reduces child marriage, which lowers future earnings for women in adulthood by 9 percent on average.25 34. Improved access of girls and women to quality reproductive and maternal health services, including family planning, averts high costs.26 In francophone West Africa, investing in family planning to meet the unmet needs expressed by women to space or limit births would avert 7,400 maternal deaths and 500,000 child deaths in the next 23 Ajayi, Kehinde, and Estelle Koussoubé, eds. 2024. Pathways to Prosperity for Adolescent Girls in Africa. Washington, DC: World Bank. doi:10.1596/978-1-4648-2061- 8 24 World Bank. 2019. World Development Report 2019: The Changing Nature of Work. Washington, DC. https://www.worldbank.org/en/publication/wdr2019. 25 Savadogo, A., and Q. Wodon. 2018. Impact of Child Marriage on Women’s Earnings across Multiple Countries. Education Global Practice. Washington, DC: The World Bank. 26 Guttmacher Institute and UNFPA. 2012. Adding it up: Costs and Benefits of contraceptive services, estimates for 2012. Page 11 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 10 years. 27 SWEDD+ investments in family planning (through Components 1 and 2) could therefore save nearly US$800 million in other development sectors across the region. In addition, cumulative savings of the costs of maternal and child health care have been estimated to amount to US$182 million for the next 10 years and US$1.9 billion by 2040.28 35. Building economic opportunities for women is strongly associated with gross domestic product (GDP) growth , as the size of the labor force, national output, and productivity increase as women enter the labor force.29 Gender gaps cost the global economy an estimated 15 percent of global GDP, while gaps between men and women in sub-Saharan Africa cost the regional economy an estimated 11 percent of GDP in the short run. The demographic dividend, made possible by an increased workforce and reduced dependency rates, could in Africa account for 11 to 15 percent of GDP volume growth by 2030, while accounting for 40 to 60 million fewer poor in 2030.30 36. The services supported through SWEDD+ focus on equity and are cost-effective. Health services are supported both at health facilities and in the community. Community health workers are critical for linking beneficiaries with health services, enhancing equity, increasing self-reliance by communities, and contributing to other social benefits and community norms.31 A considerable body of research has established that RMNCAHN interventions are among the most effective and cost-effective available.32 For example, evidence finds that modern contraceptives are very cost- effective in that cost per life-year saved is less than per capita GDP.33 B. Technical 37. The technical assessment for the parent project remains relevant to the proposed AF for which the components and institutional arrangements remain unchanged. The proposed AF will support the implementation of interventions that have been globally shown to increase GWE based on impact evaluations and rigorous program evaluations. There is a growing evidence base on effective empowerment interventions targeting adolescent girls and their communities, both within and beyond any human development sector. Some of the interventions that have proven to be most effective include the following three broad categories: (i) continued education for girls; (ii) life skills and SRH knowledge (including negotiation, refusal techniques, problem solving, and healthy gender dynamics); and (iii) economic empowerment (e.g., skills training on production resources, vocational training, and entrepreneurial training, as well as financial literacy). 38. The proposed AF is aligned with both the mitigation and adaptation goals of the Paris Agreement and both Mali’s and Mauritania’s Nationally Determined Contributions (NDC, both updated in 2021). Mali’s NDC commits to reduce GHG emissions by 40 percent by 2030 in comparison to a business-as-usual scenario (BAU). Mauritania’s NDC commits to an 11 percent reduction in emissions from 2021 to 2030 in comparison to a business-as-usual scenario 27 Achieving the MDGs: The Contribution of Family Planning in francophone West Africa. Health Policy Project, Futures Group International, Washington, DC, January 2011. 28 Futures Group Inc., January 2011. 29 Cuberes, D., & Teignier, M. 2016. Aggregate Effects of Gender Gaps in the Labor Market: A Quantitative Estimate. Journal of Human Capital 10(1), 1–32. 30 Ahmed, Amer, Marcio Cruz, Delfin Go, Maryla Maliszewska, and Israel Osorio-Rodarte. 2016. “How Significant Is Sub-Saharan Africa's Demographic Dividend for Its Future Growth and Poverty Reduction?”, Review of Development Economics Volume 20, Issue 4, pages 762–793. 31 Lehmann, U., and D. Sanders. 2007. “Community Health Workers: What Do We Know about Them? The State of the Evidence on Programmes, Activities, Costs and Impact on Health Outcomes of Using Community Health Workers.” World Health Organization Policy Brief 2: 1–42. 32 Jamison, D. T., J. G. Breman, A. R. Measham, G. Alleyne, M. Claeson, D. B. Evans, P. Jha, A. Mills, and P. Musgrove, eds. 2006. Disease Control Priorities in Developing Countries. 2nd edition. Washington, DC: World Bank and Oxford University Press. 33 Horton, S., D. C. N. Wu, and E. Brouwer. 2015. “Methodology and Results for Systematic Search, Cost and Cost -Effectiveness Analysis.” Working Paper, Disease Control Priorities, 3rd edition, Volume 2. http://www.dcp-3.org /resources/working-papers. Page 12 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing and up to 92 percent to be achieved with international support. The NDC and the National Adaptation Programme of Action to Climate Change (NAPA) for both countries identify health as a vulnerable sector to impacts of climate change and related hazards. The activities proposed under this project are consistent with and do not hinder Mali and Mauritania’s climate commitments regarding both countries formal agreements on mitigation and adaptation. 39. Assessment and reduction of adaptation and mitigation risks. Adaptation: SWEDD+ includes some activities that are vulnerable to climate shocks that may affect Mali and Mauritania, such as heavy rains, floods, storms, extreme temperatures, and drought, and measures have been included to reduce these risks. Component 1 will finance climate-resilient safe spaces to dissemintate SRH knowledge. It will also increase women’s climate resilience by reducing their barriers to school access and supporting their economic empowerment with a focus on income generating activities linked to climate adaptation, mitigation or food production. Component 2 will aim at increasing continuity of care (availability of contraceptives and RMNCAHN services) in the context of climate-related extreme weather events. In particular, it will strengthen the last mile delivery supply chain, and improve the availability and capacity of community health workers in climate vulnerable rural/ isolated areas. Component 3 will support a better integration of climate resilience in reproductive health rights legal frameworks and political commitments as well as on broader demographic dividend and gender issues. Mitigation: All project activities are universally aligned with the Paris Agreement on climate change. There will be no building or equipment funded through the project. C. Financial Management Mali 40. The proposed AF will be implemented in accordance with the applicable World Bank policies, guidelines and reference materials on Investment Project Financing (IPF). The PCU, which will have overall FM responsibility for the proposed AF, implemented SWEDD in Mali with Satisfactory FM performance. The FM arrangements will be the same as for the closed financing. An assessment of the FM capacity of the PCU has been carried out in December 2024 in accordance with the FM in World Bank Operations, last revised in March 2023. 41. The PCU will include an FM specialist and an accountant familiar with World Bank procedures. In addition, POM including FM procedures and project accounting software will be updated in line with the proposed AF activities. The accounting, reporting, budgeting, external audit and anti-fraud and anti-corruption arrangements will be maintained for the new operation. The planning and budgeting processes of the proposed AF will follow the guidelines set out in Instruction No. 14-2628/MEF-SG signed by the MEF on 12 August 2014. The Annual Work Plan and Budget (AWPB) will be submitted no later than 30 November of the year preceding the year in which the work plan is to be implemented. 42. Financial reports will be designed to provide quality and timely information on project performance to project management, World Bank, and other stakeholders. The PCU will submit quarterly interim financial reports (IFR) to the World Bank within 45 days after the end of each calendar quarter and will reflect the activities implemented directly by the PCU as well as any United Nations (UN) agency and other implementing entities. 43. The audited financial statements, together with the auditor's report and the management letter on the internal control weaknesses identified, will be submitted to the World Bank no later than six (6) months after the end of each financial year. Page 13 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing 44. The overall FM risk of the proposed AF for Mali is Substantial. The existing FM arrangements are adequate to provide, with reasonable assurance, the accurate and timely FM information on the status of the project required by the World Bank. However, to maintain an adequate internal control environment and clear segregation of duties, the POM, including FM procedures, will reflect the activities of the proposed AF. The PPA requested by Mali will support the strengthening of the PCU and aforementioned documents and procedures to ensure a good level of readiness to accelerate to effectiveness. To mitigate fiduciary risks and strengthen the internal control environment, the following measures are proposed for implementation within three months of the effectiveness: (i) hire or appoint a FM specialist, an accountant, and one internal auditor; (ii) revise and update the FM manual of procedures to align with the AF specificities; and (iii) customize and update the project’s accounting software. The assessment concludes that the FM arrangements are in line with the World Bank's minimum FM requirements as set out in the World Bank's Policy and Directive for IPF operations. Mauritania 45. The AF will leverage the existing FM arrangements of SWEDD’s PIU for its implementation. During the last implementation support mission in December 2024, the FM performance of SWEDD Mauritania was rated Moderately Satisfactory, primarily due to delays in recruiting the FY2024 external audit firm. Nevertheless, no significant FM issues were raised in the FY2023 external audit, and there are no overdue audit reports or unaudited interim financial reports. As part of preparation of the proposed AF, an FM assessment of the SWEDD PIU was conducted in January 2025, following the guidelines outlined in the FM in the World Bank’s Operations manual, last revised in March 2023. The assessment confirmed that SWEDD Mauritania continued to maintain acceptable FM and disbursement arrangements, despite the project being in a grace period which will end in April 2025. However, the assessment highlighted two risks: (i) a potential lack of engagement from the fiduciary team during the grace period and their disengagement before the effectiveness of the AF; and (ii) a misalignment of the manual of procedure and the accounting software with the specific requirements of the AF. 46. To mitigate these risks and strengthen the internal control environment, the following measures are proposed for implementation within three months of the effectiveness: (i) hire or appoint a FM specialist, an accountant, and one internal auditor; (ii) revise and update the FM manual of procedures to align with the AF specificities; and (iii) customize and update the project’s accounting software to ensure it adequately tracks financial transactions under the proposed project. Additionally, the PIU will submit quarterly unaudited IFRs to the World Bank, using the same formats as those established for SWEDD Furthermore, the annual accounts for the AF will be audited by an independent external auditor, to be recruited within four months of project effectiveness. The flow of funds for the AF will mirror the arrangements under SWEDD, with: (i) one designated account opened at the Central Bank of Mauritania, and one transaction account opened in a commercial bank acceptable to IDA. Disbursements will primarily be based on statements of expenditures. Additional methods such as reimbursement, special commitments, and direct payments will also apply. Detailed instructions for disbursement will be outlined in the Disbursement and Financial Information Letter for the AF. 47. The overall FM residual risk for Mauritania is assessed as Moderate, considering the risk mitigation measures incorporated in the project’s FM arrangements. Based on the measures outlined, the proposed FM arrangements are adequate to meet the World Bank’s minimum FM requirements under the FM Manual for IPF. Page 14 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing D. Procurement 48. Mali: The procurement performance of the original SWEDD Project in Mali was rated Satisfactory. The PCU included appropriate staff with experience on World Bank procurement procedures. However, some challenges were encountered during the implementation of SWEDD, particularly in terms of delays in procurement processes, especially in the preparation of tender documents, the evaluation, and the contract approval and signature stage within the government. Based on this experience and an assessment of the scope of the AF for SWEDD+, the overall procurement risk is Substantial. The following mitigation measures are proposed : (i) train/refresh all actors involved in the procurement processes on World Bank procurement procedures; (ii) update POM to take into account the scope of SWEDD+ and clarify, for each stage of the different procurement processes, the responsibility of each actor, to minimize delays; and (iii) closely monitor and exercise control of all aspects of procurement processes in line with the updated manual of procedures. After implementation of these measures, the risk will be lowered to moderate. 49. Mauritania: The procurement assessment found that the PIU that managed SWEDD at the Ministry of Finance and Economy had some difficulties to achieve the planned activities in the procurement plan during the project implementation. The PIU has a procurement specialist and a procurement assistant. They both have experience with the New Procurement Framework and World Bank procurement procedures. Nevertheless, the procurement risk is considered as Substantial, due to the significant delays recorded in procurement processes, especially in the preparation of tender documents, the evaluation processes, and the contract approval and signature stage within the government. The inherent risks associated with the project are mainly procurement delays and contract management challenges. The proposed risk mitigations are: (i) preparation of Project Procurement Strategy for Development (PPSD) for the planned contracts and the procurement plan of the new project; (ii) close monitoring of procurement activities within the PIU to ensure that procedures are followed, and problems are resolved in a timely manner; (iii) capacity strengthening of the existing procurement units through trainings on World Bank procedures; and (iv) preparation of a financial and procurement procedures manual. 50. Procurement will be conducted in accordance with the World Bank’s “Procurement Regulations for Investment Project Financing (IPF) Borrowers”, will follow World Bank Procurement Regulations for IPF Borrowers (revised February 2025)5th Edition, dated September 2023, Guidelines on Preventing and Combating Fraud and Corruption in Projects Financed by IBRD Loans and IDA Credits and Grants, dated July 1, 2016, as well as other provisions stipulated in the Financing Agreements. 