The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Republic of Congo, Kobikisa Health System Strengthening Project (P167890) WESTERN AND CENTRAL AFRICA | Congo, Republic of | IBRD/IDA | Investment Project Financing (IPF) | FY 2021 | Seq No: 8 | Archived on 24-Jun-2025 | ISR04171 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 28-Jan-2022) The objective of the project is to increase utilization and quality of reproductive, maternal and child services in targeted areas, especially among the poorest households. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name PBF and supporting the implementation of free health care for pregnant women and children and fee exemptions for poorest households:(Cost 23,600,042.00) Support public finance governance, sector PFM and health system strengthening:(Cost 4,799,613.00) Project management and monitoring:(Cost 2,801,745.00) Contingent Emergency Response:(Cost 0.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Moderately Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Unsatisfactory Overall Risk Rating Substantial Substantial 4. KEY ISSUES & STATUS Jun 24, 2025 Page 1 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 4.1 Implementation Status and Key Decisions The project continues to experience delays owing to lack of data and reporting. Validated performance payments have started to be made to health facilities, and funds continue to support health services for beneficiaries, especially vulnerable users. The last implementation support mission will be held in July 2025 prior to project closing on August 31, 2025. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 07 - 10 Dec Proposed Rating 28 Jan 2022 2024 Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Overall Substantial Substantial Substantial Jun 24, 2025 Page 2 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Increase utilization and quality of reproductive, maternal and child services in targeted areas Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year People who have received 0.00 Feb/2021 563,565 30-Sep-2024 810,352 30-Apr-2025 1,208,622.00 Aug/2024 essential health, nutrition, and population (HNP) services (Number) People who have 0.00 118,573 590,328 1,092,340.00 received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number) Number of children 0.00 Feb/2021 117,030 30-Sep-2024 220,024 30-Apr-2025 258,404.00 Aug/2024 immunized (Number) Number of women and 0.00 Feb/2021 55,735 30-Sep-2024 486,626 30-Apr-2025 486,626.00 Aug/2024 children who have received basic nutrition services (Number) Number of deliveries 0.00 Feb/2021 62,838 30-Sep-2024 103,702 30-Apr-2025 463,592.00 Aug/2024 attended by skilled health personnel (Number) 0.00 Feb/2021 97,110 30-Sep-2024 41,923 30-Apr-2025 131,296.00 Aug/2024 Jun 24, 2025 Page 3 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Women aged 15-49 who Comments on Number of women aged 15-49 who use any modern method of contraceptive have used modern achieving targets contraceptive methods (Number) 69.90 Feb/2021 35 30-Sep-2024 35 30-Apr-2025 80.00 Aug/2024 Use of post-natal care service Comments on Number of women aged 15 to 49 years with a live birth that received post-natal care (Percentage) achieving targets Average quality score at 0.00 Feb/2021 65 30-Sep-2024 65 30-Apr-2025 70.00 Aug/2024 health centers in targeted Comments on Average score computed for all health centers based on a quality of care assessment areas (Percentage) achieving targets checklist. Health services received by 0.00 Feb/2021 9,299 30-Sep-2024 1,186,468 30-Sep-2024 1,986,000.00 Aug/2024 poor people registered as exempted (Number) 6.2 Intermediate Results Indicators by Components PBF and supporting the implementation of free health care for pregnant women and children and fee exemptions for poorest households Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of people referred 0.00 Feb/2021 859 30-Sep-2024 69,023 30-Apr-2025 330,661.00 Aug/2024 to health facilities by Comments on Number of people referred to health facilities by community health workers in targeted community health workers achieving targets areas (Number) Quality score of emergency 0.00 Feb/2021 68 30-Sep-2024 60% 30-Apr-2025 60.00 Aug/2024 obstetric and newborn care Comments on Quality score of emergency obstetric and newborn