The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) EASTERN AND SOUTHERN AFRICA | Eastern and Southern Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 15 | ARCHIVED on 27-Jun-2024 | ISR60403 | Implementing Agencies: African Union Development Agency (AUDA-NEPAD), East, Central and Southern African Health Community (ECSA-HC), Kingdom of Lesotho - Ministry of Finance and Development Planning (MoFDP), Kingdom of Lesotho - Ministry of Health, Republic of Malawi - Ministry of Finance and Economic Affairs (MOFEA), Republic of Malawi - Ministry of Health (MOH), Republic of Mozambique - Ministry of Economy and Finance (MEF), Republic of Mozambique - Ministry of Health (MISAU), Republic of Zambia - Ministry of Finance and National Planning (MOFNP), Republic of Zambia - Ministry of Health (MOH) Key Dates Key Project Dates Bank Approval Date: 26-May-2016 Effectiveness Date: 05-Dec-2016 Planned Mid Term Review Date: 22-Apr-2019 Actual Mid-Term Review Date: 22-Apr-2019 Original Closing Date: 31-Dec-2021 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) A. Proposed Development Objective(s) The overall objectives of the project are to: (i) improve coverage and quality of TB controland occupational lung disease services in targeted geographic areas of the participating countries; and (ii) strengthen regionalcapacity to manage the burden of TB and occupational diseases. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The overall objectives of the project are to: (i) improve coverage and quality of TB control and occupational lung disease services in targeted geographic areas of the participating countries; and (ii) strengthen regional capacity to manage the burden of TB and occupational lung diseases; (iii) strengthen country-level and cross-border preparedness and response to disease outbreaks Components Table Name Innovative Prevention, Detection and Treatment of TB:(Cost $60.59 M) Regional Capacity for Disease Surveillance, and Diagnostics and Management of TB and Occupational Lung Diseases:(Cost $61.24 M) Regional Learning and Innovation, and Project Management:(Cost $56.17 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory 6/27/2024 Page 1 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project has closed for Zambia, Mozambique and the East, Central and Southern Africa Health Community (ECSA-HC) as of the end of 2023, but has been extended for Lesotho, Malawi, and the African Union Development Agency – New Partnership for Africa’s Development (AUDA- NEPAD) until June 30, 2024. The project remains on track to achieve the Project Development Objectives (PDOs). At the regional level, based on data up to March 2024, six PDO indicators (POIs) have already largely achieved or exceeded the project’s end target (“POI #1. TB case notification in target geographic areas”; ; “POI #2. TB Treatment success rate among new and relapse TB cases in target geographic areas”; “POI #3. TB cases identified through active TB case finding [screening] among TB vulnerable population in target geographic areas”; “POI #4. Number of project supported laboratories compliant with regionally harmonized SOPs for surveillance of MDR-TB”; “POI #6. Number of countries with multi hazard preparedness plans developed”; and “POI #7. Number of miners and ex-miners successfully screened for occupational lung diseases”). One PDO indicator is lagging; “POI #5. Proportion of pulmonary TB cases that are bacteriologically confirmed” has achieved 59 percent against the 68 percent end target as of early June 2024. Despite a recent increase in TB case detection in Lesotho, the proportion of TB cases bacteriologically confirmed is declining (Lesotho remains at 55 percent, less than its 66 percent value in 2022). An assessment is underway to investigate this decline. Malawi has surpassed its country target for case detection. Importantly, the project has supported primary prevention of occupational diseases, which is key to ensuring long term reduction of occupational diseases in the mining sector. To that effect, a series of legislations and regulations have been enacted and adopted with technical support from AUDA-NEPAD to set standards for occupational exposure limits, occupational safety, hygiene and health among others. The project has helped strengthen the regional capacity to screen, occupational lung diseases and other conditions (e.g., hearing loss) and to manage the burden of TB and occupational diseases. The project has also helped strengthen country-level and cross-border preparedness and response to disease outbreaks. Finally, a total of 48 operational research studies have been completed and disseminated, and two more will be finalized by the end of June 2024. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and Substantial Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Substantial Moderate Moderate Other Moderate Moderate Moderate Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes 6/27/2024 Page 2 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Improve coverage and quality of TB control and occupational lung disease services in targeted areas IN01416677 ►TB case notification in target geographic areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 85,095.00 664,452.00 725,858.00 679,703.00 Date 31-Dec-2014 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results SATBHSSP % Achieved Country (March 2024) End Target (March 2024) Regional 725,858 679,703 107% Lesotho 44,764 61,629 73% Comments: Mozambique 413,349 359,103 115% Zambia 198,201 175,749 113% Malawi 69,544 83,222 84% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416680 ►TB Treatment success rate among new and relapse TB cases in target geographic areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 90.00 90.00 93.00 Date 31-Dec-2014 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results (March SATBHSSP End % Achieved (March Country 2024) Target 2024) Regional 90% 93% 80% Lesotho 81% 90% 53% Comments: Mozambique 97% 90% 333% Zambia 93% 95% 80% Malawi 90% 95% 60% *Annual indicator. IN01416681 ►TB cases identified through active TB case finding (screening) among TB vulnerable population in target geographic areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 11,932.00 81,052.00 90,648.00 104,582.00 6/27/2024 Page 3 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Date 31-Dec-2014 30-Jun-2023 31-Mar-2024 30-Jun-2024 SATBHSSP End % Achieved Country Results (March 2024) (March Target 2024) Regional 90,648 104,582 86% Lesotho 15,018 29,322 51% Comments: Mozambique 10,228 9,860 104% Zambia 58,150 54,000 108% Malawi 7,252 11,400 64% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416682 ►Proportion of pulmonary TB cases that are bacteriologically confirmed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 53.30 60.00 59.00 68.00 Date 07-Feb-2018 30-Jun-2023 31-Mar-2024 30-Jun-2024 % SATBHSSP End Country Results (March 2024) Achieved (March Target 2024) Regional 59% 68% 36% Lesotho 55% 80% -108% Comments: Mozambique 44% 55% 42% Zambia 60% 72% 43% Malawi 75% 65% 243% *Annual indicator. IN01416683 ►Number of miners and ex-miners successfully screened for occupational lung diseases (Number, Custom) 6/27/2024 Page 4 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Baseline Actual (Previous) Actual (Current) End Target Value 45,453.00 313,611.00 356,983.00 256,100.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) 139 Regional 356,983 256,100 % Comments: 183 Lesotho 9,339 5,100 % 134 Mozambique 41,528 31,000 % 138 Zambia 295,684 214,000 % 174 Malawi 10,432 6,000 % Strengthen regional capacity to manage the burden of TB and occupational diseases IN01416678 ►Number of project supported laboratories compliant with regionally harmonized SOPs for surveillance of MDR-TB – national and sub national levels (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.00 155.00 155.00 142.00 Date 31-Dec-2014 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) Comments: 109 Regional 155 142 % 100 Lesotho 1 1 % 6/27/2024 Page 5 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Mozambique 49 61 80% 160 Zambia 48 30 % 114 Malawi 57 50 % *Annual indicator Strengthen country-level and cross-border preparedness and response to disease outbreaks IN01416679 ►Number of countries with multi hazard preparedness plans developed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) 100 Regional 4 4 % 100 Comments: Lesotho 1 1 % 100 Mozambique 1 1 % 100 Zambia 1 1 % 100 Malawi 1 1 % *Annual indicator. Intermediate Results Indicators by Components Innovative Prevention, Detection and Treatment of TB IN01416684 ►Proportion of MDR-TB patients in target geographic areas benefitting from nutritional support during the treatment period (Percentage, Custom) 6/27/2024 Page 6 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Baseline Actual (Previous) Actual (Current) End Target Value 47.00 94.00 86.00 94.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results (March SATBHSSP % Achieved (March Country 2024) End Target 2024) Regional 86% 94% 83% Lesotho 100% 97% 250% Comments: Mozambique 52% 85% 61% Zambia NA 95% NA Malawi 100% 100% 100% *Annual indicator. IN01416687 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 4,262.00 26,935.00 27,058.00 18,142.00 Date 16-Oct-2020 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) 149 Regional 27,058 18,142 % Comments: 162 Lesotho 23,178 14,300 % Mozambique 1,477 2,523 59% 158 Zambia 1,483 939 % 242 Malawi 920 380 % *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416692 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 6/27/2024 Page 7 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Value 4,262.00 26,935.00 27,058.00 18,142.00 Date 16-Oct-2020 30-Jun-2023 31-Mar-2024 30-Jun-2024 IN01416693 ►Proportion of TB patients satisfied with TB services as per patient exit surveys or “drop box” feedback in target geographic areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 87.00 98.00 94.00 90.