The World Bank Health Sector Support Project (P160846) REPORT NO.: RES60857 RESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING OF HEALTH SECTOR SUPPORT PROJECT APPROVED ON JULY 28, 2017 TO THE PEOPLE'S REPUBLIC OF BANGLADESH HEALTH, NUTRITION & POPULATION SOUTH ASIA Regional Vice President: Martin Raiser Country Director: Abdoulaye Seck Regional Director: Nicole Klingen Practice Manager: Feng Zhao Task Team Leaders: Shiyong Wang, Bushra Binte Alam The World Bank Health Sector Support Project (P160846) BASIC DATA Product Information Project ID Financing Instrument P160846 Investment Project Financing Original EA Category Current EA Category Partial Assessment (B) Partial Assessment (B) Approval Date Current Closing Date 28-Jul-2017 30-Jun-2024 Organizations Borrower Responsible Agency People's Republic of Bangladesh Project Development Objective (PDO) Original PDO The Project Development Objective (PDO) is to strengthen the health, nutrition and population (HNP) sector's core management systems and delivery of essential HNP services with a focus on selected geographical areas. OPS_TABLE_PDO_CURRENTPDO Summary Status of Financing (US$, Millions) Net Ln/Cr/Tf Approval Signing Effectiveness Closing Commitment Disbursed Undisbursed IDA-63020 28-Jun-2018 20-Sep-2018 25-Oct-2018 30-Jun-2024 8.33 8.05 .05 IDA-D3610 28-Jun-2018 20-Sep-2018 25-Oct-2018 30-Jun-2024 41.67 40.59 .43 IDA-61270 28-Jul-2017 28-Aug-2017 02-Oct-2017 30-Jun-2024 500.00 490.61 7.47 TF-A6941 05-Nov-2018 05-Nov-2018 05-Nov-2018 30-Jun-2024 131.16 128.39 2.77 TF-A4355 28-Jul-2017 28-Aug-2017 02-Oct-2017 30-Sep-2023 15.00 15.00 0 Policy Waiver(s) Does this restructuring trigger the need for any policy waiver(s)? No The World Bank Health Sector Support Project (P160846) The World Bank Health Sector Support Project (P160846) I. PROJECT STATUS AND RATIONALE FOR RESTRUCTURING 1. This Project Paper seeks approval of the Country Director to process a project restructuring for partial cancellation of funds. This restructuring responds to a request received from the Economic Relations Division of the Ministry of Finance, dated June 20, 2024. 2. Project Background: The Health Sector Support Project (HSSP) uses the investment project financing (IPF) instrument with performance-based conditions (PBC; formerly disbursement-linked indicators [DLIs]). The project was approved by the World Bank Board on July 28, 2017, with an allocation of US$500 million equivalent International Development Association (IDA) credit and a US$15 million grant from the Global Financing Facility (GFF). Five development partners (Canada, the Netherlands, Sweden, the United Kingdom, and Gavi, The Vaccine Alliance) co-finance the project through the HSSP-MDTF, disbursing against the same DLIs that are being financed by IDA and GFF. In June 2018, a fourth component was added to HSSP (which does not include DLIs) to mobilize additional IDA financing of US$50 million equivalent (US$41.67 million IDA grant and US$8.33 million IDA credit) to assist the government in responding to the crisis posed by an influx of displaced Rohingya population from Myanmar. The fourth component is not supported by the HSSP- MDTF and GFF proceeds. The HSSP is implemented by the Ministry of Health and Family Welfare (MoHFW) and supports its national sector program for 2017–2024. The project closing date is June 30, 2024, and most of the funds have been fully disbursed. As of June 22, 2024, US$514 million or 98.6% of IDA proceeds, and US$128.4 million or 98% of the MDTF grant proceeds have been disbursed. A restructuring has already been processed to reallocate US$2.5 million of undisbursed MDTF grants that will ensure full disbursement of the proceeds within the grace period of October 2024. The GFF grant of US$15 million has also been fully disbursed. 3. Summary of the project status: The project development objective (PDO) is to strengthen the health, nutrition and population (HNP) sector's core management systems and delivery of essential HNP services with a focus on selected geographical areas. Progress towards achievement of the PDO and implementation progress are rated as satisfactory. The project is also rated satisfactory with respect to its performance in financial management, procurement, and safeguards. There are no pending audit reports. All seven PDO indicators have achieved the end-of-project targets. II. DESCRIPTION OF PROPOSED CHANGES 4. Partial cancellation of undisbursed funds: The closing date for the HSSP (IDA Credit No. 6127-BD) is June 30, 2024. There is SDR 5,353,198.55 undisbursed funds as confirmed by ERD’s letter dated June 20, 2024. This undisbursed balance relates to the allocation of SDR 2,170,000 for disbursement linked result (DLR) 6.2, allocation of SDR 3,000,000 for DLR 6.3, and undisbursed balance available of SDR 183,198.50 for DLR 10.1. All disbursements have been made in respect of the withdrawal applications and this total undisbursed balance of SDR 5,353,198.55 is proposed to be cancelled in order for the Recipient to recommit this for utilization in future operations. Accordingly, the following changes are being reflected: (a) Cancel SDR 5,353,198.55 from IDA 6127-BD; (b) Reduce the IDA allocation from disbursement category 1 by SDR 5,353,198.55; (c) Delete DLRs/PBCs 6.2 and 6.3 from the PBC table; and (d) Delete intermediate outcome indicator # 6 corresponding to DLR/PBC 6.3. 