51. As part of the AF preparation, a simplified PPSD and a Procurement Plan have been prepared by each of the two Recipients. The PPSD describes how fit-for-purpose procurement activities will support implementation and achievement of the PDO and deliver value for money. The PPSD informs the detailed 18-month procurement plans that have been prepared and specifies, for each contract: (i) a brief description of the activities/contracts; (ii) the selection methods to be applied; (iii) the estimated cost; (iv) time schedules; (v) the World Bank’s review requirements; and (vi) any other relevant procurement information. Any updates to the Procurement Plan and the PPSD will be submitted for the World Bank’s review and approval. All procurement activities under the proposed financing will utilize the World Bank’s online procurement planning and tracking tool, Systematic Tracking of Exchanges in Procurement (STEP), to prepare, clear, and update the Procurement Plan and to carry out all procurement transactions. During project implementation, the World Bank will provide additional support and/or training on procurement procedures and STEP clinics for project implementation, as needed. Page 15 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing E. Legal Operational Policies Triggered? Projects on International Waterways OP 7.50 No Projects in Disputed Areas OP 7.60 No F. Environmental & Social 52. The combined E&S risks are rated as Moderate, as they are localized, not irreversible, and can easily be mitigated with appropriate mitigation measures. Key risks include those associated with minor civil, such as occupational and community health and safety risks (noise, vibration, the risk of child or forced labor in daily labor, etc.). Any civil works that lead to land acquisition, restriction of access or land use or involuntary resettlement, or that lead to substantial or high E&S risks and impacts will be excluded from project financing. Other risks include the potential exclusion of certain groups from project benefits - although such risks can be greatly mitigated by features in the project design and stakeholder engagement efforts, or social discontent and grievances, especially related to the allocation of the grant subsidy program under economic empowerment activity (Sub-component 1.4). 53. Both Mali and Mauritania have prepared and disclosed their Environmental and Social Commitment Plans (ESCP) and Stakeholder Engagement Plans (SEP). The ESCPs for Mali and Mauritania were disclosed on January 30, 2025.The Mali SEP was publicly disclosed on January 23, 2025,34 while the Mauritania SEP was publicly disclosed on January 16, 2025.35 V. WORLD BANK GRIEVANCE REDRESS 54. Grievance Redress: Communities and individuals who believe that they are adversely affected by a project supported by the World Bank may submit complaints to existing project-level grievance mechanisms or the World Bank’s Grievance Redress Service (GRS). The GRS ensures that complaints received are promptly reviewed in order to address project-related concerns. Project affected communities and individuals may submit their complaint to the World Bank’s independent Accountability Mechanism (AM). The AM houses the Inspection Panel, which determines whether harm occurred, or could occur, as a result of World Bank non-compliance with its policies and procedures, and the Dispute Resolution Service, which provides communities and borrowers with the opportunity to address complaints through dispute resolution. Complaints may be submitted to the AM at any time after concerns have been brought directly to the attention of World Bank Management and after Management has been given an opportunity to respond. For information on how to submit complaints to the World Bank’s Grievance Redress Service (GRS), visit http://www.worldbank.org/GRS. For information on how to submit complaints to the World Bank’s Accountability Mechanism, visit https://accountability.worldbank.org. 34 http://www.muh.gouv.ml/ 35 https://www.economie.gov.mr/fr/node/687 Page 16 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing @#&OPS~Doctype~OPS^dynamics@afaprproposedchanges#doctemplate Summary changes VI. PROPOSED CHANGES Operation Information Proposed Changes Operation Information Proposed Changes Results Yes Implementation Schedule Yes Legal Covenants Yes Loan Closing Date Extension No Conditions Yes Loan Cancellations No Disbursements Estimates Yes Reallocations No Clients Yes Financial Management No Components Yes Procurement No Beneficiary Countries Yes Institutional Arrangement No Development Objective No Implementation Modalities No Summary Description No (Operation Abstract) Legal Operational Policies No MFD/PCE No Implementation Modalities No Disbursements Arrangements No Additional Regional No Institutions @#&OPS~Doctype~OPS^dynamics@afaprdetailedchanges#doctemplate VII. DETAILED CHANGE(S) COMPONENTS Last Approved Proposed Component Name Cost (USD) Action Component Name Cost (USD) 1. Design and implement 1. Design and implement interventions that promote interventions that promote 220,300,000.00 Revised 286,750,000.00 girls’ and women’s social girls’ and women’s social and and economic autonomy economic autonomy 3. Foster regional and 3. Foster regional and 78,700,000.00 Revised 79,160,000.00 national commitment and national commitment and Page 17 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing capacity for policymaking capacity for policymaking and and gender equality gender equality 2. Improve the availability 2. Improve the availability of of quality RMNCAHN quality RMNCAHN services services and qualified 66,000,000.00 Revised 94,090,000.00 and qualified health workers health workers at the at the community level community level TOTAL 365,000,000.00 460,000,000.00 COSTS & FINANCING Private Capital Facilitation Is this an MFD-Enabling Project (MFD-EP)? No Last approved as part of PAD Data Sheet (Approval) on 28-Sep-2023 Is this project Private Capital Enabling (PCE)? No Last approved as part of PAD Data Sheet (Approval) on 28-Sep-2023 DISBURSEMENTS Operation Dates & Projection Details Reasons to change the full Disbursement date and/or the projection Implementation Start Date Operation Closing Date 29-Sep-2023 31-Dec-2028 Projected Date for Full Disbursement 31-Dec-2030 Expected Disbursements (in US $) (Absolute) Original Estimation at Preparation Actual Year Revised Estimation (Approval Package – 29 Sep 2023) FY2024 40,000,000.00 9,325,478.31 9,505,079.68 FY2025 75,000,000.00 25,000,000.00 15,429,931.99 FY2026 45,000,000.00 70,000,000.00 0.00 FY2027 80,000,000.00 85,000,000.00 0.00 Page 18 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing FY2028 75,000,000.00 90,000,000.00 0.00 FY2029 50,000,000.00 90,000,000.00 0.00 FY2030 0.00 90,000,000.00 0.00 FY2031 0.00 55,674,521.69 0.00 ENVIRONMENTAL & SOCIAL Overview Operation Location Operation location and salient physical characteristics relevant to the ESS Assessment (geographic, environmental, social) (if known) The AF is expanded to two new countries Mali and Mauritania. There are no adverse impacts expected for this AF. Detailed operation location(s) and salient physical characteristics relevant to the ESS Assessment (geographic, environmental, social) This Additional Financing (AF) involves two new countries under the project: Mali and Mauritania, where activities would take place nationwide. The project will mostly fund consulting, communication costs, training services, and medical supplies. The project will also finance subsidies to vulnerable women’s small and micro businesses as part of the economic empowerment component 1.4. Minor civil works, such as the renovation and construction of latrines and fences, may also be financed. Any activity leading to substantial or high E&S risks and impacts, or those leading to impacts associated with land acquisition, involuntary resettlement or restriction of land use, will be excluded from project financing. Borrower’s Institutional Capacity The Sahel Women's Empowerment and Demographics Project P150080 (SWEDD 2) under the World Bank’s former safeguard policies, which included Mali and Mauritania, closed in December 2024. While the former SWEDD project in Mali and Mauritania were both categorized as “C” under the Bank’s former Safeguard Policy, the Bank monitored the PMUs’ E&S performance, including the management of grievances until the projects’ closure. Overall, both PMUs recruited an E&S specialist, and at the end of project implementation were able to integrate basic E&S mitigation measures into the minor civil works (i.e. latrine construction) and apply Codes of Conduct on project workers. While the grievance mechanism was operational in Mali with 16 grievances received and addressed, it was not in Mauritania and will have to be revised under the AF. Capacity-building for both PMUs will have to be provided given that it will be their first experience applying the ESF. The project management units (PMUs) that were in place for the former project SWEDD2 will be maintained in each country. It is proposed that both PMU recruit a full-time environmental and social specialist and GBV specialist. In addition, a security specialist will be hired in Mali on a part-time and as-needed basis. Assessment Environmental & Social Risk Classification Environmental Risk Rating Social Risk Rating Moderate Moderate Original Environmental and Social Risk Rating (ESRC) Revised Environmental and Social Risk Rating (ESRC) Page 19 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Moderate Moderate Environmental & Social Standards E & S Standards Relevance ESS 1: Assessment and Management of Environmental and Social Risks and Relevant Impacts ESS 10: Stakeholder Engagement and Information Disclosure Relevant ESS 2: Labor and Working Conditions Relevant ESS 3: Resource Efficiency and Pollution Prevention and Management Relevant ESS 4: Community Health and Safety Relevant ESS 5: Land Acquisition, Restrictions on Land Use and Involuntary Resettlement Not Currently Relevant ESS 6: Biodiversity Conservation and Sustainable Management of Living Natural Not Currently Relevant Resources ESS 7: Indigenous Peoples/Sub-Saharan African Historically Underserved Not Currently Relevant Traditional Local Communities ESS 8: Cultural Heritage Not Currently Relevant ESS 9: Financial Intermediaries Not Currently Relevant Summary of Assessment of Environmental and Social Risks and Impacts The E&S risks associated with the AF include elite capture, grievances associated with the allocation of the grant subsidy program under subcomponent 1.4, SEA/SH risks, as well as generic E&S risks associated with minor civil works, such as occupational and community health and safety risks (noise, vibration, the risk of child or forced labor when local contractors hires daily labor, etc.…), minor medical waste associated with the acquisition of medicine under Component 3. As these risks are localized and can easily mitigated with appropriate mitigation measures and capacity-building, the consolidated E&S risk rating has been rated as Moderate. To minimize the risks highlighted above, the Borrower will implement a communication campaign to disseminate information on the eligibility criteria and selection process and put in place a robust grievance mechanism. For small scale civil works, a list of activities excluded from financing will be included in the project Manual of Operations (MoP) and grant allocation guidelines. These will include subprojects with substantial or high E&S risks as well as those leading to land acquisition, involuntary risks and impacts and restriction of access or use of land. E&S measures for civil works will include the application of Environmental and Social Management Plan (ESMP) or Good Practices Codes, and the inclusion of generic and specific E&S clauses in contractors' bidding documents as relevant. Given the limited risks, Labor Management Procedures (LMPs) will not be prepared. Key ESS2 considerations, such as the minimum age to work on the project (18 years old), terms and condition for community workers, driving safety measures and the application of a Code of Conduct (CoC) will be directly integrated in the Project’s Manual of Operation (MOP) for each PMU in addition to the ESCPs. related to the production of biomedical waste will be managed by a Biomedical Waste Management Plan which can be developed based on the capitalization of health projects in both countries. With regards to the subsidy/grant allocation program under the economic empowerment subcomponent 1.4, the PMU will Page 20 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing put in place an E&S screening process. A Code of Conduct will be applied to all project workers to minimize SEA/SH risks. Last Finalized Date Is a common approach being considered? 11-Feb-2025 No Legal Covenants Loan/Credit/TF Description Status Action BURKINA FA: Schedule 2, Section I(A)(3)(c): the Recipient shall, no later than three IDA-74140 months after the Effective Date, recruit (ix) a Not yet due No Change social specialist; (x) a gender-based violence specialist. BURKINA FA: Schedule 2, Section I(G)(1): Not later than three (3) months after the Effective Date, the Recipient shall update its IDA-74140 Not yet due No Change accounting and information system (i.e., configure the existing accounting software parameters). BURKINA FA: Schedule 2, Section I(G)(2): Not later than six (6) months after the Effective IDA-74140 Date, the Recipient shall recruit an external Not yet due No Change auditor in accordance with the Procurement Regulations. CHAD FA: Schedule 2, Section 1(A)(2)(d): no later than three (3) months after the Effective Date, the Recipient shall recruit and IDA-E2400 thereafter maintain during Project Complied with No Change implementation: (i) an internal auditor; (ii) a gender-based violence specialist; (iii) a social specialist. CHAD FA: Schedule 2, Section 1(E): The Recipient shall not later than three (3) months after the Effective Date, update its IDA-E2400 Complied with No Change accounting and information system (i.e., configure the existing accounting software parameters). GAMBIA FA Schedule 2, Section (I)(F)(1)(a): The Recipient shall, not later than 3 months IDA-E2410 Complied with No Change after the Effective Date: update its accounting and information system (i.e., Page 21 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing configure the existing accounting software parameters), to take into account the specific requirements of the Project. GAMBIA FA Schedule 2, Section (I)(F)(1)(b): The Recipient shall, not later than 3 months after the Effective Date: modify its existing IDA-E2410 Complied with No Change memorandum of understanding with the Internal Audit Directorate to include the Project. ECOWAS FA Schedule 2, Section (I)(C)(1): To facilitate the carrying out of the Project, the Recipient shall, and shall cause the Project Implementing Entity, no later than three (3) months after the Effective Date, make part of IDA-E2420 Expected soon No Change the proceeds of the Financing allocated from time to time to the Category of the table set forth in Section III.1 of this Schedule available to UNFPA under an agreement, in form and substance satisfactory to the Association. ECOWAS FA Schedule 2, Section (I)(G)(3): Not later than three (3) months after the Effective Date, the Recipient shall update its IDA-E2420 accounting and information system (i.e., Complied with No Change configure the existing accounting software parameters), to take into account the specific requirements of the Project. ECOWAS FA Schedule 2, Section (I)(G)(1): Not later than six (6) months after the Effective Date, the Recipient shall recruit an external IDA-E2420 Expected soon No Change auditor in accordance with the Procurement Regulations, in a manner and with qualifications satisfactory to the Association. ECCAS FA Schedule 2, Section 1(F)(1): Not later than six (6) months after the Effective Date, the Recipient shall recruit an external IDA-E2430 Expected soon No Change auditor in accordance with the Procurement Regulations, in a manner and with qualifications satisfactory to the Association. ECCAS FA Schedule 2, Section 1(F)(2)(a): Not IDA-E2430 Complied with No Change later than three (3) months after the Effective Page 22 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Date, the Recipient shall update its accounting and information system (i.e., configure the existing accounting software parameters), to take into account the specific requirements of the Project. ECCAS FA Schedule 2, Section 1(F)(2)(b): Not later than three (3) months after the Effective IDA-E2430 Date, the Recipient shall recruit or appoint an Expected soon No Change accountant in a manner and with qualifications satisfactory to the Association. SENEGAL FA Schedule 2, Section 1(F)(1): Not later than six (6) months after the Effective