The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Health Sector Support Project (P160846) SOUTH ASIA | Bangladesh | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 15 | ARCHIVED on 15-Jul-2024 | ISR60842 | Implementing Agencies: Ministry of Health and Family Welfare, People's Republic of Bangladesh Key Dates Key Project Dates Bank Approval Date: 28-Jul-2017 Effectiveness Date: 02-Oct-2017 Planned Mid Term Review Date: 30-Jun-2020 Actual Mid-Term Review Date: 08-Dec-2020 Original Closing Date: 31-Dec-2022 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) 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. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1. Governance and Stewardship:(Cost $175.00 M) Component 2. Health, Nutrition and Population Systems Strengthening:(Cost $369.50 M) Component 3. Provision of Quality Health, Nutrition and Population Services:(Cost $555.50 M) Component 4. Develop Health, Nutrition and Population Services for the displaced Rohingya population in Cox's Bazar District:(Cost $50.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions This is the final Implementation Status and Results Report for the project. The project supports the MoHFW's Fourth Health, Nutrition, and Population Sector Program (4th HNPSP). It provides a platform for pooled co-financing of the government’s sector program based on the achievement of pre-defined results in the areas of (i) governance and stewardship, (ii) health systems strengthening, and (iii) delivery of quality health, nutrition and population services in the divisions of Sylhet, Chattogram, and Barisal. With support from the International Development Association (IDA), the project includes co-financing from the Global Financing Facility (GFF), Canada, the Netherlands, Sweden, the United Kingdom, and Gavi, the Vaccine Alliance. All seven project development objective (PDO) indicators have achieved the end of project targets. The project will close on June 30, 2024. 7/15/2024 Page 1 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary High High High Environment and Social Moderate Substantial Moderate Stakeholders Substantial Substantial Substantial Other -- High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Strengthen the health, nutrition and population (HNP) sector's core management systems IN01433731 ►Increase in the number of Community Clinics providing complete essential data on service delivery, including gender-disaggregated (DLI 8) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,838.00 7,006.00 7,000.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported number of 3,838 community clinics is for FY20 which was verified by IMED. The reported Comments: number for FY21 is 6,009 CCs and for FY22 is 7006 CCs. IN01433733 ►Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 382.00 382.00 150.00 7/15/2024 Page 2 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 Achievement of 382 UzHCs in FY22 will not be verified by IMED as there is no balance left for Comments: disbursement. Strengthen delivery of essential HNP services with a focus on selected geographical areas IN01433732 ►Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 106,673.00 151,305.00 151,305.00 120,000.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The current value of 151,305 for this indicator is the verified result for the DLR from FY21. Comments: IN01433734 ►Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 12.00 10.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported number of 12 district hospitals is for FY21 which has been verified by IMED. Comments: IN01433735 ►Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions (DLI 14) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 77.00 77.00 54.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported figure for FY 22 is 77% which has been verified by IMED Comments: IN01433736 ►Among the displaced Rohingya population in Cox's Bazar District, the number of children (ages 0-11 months) who have received three doses of Pentavalent immunization, disaggregated by gender (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 221.00 87,105.00 87,105.00 35,000.00 Date 22-May-2018 25-Jan-2024 20-Jun-2024 30-Jun-2024 Reported for the period April 2019 to December 2021. 87,105 children had received 3 doses of Comments: pentavalent vaccination of whom 42,646 were boys and 44,459 were girls. IN01433737 ►Among the displaced Rohingya population in Cox’s Bazar District, the number of births delivered in HNP facilities (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 7/15/2024 Page 3 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value 5,427.00 25,607.00 25,607.00 20,000.00 Date 22-May-2018 25-Jan-2024 20-Jun-2024 30-Jun-2024 Reported for the period April 2019 to December 2021 Comments: Intermediate Results Indicators by Components Component 1. Governance and Stewardship IN01433738 ►Annual GRS performance report for previous CY is published (DLI 1) (Yes/No, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 An annual GRS performance report for FY22 has been published and shared through the DGHS website Comments: and has been verified by IMED. IN01433742 ►Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 131.00 131.00 270.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The current value of 131% is the verified result for the DLR in FY21. Comments: Component 3. Provision of Quality Health, Nutrition and Population Services IN01433740 ►Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chattogram divisions, reported for the previous CY (DLI 9) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 61.50 61.50 35.