2 The World Bank Health Sector Support Project (P160846) III. SUMMARY OF CHANGES Changed Not Changed Results Framework ✔ PBCs ✔ Cancellations Proposed ✔ Reallocation between Disbursement Categories ✔ Implementing Agency ✔ DDO Status ✔ Project's Development Objectives ✔ Components and Cost ✔ Loan Closing Date(s) ✔ Disbursements Arrangements ✔ Disbursement Estimates ✔ Overall Risk Rating ✔ Safeguard Policies Triggered ✔ EA category ✔ Legal Covenants ✔ Institutional Arrangements ✔ Financial Management ✔ Procurement ✔ Implementation Schedule ✔ Other Change(s) ✔ Economic and Financial Analysis ✔ Technical Analysis ✔ Social Analysis ✔ Environmental Analysis ✔ IV. DETAILED CHANGE(S) OPS_DETAILEDCHANGES_CANCELLATIONS_TABLE 3 The World Bank Health Sector Support Project (P160846) CANCELLATIONS Value Reason Current Cancellation New Ln/Cr/Tf Status Currency Date of for Amount Amount Amount Cancellation Cancellation Disburs UNDISBURSE IDA-61270- 361,200,000.0 355,846,801.4 ing&Re XDR 5,353,198.55 25-Jun-2024 D BALANCE 001 0 5 paying AT CLOSING Disburs IDA-63020- ing&Re XDR 5,900,000.00 0.00 5,900,000.00 001 paying IDA-D3610- Disburs XDR 29,500,000.00 0.00 29,500,000.00 001 ing TF-A4355- Disburs USD 15,000,000.00 0.00 15,000,000.00 001 ing TF-A6941- Disburs 131,160,719.0 131,160,719.0 USD 0.00 001 ing 0 0 OPS_DETAILEDCHANGES_REALLOCATION _TABLE REALLOCATION BETWEEN DISBURSEMENT CATEGORIES Financing % Current Allocation Actuals + Committed Proposed Allocation (Type Total) Current Proposed IDA-61270-001 | Currency: XDR iLap Category Sequence No: 1 Current Expenditure Category: Eligible Expenditure Program 361,200,000.00 355,561,639.05 355,846,801.45 100.00 100.00 Total 361,200,000.00 355,561,639.05 355,846,801.45 . 4 The World Bank Health Sector Support Project (P160846) . Results framework COUNTRY: Bangladesh Health Sector Support Project Project Development Objectives(s) The Project Development Objective (PDO) is to strengthen the health, nutrition and population (HNP) sector's core management systems and delivery of essential HNP services with a focus on selected geographical areas. Project Development Objective Indicators by Objectives/ Outcomes RESULT_FRAME_TBL_PDO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 Strengthen the health, nutrition and population (HNP) sector's core management systems Increase in the number of Community Clinics providing complete essential data on service PBC 8.1 0.00 1,000.00 2,000.00 4,000.00 6,000.00 7,000.00 delivery, including gender- disaggregated (DLI 8) (Number) Increase in the number of Upazila Health Complexes with at least 2 accredited PBC 7.2 0.00 150.00 150.00 150.00 150.00 150.00 diploma midwives (DLI 7) (Number) Strengthen delivery of essential HNP services with a focus on selected geographical areas Increase in the number of PBC normal deliveries in public 106,673.00 107,772.00 119,963.00 129,276.00 157,153.00 120,000.00 10.1 health facilities in Sylhet 5 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_PDO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 and Chittagong divisions (DLI 10) (Number) Increase in the number of District Hospitals with improved capacity to provide comprehensive PBC emergency obstetric and 0.00 5.00 6.00 7.00 8.00 9.00 10.00 11.3 neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number) Increase in the percentage of registered children aged under 2 years receiving PBC specified nutrition services 0.00 10.00 15.00 20.00 25.00 30.00 54.00 14.4 in Sylhet and Chittagong divisions (DLI 14) (Percentage) Among the displaced Rohingya population in Cox's Bazar District, the number of children (ages 0- 11 months) who have 221.00 35,000.00 received three doses of Pentavalent immunization, disaggregated by gender (annual) (Number) 6 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_PDO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 Among the displaced Rohingya population in Cox’s Bazar District, the 5,427.00 20,000.00 number of births delivered in HNP facilities (annual) (Number) PDO Table SPACE Intermediate Results Indicators by Components RESULT_FRAME_TBL_IO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 Component 1. Governance and Stewardship Annual GRS performance report for previous CY is PBC 1.3 No No No No Yes Yes Yes published (DLI 1) (Yes/No) Increase in percentage from FY16 baseline in repair and maintenance expenditure PBC 2.2 0.00 0.00 20.00 40.00 60.00 100.00 270.00 at the levels of Upazila and below (DLI 2) (Percentage) Component 2. Health, Nutrition and Population Systems Strengthening MOHFW FMAU completes internal audit for the PBC 3.6 No No No No Yes Yes Yes previous fiscal year (DLI 3) (Yes/No) 7 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_IO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 Increase in the number of district-level referral facilities in which AMS is PBC 4.2 1.00 30.00 implemented (DLI 4) (Number) Increase in percentage of NCTs using e-GP issued by PBC 5.2 0.00 0.00 0.00 25.00 35.00 50.00 75.00 MOHFW (DLI 5) (Percentage) MOPA approves CMSD restructuring proposal (DLI PBC 6.1 No No No Yes Yes Yes Yes 6) (Yes/No) Action: This indicator has been Marked for Deletion Component 3. Provision of Quality Health, Nutrition and Population Services Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP PBC 9.4 0.00 0.00 0.00 5.00 15.00 25.00 35.00 services in Sylhet and Chattogram divisions, reported for the previous CY (DLI 9) (Percentage) Increase in the number of districts reaching at least PBC 85% coverage of measles- 14.00 15.00 15.00 15.00 15.00 15.00 15.00 12.2 rubella vaccination among children aged 0-12 months 8 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_IO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 in Sylhet and Chattogram divisions (DLI 12) (Number) Increase in the percentage of registered pregnant women receiving specified maternal nutrition services PBC 0.00 0.00 5.00 10.00 15.00 60.00 65.00 in Sylhet and Chattogram 13.4 divisions, reported for the previous CY (DLI 13) (Percentage) Number of districts where the school-based adolescent health program 0.00 7.00 is implemented in Sylhet and Chattogram divisions (DLI 15) (Number) Assessment is completed of hypertension diagnosis and PBC referral services at the No No No No No No Yes 16.5 primary level in at least 2 Upazilas (DLI 16) (Yes/No) People who have received essential