Date, the Recipient shall recruit an external IDA-74160 Not yet due No Change auditor in accordance with the Procurement Regulations, in a manner and with qualifications satisfactory to the Association. SENEGAL FA Schedule 2, Section 1(F)(2): Not later than four (4) months after the Effective Date, the Recipient shall update its IDA-74160 accounting and information system (i.e., Not yet due No Change configure the existing accounting software parameters), to take into account the specific requirements of the Project. TOGO FA Schedule 2, Section I(G)(1)(a): The Recipient shall not later than three (3) months after the Effective Date establish a Public Procurement Management Unit in the IDA-74170 Ministry of Development Planning and Complied with No Change Cooperation, in accordance with the Recipient’s procurement legal framework, in form and substance satisfactory to the Association. TOGO FA Schedule 2, Section I(G)(1)(b): The Recipient shall not later than three (3) months after the Effective Date appoint, Partially complied IDA-74170 reassign, or recruit to the PMU an No Change with accountant, and an internal auditor, all with terms of reference, qualifications, and experience, satisfactory to the Association. Page 23 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing TOGO FA Schedule 2, Section I(G)(1)(c): The Recipient shall not later than three (3) months after the Effective Date establish, in form and substance satisfactory to the IDA-74170 Not complied with No Change Association, a multi-project computerized accounting system to accommodate the Project needs and generate useful information and financial statements. TOGO FA Schedule 2, Section I(G)(2): The Recipient shall not later than three (3) months after the Effective Date, ensure that IDA-74170 Complied with No Change the PIU procurement staff are trained on the use of STEP, in form and substance satisfactory to the Association. ECOWAS FA Schedule 2, Section (I)(G)(1): Not later than six (6) months after the Effective IDA-E2420 Date, the Recipient shall recruit an external Expected soon No Change auditor in accordance with the Procurement Regulations. ECOWAS ESCP 1.1: Hire or appoint the social specialist and a GBV specialist (part-time) no IDA-74160 Not yet due No Change later than three months after the Effective Date. ECCAS ESCP 1.1: Hire the social specialist and a Gender Based Violence specialist (part- IDA-E2430 Expected soon No Change time) no later than three months after Effective Date. GAMBIA ESCP 1.1: Hire the social specialist IDA-E2410 and a SEA/SH specialist no later than three Complied with No Change months after Effective Date. SENEGAL ESCP 1.1: Hire the social specialist IDA-74160 and a SEA/SH specialist no later than three Not yet due No Change months after Effective Date. TOGO ESCP 1.1: Hire the social specialist and IDA-74170 a GBV specialist no later than three months Expected soon No Change after Effective Date. MALI GA Schedule 2(1)(F)(1): Not later than three (3) months after the Effective Date, the IDA-E2430 Not yet due New Recipient shall hire or appoint a financial management specialist, an accountant and Page 24 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing one internal auditor in accordance with terms of reference acceptable to the Bank. MALI GA Schedule 2(1)(F)(2): Not later than three (3) months after the Effective Date, the Recipient shall update its accounting and IDA-E2430 Not yet due New information system (i.e., configure the existing accounting software parameters), in form and substance satisfactory to the Bank. MALI GA Schedule 2(1)(F)(3): Not later than six (6) months after the Effective Date, the IDA-E2430 Recipient shall recruit an external auditor in Not yet due New accordance with the Procurement Regulations. MALI FA Schedule 2(2)(F)(1): Not later than three (3) months after the Effective Date, the Recipient shall hire or appoint a financial IDA-E2430 Not yet due New management specialist, an accountant and one internal auditor in accordance with terms of reference acceptable to the Association. MALI FA Schedule 2(2)(F)(2): Not later than three (3) months after the Effective Date, the Recipient shall update its accounting and information system (i.e., configure the IDA-E2430 Not yet due New existing accounting software parameters), in form and substance satisfactory to the Association, to take into account the specific requirements of the Project. MAURITANIA FA Schedule 2(2)(F)(1): Not later than three (3) months after the Effective Date, the Recipient shall hire or appoint a IDA-E2430 financial management specialist, an Not yet due New accountant and one internal auditor in accordance with terms of reference acceptable to the Association. MAURITANIA FA Schedule 2(2)(F)(2): Not later than three (3) months after the Effective Date, the Recipient shall update its IDA-E2430 Not yet due New accounting and information system (i.e., configure the existing accounting software parameters), in form and substance Page 25 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing satisfactory to the Association, to take into account the specific requirements of the Project. MAURITANIA FA Schedule 2(2)(F)(3): Not later than six (6) months after the Effective IDA-E2430 Date, the Recipient shall recruit an external Not yet due New auditor in accordance with the Procurement Regulations. MAURITANIA ESCP: Appoint the E&S specialist and GBV specialist within 90 days after project effectiveness and maintain IDA-E2430 Not yet due New these positions throughout project implementation. The security specialist should be hired as needed. MALI ESCP: Maintain a PCU and or appoint the E&S specialist and GBV specialist within 60 days after project effectiveness and IDA-E2430 Not yet due New maintain these positions throughout project implementation. The security specialist should be hired as needed. Conditions Type Description of Conditions Action Under Category (2) until the Recipient has prepared and Disbursement adopted the Cash Payments Manual in form and No Change substance acceptable to the Association. Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. The Recipient has prepared and adopted a Project Effectiveness Operations Manual, in form and substance satisfactory No Change to the Association. The Recipient has recruited or appointed to the Project Implementation Unit, an additional procurement Effectiveness No Change specialist, in accordance with the provisions of the Procurement Regulations. The Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. Page 26 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing The Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. The Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. The Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. The Recipient has prepared and adopted a Project Effectiveness Operations Manual (POM), in form and substance No Change satisfactory to the Association. The Recipient has recruited a Project coordinator, a procurement specialist, and a financial management Effectiveness specialist for the Project Coordination Unit, all in No Change accordance with the provisions of the Procurement Regulations. The Recipient has prepared and adopted a financial Effectiveness manual, all in form and substance satisfactory to the No Change Association. The Recipient has: (i) recruited to said Project Management Unit, a procurement specialist, and a Effectiveness financial management specialist, in accordance with the No Change provisions of the Procurement Regulations, and (ii) designated a Project coordinator. The Subsidiary Agreement has been executed on behalf Effectiveness of the Recipient and the Project Implementing Entity No Change (WAHO). Under each of Category (2) and (3), unless and until the Recipient has prepared and submitted to the Association Disbursement the Cash Transfer and Scholarships Manual referred to in No Change Section I.C.1 of Schedule 2 to this Agreement, in form and substance satisfactory to the Association. An administrative, accounting and financial manual of Effectiveness No Change procedures. Under Category (2), unless and until the Recipient has prepared and submitted to the Bank the Allowances Disbursement Manual referred to in Section I.D.1 of Schedule 2 to this New Agreement, in form and substance satisfactory to the Bank. Page 27 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing The Recipient has prepared and adopted a Project Effectiveness Operations Manual, in accordance with the provisions of New Section I.C of Schedule 2 to this Agreement. Under Category (2), unless and until the Recipient has prepared and submitted to the Association the Disbursement Allowances Manual referred to in Section I.D.1 of New Schedule 2 to this Agreement, in form and substance satisfactory to the Association. The Additional Condition of Effectiveness consists of the following, namely, that the Recipient has prepared and Effectiveness adopted a Project Operations Manual, in accordance New with the provisions of Section I.C of Schedule 2 to this Agreement. Under Category (3), unless and until the Recipient has prepared and submitted to the Association the Disbursement Entrepreneurial Scholarships Manual referred to in New Section I.D.1 of Schedule 2 to this Agreement, in form and substance satisfactory to the Association. CLIENTS Burkina Faso Type Role Country Country/Regional Borrower/Recipient Burkina Faso Organization Name Email Phone Survey Economic Community of Central African States (ECCAS) Type Role Country Country/Regional Implementing Agency Burkina Faso Organization Name Email Phone Survey Page 28 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Yvette Kapinga Ngandu 12345 Yes (Superviseur de la préparation yngandu@hotmail.com du projet SWEDD de la CEEAC) Economic Community of West African States (ECOWAS) Type Role Country Country/Regional Implementing Agency Nigeria Organization Name Email Phone Survey Melchior Aissi (Director 22605050562 Yes maissi@wahooas.org General) Ministry of Development Planning and Cooperation Togo Type Role Country Line Ministry/Ministerial Implementing Agency Togo Department Name Email Phone Survey Amevi Akpoto Komlagan 22890057374 Yes Komlagan (National Focal cakpoto@gmail.com Point) Ministry of Economic Prospects and International Cooperation Chad Type Role Country Central Ministry Implementing Agency Chad Name Email Phone Survey Mahamat Chaib Brahim 23566291653 Yes machabra@yahoo.fr (General Secretary) Page 29 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Ministry of Economy and Finance, Islamic Republic of Mauritania Type Role Country Country/Regional Borrower/Recipient Mauritania Organization Name Email Phone Survey Mohamed Salem Nany 222 47 41 18 88 Yes (Directeur Général des msalemnany@gmail.com Financements et de la Coopération Economique) Ministry of Health Burkina Faso Type Role Country Country/Regional Implementing Agency Burkina Faso Organization Name Email Phone Survey Robert Lucien Jean Claude 0022670263514 Yes rkargougouljc@gmail.com Kargougou (Director) Ministry of Health The Gambia Type Role Country Line Ministry/Ministerial Implementing Agency Gambia, The Department Name Email Phone Survey Fatou Sagarr Jagne 220 796 2011 Yes fatou.sagarr@gmail.com (Coordinator) Page 30 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Ministry of Urban Planning, Housing, Estates, Territorial Planning and Population Mali Type Role Country Country/Regional Borrower/Recipient Mali Organization Name Email Phone Survey Moussa Sidebe +22366754587 Yes msidibe@sweddmali.org (Coordonateur) Ministry of Women, Family and Child Protection Senegal Type Role Country Line Ministry/Ministerial Implementing Agency Senegal Department Name Email Phone Survey Mouhamed Ndiaye (Director) mouhamed.ndiaye@femme. 123456 Yes gouv.sn Republic of Chad Type Role Country Country/Regional Borrower/Recipient Chad Organization Name Email Phone Survey Republic of Senegal Type Role Country Country/Regional Borrower/Recipient Senegal Organization Page 31 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Additional Financing Name Email Phone Survey Republic of The Gambia Type Role Country Country/Regional Borrower/Recipient Gambia, The Organization Name Email Phone Survey Republic of Togo Type Role Country Country/Regional Borrower/Recipient Togo Organization Name Email Phone Survey Page 32 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) RESULTS COUNTRY: Burkina Faso, Chad, Gambia, The, Senegal, Togo Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project @#&OPS~Doctype~OPS^dynamics@afaprresultframework#doctemplate Project Development Objective(s) PDO Indicators by PDO Outcomes Baseline Period 1 Period 2 Period 3 Period 4 Period 5 Completion Period Increase access to learning and economic opportunities Revise Retention rate of adolescent girls who are beneficiaries of a schooling intervention in secondary schools (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 80.00 88 89 90 92 93 94.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The end date was adjusted to reflect Mali's closing date. Revise Adolescent girls and women receiving interventions in safe spaces with a good understanding of the impact of decisions surrounding marriage and childbearing (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 89 90 91 92 93 93.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The end date was adjusted to reflect Mali's closing date. New People benefiting from actions to increase access to more and better jobs to advance gender equality (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 12,000 150,205 214,906 289,918 300,000 358,818 ➢ NewPeople benefiting from actions to increase access to more and better jobs to advance gender equality - Female (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 12,000 150,205 214,906 289,918 300,000 358,818 Page 33 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) ➢ NewPeople benefiting from actions to increase access to more and better jobs to advance gender equality - Youth (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 12,000 150,205 214,906 289,918 300,000 358,818 Increase utilization of health services New Number of people receiving outpatient services (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 1,327,022 1,343,810 1,705,266 2,048,822 2,417,697 2,670,000 2,796,385 ➢ NewNumber of people receiving outpatient services - Female (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 1,327,022 1,343,810 1,705,266 2,048,822 2,417,697 2,670,000 2,796,385 ➢ NewNumber of people receiving outpatient services - Youth (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 490,191 495,000 633,909 674,390 739,966 870,000 952,390 Strengthen the region-wide institutional capacity for gender equality Revise Level of achievement of budgeting responsive to gender and the demographic dividend in countries (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 13.00 15.00 25 30 47 63 86.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The end date was adjusted to reflect Mali's closing date. Revise Innovative regional initiatives implemented with regional institutional support (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 1.00 2 3 3 4 5.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The end date was adjusted to reflect Mali's closing date. Intermediate Results Indicators by Components Baseline Period 1 Period 2 Period 3 Period 4 Period 5 Completion Period Revised 1. Design and implement interventions that promote girls’ and women’s social and economic autonomy Page 34 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) Revise Husband and future husband club beneficiaries who report doing domestic work and who believe in delaying marriage until adulthood (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 43.00 57 65 70 75 79.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revise Young women and adolescent girls who have received vocational training (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 5,000 60,000 226,600 294,578 357,498 474,823 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revise GBV survivors having received at least one service (health, psychosocial, legal, security, economic) from an organization supported by the Project (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 47.00 52 61 65 73 82.