care (EmONC) services at District (EmONC) services at District achieving targets Hospitals Hospitals (Percentage) Jun 24, 2025 Page 4 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 0.00 Feb/2021 65 30-Sep-2024 65% 30-Apr-2025 100.00 Aug/2024 Health facilities receiving PBF Comments on Numerator: Health facilities receiving PBF grants on time (as defined in PBF Procedures grants on time. achieving targets manual). (Percentage) Denominator: Total of health facilities contracted through PBF Percentage of beneficiaries 0.00 Feb/2021 0.00 30-Sep-2024 91.87% 30-Apr-2025 85.00 Aug/2024 satisfied with quality of Comments on Beneficiaries satisfied with quality of services provided in health facilities (%). services provided in health achieving targets Numerator: number of health facility users (over past 12 months) satisfied with the quality facilities (disaggregated by of services provided in health facility women) (Percentage) Denominator: number of health facility users (over past 12 months) Pregnant women having at 40.00 Dec/2020 50.70 30-Sep-2024 50.7% 30-Apr-2025 48.00 Aug/2024 least 3 antenatal care visits Comments on Numerator: Number of pregnant women having at least 3 antenatal care visits before delivery achieving targets Denominator: Number of pregnant women (Percentage) Support public finance governance, sector PFM and health system strengthening Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Percentage of facilities with 0.00 Feb/2021 51.09 30-Sep-2024 51.09% 30-Apr-2025 70.00 Aug/2024 100% tracer drugs available Comments on Numerator: Number of health centers with 100% tracer drugs available in targeted health in targeted health facilities achieving targets facilities on the day of the visit *100 on the day of the visit. Denominator: Number of health facilities assessed (Percentage) Health facilities reporting 55.00 Feb/2021 76.35 30-Sep-2024 86.4% 30-Apr-2025 85.00 Aug/2024 health management data on Comments on Promptness rate of DHIS2 reports in targeted districts ( on family planning form)\ time (Promptness rate of achieving targets Numerator: number of health facilities in targeted districts reporting on time (for Family family planning form) planning form) (Percentage) Denominator: total number of health facilities in targeted districts No Feb/2021 No 30-Sep-2024 Yes 30-Apr-2025 Yes Aug/2024 Jun 24, 2025 Page 5 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) The CNTS is part of Comments on The CNTS performs external accreditation quality controls accreditation scheme and achieving targets performs external quality controls (Yes/No) Health facilities under PBF 0.00 Feb/2021 29.81 30-Sep-2024 100% 30-Apr-2025 60.00 Aug/2024 operating within the national Comments on Numerator: Number of health facilities aligned with the national PFM system PFM system (Percentage) achieving targets Denominator: Number of health facilities under PBF Staff trained with 0.00 Feb/2021 14.00 30-Sep-2024 61 30-Apr-2025 300.00 Aug/2024 demonstrated competency in Comments on Number of MOH staff trained on budget program Budget program (Number) achieving targets Contract awarded by the 0.00 Feb/2021 64.70 30-Sep-2024 64.70 30-Apr-2025 60.00 Aug/2024 CGMPs of CAMEPS, CNTS and the Ministry of health in compliance with the public procurement code (Percentage) 0.00 Feb/2021 0.00 30-Sep-2024 0.00 30-Apr-2025 70.00 Aug/2024 PETS recommendations Comments on recommendations from previous PETS which have been implemented. implemented (Percentage) achieving targets Jun 24, 2025 Page 6 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IDA-68900 Effective 50.00 34.53 14.97 21.87 10.15 68.31% 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-68900 Effective 02-Jun-2021 30-Jun-2021 19-Nov-2021 08-Aug-2024 31-Aug-2025 8. KEY DATES Jun 24, 2025 Page 7 of 8 The World Bank Implementation Status & Results Report Republic of Congo, Kobikisa Health System Strengthening Project (P167890) Key Events Planned Actual Approval 02-Jun-2021 02-Jun-2021 Effectiveness 19-Nov-2021 19-Nov-2021 Mid-Term Review No. 01 26-Jun-2024 01-Oct-2024 Operation Closing/Cancellation 31-Aug-2025 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 11-Jul-2024 Restructuring Level 2 Approved on 10-Apr-2025 10. ASSOCIATED OPERATION(S) There are no associated operations Jun 24, 2025 Page 8 of 8