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results (March SATBHSSP End % Achieved (March Country 2024) Target 2024) Regional 94% 90% 241% Lesotho 89% 90% 94% Comments: Mozambique N/A 85% 703% Zambia 94% 84% 350% Malawi 98% 100% 52% *Annual indicator. IN01416696 ►Percentage of HIV patients routinely screened for TB in targeted geographic areas in the four participating countries (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 83.00 97.00 98.00 95.00 Date 31-Dec-2015 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results (March SATBHSSP End % Achieved (March Country 2024) Target 2024) Regional 98% 95% 119% Lesotho 95% 95% 100% Comments: Mozambique 100% 90% 140% Zambia 97% 97% 100% Malawi 99% 99% 100% *Annual indicator. Regional Capacity for Disease Surveillance, and Diagnostics and Management of TB and Occupational Lung Diseases IN01416685 ►Proportion of new and relapse TB patients tested using WHO-recommended diagnostics at the time of diagnosis. (Percentage, Custom) 6/27/2024 Page 8 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Baseline Actual (Previous) Actual (Current) End Target Value 67.00 77.00 77.00 76.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results (March SATBHSSP End % Achieved (March Country 2024) Target 2024) Regional 77% 76% 108% Lesotho 93% 90% 175% Comments: Mozambique 79% 65% 193% Zambia 85% 100% NA Malawi 51% 50% 106% *Annual indicator. IN01416688 ►Outbreaks of infectious diseases for which cross-border investigations undertaken (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 41.00 43.00 38.00 Date 31-Dec-2015 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) 113 Regional 43 38 % Comments: Lesotho 6 8 75% 100 Mozambique 9 9 % 130 Zambia 13 10 % 136 Malawi 15 11 % *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416690 ►Proportion of suspected outbreaks of communicable diseases that are laboratory investigated (Percentage, Custom) 6/27/2024 Page 9 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Baseline Actual (Previous) Actual (Current) End Target Value 88.00 92.00 100.00 94.00 Date 29-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % SATBHSSP End Country Results (March 2024) Achieved (March Target 2024) Regional 100% 94% 200% Lesotho 100% 100% 100% Comments: Mozambique 100% 100% 100% Zambia 100% 100% 100% Malawi 100% 75% 200% *Annual indicator. IN01416694 ►Number of health facilities renovated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89.00 102.00 167.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved Country Results (March 2024) SATBHSSP End Target (Ma rch 2024 ) Regional 102 167 61% Comments: 263 Lesotho 21 8 % 100 Mozambique 6 6 % Zambia 20 45 44% Malawi 55 108 51% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416697 ►Health facilities equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/27/2024 Page 10 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Value 0.00 821.00 820.00 695.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Results (March SATBHSSP End Country Achieved (March 2024) Target 2024) Regional 820 695 118% Lesotho 50 30 167% Comments: Mozambique 392 400 98% Zambia 274 158 173% Malawi 104 107 97% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416699 ►Number of countries scaling up Electronic Health Systems for TB case management or laboratory management (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4.00 4.00 4.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved SATBHSSP End Country Results (March 2024) (Ma Target rch 2024 ) 100 Regional 4 4 % 100 Comments: Lesotho 1 1 % 100 Mozambique 1 1 % 100 Zambia 1 1 % 100 Malawi 1 1 % *Annual indicator. IN01416701 ►Number of targeted labs rated 4 stars and above in SLIPTA assessment (Percentage, Custom) 6/27/2024 Page 11 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 9.00 10.00 13.00 Date 30-Dec-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Results (March SATBHSSP End Country Achieved (March 2024) Target 2024) Regional 10 13 77% Lesotho 3 3 100% Comments: Mozambique 1 3 33% Zambia 3 3 100% Malawi 3 4 75% *Annual indicator. IN01416702 ►Proportion of mines inspected at least twice a year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 21.00 62.00 59.00 75.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Results SATBHSSP End Country Achieved (March (March 2024) Target 2024) Regional 59% 75% 71% Lesotho 100% 90% 125% Comments: Mozambique 42% 50% 84% Zambia 28% 70% -20% Malawi 67% 90% 74% *Annual indicator. IN01416703 ►Proportion of mines inspected at least twice a year complying with national mine health regulations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 78.00 73.00 59.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 6/27/2024 Page 12 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) % Results (March SATBHSSP End Country Achieved (March 2024) Target 2024) Regional 73% 59% 125% Lesotho 57% 72% 79% Comments: Mozambique 84% 50% 168% Zambia 83% 52% 160% Malawi 68% 60% 113% *Annual indicator. Regional Learning and Innovation, and Project Management IN01416686 ►Number of personnel receiving training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 230.00 20,770.00 24,567.00 13,156.00 Date 31-Dec-2015 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved SATBHSSP End Country Results (March 2024) (Ma Target rch 2024 ) 187 Regional 24,567 13,156 % Comments: 959 Lesotho 8,399 876 % Mozambique 3,373 4,040 83% 143 Zambia 5,989 4,200 % 168 Malawi 6,806 4,040 % *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416689 ►Number of countries in which new legislation or amendment to existing mine health and safety legislation are drafted and submitted to relevant authority (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/27/2024 Page 13 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) Value 1.00 4.00 4.00 4.