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. New Students supported with better education, in secondary school (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 25,000 84,520 266,075 463,595 654,370 1,053,140 New ➢ Students supported with better education, in secondary school - Female (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 25,000 84,250 266,075 463,595 654,370 1,053,140 New ➢ Students supported with better education, in secondary school - Youth (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 25,000 84,250 266,075 463,595 654,370 1,053,140 New CRI People benefiting from actions to improve sexual and reproductive health (Number of people) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 35,000 159,000 350,100 569,300 741,740 1,035,940 ➢ NewPeople benefiting from actions to improve sexual and reproductive health - Female (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 Page 35 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) 0 35,000 159,000 350,100 569,300 741,740 1,035,940 ➢ NewPeople benefiting from actions to improve sexual and reproductive health - Youth (Number of people) CRI Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0 35,000 159,000 350,100 569,300 741,740 1,035,940 Revised 3. Foster regional and national commitment and capacity for policymaking and gender equality Revise Countries with an operational legal team working on girls' and women's empowerment (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 1.00 1.00 3 5 6 7 7.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revise Countries with a functioning demographic dividend observatory in place (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 3.00 3.00 4 5 6 7 7.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revise Community and religious leaders engaged in actively promoting girls' schooling, adolescent reproductive health, and freedom from GBV and harmful practices (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 2,000 6,250 10,690 15,480 20,367 29,230 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revise Grievances addressed within stipulated service standards for response (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 36.00 75 82 89 90 92.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The closing date was extended to reflect Mali's closing date. Revised 2. Improve the availability of quality RMNCAHN services and qualified health workers at the community level Revise Women who used a family planning service at a project-supported health facility who reported receiving the contraceptive method of their choice on the day of their visit (Percentage) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 Page 36 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (P176693) 58.00 58.00 60 62 65 69 69.00 Rationale for Change Targets were revised to include targets from the new countries (Mali and Mauritania). Target was revised downward due to high contraceptives stockout rates in Mauritania and a low contraceptives prevalence, bringing the regional average target down. The closing dates were extended to meet the last closing date of the participating state, Mali. Revise Midwives within the Project's intervention areas who have completed training or short-term mentoring sessions on providing quality reproductive health services (Number) Sep/2023 Jun/2025 Jun/2026 Jun/2027 Jun/2028 Jun/2029 Jun/2030 0.00 630 1,430 2,140 3,050 4,065 6,114.00 Rationale for Change Indicators were revised to include targets for Mali and Mauritania. The end date was adjusted to reflect Mali's closing date. Page 37 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Monitoring & Evaluation Plan: PDO Indicators by PDO Outcomes PDO Outcome Increase access to learning and economic opportunities Indicator Name Retention rate of adolescent girls who are beneficiaries of a schooling intervention in secondary schools (Percentage) Proportion of adolescent girls at the secondary level (6th grade to Terminale) benefiting from school support interventions that are maintained in the cycle to the following year.Numerator: In year T+1, the number of adolescent girls benefitting from academic support activities who continue the Description secondary cycle (whether they return to the same class or move on to the next class)Denominator: Total number of secondary school adolescent girls benefiting from education activities. Frequency Annual Data source Reports on school retention compiled by national ministries of education as part of the national reporting system. Schools report on student retention as part of the national education information system. Data is compiled at the local level and inserted into the Methodology for Data national reporting system for education indicators. Collection Data collection will take place at the beginning of each school year. The data will also make it possible to follow up on girls who have dropped out or changed schools. Responsibility for Data Ministry of Education through regional and/or local focal points. Collection Adolescent girls and women receiving interventions in safe spaces with a good understanding of the impact of decisions surrounding marriage and Indicator Name childbearing (Percentage) Proportion of beneficiaries of interventions in safe spaces who were able to cite at least one of the following:-a harmful consequence linked to child marriage-a harmful consequence linked to early pregnancies-a benefit related to birth spacing.This indicator measures the impact of reproductive health Description skills building activities in safe spaces. It is determined following a light survey oftarget populations benefiting from safe spaces at the start and end of training (pre-test and post-test). A system guaranteeing theneutrality of the investigators must be ensured. Numerator: Number of beneficiaries who have completed the Safe Spaces Interventions training who were able to name at least one adverse consequence related to child marriage, at least one adverse consequence related to early pregnancy, and at least one benefit related to birth spacing. Denominator: Total number of people (girls, women) Page 38 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) having followed the training in safe spaces). Having followed the training means having participated in at least 50 percent of the training sessions (i.e. 14 out of 28 sessions) Frequency Every 6 months Data source Light Investigation Report or Training Report (Pre-Test and Post-Test) Methodology for Data Pre and Post-test results will be compiled and reported on. The pre-test that will be conducted before the start of the trainings will determine the level of Collection initial knowledge of SRH issues by the beneficiaries in the areas of intervention of the project. Responsibility for Data PIUs Collection Indicator Name People benefiting from actions to increase access to more and better jobs to advance gender equality (Number of people) CRI Jobs-focused interventions are those contributing to the jobs agenda that have an explicitly stated and substantive link to creating more, better, and/or inclusive jobs. Interventions include: young girls and women who participated in at least one component of the women's economic empowerment Description program and who received in-kind and/or cash support from the program for vocational training, an income-generating activity income, or a subsidy for an income generating activity. Frequency Every six months Data source Training attendance registries Compilation of data on the number of adolescent girls, young girls and women who participated in at least one component of the economic Methodology for Data empowerment program and who received in-kind and/or cash support from the program for vocational training, income-generating activity, or a subsidy Collection for IGAs. PIUs must keep a detailed file of beneficiaries by type of intervention. Responsibility for Data PIUs Collection Indicator Name People benefiting from actions to increase access to more and better jobs to advance gender equality - Female (Number of people) CRI Jobs-focused interventions are those contributing to the jobs agenda that have an explicitly stated and substantive link to creating more, better, and/or inclusive jobs. Interventions include: young girls and women who participated in at least one component of the women's economic empowerment Description program and who received in-kind and/or cash support from the program for vocational training, an income-generating activity income, or a subsidy for an income generating activity. Page 39 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Frequency Every six months Data source Training attendance registries Compilation of data on the number of adolescent girls, young girls and women who participated in at least one component of the economic Methodology for Data empowerment program and who received in-kind and/or cash support from the program for vocational training, income-generating activity, or a subsidy Collection for IGAs. PIUs must keep a detailed file of beneficiaries by type of intervention. Responsibility for Data PIUs Collection Indicator Name People benefiting from actions to increase access to more and better jobs to advance gender equality - Youth (Number of people) CRI Jobs-focused interventions are those contributing to the jobs agenda that have an explicitly stated and substantive link to creating more, better, and/or inclusive jobs. Interventions include: young girls and women who participated in at least one component of the women's economic empowerment Description program and who received in-kind and/or cash support from the program for vocational training, an income-generating activity income, or a subsidy for an income generating activity. Frequency Every six months Data source Training attendance registries Compilation of data on the number of adolescent girls, young girls and women who participated in at least one component of the economic Methodology for Data empowerment program and who received in-kind and/or cash support from the program for vocational training, income-generating activity, or a subsidy Collection for IGAs. PIUs must keep a detailed file of beneficiaries by type of intervention. Responsibility for Data PIUs Collection PDO Outcome Increase utilization of health services Indicator Name Number of people receiving outpatient services (Number of people) CRI Number of women of childbearing age (10-24 years and 25-49 years) recruited from the project service delivery points (health facilities, CHWs, mobile Description clinics or others) who use a modern contraceptive method. Modern contraceptive methods include implant, injectable, oral contraceptive/pill, intrauterine device (IUD), male condom, female condom, emergency contraception, female sterilization. Frequency Every six months Page 40 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Data source Routine health information system data, collected by health services providers supported by the project. Methodology for Data Project progress report, routine data can also be used if the health information system allows collection of these data in a timely manner. Collection Responsibility for Data Ministries of Health Collection Indicator Name Number of people receiving outpatient services-Female (Number of people) CRI Number of women of childbearing age (10-24 years and 25-49 years) recruited from the project service delivery points (health facilities, CHWs, mobile Description clinics or others) who use a modern contraceptive method. Modern contraceptive methods include implant, injectable, oral contraceptive/pill, intrauterine device (IUD), male condom, female condom, emergency contraception, female sterilization. Frequency Every six months Data source Routine health information system data, collected by health services providers supported by the project. Methodology for Data Project progress report, routine data can also be used if the health information system allows collection of these data in a timely manner. Collection Responsibility for Data Ministries of Health Collection Indicator Name Number of people receiving outpatient services-Youth (Number of people) CRI Description Women below 24 years of age Frequency Every six months Data source Routine health information system data, collected by health services providers supported by the project. Methodology for Data Project progress report, routine data can also be used if the health information system allows collection of these data in a timely manner. Collection Responsibility for Data Ministries of Health Collection PDO Outcome Strengthen the region-wide institutional capacity for gender equality Page 41 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Indicator Name Level of achievement of budgeting responsive to gender and the demographic dividend in countries (Percentage) This index measures country progress to achieving budgeting sensitive to gender and the demographic dividend. Achieving budgeting sensitive to gender and the demographic dividend is defined as completing the following steps: - Step 1: Transformation of the classic budget into a functional budget- Step 2: Retropolation and Connection of the Demographic Dividend Monitoring Index (DDMI)- Step 3: Linking the DDMI to the functional budget and budget Description elasticities- Step 4: Drafting of the Budget Sensitive to Demographic Dividend analysis report (human capital and gender)- Step 5: Presentation of the budget efficiency report to parliament or government.An index score of 20 percent is assigned to the completion of each step. The index value will range from 0 percent (has not engaged in any of the steps) to 100 percent (achieve all five steps). The regional achievement will be calculated as the mean of all countries. Frequency Annual Data source Data on progress towards adopting budgeting responsive to gender and the DD will be collected for each SWEDD+ country. Methodology for Data A progress tracker and data collection tool will be shared with each country. Collection Responsibility for Data Regional Institutions Collection Indicator Name Innovative regional initiatives implemented with regional institutional support (Number) An innovative regional initiative is a successful intervention using an evidence-based approach and led by a regional organization or a country and Description implemented by at least two countries. The initiative may be new or already exist in one country, and be expanded to at least one new country. Frequency Annual Data source Inventory of ongoing regional initiatives Methodology for Data A regional-level monitoring methodology will be put in place in collaboration with regional institutions and UNFPA Collection Responsibility for Data Regional institutions Collection Page 42 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Monitoring & Evaluation Plan: Intermediate Results Indicators by Components Results Area 1. Design and implement interventions that promote girls’ and women’s social and economic autonomy Indicator Name Students supported with better education, in secondary school (Number of people) CRI Number of girls benefiting from school-related interventions through the "Keeping Girls in School" Sub-component 1.2. Interventions can include but are Description not limited to transportation services, accommodation, food, school supplies, additional courses, unconditional cash transfers or conditional cash transfers. Girls benefitting from multiple interventions will only be counted once. Frequency Every six months Data source Database on beneficiaries supported by the project. Data is collected by organizations who provide support for economic empowerment. Methodology for Data NGOs contracted by the project will maintain databases with national PIUs who will compile the information. Collection Responsibility for Data PIUs Collection Indicator Name People benefiting from actions to improve SRH (Number of people) CRI Number of adolescent girls and girls who participate in and complete training sessions on life skills or other interventions carried out in school and Description community spaces. Beneficiaries will be counted as having completed the training if they attend at least 14/28 (or 50 percent) of training sessions scheduled. Frequency Every six months Data source Training attendance registries Methodology for Data Beneficiary participation will be tracked through attendance registries and a database maintained. Attendance to at least 50 percent of sessions will be Collection required for training to be considered complete. Responsibility for Data PIUs Page 43 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Collection Indicator Name Husband and future husband club beneficiaries who report doing domestic work and who believe in delaying marriage until adulthood (Percentage) The indicator measures