health, nutrition, 0.00 904,000.00 1,834,000.00 2,781,000.00 3,756,000.00 4,759,000.00 5,305,455.00 and population (HNP) services (CRI, Number) People who have received essential 0.00 515,000.00 1,049,000.00 1,586,000.00 2,130,000.00 2,684,000.00 5,029,254.00 health, nutrition, and 9 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_IO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 population (HNP) services - Female (RMS requirement) (CRI, Number) Number of children immunized (CRI, 0.00 770,000.00 1,550,000.00 2,330,000.00 3,120,000.00 3,920,000.00 5,608,505.00 Number) Number of women and children who have 0.00 4,000.00 22,000.00 54,000.00 101,000.00 162,000.00 800,000.00 received basic nutrition services (CRI, Number) Number of deliveries attended by skilled 0.00 130,000.00 262,000.00 397,000.00 535,000.00 677,000.00 385,580.00 health personnel (CRI, Number) Component 4: Develop HNP Services for the displaced Rohingya population in Cox's Bazar District The number of HNP facilities providing an appropriate mix of family planning methods to the 4.00 15.00 displaced Rohingya population in Cox's Bazar District (cumulative) (Number) Among the displaced Rohingya population, the 32,000.00 115,000.00 number of pregnant women and lactating mothers 10 The World Bank Health Sector Support Project (P160846) RESULT_FRAME_TBL_IO Indicator Name PBC Baseline Intermediate Targets End Target 1 2 3 4 5 reached with social and behavior change interventions on infant and young child feeding (annual) (Number) Among the displaced Rohingya population, the number of women and girls who have received through women-friendly services 90,311.00 138,000.00 information on sexual and reproductive health and rights/GBV (annual) (Number) IO Table SPACE Performance-Based Conditions Matrix DLI IN01434589 ACTION PBC 1 Citizen feedback system is strengthened Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome No Text 25,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline A grievance redress system (GRS) exists FY2017 0.00 11 The World Bank Health Sector Support Project (P160846) FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 25,000,000.00 DLI IN01434590 ACTION PBC 1.1 Assessment of current GRS is completed Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 5,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 12 The World Bank Health Sector Support Project (P160846) DLI IN01434591 ACTION PBC 1.2 GRS guidelines are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 Yes 5,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434592 ACTION PBC 1.3 Annual GRS performance report for previous CY is published (DLI 1) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Yes/No 15,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 No 0.00 13 The World Bank Health Sector Support Project (P160846) FY2018 No 0.00 FY2019 Yes 0.00 FY2020 Yes 0.00 FY2021 0.00 FY2022 15,000,000.00 5 million per annual report DLI IN01434593 ACTION PBC 2 Budget planning and allocation are improved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output Yes Percentage 72,900,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 72,900,000.00 14 The World Bank Health Sector Support Project (P160846) DLI IN01434594 ACTION PBC 2.1 Operational plans (OPs) approved including activities and budgets for achievement of DLIs Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output Yes Number 26,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 13.00 26,000,000.00 2 million per OP FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434595 ACTION PBC 2.2 Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Percentage 46,900,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 20.00 0.00 15 The World Bank Health Sector Support Project (P160846) FY2018 40.00 0.00 FY2019 60.00 0.00 FY2020 100.00 0.00 FY2021 0.00 FY2022 46,900,000.00 DLI IN01434596 ACTION PBC 3 Financial management system is strengthened Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome No Text 51,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline FMAU has drafted recruitment rules FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 51,000,000.00 16 The World Bank Health Sector Support Project (P160846) DLI IN01434597 ACTION PBC 3.1 MOHFW submits FMAU recruitment rules to MOPA Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 Yes 3,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434598 ACTION PBC 3.2 MOPA endorses FMAU recruitment rules Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 17 The World Bank Health Sector Support Project (P160846) FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434599 ACTION PBC 3.3 MOF concurs to FMAU recruitment rules Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 10,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 Yes 10,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 18 The World Bank Health Sector Support Project (P160846) DLI IN01434600 ACTION PBC 3.4 MOPA approves FMAU recruitment rules Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 Yes 5,000,000.00 FY2021 0.00 FY2022 0.00 DLI IN01434601 ACTION PBC 3.5 At least 50% of required FMAU staff are recruited Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 10,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 19 The World Bank Health Sector Support Project (P160846) FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 Yes 10,000,000.00 FY2022 0.00 DLI IN01434602 ACTION PBC 3.6 MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Yes/No 20,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 No 0.00 FY2018 No 0.00 FY2019 Yes 0.00 FY2020 Yes 0.00 FY2021 0.00 FY2022 20,000,000.00 10 million per audit 20 The World Bank Health Sector Support Project (P160846) DLI IN01434603 ACTION PBC 4 Asset management is improved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 13,700,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline AMS