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 % Achi eved SATBHSSP End Country Results (March 2024) (Ma Target rch 2024 ) 100 Regional 4 4 % 100 Comments: Lesotho 1 1 % 100 Mozambique 1 1 % 100 Zambia 1 1 % 100 Malawi 1 1 % *Annual indicator. IN01416691 ►Number of miners and ex-miners successfully referred for continuity of treatment for TB and other occupational lung diseases between participating countries and within participating countries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,351.00 8,130.00 11,164.00 8,361.00 Date 15-Mar-2020 30-Jun-2023 31-Mar-2024 30-Jun-2024 % SATB Achie HSSP Country Results (March 2024) ved ( End March Target 2024) Regional 11,164 8,361 134% Comments: Lesotho 179 135 133% Mozambique 7,943 7,500 106% Zambia 408 466 88% Malawi 2,634 260 1013% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416695 6/27/2024 Page 14 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) ►Operational research studies commissioned and findings, lessons learnt disseminated through national and regional platforms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 39.00 47.00 44.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 Results % SATBHSSP End Country (March Achieved (March Target 2024) 2024) Regional 47 44 107% Lesotho 7 8 88% Comments: Mozambique 9 11 82% Zambia 12 12 100% Malawi 19 13 146% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416698 ►Operational research studies commissioned and findings, lessons learnt disseminated through national and regional platforms (ECSA-HC) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 26-Jan-2016 30-Jun-2023 31-Mar-2024 30-Jun-2024 % SATBHS Results (March Achieve Regional entity SP End 2024) d (Marc Target h 2024) Comments: ECSA-HC 3 3 100% *Cumulative indicator. Please note only achievements above the baseline level are reported. IN01416700 ►Operational research studies commissioned and findings, lessons learnt disseminated through national and regional platforms (AUDA- NEPAD) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 2.00 Date 24-Aug-2019 30-Jun-2023 31-Mar-2024 30-Jun-2024 Comments: Regional entity Results (March SATBHSSP End % 2024) Target Achi eved (Ma rch 6/27/2024 Page 15 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) 2024 ) 100 NE PAD 2 2 % *Cumulative indicator. Please note only achievements above the baseline level are reported. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P155658 IDA-58220 Effective USD 15.00 15.00 0.00 14.84 0.02 100% P155658 IDA-58230 Closed USD 45.00 45.00 0.00 44.65 0.08 100% P155658 IDA-58630 Closed USD 22.50 22.50 0.00 22.03 0.02 100% P155658 IDA-58640 Effective USD 7.50 7.50 0.00 6.80 0.61 92% P155658 IDA-66950 Effective USD 21.00 21.00 0.00 20.68 0.32 98% P155658 IDA-D1170 Effective USD 9.50 9.50 0.00 9.47 0.00 100% P155658 IDA-D1180 Closed USD 22.50 22.50 0.00 21.77 0.45 98% P155658 IDA-D6590 Effective USD 27.00 27.00 0.00 23.76 2.85 89% P155658 IDA-D6600 Effective USD 3.00 3.00 0.00 2.96 0.00 100% P155658 IDA-D6610 Closed USD 5.00 5.00 0.00 5.02 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P155658 IDA-58220 Effective 26-May-2016 26-Jul-2016 13-Dec-2016 31-Dec-2021 30-Jun-2024 P155658 IDA-58230 Closed 26-May-2016 15-Dec-2016 23-Mar-2017 31-Dec-2021 31-Dec-2023 P155658 IDA-58630 Closed 26-May-2016 05-Sep-2016 06-Dec-2016 31-Dec-2021 31-Dec-2023 P155658 IDA-58640 Effective 26-May-2016 05-Aug-2016 05-Dec-2016 31-Dec-2021 30-Jun-2024 P155658 IDA-66950 Effective 19-Jun-2020 25-Aug-2020 09-Nov-2020 31-Dec-2023 30-Jun-2024 P155658 IDA-D1170 Effective 26-May-2016 05-Aug-2016 05-Dec-2016 31-Dec-2021 30-Jun-2024 6/27/2024 Page 16 of 17 The World Bank Implementation Status & Results Report AFR RI-Southern Africa Tuberculosis and Health Systems Support Project (P155658) P155658 IDA-D1180 Closed 26-May-2016 05-Sep-2016 06-Dec-2016 31-Dec-2021 31-Dec-2023 P155658 IDA-D6590 Effective 19-Jun-2020 09-Nov-2020 17-Dec-2020 31-Dec-2023 30-Jun-2024 P155658 IDA-D6600 Effective 19-Jun-2020 03-Jul-2020 30-Sep-2020 31-Dec-2023 30-Jun-2024 P155658 IDA-D6610 Closed 19-Jun-2020 01-Jul-2020 29-Sep-2020 31-Dec-2023 31-Dec-2023 Cumulative Disbursements Restructuring History Level 2 Approved on 10-Apr-2020 ,Level Approved on 06-May-2020 ,Level 2 Approved on 01-Dec-2022 ,Level 2 Approved on 15-Dec-2023 Related Project(s) P173228-Southern Africa Tuberculosis and Health Systems Support Project Additional Financing ,P179261-Southern Africa Tuberculosis and Health Systems Support Project AF2 6/27/2024 Page 17 of 17