the change in knowledge and behavior of boys attending schools/clubs for husbands and future husbands in relation to domestic work and the perception of child marriage.Numerator: Number of boys attending schools/clubs for husbands and future husbands who claim to (i) take Description part in domestic work (households, cooking, dishes, laundry, etc.), (ii) be against marriage before adulthood (18 years).Denominator: Total number of men and boys who participated in interventions schools/clubs for husbands and future husbands. Frequency Every six months A light survey before and after (pre and post test) sessions will be given in clubs using a standard gender equitable men (GEM) questionnaire. It is a Data source standard questionnaire with a scale to measure the behavior and attitude of men on gender equality, the content of the questionnaire will be adapted in consultation with the countries. Methodology for Data The organization or NGO providing trainings will administer the questionnaires and compile and report on results Collection Responsibility for Data PIUs Collection Indicator Name Young women and adolescent girls who have received vocational training (Number) Number of women and adolescent girls who have benefited from a training program supported by the project and aimed at improving economic Description opportunities.Vocational training can include: general or functional literacy, professional training on an economic activity, FM, entrepreneurship, etc. Frequency Every six months Data source Compilation of GBV reports in structures supported by the project and/or national GBV databases Methodology for Data Compilation of data on GBV reports from national information systems when available. In countries where a national database is not available, data will be Collection collected by the PIU directly from structures supported by the project. Responsibility for Data Ministries who collect data on GBV (varies by country) and PIUs Collection GBV survivors having received at least one service (health, psychosocial, legal, security, economic) from an organization supported by the project Indicator Name (Percentage) Page 44 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Proportion of GBV victims who have benefited from at least one care service out of all the cases identified in the structures supported by the project, including call centers or any other existing platform in the project intervention area. Victims of GBV refer to victims of: rape, sexual assault, physical assault Description (including FGM), forced marriage (including child marriage), denial of resources/opportunities or services, psychological or emotional violence (Cf. GBVIMS Nomenclature)Numerator: Number of GBV victims who received at least one support service (health, psychosocial, legal, security, economic).Denominator: Total number of GBV survivors identified in facilities (including call centers or any other platforms) supported by the project. Frequency Annual Data source Questionnaires in health structures supported by the project. Methodology for Data Questionnaires will be conducted to evaluate the number of women who received the modern contraceptive of their choice. Collection Responsibility for Data PIUs Collection Results Area 3. Foster regional and national commitment and capacity for policymaking and gender equality Indicator Name Countries with an operational legal team working on girls' and women's empowerment (Number) A country will be considered as having an operational legal team if it meets the following three conditions:- Constitution of a legal team with the appointment of the members and the focal point,- Drafting of a budgeted action plan over at least 2 years,- Production of an annual activity reportWorking Description on GWE covers topics such as: enrollment and retention of girls in school, adolescent reproductive health, abandonment of GBV and harmful practices and economic empowerment of women. Frequency Annual Data source Project activity reports maintained by PIUs Methodology for Data Compilation of data from project activity reports on progress towards the three steps to consider a legal team operational. Collection Responsibility for Data PIUs Collection Indicator Name Countries with a functioning demographic dividend observatory in place (Number) Description This is the number of countries that have set up a demographic dividend observatory that collects population data, analyzes this data and produces an annual report on the four dimensions of demographic dividends. The minimum functionality criteria are: 1. Institutionalization of the DDO structure2. Page 45 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Functional team3. Conduct of population data analyses4. Production of an annual report. Frequency Annual Data source Project activity reports maintained by PIUs Methodology for Data Compilation of data on the establishment of demographic dividend observatories in countries and at the regional level. A file showing the situation of each Collection DDO in relation to the functionality criteria will be kept by the technical regional secretariat. Responsibility for Data PIUs Collection Community and religious leaders engaged in actively promoting girls' schooling, adolescent reproductive health, and freedom from GBV and harmful Indicator Name practices (Number) Number of community and religious leaders who have made an oral or written public statement (sermon, preaching, conferences, etc.) or who have participated publicly (radio, TV, social networks, in the field) promoting women's and girls' empowerment such as: girls' schooling, birth spacing, and the Description fight against child marriage and early pregnancy. A leader is a designation for a person perceived as representing a community and/or able to influence local communities and foster social change. Frequency Every six months Data source Project activity reports maintained by PIUs Compilation of community and religious leaders who have made an oral or written public statement (sermon, preaching, conferences, etc.) or have Methodology for Data participated publicly (radio, TV, social networks, in the field) in activities to promote girls' enrolment and retention in school, adolescent reproductive Collection health, and the abandonment of GBV and harmful practices. Responsibility for Data PIUs Collection Indicator Name Grievances addressed within stipulated service standards for response (Percentage) This is the proportion of complaints related to the implementation of SWEDD+ that has been registered and addressed according to the response Description timeframe established by the project's grievance redress mechanism standards. These complaints also include harassment and SEA (sexual exploitation and abuse).Numerator: Number of grievances addressed within the required response time.Denominator: Total number of complaints received. Frequency Annual Page 46 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Data source Grievance redress mechanism put in place by the project. Methodology for Data Each country will put in place a GRM related to SWEDD+ activities. Collection Responsibility for Data PIUs Collection Results Area 2. Improve the availability of quality RMNCAHN services and qualified health workers at the community level Women who used a family planning service at a Project-supported health facility who reported receiving the contraceptive method of their choice on Indicator Name the day of their visit (Percentage) Measures the level of coverage of the needs of women who came to request a modern contraceptive method at a family planning service delivery point on the day of the survey. The indicator gives information on the availability of the product but also the satisfaction of the customer. Numerator: Number of Description women reporting who received a modern contraceptive method that she considers acceptableon the day of the surveyDenominator: Total number of women who came to seek a modern contraceptive method surveyed on the day of the survey Frequency Annual Data source Questionnaires in health structures supported by the project. Methodology for Data Questionnaires will be conducted to evaluate the number of women who received the modern contraceptive of their choice Collection Responsibility for Data PIUs Collection Midwives within the project's intervention areas who have completed training or short-term mentoring sessions on providing quality reproductive Indicator Name health services (Number) Number of midwives stationed in the project intervention areas who have received training (short-term) according to the new regionally harmonized Description curricula or who have received mentoring to strengthen the quality of services. These are training and coaching that integrate the following modules: obstetric and neonatal emergency care, family planning (including planning postpartum), and gender. Frequency Every six months Page 47 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project(176693) Census of midwives in project intervention areas and of those who have completed basic training through short-term continuing education sessions or Data source mentoring sessions. Methodology for Data Compilation of midwives trainings reports. Ministries of health maintain and share reports on training of health professionals. Collection Responsibility for Data PIUs Collection Page 48 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) ANNEX 1. SWEDD+ RESULTS CHAIN 1. SWEDD+ promotes GWE as a strategy for sustainable and inclusive economic growth, human development, and resilience. The Results Chain for the Project recognizes that AGYW in AFW face common multi-sectoral constraints in their holistic empowerment. The key challenges preventing them from achieving their full potential include child marriage, adolescent fertility, and disproportionally low educational attainment compared to boys. These events are likely to have a decisive impact on the ability of girls to accumulate human capital and participate in the labor force. The constraint are interrelated, as strategic decisions on education, marriage, fertility, and employment are endogenous and taken at the same time. To accelerate the demographic transition and reap the benefits of equitable economic growth, it is critical to support AGYW to complete a quality education, delay early marriage and pregnancy beyond adolescence, and access economic opportunities. 2. The figure below outlines the parent project’s Results Chain. The activities planned under this AF follow the same principles established for SWEDD+. Figure 1.1: Results Chain Challenges Ac vi es Outputs Outcomes PDO Indicators PDO C1 mplement gender - High rates of child marriage, 1. Increased number of girls 1. Increased reten on rate of transforma ve interven ons bene ng from schooling adolescent girls in secondary teenage pregnancy, and 1.1 SBCC ca mpa i gns school dropout interven ons schools 1.2 Improve life s kills and SRH 2. Increased number of girls 2. Increased percentage of girls who - Adolescents lack skills and knowl edge trained through safe spaces understand the harmful access to assets and To increase girls informa on to increase their 1.3 Keepi ng gi rl s i n School 3. Increased number of consequences of child marriage, 1. Economi c a nd na nci a l boys/men doing domes c early pregnancy and the bene t of and women s produc vity access to - Regressive gender norms i ncl us i on opportuni es work and who believe in birth spacing delaying marriage 3. Increased number of adolescent learning, constrain investment in girls 1.5 GBV preven on a nd res pons e . GBV incidents bene ng girls and women bene ng from economic human capital and expose a c ons opportuni es, them to GBV risks from support services economic support interven ons C2 ncrease availability of and u liza on of - GBV services are inadequate MNCA services and providers 5. Increased propor on of . Increased number of women using health services, - Inadequate adolescent - 2.1 Ava i l a bi l i ty of contra cep on women who have used a FP a modern contracep ve method and to friendly SRH informa on and a t the communi ty l evel service of their choice strengthen the services 2.2 Enha nce the Pha rma ceu ca l 6. Increased number of region-wide - Na onal regulatory midwives trained/mentored 5. Increased number of countries that ins tu onal s uppl y cha i n a nd La s t mi l e frameworks insu ciently have conducted budge ng sensi ve capacity for protect women s rights and dis tribu on to gender and demographic dividend 2.3 Increa s e a va i l a bi l i ty a nd gender equality. are inadequately 6. Increased number of innova ve implemented ca pa ci ty of RMNCAH provi ders i n 7. Increased number of regional ini a ves adopted by countries with an opera onal - Harmful prac ces across rura l a rea s countries legal team working for GWE borders and vulnerability C Support regional and na onal 8. Increased number of peaks in border areas Cri cal assump ons policy making on gender e uality countries with a func oning - Con nued poli cal support and momentum for cross-country - Region-wide ins tu ons for 3.1 Strengthen l ega l fra meworks DDO collabora on to overcome GWE challenges at the na onal level gender equality and and poli cal commitment 9. Increased number of - Con nued support to strengthen the ins tu onal capacity for gender empowerment are 3.2 Strengthen ca pa ci ty for pol - i cy community and religious equality and posi ve spillovers from the learning agenda at the regional inadequate or inexistent level ma ki ng a nd M&E on gender a nd leaders engaged - Macroeconomic, clima c, and con ict -related shocks are absorbed - GWE knowledge is not shared 10. Increased percentage of amongst implementers and demogra phi c di vi dend through appropriate structural and emergency policies 3.3 Support i mpl ementa on complaints handled by GRM - Willingness to par cipate in and support proposed ac vi es by organiza ons in the regions bene ciaries and communi es including tradi onal and religious ca pa ci ty of gender a c vi es leadership The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) ANNEX 2. REGIONAL APPROACH TO GIRLS AND WOMEN EMPOWEREMENT 1. This annex presents a more detailed explanation of activities by Component and Sub-component and how they are fostering integration among the countries within the project. 2. Component 1: The SBCC campaign planned under Sub-component 1.1 is centered around a regional campaign that will now include Mali and Mauritania, whose additional participation in disseminating positive GWE messages to drive behavior change will contribute to shifts in attitudes across the region. Sub-component 1.2 encompasses activities related to community-based safe spaces and husbands’/future husbands’ clubs as well as safe spaces within schools. These activities are established at a national level but follow a harmonized regional curriculum. Sub-component 1.3 encompasses interventions to boost schooling and as well as the sharing of regional best-practices on safe schools, GBV prevention, and school retention among SWEDD+ countries, including Mali and Mauritania. Activities for income-generation and economic inclusion under Sub-Component 1.4 will create linkages to financial markets and contribute to regional value chains. Under Sub-component 1.5, a regional approach allows for concerted efforts to expand services for survivors of GBV, notably in cross-border areas, including conflict-affected areas and international transport corridors, where GBV rates tend to peak including among Internally Displaced Persons. This sub-component will have coordinated technical assistance (TA) by regionally contracted TA providers and will use regional peer networks to share experiences and lessons learned. 3. Component 2: Under Sub-component 2.1, countries will equip training centers for midwives and/or community health workers especially in vulnerable areas, and near or at cross-border areas and benefit from regional TA and peer networks. Under Sub-component 2.2, the project will support supply chains for RMNACHN including for cross border activities and ensuring that all participating national institutions and systems adhere to common standards/methods, generate joint knowledge, and develop capacity and skills. As part of this, the project may tap economies of scale for pooled procurement of commodities or shared technology and facilities. Sub-component 2.3 focuses on building a pipeline of health workers for remote areas, with the support of RECs through regional analysis and dialogue, the development and use of regional curricula, e-learning modules, and the set- up of Regional Centers of Excellence to train health workers, including national-level scholarships. This contributes to a harmonization in the quality of care provided by health workers in rural settings, across participating countries. 