piloted FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 AMS rolledout 13,700,000.00 DLI IN01434604 ACTION PBC 4.1 Assessment and plan are approved for AMS scale-up Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 4,700,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 Yes 4,700,000.00 21 The World Bank Health Sector Support Project (P160846) FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434605 ACTION PBC 4.2 Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Number 9,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 1.00 FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 9,000,000.00 22 The World Bank Health Sector Support Project (P160846) DLI IN01434606 ACTION PBC 5 Procurement process is improved using information technology Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Text 19,800,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline e-GP not initiated in MOHFW FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 19,800,000.00 80,000 per 1% of NCTs DLI IN01434607 ACTION PBC 5.1 e-GP is initiated for procurement by MOHFW Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 23 The World Bank Health Sector Support Project (P160846) FY2018 Yes 5,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434608 ACTION PBC 5.2 Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Percentage 14,800,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 0.00 0.00 FY2018 25.00 0.00 FY2019 35.00 0.00 FY2020 50.00 0.00 FY2021 0.00 FY2022 14,800,000.00 80,000 per 1% of NCTs 24 The World Bank Health Sector Support Project (P160846) DLI IN01434609 ACTION PBC 6 Institutional capacity is developed for procurement and supply management Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome No Text 10,160,000.00 29.53 Period Value Allocated Amount (USD) Formula Baseline CMSD restructuring proposal finalized FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 10,160,000.00 FY2021 0.00 FY2022 0.00 DLI IN01434610 ACTION PBC 6.1 MOPA approves CMSD restructuring proposal (DLI 6) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 No 0.00 25 The World Bank Health Sector Support Project (P160846) FY2018 Yes 3,000,000.00 FY2019 Yes 0.00 FY2020 Yes 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434611 ACTION PBC 6.2 MOF concurs to CMSD restructuring proposal Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 3,000,000.00 0.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 Yes 3,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 Action: This PBC has been Marked for Deletion 26 The World Bank Health Sector Support Project (P160846) DLI IN01434612 ACTION PBC 6.3 MOPA approves CMSD restructuring proposal Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 4,100,000.00 0.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 Yes 4,100,000.00 FY2021 0.00 FY2022 0.00 Action: This PBC has been Marked for Deletion DLI IN01434613 ACTION PBC 7 Availability of midwives for maternal care is increased Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 45,400,000.00 100.00 Period Value Allocated Amount (USD) Formula 27 The World Bank Health Sector Support Project (P160846) MOHFW initiated process to create positions for Baseline midwives FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 45,400,000.00 DLI IN01434614 ACTION PBC 7.1 At least 2,500 midwife posts are created by MOHFW and recruitment of midwives is underway Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 20,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 Yes 20,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 28 The World Bank Health Sector Support Project (P160846) FY2022 0.00 DLI IN01434615 ACTION PBC 7.2 Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Number 25,400,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 150.00 0.00 FY2018 150.00 0.00 FY2019 150.00 0.00 FY2020 150.00 0.00 FY2021 0.00 FY2022 25,400,000.00 34,000 per Upazila Health Complex DLI IN01434616 ACTION PBC 8 Information system is strengthened, including gender-disaggregated data Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Number (Thousand) 20,000,000.00 34.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 29 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 7.00 20,000,000.00 100,000 per 100 community clinic DLI IN01434617 ACTION Increase in the number of Community Clinics providing complete essential data on service delivery, including gender- PBC 8.1 disaggregated (DLI 8) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Number 20,000,000.00 34.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 1,000.00 0.00 FY2018 2,000.00 0.00 FY2019 4,000.00 0.00 FY2020 6,000.00 0.00 FY2021 0.00 30 The World Bank Health Sector Support Project (P160846) FY2022 20,000,000.00 100,000 per 100 community clinic DLI IN01434618 ACTION PBC 9 Post-partum family planning services are improved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 32,750,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline PPFP services need improvement FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 32,750,000.00 DLI IN01434619 ACTION PBC 9.1 Facility readiness criteria and assessment instrument for PPFP services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 31 The World Bank Health Sector Support Project (P160846) FY2017 Yes 5,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434620 ACTION PBC 9.2 Reporting and training guidelines for PPFP services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 32 The World Bank Health Sector Support Project (P160846) DLI IN01434621 ACTION Assessment and action plan are completed for expansion of PPFP services in targeted health facilities in Sylhet and PBC 9.3 Chittagong divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 5,205,000.00 99.90 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 No 5,205,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434622 