4. Component 3: Sub-component 3.1 brings together legal practitioners for legislative and policy improvements, as well as parliamentarians, religious and traditional leaders, and civil society organizations at the national and regional level. With the support of RECs and institutions in the region such as universities, the project will promote initiatives spanning multiple countries, thereby increasing the likelihood of passing important reforms for GWE. Sub-component 3.2 seeks to generate and share regional knowledge, notably through the creation of a network of regional Demographic Dividend Observatories (already established in Mali and Mauritania). This regional network will generate data for regional benchmarking, sharing of knowledge, publications, and dissemination of new evidence. Sub- component 3.3 finances SWEDD+ project implementation/governance arrangements, including a Regional Steering Committee at the ministerial level to allow for regional policy dialogue, and facilitates bilateral peer exchanges including through country-to-country visits. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) ANNEX 3. DESCRIPTION OF COUNTRY-SPECIFIC ACTIVITIES 1. The activities supported by the AF in Mali and Mauritania are within the parent project’s scope, with Mali and Mauritania implementing interventions that meet their specific contexts, beneficiary needs and earlier experience under SWEDD. MALI 2. The activities supported by the AF in Mali will build on the lessons learned from ten years of successful SWEDD implementation whilst focusing on sustainability and impact. The project will target the most vulnerable AGYW to be identified through a targeting exercise that will consider relevant criteria such as fertility, poverty as well as relevant statistics from sectoral ministries (health, education) and household surveys. For the economic and financial inclusion Sub-component 1.4, the Unified Social Registry (RSU) will be used as a national platform to ensure effective identification of beneficiaries, promote coordinated interventions across all social sectors, increase accountability in beneficiary selection and avoid duplication. Targeting will be carried out in consultation with administrative, technical, decentralized and customary authorities at the national, regional, local and community levels. Other criteria to be considered will include climate vulnerability and security issues. The activities proposed under Components 2 and 3 are intended to be carried out at the national level. The activities in Mali are described below and the associated budget is reflected in Table 3.1. 3. The project will still have national coverage, with targeting focused on the most vulnerable beneficiaries. Table 3.1: Mali Components Costs (in US$) Component/Sub-component IDA TF TOTAL Component 1 40,500,000 13,000,000 53,500,000 • Sub-component 1.1. 1,700,000 1,700,000 • Sub-component 1.2. 6,400,000 6,400,000 • Sub-component 1.3. 10,900,000 10,900,000 • Sub-component 1.4. 20,300,000 13,000,000 33,300,000 • Sub-component 1.5. 1,200,000 1,200,000 Component 2 10,500,000 10,500,000 • Sub-component 2.1. 3,300,000 3,300,000 • Sub-component 2.2. 1,700,000 1,700,000 • Sub-component 2.3. 5,500,000 5,500,000 Component 3 9,000,000 2,000,000 11,000,000 • Sub-component 3.1 2,200,000 2,200,000 • Sub-component 3.2 1,800,000 1,800,000 • Sub-component 3.3 5,000,000 2,000,000 7,000,000 Total 60,000,000 15,000,000 75,000,000 4. Component 1: Design and implement gender transformative interventions that promote girls’ and women’s social and economic autonomy [US$53.5 million (IDA US$40.5 million equivalent; TF US$13.0 million)] a. Sub-component 1.1: Social and Behavior Change Communication Campaign (SBCC) [IDA US$1.7 million]. A regional SBCC strategy is being developed under SWEDD+ with TA from UNFPA, based on country requests and through a regional-level coordination and financing mechanism. This The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) regional strategy will then be adapted to the local context of Mali through the support of a communications agency and the oversight of an SBCC committee, with a specific consideration for GBV and climate change adaptation given the heightened vulnerability of girls and women. Relevant materials will be produced for different SBCC events and campaigns in Mali which will include: (i) Social mobilization activities at the grassroot level involving community leaders, local authorities and relevant institutions such as schools; (ii) Campaigns on specific topics (early pregnancies, SRH GBV and FGM) through community dialogues, gatherings, outreach to schools small conferences and relevant local communication channels (local media; (iii) Mass media campaigns at national level through television, radio, social media. The SBCC campaign will also serve to introduce the community- and school-based activities that SWEDD will implement under sub-components 1.2 to 1.5. b. Sub-component 1.2: Improve life skills and SRH knowledge of adolescents [IDA US$6.4 million]. This sub-component will finance the implementation of safe spaces for out-of-school girls and the facilitation of husband/future-husband’s clubs for men. Both safe spaces and husband/future husband club activities will be implemented by PCU regional annexes and by partner institutions with adequate experience and skills and will primarily be implemented in the South and Centre regions of the country. The implementation of safe spaces and husband/future husband’s clubs entails: (i) The sensitization of community members to identify participants and recruit mentors; (ii) The production of training and M&E materials; (iii) The training of mentors and monthly supervision of their activities; and (iv) The provision of small equipment to facilitate the meetings and trainings (flipchart, chairs, notepads etc). With a view to scaling and facilitating the sustainability of safe spaces in Mali, a “lighter”, less resource-intensive model of safe-spaces will be introduced in some communities, based on an earlier pilot under SWEDD. This version reduces the number of mentors and equipment required and makes use of an audio version of the safe space curriculum in local languages, which has proven effective in communities with low literacy levels and expanded the reach of “listening participants”. As part of the planned project evaluations under Component 3, the impact of this different model vis-à-vis the traditional one will be proposed as a potential area to evaluate. c. Sub-component 1.3: Keep girls in school through at least secondary level to delay marriage and early childbearing [IDA US$10.9 million]. This sub-component will finance targeted strategies to improve school retention and learning amongst girls. This will include the following interventions: (i) Accelerated schooling strategy (Stratégie Scolarisation Accélérée Passerelle or SSAP) which has successfully been implemented by the Ministry of National Education to enroll and re-enroll out- of-school girls aged 8-12 in rural areas who have never been to school or who dropped out prematurely; (ii) Support to retain girls at the Fondamental 2 (ages 13-15) level, the most critical point for drop out for girls and adolescents, by covering important investments including transport support (bicycles), support for boarding, school and sanitary kits, and remedial classes are planned; and (iii) Providing second-chance training opportunities for students of the Fondamental 2 level, whose education was impacted as a result of the heightened insecurity in parts of the country or due to the school closures during the COVID-19 pandemic. Beneficiaries will be assessed to consider the most appropriate learning pathway and learning strategy they can benefit from. The project will complement interventions of the Mali Improving Education Quality and Results for all Project (MIQRA, P164032), such as building more classrooms in areas where girls' access is challenged and providing school feeding, as well as system-level interventions to improve teaching. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) d. Sub-component 1.4: Economic and financial inclusion to increase climate resilience, agency and opportunities for adolescent girls and boys and young women [US$33.3 million (IDA US$20.3 million; TF US$13.0 million)]. The intervention deployed under this sub-component will build on economic inclusion programs successfully implemented in Mali and in neighboring countries. The economic inclusion package to be implemented will combine seven core measures: group training and coaching; facilitation of community-based savings and loan groups; community outreach on social norms and aspirations; life skills training; training in micro-entrepreneurship; market access; and allowances for income-generating activities. The integrated package will target poor and vulnerable adolescent girls and women in rural and urban settings, in areas identified using socio-economic geographic criteria. In addition of the implementation of the package and with a view to ensuring the efficient and sustained implementation of the program, and its future expansion to other regions and/or groups, this subcomponent will support the government in (i) the updating and expansion of the national Unified Social Registry (in French, RSU) to ensure comprehensive coverage, particularly in regions vulnerable to climate shocks such as the Sahelian Bande; (ii) the institutionalization of the RSU, by providing support to the drafting and approval of necessary legal texts; and (iii) enhancements in the functionality and operational capacity of the RSU local offices (establishment of local kiosks) to ensure RSU offices are operational and accessible, even in remote or underserved areas; and (iv) the development of a robust Management Information System (MIS) for the intervention, which will include modules for mobile payments and a Grievance Redress Mechanism (GRM) to facilitate direct engagement with and feedback from beneficiaries. e. Sub-component 1.5: Strengthen GBV prevention and response actions [IDA US$1.2 million]. This sub-component will support the implementation of activities from the National Program to Fight against GBV in Mali. Based on an initial assessment, the project will finance the establishment of a system to collect, analyze and update data on the mapping of GBV services in the target intervention areas. Project activities are structured around three areas: (i) Capacity building of actors involved in the identification of referral pathway for GBV survivors at different levels (community health agents, community/religious leaders, health personnel, judicial chain members etc.); (ii) The provision of comprehensive and survivor-centered support to GBV victims, through system strengthening of one-stop and health centers and the referral system including linking them to income generating opportunities under Sub-component 1.4 to promote their economic autonomy; and (iii) Advocacy activities for increased awareness, gender champions at the community level and a strengthened and more favorable legal framework. 5. Component 2: Improve the availability of RMNCAHN services and number of qualified health workers at the community level [IDA US$10.5 million equivalent] a. Sub-component 2.1: Enhance the availability of contraceptives and RMNCAHN services at the community level [IDA US$3.3 million]. This sub-component will continue to support investments to increase access to contraception in Mali through a variety of facility-based and outreach strategies that include: (i) Community-based distribution through community health agents; (ii) Mobile clinics; and (iii) Health centers. The different strategies combine both adolescent and youth-friendly supply- and demand-side SRH interventions, including information and awareness, counselling and provision of contraceptive methods (considering the Ministry of Health and Social Affairs guidelines on the method mix that can be offered in different settings). Complementing broader SBCC efforts under Sub-component 1.1 and work with community-leaders under Sub- The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) component 3.2, outreach activities under this component will include awareness raising and sensitization elements and activities to particularly address common misconceptions amongst community and religious leaders related to SRH. b. Sub-component 2.2: Enhance the performance of the pharmaceutical supply chain, including last mile delivery [IDA US$1.7 million]. Building on earlier last-mile delivery pilots and experience under SWEDD, and considering the geographical expansion of SWEDD+ to an additional six regions in Mali, supply chain and last mile delivery support will be provided at three levels: (i) At health district and health facility (Centre de Sante Communautaire – CSCOM level), SWEDD+ will improve the stock management system through the provision of small-scale cold chain equipment and storage systems and support last-mile delivery through third party providers and the national system (depending on the region and based on the earlier SWEDD pilots); (ii) Strengthening of the Logistics Management Information System through capacity building and equipment; and (iii) national support for improved governance of the supply chain system through technical support and evaluations. Activities under Sub-component 2.2 have been developed avoiding duplication and considering investments planned under the main health-system strengthening operation (ARISE- P503776) for the seven regions that overlap with SWEDD+ activities. c. Sub-component 2.3: Improve the availability and capacity of health workers providing RMNCAHN services in rural/hard to reach areas [IDA US$5.5 million]. This sub-component supports both pre-service and in-service training of human resources for health (primarily mid- wives, mid-wife mentors and community health agents), which will then be deployed to improve RMNCAHN service delivery in rural and hard-to-reach areas, following from a similar strategy implemented under SWEDD. To sustain the retention of mid-wives in rural areas, the project will support the three regional ‘annexes’ to the National Health Sciences Training Institute (Institut National de Formation en Sciences de la Santé, INFSS) in Kita, Koutiala and Bougouni. Training and capacity building activities place a large emphasis on practical on-the-job training, and mentoring approaches, through dedicated mentors that will be trained and coach midwives and community health workers on a regular basis. 6. Component 3: Foster regional and national commitment and capacity for policy making on gender equality and project management [US$11.0 million (IDA US$9.0 million equivalent; TF US$2.0 million)] a. Sub-component 3.1: Strengthen legal frameworks and political commitment for girls’ and women’s reproductive health rights at continental, regional, and national levels [IDA US$2.2 million]. To enhance the administrative, traditional, and religious authorities’ understanding of SWEDD focus areas and improve their level of commitment to the Project, the subcomponent will support (i) strengthening advocacy and political commitment to demographic dividend at regional and national levels; (ii) strengthening networks of parliamentarians, youth and women’s platforms, including religious, traditional leaders, and civil society on gender demographic dividend; (iii) undertaking advocacy for promoting gender and demographic dividend, including gender responsive budgeting; and (iv) providing institutional capacity building support to the implementing agencies and supervising ministries involved in Project implementation. This will entail providing TA to strengthen the capacity of these institutions. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) b. Sub-component 3.2: Strengthen capacity for policy making and M&E related to demographic dividend and gender issues [US$1.8 million]. This sub-component finances the efforts from the National Demographic Dividend Observatory (NDDO) in Mali to produce and disseminate research on issues related to the demographic dividend and human capital. Given Mali’s achievement under SWEDD of establishing the NDDO and ensuring demographic dividend budget-sensitive practices, this sub-component will finance core activities implemented by the ONDD. This includes consultations on most relevant population and socio-economic development topics, TA to produce periodical publications and capacity building of ONDD and technical personnel within relevant ministries, participation in regional exchanges with other SWEDD+ ONDD members and the dissemination of reports and profiles developed. c. Sub-component 3.3: Support Project implementation capacity [US$7.0 million (IDA US$5.0 million; TF US$2.0 million]. This sub-component will cover the costs of the operations of the PCUs in Mali (at central level and regional antennas). This includes all fiduciary, M&E and safeguards functions assigned to the PCU. Other activities related to project launches, oversight and evaluations are also included in this sub-component. MAURITANIA 7. The activities supported by the AF in Mauritania will build on the lessons learned from SWEDD implementation in the last decade. Like in SWEDD, the project will cover the regions of Hodh el charghi, Hodh el Gharbi, Assaba, Brakna, Gorgol, Gidimagha and selected areas of the outskirts of Nouakchott. These regions were selected as most vulnerable based on the project’s Camber analysis and the Demographic Dividend Monitoring Index for Mauritania. The project will also target beneficiaries using data available from the Social Registry on vulnerable youth. This registry is a cross-cutting tool created by the Department of Development Policy and Strategy of the Ministry of Economy and Finance, which contains key data on vulnerable households and individuals (age, level of education, occupation etc.). As an innovation under SWEDD+, each of the regions/communes covered by the project will feature a multisectoral platform named women's empowerment centers (Centre d’Autonomisation des Femmes, CAF). These CAF will be composed of a team of multidisciplinary volunteers (health, communication and women's empowerment) whose members will be trained to monitor the implementation of the community-based project activities. Table 3.2: Mauritania Components and Costs (in US$) Component/Sub-component IDA Component 1 12,900,000 • Subcomponent 1.1. 1,300,000 • Subcomponent 1.2. 1,800,000 • Subcomponent 1.3. 5,100,000 • Subcomponent 1.4. 1,900,000 • Subcomponent 1.5. 2,800,000 Component 2: 2,700,000 • Subcomponent 2.1. 680,000 • Subcomponent 2.2. 720,000 • Subcomponent 2.3. 1,300,000 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) Component 3: 4,400,000 • Subcomponent 3.1 660,000 • Subcomponent 3.2 540,000 • Subcomponent 3.3 3,200,000 Total 20,000,000 8. Component 1: Design and implement gender transformative interventions that promote girls’ and women’s social and economic autonomy [US$12.9 million equivalent] a. Sub-component 1.1: Social and Behavior Change Communication Campaign [US$1.3 million]. The primary objective of this sub-component is to drive social and behavioral change to reduce barriers to girls' education, child marriages, and early and closely spaced pregnancies by providing target populations with the necessary information and knowledge. This sub-component will include: updating and implementing the national communications strategy at national, sub- national, and local levels including social mobilization activities involving religious and community leaders, local authorities, and relevant institutions such as schools; conducting campaigns and the dissemination of key messages on social and behavior change (including GBV sensitization and climate change adaptation) through community dialogues, gatherings, small conferences, and local communication channels; and mass media campaigns at national level through television, radio, social media. SBCC activities will be coordinated with those of the INAYA Project to reduce duplications and harmonize behavior change messages in project intervention areas. b. Sub-component 1.2: Improve life skills and SRH knowledge of adolescents. [US$1.8 million]. This sub-component will finance the implementation of safe spaces for out-of-school girls and the facilitation of husband and future husband’s clubs for men. Safe spaces will also be implemented in schools in Mauritania. Both safe spaces and husband club activities will be implemented by locally recruited and trained mentors, under the supervision of the CAF. The implementation of safe spaces and future husbands’ clubs entails: (i) the sensitization of the community to identify participants and recruit mentors; (ii) the production of training and M&E materials; (iii) the training of mentors and monthly supervision of their activities; and (iv) the provision of small equipment to facilitate the meetings and trainings and to equip the CAF. This sub-component will rely on existing community and school-based safe spaces, and husband clubs, while also creating new ones where necessary in particularly vulnerable communities. It will focus on strengthening life skills to help both educated and uneducated girls and women gain valuable information that will enable them to make informed decisions. This includes delaying the age of marriage, spacing births, and addressing other factors that could hinder their economic development. c. Sub-component 1.3: Keep girls in school through at least secondary level to delay marriage and early childbearing [US$5.1 million] The implementation strategy for this sub-component “Keeping Girls in School" is designed around interventions that not only stimulate access to education but, more importantly, focus on the retention of girls in school until the completion of secondary education through the provision of Cash Transfers, distribution of school kits (school materials and uniforms), tablets and other small equipment for learning, and menstrual hygiene kits; and recruitment of teachers to provide supplementary tutoring and remedial classes to help girls succeed in their studies and pass their exams. These combined efforts aim to reduce school dropout rates, enhance the academic performance of girls, and create an environment that encourages girls to continue their education through to the end of secondary school. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) d. Sub-component 1.4: Economic and financial inclusion to increase agency and opportunities for AGYW [US$1.9 million] Mauritania’s support under this sub-component will focus on enhancing the economic empowerment of AGYW through organizing vocational training cycles within women’s empowerment centers; establishment and operationalization of multifunctional platforms; supporting access to finance through existing or new savings groups/associations and related initiatives so as to promote self-employment for vulnerable youth; provision of micro- entrepreneurship trainings and coaching services for income-generating activities; provision of Entrepreneurial Scholarships to out-of-school and never-enrolled girls for vocational training in various fields (hospitality, carpentry, mechanics, and electrical work) and supporting the creation of community-based economic activities that promote collective empowerment for women and girls.. Taazour’s platform may be used by the project for the provision to finance productive inclusion activities given its strong track record implementing other Bank projects and its built-in monitoring systems. Should this mechanism be used, a Memorandum of Understanding will be signed to collaborate with this institution. e. Sub-component 1.5: Strengthen GBV prevention and response actions [US$2.8 million]. While the primary emphasis is on prevention, the sub-component also aims to provide comprehensive, survivor-centered support for GBV victims through: (i) updating the national strategy to fight GBV; (ii) collecting, analyzing and updating data on the mapping of GBV services in the Project’s intervention area; (iii) developing a protocol for GBV victims support; and (iv) capacity-building of stakeholders and structures such as multisectoral platforms involved in the identification of referral pathways for GBV survivors. These platforms will offer integrated support services to survivors, addressing both immediate needs and long-term empowerment. 9. Component 2: Improve the availability of RMNCAHN services and number of qualified health workers at the community level [US$2.7 million equivalent] a. Sub-component 2.1: Enhance the availability of contraceptives and RMNCAHN services at the community level [US$0.7 million]. This sub-component will continue to support investments to increase access to contraception in Mauritania through facility-based and outreach strategies that include: (i) updating the national community health strategy to include community-based distribution of health commodities; (ii) capacity building of stakeholders at the regional and local levels on community-based distribution; (iii) community-based distribution by community health workers; (iv) purchasing mobile clinics; (v) strengthening health centers; (vi) training health workers to provide youth-friendly SRH interventions, including information and awareness, counselling and provision of contraceptive methods. Any new community health-related strategies will be implemented in coordination with the INAYA Project, bridging any gaps in service in vulnerable project intervention areas. Additionally, it will organize awareness sessions and facilitate the distribution of reproductive health products and services within community settings to enhance accessibility and impact. b. Sub-component 2.2: Enhance the performance of the pharmaceutical supply chain, including last mile delivery [US$0.7 million]. This sub-component will support the strengthening of the supply chain and its stock management through: (i) the development of a national strategy for last-mile delivery; (ii) the procurement of equipment for pharmacies in health facilities and vehicles for transport; (iii) purchase, installation and training on a stock management information system; and (iv) capacity building of pharmaceutical management staff and supply chain The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) stakeholders to improve governance through TA and evaluations. Additionally, it will focus on updating the strategy and scaling-up the Emel experience, which was the name of a successful pilot on last-mile distribution for reproductive health products under the SWEDD Project. Efforts will also be directed toward coordination among supply chain stakeholders, and partners such as UNFPA, to develop a unified supply chain for health products. c. Sub-component 2.3: Improve the availability and capacity of health workers providing RMNCAHN services in rural/isolated areas [US$1.3 million]. This sub-component supports both pre-service and in-service training of human resources for health (midwives, midwife mentors, and community health workers), including: (i) Cash Transfers for midwives to train in centers of excellence; (ii) strengthening the national center for excellence through equipment/supplies; and (iii) recruiting and deploying midwives and other health workers to project intervention areas. The project will work closely with the INAYA Project to ensure synergies in the deployment of health workers and identify ways in which facilities benefitting from PBF funds may help sustain newly deployed health workers. 10. Component 3: Foster regional and national commitment and capacity for policy making on gender equality and project management [US$4.4 million equivalent] a. Sub-component .1 Strengthen legal frameworks and political commitment for girls’ and women’s reproductive health rights at continental, regional, and national levels [US$0.7 million] This sub-component will fund the development of technical and policy notes to advocate for activities related to the demographic dividend in Mauritania, targeting high-level government decision-makers and other key stakeholders. Additionally, the sub-component will support the operations of a legal platform tasked with reviewing and revising legal frameworks to address barriers contributing to gender disparities. It will also focus on building the capacity of the National Observatory for Women's and Girls' Rights to disseminate and popularize laws and judicial decisions that support women’s and girls’ rights and strengthen structures working to prevent and combat GBV. Furthermore, it will enhance the capacities of religious and community leaders to promote the empowerment of women and girls and support local officials, stakeholders in intervention areas, and advocacy institutions in advancing the demographic dividend agenda. b. Sub-component 3.2: Strengthen capacity for policy making and M&E related to demographic dividend and gender issues [US$0.5 million]. This sub-component finances the efforts from the NDDO in Mauritania to produce and disseminate research on issues related to the demographic dividend and human capital. Additionally, the sub-component will enhance the ONDD's capacity to generate and share evidence on demographic dividend and gender-related topics with decision-makers and the broader public. It will also strengthen national capacities to develop gender-sensitive budgets that account for the demographic dividend and address the impacts of climate shocks on AGYW. c. Sub-component 3.3: Support Project implementation capacity [US$3.2 million] This sub- component will cover the costs of the operations of the PIU in Mauritania (at central level and regional level). This includes all fiduciary, M&E and safeguards functions assigned to the PIU. Other activities related to project launches, oversight and evaluations are also included in this sub-component. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) ANNEX 4. CLIMATE CHANGE 1. The project has been screened for short and long-term climate disasters and risks and has been found to be highly exposed, while the potential risk to project activities is moderate. The mean temperature in Mali has already increased by 0.7°C between 1960 and 2015.36 Projections forecast a further increase of 1.2°C to 3.6°C by 2060 with larger increases in the southwest and central regions.37 In Mauritania, temperatures are projected to increase between 2.0 and 4.5 °C by 2080, compared to pre-industrial levels, with higher temperatures in the south and west of the country.38 2. Mauritania and Mali both show high levels of climate vulnerability. The countries respectively rank 157th and 180th out of 187 countries by the Notre Dame-Global Adaptation Initiative (ND-GAIN) due to high vulnerability and low readiness.39 74 percent of the population relies on the pastoralist and agrarian systems for their livelihoods in Mali, 50 percent in Mauritania, making them particularly vulnerable to climate change.40,41 Weather unpredictability and water scarcity affect crop yield and are associated with food insecurity and poverty.42,43 3. The health impacts of climate change in Mali and Mauritania include a rise in vector-borne diseases, water borne-diseases, heat stress, malnutrition and mental health. 44 A positive association was found between rainfall and birth weight within food cropping and pastoralist communities in Mali.45 In Mauritania, heat-related mortality will likely increase from about 2 to about 7 deaths per 100 000 people per year by 2080 under the RCP6.0 scenario without adaptation. Food insecurity is estimated to increase by 5–20 percent with each flood or drought in Mali and other Sub- Saharan African countries, and climate change is already estimated to have reduced agricultural productivity by over 40 percent in both Mali and Mauritania. 46,47 4. Women are disproportionately affected by the effects of climate change in Mali and Mauritania.48 Women often face inequitable access to resources needed to recover from and plan for future 36 World Bank (n.d.) Mali: Climate Data, Historical. Climate Change Knowledge Portal. https://tinyurl.com/24kn66dp 37 USAID (2018). Climate Risk Profile: Mali. https://tinyurl.com/smx7f3sc 38 https://www.pik-potsdam.de/en/institute/departments/climate-resilience/projects/project-pages/agrica/giz_climate-risk-profile- mauritania_en_final 39 Dame, M. C. W. // U. of N. (n.d.). Rankings // Notre Dame Global Adaptation Initiative // University of Notre Dame. Notre Dame Global Adaptation Initiative. Retrieved November 21, 2024, from https://gain.nd.edu/our-work/country-index/rankings/ 40 USAID Mali Country Development Cooperation Strategy, September 22, 2022 – September 21, 2027 41 CIA World Factbook, “Mauritania,” 2020. Online available: https://www.cia.gov/library/publications/the-world-factbook/geos/mr.html 42 2011, République du Mali, Seconde Communication Nationale du Mali sur les Changements Climatiques 43 National Adaptation Programme of Action (NAPA) to Climate Change . (2004). Islamic Republic of Mauritania. 44 Acosta, D., Barrow, A., Mahamadou, I. S., Assuncao, V. S., Edwards, M. E., & McKune, S. L. (2024). Climate change and health in the Sahel: A systematic review. Royal Society Open Science, 11(7), 231602. https://doi.org/10.1098/rsos.231602 45 Bakhtsiyarava, M., Grace, K., & Nawrotzki, R. J. (2018). Climate, Birth Weight, and Agricultural Livelihoods in Kenya and Mali. American Journal of Public Health, 108(S2), S144–S150. https://doi.org/10.2105/AJPH.2017.304128 46 Sub-Saharan Africa Regional Economic Outlook, Chapter 2. (2020). International Monetary Fund. 47 Ortiz-Bobea, A., Ault, T. R., Carrillo, C. M., Chambers, R. G., & Lobell, D. B. (2021). Anthropogenic climate change has slowed global agricultural productivity growth. Nature Climate Change, 11(4), 306–312. https://doi.org/10.1038/s41558-021-01000-1 48 Addressing Gender Inequality, State Fragility, and Climate Vulnerability in the Sahel Region. (n.d.). LandLinks. Retrieved December 19, 2024, from https://www.land-links.org/document/addressing-gender-inequality-state-fragility-and-climate-vulnerability-in-the-sahel-region/ The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) climatic events such as land, credit, information, or decision-making power.49,50,51 This contributes to the disproportionate burden of climate-induced food insecurity they face. 52 , 53 , 54 As a result, contributing to their economic empowerment and access to food is a way of increasing their climate resilience as well as health and nutritional outcomes.55 There is increasing evidence showing that climate-indued displacement can increase negative coping mechanisms such as early or forced marriage, early pregnancy, domestic violence or sexual violence, , as well as disruption of access to SRH services.56,57,58,59 However, research on climate change and GBV is scarce, and the need for further evidence has been largely pointed out.60,61 Finaly, climate change contributes to conflict, and girls are the first to drop and the last to return when an attack occurs against a school. 62 By constraining access to schools, climate change enhances the need for education in Mali and Mauritania, especially among young girls. Indeed, Mali’s National Climate Change Strategy lists girl education as one of its pillars for sustainable 63. 5. The proposed AF for SWEDD+ in Mali and Mauritania aims at addressing the specific vulnerabilities faced by women in the context of climate change, related to education, economic empowerment, SRH, and GBV. 49 Climate Change and Gender Action Plan of Mali. (n.d.). AICCRA - Accelerating Impacts of CGIAR Climate Research for Africa. Retrieved November 21, 2024, from https://aiccra.cgiar.org/publications/climate-change-and-gender-action-plan-mali 50 Wood, A. L., Rivers, L., Sidbé, A., & Ligmann-Zielinska, A. (2021). Decision-making capacity to address climate-induced food insecurity within women-led groups in Southern Mali. Climatic Change, 164(3–4), 30. https://doi.org/10.1007/s10584-021-03003-5 51 BRAHIM VALL, Ould Mohamed Lemine; United Nations. Economic Commission for Africa. (2010-11). Report of the study on gender dimensions of food security in the context of climate change in Africa: the case of Mauritania. Addis Ababa:. © UN. ECA,. https://hdl.handle.net/10855/32273” 52 Tucker, L. (2023). Climate Vulnerabilities and Food Insecurity in Mali. Selected Issues Papers, 2023(054). https://doi.org/10.5089/9798400251016.018.A001 53 Floods in the desert: Facing food insecurity in Mauritania - European Commission. (n.d.). Retrieved January 14, 2025, from https://civil- protection-humanitarian-aid.ec.europa.eu/news-stories/stories/floods-desert-facing-food-insecurity-mauritania_en 54 Plan International. (2022, November 21). In Mali’s hunger crisis, girls are paying the highest price. https://plan - international.org/blog/2022/11/21/mali-hunger-crisis-girls-pay-highest-price/ 55 International Center for Research on Women. (2023). Women and Girls at the Intersection of Climate Change and Economic Empowerment. https://www.icrw.org/publications/women-and-girls-at-the-intersection-of-climate-change-and-economic-empowerment/ 56 The Gendered Impacts of Climate Change on Adolescent Girls in the Sahel —Preliminary Conclusions. (2023). Plan International. 57 Tunçalp, Ö., Fall, I. S., Phillips, S. J., Williams, I., Sacko, M., Touré, O. B., Thomas, L. J., & Say, L. (2015). Conflict, displacement and sexual and reproductive health services in Mali: Analysis of 2013 health resources availability mapping system (HeRAMS) survey. Conflict and Health, 9(1), 28. https://doi.org/10.1186/s13031-015-0051-8 58 Arunda, M. O., Sorcher, R., Canabarro, A. P. F., Svallfors, S., Endler, M., Gemzell-Danielsson, K., Kågesten, A., Ali, M., Bahamondes, L., Barreix, M., Chou, D., Gonsalves, L., Johnston, H. B., Kiarie, J., Kim, C. R., Narasimhan, M., Pallitto, C., Shah, M. G., Say, L., … Brizuela, V. (202 ). Climate change and sexual and reproductive health and rights research in low-income and middle-income countries: A scoping review. BMJ Public Health, 2(2), e001090. https://doi.org/10.1136/bmjph-2024-001090 59 Daalen, K. R. van, Kallesøe, S. S., Davey, F., Dada, S., Jung, L., Singh, L., Issa, R., Emilian, C. A., Kuhn, I., Keygnaert, I., & Nilsson, M. (2022). Extreme events and gender-based violence: A mixed-methods systematic review. The Lancet Planetary Health, 6(6), e504–e523. https://doi.org/10.1016/S2542-5196(22)00088-2 60 Rezaeian, M. (2013). The association between natural disasters and violence: A systematic review of the literature and a call for more epidemiological studies. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 18(12), 1103– 1107. 61 Pacillo, G., Kangogo, D., Madurga-Lopez, I., Villa, V., Belli, A., & Läderach, P. (2022). Is climate exacerbating the root causes of conflict in Mali? A climate security analysis through a structural equation modeling approach. Frontiers in Climate, 4, 849757. https://doi.org/10.3389/flim.2022.849757 62 Université des Lettres et des Sciences Humaines de Bamako, & Loua, S. (2021). Décrochage scolaire des jeunes filles au Mali: Contraintes et défis. The Journal of Quality in Education, 11(17), 231–246. https://doi.org/10.37870/joqie.v11i17.258 63 Ministère de l’Environnement et de l’Assainissement. (2011). Stratégie Nationale Changements Climatiques. République du Mali. The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) Table 4.1: SWEDD+ AF for Mali and Mauritania – Climate Change Adaptation and Mitigation64 Sub-component Climate Action Component 1: Design and implement gender transformative interventions that promote girls’ and women’s social and economic autonomy (IDA = US$53.4 million) 1.1: Social and Behavior Women and girls are disproportionately affected by climate change in Mali and Change Communication Mauritania. This sub-component aims at increasing their resilience by (i) delivering Campaign. (IDA = US$3 specific climate change adaptation SBCC messages to raise awareness on the health million) risks posed by climate change with a focus on women and girls, (ii) providing information on and what they can do to protect themselves (e.g. practice climate- resilient agriculture, protecting their houses from extreme heat, join community- based disaster-risk preparedness groups, etc.) and (iii) increasing demand for maternal, neonatal, child , and nutritional health products and services to address the disproportionate health burden faced by women and children as a result of climate change. 1.2: Improve life skills This component aims at increasing access to life skills services and safe spaces for and SRH knowledge of women and adolescent girls. The life skill training offered will be tailored to the adolescents. (IDA = specific modules about the risks posed by climate change on women and adolescent US$8.2 million) girls and how they can be empowered to protect themselves and their communities. This component is informed by evidence showing that their involvement in climate resilience is associated with reduced risks to peace.65 The safe spaces supported will also include an adaptation plan to ensure a continuity of services post-extreme weather events. 1.3: Keep girls in school Climate change exposes women to increased risks of dropping out of school in Mali through at least and Mauritania. This sub-component aims at increasing girls’ climate resilience by secondary level to delay reducing the stronger school access barriers they face as a result of climate change, as marriage and early well as the risks of early marriage and early childbearing that climate change is childbearing. (IDA = contributing to in Mali and Mauritania. Increasing girls’ school enrollment and US$16 million) retention is part of the National Climate Change Strategy. Geographical prioritization will be guided by existing climate vulnerability maps to target specific intervention areas and climate vulnerable population groups within priority regions. 1.4: Economic and Climate change exposes women to disproportionate risks of food insecurity, poverty financial inclusion to or loss of economic opportunities. This sub-component aims at enhancing their increase agency and climate adaptation and resilience by strengthening their economic capacities and food opportunities for security; considering inequalities they face regarding access to economic resources, AGYW. (IDA = US$22.2 which is further exacerbated by climate change. It includes activities focused on million) climate-resilient activities, as well as resilient food production.66 Economic opportunities supported will also include life skills on adaptation and mitigation areas such as the repairs after storms, installation and reparation of solar panels, or implementation of community gardens. Geographical prioritization will consider existing climate vulnerability maps as the goal is to equip climate-vulnerable women with sustainable income opportunities hence increasing their resilience to climate shocks. 1.5: Strengthen GBV This component aims at reducing the increased risk of GBV faced by women as a result prevention and of climate change in Mali and Mauritania. Specific GBV prevention plans will be activated in the context of climate-related extreme weather events, such as climate- 64 The amounts reflected only account for IDA funds. They do not include the US$15 million Trust Fund for Mali. 65 Intergovernmental Panel On Climate Change (Ipcc). (2023). Climate Change 2022 – Impacts, Adaptation and Vulnerability: Working Group II Contribution to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change (1st ed.). Cambridge University Press. https://doi.org/10.1017/9781009325844 66 Patil, S. V., Mohite, B. V., Marathe, K. R., Salunkhe, N. S., Marathe, V., & Patil, V. S. (2022). Moringa Tree, Gift of Nature: A Review on Nutritional and Industrial Potential. Current Pharmacology Reports, 8(4), 262–280. https://doi.org/10.1007/s40495-022-00288-7 The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) Sub-component Climate Action response actions. (IDA = resilient safe spaces, hotlines, and inclusion of GBV concerns in emergency US$4 million) preparedness plans. To enhance adaptive capacity, meteorologic data (e.g., extreme temperatures, droughts, and floods) will be integrated with GBV reporting systems to identify risk patterns and enable targeted, climate-responsive interventions, such as deploying targeted support services in high-risk areas before, during, and after an extreme weather event (e.g. follow-up with beneficiaries over the phone in case of extreme weather events to check-in). Moreover, the collected data will contribute to filling the global research gap on the intersection of climate change and GBV, supporting evidence-based policy development and advocacy efforts at national and international levels. The integration of meteorological data and health data to better identify and mitigate health risks associated with climate change is part of both countries’ National Adaptation Programs of Action. Component 2: Improve the availability of RMNCAHN services and number of qualified health workers at the community level (IDA = US$13.2 million) 2.1: Enhance the uptake Climate change is disrupting access to contraceptives in Mali and Mauritania. This sub- of contraceptives component aims at increasing access to contraceptives at the community level for especially by climate-vulnerable populations. An adaptation methodology will be adopted to ensure adolescents at the a continuity of access to contraceptives in the context of climate-related extreme community level. (IDA = weather events. The distribution model will be community-based, which will facilitate US$4 million) the identification of the most climate-vulnerable populations at the local level. 2.2: Enhance the Extreme weather events associated with climate change can disrupt access to family performance of the planning supplies, especially in remote areas. This component aims at strengthening pharmaceutical supply the last-mile delivery for family planning, with a climate-resilient approach to ensure chain last mile delivery the continuity of access to contraceptives in the event of extreme weather events (e.g. and strengthening annual dry season prepositioning plans developed and executed to ensure supplies are national health systems in place and securely stored ahead of the rainy season). to ensure continuous supply of SRH products in rural, isolated, and cross-border areas. (IDA = US$2.5 million) 2.3: Improve the This sub-component aims at ensuring continuity of RMNCAHN services in the context availability and capacity of climate change by increasing the availability of community healthcare workers of health workers addressing reproductive health in climate-vulnerable areas. It will include a training of providing RMNCAHN CHW on heat and other climate-related disasters, their impacts on health and services in underserved reproductive health, and what they can do to mitigate negative effects and ensure rural/isolated areas and continuity of care in the context of climate change. It will include a specific module on increasing collaboration extreme weather events (particularly high heat) and GBV. Some modules of the and knowledge sharing training as well as some coordination and follow-up meetings will take place remotely, between health hence decreasing their carbon footprint. Geographical prioritization will consider workers across borders. climate vulnerability maps. (IDA = US$6.8 million) Component 3: Foster regional and national commitment and capacity for policy making on gender equality and project management (IDA = US$13.4 million) 3.1: Strengthen The climate change impacts on RMNCAHN will be included in advocacy efforts. This advocacy, legal sub-component will ensure that adaptation and mitigation efforts are included within frameworks and national and regional RMNCAHN strategies. Specific advocacy and communication political commitment tools on RMNCAHN and climate change in Mali and Mauritania will be developed and for girls’ and women’s disseminated. This will include strategies to maximize continuity of care for RMNCAHN reproductive health services and climate-related diseases during extreme weather events, a data system The World Bank Sub-Saharan Africa Women’s Empowerment and Demographic Dividend Plus Project (176693) Sub-component Climate Action rights at continental, allowing to identify gendered impacts of climate change on health, and participatory regional, and national approaches on the involvement of women in disaster risk management programs. levels. (IDA = US$2.9 million) 3.2: Strengthening the Climate change adaptation and mitigation strategies will be integrated in health capacity of systems, educational, and employment programs, contribution to a climate-resilient Demographic Dividend national demographic dividend strategy. This will include support to climate-resilient Observatories (DDOs) health systems, climate-integrated educational programs, and specific targeting of for research and climate-vulnerable population for family planning and contraception services. Specific informing policy advocacy and communication tools on the demographic dividend and climate change makers. (IDA = US$2.3 in Mali and Mauritania will be developed and disseminated. million) 3.3 Support Project No climate actions included as this relates to project management costs. implementation capacity (IDA= US$8.2million)