ACTION Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet PBC 9.4 and Chattogram divisions, reported for the previous CY (DLI 9) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Percentage 19,550,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 33 The World Bank Health Sector Support Project (P160846) FY2017 0.00 0.00 FY2018 5.00 0.00 FY2019 15.00 0.00 FY2020 25.00 0.00 FY2021 0.00 FY2022 19,550,000.00 244,000 per 1% of targeted facilities DLI IN01434623 ACTION PBC 10 Utilization of maternal health care services is increased Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 21,090,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline Normal deliveries need to be increased FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 21,090,000.00 250,000 per 10,000 deliveries 34 The World Bank Health Sector Support Project (P160846) DLI IN01434624 ACTION PBC 10.1 Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Number 12,800,000.00 97.66 Period Value Allocated Amount (USD) Formula Baseline 106,673.00 FY2017 119,963.00 0.00 FY2018 129,276.00 0.00 FY2019 157,153.00 0.00 FY2020 12,800,000.00 24 per 1 delivery FY2021 0.00 FY2022 0.00 DLI IN01434625 ACTION Number of normal deliveries in public health facilities in Sylhet, Chattogram and Barisal divisions, reported for the previous PBC 10.2 CY Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Number 8,200,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 106,673.00 35 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 160,000.00 0.00 FY2022 170,000.00 8,200,000.00 24 per 1 delivery DLI IN01434626 ACTION PBC 11 Emergency obstetric care services are improved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 39,200,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline CEmONC services need to be improved FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 39,200,000.00 36 The World Bank Health Sector Support Project (P160846) DLI IN01434627 ACTION PBC 11.1 Facility assessment instrument for CEmONC is approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 Yes 3,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434628 ACTION Assessment and action plans are approved for development of CEmONC services in targeted district hospitals in Sylhet and PBC 11.2 Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 4,700,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 37 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 Yes 4,700,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434629 ACTION Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and PBC 11.3 neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome Yes Number 31,500,000.00 83.30 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 6.00 0.00 FY2018 7.00 0.00 FY2019 8.00 0.00 FY2020 9.00 0.00 FY2021 0.00 38 The World Bank Health Sector Support Project (P160846) FY2022 31,500,000.00 700,000 per district hospital DLI IN01434630 ACTION PBC 12 Immunization coverage and equity is enhanced Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 51,500,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline Immunization coverage needs to be improved FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 51,500,000.00 DLI IN01434631 ACTION PBC 12.1 Immunization microplans for CY2017 are approved for each district in Sylhet and Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 39 The World Bank Health Sector Support Project (P160846) FY2017 Yes 5,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434632 ACTION Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 PBC 12.2 months in Sylhet and Chattogram divisions (DLI 12) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Number 27,500,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 14.00 FY2017 15.00 0.00 FY2018 15.00 0.00 FY2019 15.00 0.00 FY2020 15.00 27,500,000.00 500000 per district FY2021 0.00 40 The World Bank Health Sector Support Project (P160846) FY2022 0.00 DLI IN01434633 ACTION Number of districts reaching at least 85% coverage of measles-rubella vaccination among children ages 0-12 months in PBC 12.3 Sylhet, Chattogram and Barisal divisions of Bangladesh,reported for the previous CY Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Number 19,020,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 14.00 FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 18.00 0.00 FY2022 20.00 19,020,000.00 500000 per district DLI IN01434634 ACTION PBC 13 Maternal nutrition services are expanded Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 30,400,000.00 100.00 Period Value Allocated Amount (USD) Formula 41 The World Bank Health Sector Support Project (P160846) Baseline Maternal nutrition services need to be improved FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 30,400,000.00 DLI IN01434635 ACTION PBC 13.1 Technical standards for maternalnutrition services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 Yes 3,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 42 The World Bank Health Sector Support Project (P160846) FY2022 0.00 DLI IN01434636 ACTION PBC 13.2 Reporting and quality assessment guidelines for maternal nutrition services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434637 ACTION PBC 13.3 Assessment is completed of maternal nutrition service quality in Sylhet and Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 7,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 43 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 0.00 FY2019 Yes 7,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434638 ACTION Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and PBC 13.4 Chattogram divisions, reported for the previous CY (DLI 13) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Percentage 17,400,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 FY2017 5.00 0.00 FY2018 10.00 0.00 FY2019 15.00 0.00 FY2020 60.00 0.00 FY2021 0.00 44 The World Bank Health Sector Support Project (P160846) FY2022 17,400,000.00 DLI IN01434639 ACTION PBC 14 Infant and child nutrition services are expanded Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Text 34,200,000.00 100.00 Period Value Allocated Amount (USD) Formula Infant and child nutrition services need Baseline improvement FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 34,200,000.00 DLI IN01434640 ACTION PBC 14.1 Technical standards for infant and child nutrition services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 45 The World Bank Health Sector Support Project (P160846) FY2017 Yes 3,000,000.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434641 ACTION PBC 14.2 Reporting and quality assessment guidelines for infant and child nutrition services are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 46 The World Bank Health Sector Support Project (P160846) DLI IN01434642 ACTION PBC 14.3 Assessment is completed of infant and child nutrition service quality in Sylhet and Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 7,150,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 Yes 7,150,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434643 ACTION Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and PBC 14.4 Chittagong divisions (DLI 14) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome Yes Percentage 21,050,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline 0.00 47 The World Bank Health Sector Support Project (P160846) FY2017 15.00 0.00 FY2018 20.00 0.00 FY2019 25.00 0.00 FY2020 30.00 0.00 FY2021 0.00 FY2022 21,050,000.00 DLI IN01434644 ACTION PBC 15 School-based adolescent HNP program is developed and implemented Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome No Text 17,700,000.00 77.40 Period Value Allocated Amount (USD) Formula School-based adolescent HNP program needs to Baseline be developed FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 17,700,000.00 48 The World Bank Health Sector Support Project (P160846) DLI IN01434645 ACTION PBC 15.1 Revised teacher training manual is approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434646 ACTION Assessment of current school-based services in Sylhet and Chattogram divisions is jointly completed with the education PBC 15.2 sector Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 5,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 49 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 0.00 FY2019 Yes 5,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434647 ACTION MOHFW completes training for the school-based adolescent health program in at least 50 schools in targeted districts of PBC 15.3 Sylhet and Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 2,780,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 Yes 2,780,000.00 FY2021 0.00 50 The World Bank Health Sector Support Project (P160846) FY2022 0.00 DLI IN01434648 ACTION Budget for implementation of MOHFW's school based adolescent HNP program is included in the relevant MOHFW PBC 15.4 operational plan Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome No Yes/No 2,700,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 2,700,000.00 FY2022 0.00 DLI IN01434649 ACTION MOHFW implements the MOHFW's school-based adolescent HNP program in targeted schools in at least 7 districts in PBC 15.5 Sylhet and Chattogram divisions Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 4,100,000.00 100.00 Period Value Allocated Amount (USD) Formula 51 The World Bank Health Sector Support Project (P160846) Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 Yes 4,100,000.00 DLI IN01434650 ACTION PBC 16 Emerging challenges are addressed Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Outcome No Text 15,020,000.00 100.00 Period Value Allocated Amount (USD) Formula Emerging challenges like urban health and non- Baseline communicable diseases need to be addressed FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 52 The World Bank Health Sector Support Project (P160846) FY2022 15,020,000.00 DLI IN01434651 ACTION PBC 16.1 Urban Health Coordination Committee meets and agrees on actions to improve coordination on urban health Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Process No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 Yes 3,000,000.00 FY2019 0.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434652 ACTION PBC 16.2 Guidelines for screening, referral and treatment of hypertension are approved Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No 53 The World Bank Health Sector Support Project (P160846) FY2017 0.00 FY2018 0.00 FY2019 Yes 3,000,000.00 FY2020 0.00 FY2021 0.00 FY2022 0.00 DLI IN01434653 ACTION PBC 16.3 Plan and technical materials are approved for implementation of hypertension diagnosis and referral services Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Output No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 Yes 3,000,000.00 FY2021 0.00 FY2022 0.00 54 The World Bank Health Sector Support Project (P160846) DLI IN01434654 ACTION PBC 16.4 Hypertension diagnosis and referral services are implemented at the primary level in at least 2 upazilas Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome No Yes/No 3,020,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 0.00 FY2018 0.00 FY2019 0.00 FY2020 0.00 FY2021 Yes 3,020,000.00 FY2022 0.00 DLI IN01434655 ACTION PBC 16.5 Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) Type of PBC Scalability Unit of Measure Total Allocated Amount (USD) As % of Total Financing Amount Intermediate Outcome No Yes/No 3,000,000.00 100.00 Period Value Allocated Amount (USD) Formula Baseline No FY2017 No 0.00 55 The World Bank Health Sector Support Project (P160846) FY2018 No 0.00 FY2019 No 0.00 FY2020 No 0.00 FY2021 0.00 FY2022 3,000,000.00 Verification Protocol Table: Performance-Based Conditions DLI_TBL_VERIFICATION PBC 1 Citizen feedback system is strengthened Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 1.1 Assessment of current GRS is completed Description Data source/ Agency Verification Entity Procedure 56 The World Bank Health Sector Support Project (P160846) DLI_TBL_VERIFICATION PBC 1.2 GRS guidelines are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 1.3 Annual GRS performance report for previous CY is published (DLI 1) Description To measure implementation progress of component 1. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 2 Budget planning and allocation are improved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 2.1 Operational plans (OPs) approved including activities and budgets for achievement of DLIs Description Data source/ Agency Verification Entity 57 The World Bank Health Sector Support Project (P160846) Procedure DLI_TBL_VERIFICATION Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI PBC 2.2 2) Description To measure implementation progress of component 1. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3 Financial management system is strengthened Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.1 MOHFW submits FMAU recruitment rules to MOPA Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.2 MOPA endorses FMAU recruitment rules Description Data source/ Agency 58 The World Bank Health Sector Support Project (P160846) Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.3 MOF concurs to FMAU recruitment rules Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.4 MOPA approves FMAU recruitment rules Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.5 At least 50% of required FMAU staff are recruited Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 3.6 MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) Description To measure implementation progress of component 2. 59 The World Bank Health Sector Support Project (P160846) Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 4 Asset management is improved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 4.1 Assessment and plan are approved for AMS scale-up Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 4.2 Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) Description To measure implementation progress of component 2. Data source/ Agency Verification Entity Procedure 60 The World Bank Health Sector Support Project (P160846) DLI_TBL_VERIFICATION PBC 5 Procurement process is improved using information technology Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 5.1 e-GP is initiated for procurement by MOHFW Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 5.2 Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) To measure implementation progress of component 2. The indicator is defined as the National Competitive Tenders (NCTs) Description using e-GP system as a percentage of all specified NCT issued by the MOHFW. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 6 Institutional capacity is developed for procurement and supply management Description Data source/ Agency Verification Entity 61 The World Bank Health Sector Support Project (P160846) Procedure DLI_TBL_VERIFICATION PBC 6.1 MOPA approves CMSD restructuring proposal (DLI 6) Description To measure implementation progress of component 2. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 6.2 MOF concurs to CMSD restructuring proposal Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 6.3 MOPA approves CMSD restructuring proposal Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 7 Availability of midwives for maternal care is increased Description Data source/ Agency 62 The World Bank Health Sector Support Project (P160846) Verification Entity Procedure DLI_TBL_VERIFICATION PBC 7.1 At least 2,500 midwife posts are created by MOHFW and recruitment of midwives is underway Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 7.2 Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) Description Indicative indicator for progress towards part 1 of the development objective. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 8 Information system is strengthened, including gender-disaggregated data Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Increase in the number of Community Clinics providing complete essential data on service delivery, including gender- PBC 8.1 disaggregated (DLI 8) Description Indicative indicator for progress towards part 1 of the development objective. 63 The World Bank Health Sector Support Project (P160846) Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 9 Post-partum family planning services are improved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 9.1 Facility readiness criteria and assessment instrument for PPFP services are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 9.2 Reporting and training guidelines for PPFP services are approved Description Data source/ Agency Verification Entity Procedure 64 The World Bank Health Sector Support Project (P160846) DLI_TBL_VERIFICATION Assessment and action plan are completed for expansion of PPFP services in targeted health facilities in Sylhet and PBC 9.3 Chittagong divisions Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet PBC 9.4 and Chattogram divisions, reported for the previous CY (DLI 9) Description To measure implementation progress of component 3. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 10 Utilization of maternal health care services is increased Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 10.1 Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) Description Indicative indicator for progress towards part 2 of the development objective. Data source/ Agency Verification Entity 65 The World Bank Health Sector Support Project (P160846) Procedure DLI_TBL_VERIFICATION Number of normal deliveries in public health facilities in Sylhet, Chattogram and Barisal divisions, reported for the previous PBC 10.2 CY Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 11 Emergency obstetric care services are improved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 11.1 Facility assessment instrument for CEmONC is approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Assessment and action plans are approved for development of CEmONC services in targeted district hospitals in Sylhet and PBC 11.2 Chattogram divisions Description Data source/ Agency 66 The World Bank Health Sector Support Project (P160846) Verification Entity Procedure DLI_TBL_VERIFICATION Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and PBC 11.3 neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) Description Indicative indicator for progress towards part 2 of the development objective. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 12 Immunization coverage and equity is enhanced Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 12.1 Immunization microplans for CY2017 are approved for each district in Sylhet and Chattogram divisions Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0- PBC 12.2 12 months in Sylhet and Chattogram divisions (DLI 12) Description To measure implementation progress of component 3. 67 The World Bank Health Sector Support Project (P160846) Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Number of districts reaching at least 85% coverage of measles-rubella vaccination among children ages 0-12 months in PBC 12.3 Sylhet, Chattogram and Barisal divisions of Bangladesh,reported for the previous CY Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 13 Maternal nutrition services are expanded Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 13.1 Technical standards for maternalnutrition services are approved Description Data source/ Agency Verification Entity Procedure 68 The World Bank Health Sector Support Project (P160846) DLI_TBL_VERIFICATION PBC 13.2 Reporting and quality assessment guidelines for maternal nutrition services are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 13.3 Assessment is completed of maternal nutrition service quality in Sylhet and Chattogram divisions Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and PBC 13.4 Chattogram divisions, reported for the previous CY (DLI 13) Description To measure implementation progress of component 3. Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 14 Infant and child nutrition services are expanded Description Data source/ Agency Verification Entity 69 The World Bank Health Sector Support Project (P160846) Procedure DLI_TBL_VERIFICATION PBC 14.1 Technical standards for infant and child nutrition services are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 14.2 Reporting and quality assessment guidelines for infant and child nutrition services are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 14.3 Assessment is completed of infant and child nutrition service quality in Sylhet and Chattogram divisions Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and PBC 14.4 Chittagong divisions (DLI 14) Description Indicative indicator for progress towards part 2 of the development objective. Data source/ Agency 70 The World Bank Health Sector Support Project (P160846) Verification Entity Procedure DLI_TBL_VERIFICATION PBC 15 School-based adolescent HNP program is developed and implemented Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 15.1 Revised teacher training manual is approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION Assessment of current school-based services in Sylhet and Chattogram divisions is jointly completed with the education PBC 15.2 sector Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION MOHFW completes training for the school-based adolescent health program in at least 50 schools in targeted districts of PBC 15.3 Sylhet and Chattogram divisions Description 71 The World Bank Health Sector Support Project (P160846) Data source/ Agency Verification Entity Desk-based review of relevant documents to ascertain training has been completed. Procedure DLI_TBL_VERIFICATION Budget for implementation of MOHFW's school based adolescent HNP program is included in the relevant MOHFW PBC 15.4 operational plan Description To measure implementation progress of component 3. Data source/ Agency Verification Entity Desk-based review of the operational plan to assess if budgets have been allocated. Procedure DLI_TBL_VERIFICATION MOHFW implements the MOHFW's school-based adolescent HNP program in targeted schools in at least 7 districts in PBC 15.5 Sylhet and Chattogram divisions Description Data source/ Agency Verification Entity IMED will undertake data quality audit/field visit on a sample of schools to verify achievement. Procedure DLI_TBL_VERIFICATION PBC 16 Emerging challenges are addressed Description Data source/ Agency Verification Entity Procedure 72 The World Bank Health Sector Support Project (P160846) DLI_TBL_VERIFICATION PBC 16.1 Urban Health Coordination Committee meets and agrees on actions to improve coordination on urban health Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 16.2 Guidelines for screening, referral and treatment of hypertension are approved Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 16.3 Plan and technical materials are approved for implementation of hypertension diagnosis and referral services Description Data source/ Agency Verification Entity Procedure DLI_TBL_VERIFICATION PBC 16.4 Hypertension diagnosis and referral services are implemented at the primary level in at least 2 upazilas Description Data source/ Agency Verification Entity 73 The World Bank Health Sector Support Project (P160846) Procedure DLI_TBL_VERIFICATION PBC 16.5 Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) Description To measure implementation progress of component 3. Data source/ Agency Verification Entity Procedure 74 The World Bank Health Sector Support Project (P160846)