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 61.5% for FY22 has been verified by IMED. Comments: IN01433744 ►Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 months in Sylhet and Chattogram divisions (DLI 12) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 14.00 21.00 21.00 15.00 7/15/2024 Page 4 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported data of 21 districts for FY21-22 has been verified Comments: IN01433747 ►Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and Chattogram divisions, reported for the previous CY (DLI 13) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 84.00 84.00 65.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported data of 84% for FY22 has been verified . Comments: IN01433750 ►Number of districts where the school-based adolescent health program is implemented in Sylhet and Chattogram divisions (DLI 15) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 7.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 Implementation report of 7 districts has been verified by IMED. Comments: IN01433751 ►Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) (Yes/No, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433752 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11,032,371.00 11,032,371.00 5,305,455.00 Date 31-Dec-2016 25-Jan-2024 20-Jun-2024 30-Jun-2024 This is a cumulative achievement upto CY23. Reported data is 11,032,371 (CY2017, 2018, 2019, 2020, Comments: 2021, 2022 and 2023) IN01433753 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7,586,691.00 7,586,691.00 5,029,254.00 IN01433754 Number of children immunized (Number, Corporate Breakdown) 7/15/2024 Page 5 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8,380,631.00 8,380,631.00 5,608,505.00 Date 31-Dec-2016 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433755 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,545,779.00 1,545,779.00 800,000.00 Date 31-Dec-2016 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433756 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,105,961.00 1,105,961.00 385,580.00 Date 30-Jun-2017 25-Jan-2024 25-Jan-2024 30-Jun-2024 Component 2. Health, Nutrition and Population Systems Strengthening IN01433739 ►MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) (Yes/No, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433743 ►Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 14.00 14.00 30.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported data for FY19, FY20, FY21 and FY22 are 8, 10, 12 and 14 district hospitals. The result Comments: has been verified by IMED. IN01433746 ►Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 98.00 98.00 75.00 Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 The reported data of 98% is for FY22 and has been verified by IMED. Comments: IN01433749 7/15/2024 Page 6 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) ►MOPA approves CMSD restructuring proposal (DLI 6) (Yes/No, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2017 25-Jan-2024 20-Jun-2024 30-Jun-2024 This has been endorsed by MOPA and has now been submitted to MOFA. This part has been verified by Comments: IMED. However, MOPA approval is still pending which is DLR 6.3 Component 4: Develop HNP Services for the displaced Rohingya population in Cox's Bazar District IN01433741 ►The number of HNP facilities providing an appropriate mix of family planning methods to the displaced Rohingya population in Cox's Bazar District (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 98.00 98.00 15.00 Date 22-May-2018 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433745 ►Among the displaced Rohingya population, the number of pregnant women and lactating mothers reached with social and behavior change interventions on infant and young child feeding (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32,000.00 288,656.00 288,656.00 115,000.00 Date 22-May-2018 25-Jan-2024 20-Jun-2024 30-Jun-2024 IN01433748 ►Among the displaced Rohingya population, the number of women and girls who have received through women-friendly services information on sexual and reproductive health and rights/GBV (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 90,311.00 408,532.00 408,532.00 138,000.00 Date 22-May-2018 25-Jan-2024 20-Jun-2024 30-Jun-2024 Performance-Based Conditions IN01433757 ►PBC 1 Citizen feedback system is strengthened (Text, Outcome, 25,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 1.1, 1.2 and 1.3 DLR 1.1, 1.2 and 1.3 A grievance redress system (FY20,FY21 and FY22) (FY20,FY21 and FY22) Value -- (GRS) exists are verified to be are verified to be achieved. achieved. 7/15/2024 Page 7 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 25-Jan-2024 20-Jun-2024 -- PBC 1.1 Assessment of current GRS is completed (Yes/No, Process, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 1.2 GRS guidelines are approved (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 1.3 Annual GRS performance report for previous CY is published (DLI 1) (Yes/No, Intermediate Outcome, 15,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433761 ►PBC 2 Budget planning and allocation are improved (Percentage, Output, 72,900,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 131.00 131.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 2.1 Operational plans (OPs) approved including activities and budgets for achievement of DLIs (Number, Output, 26,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 13.00 13.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 2.2 Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) (Percentage, Intermediate Outcome, 46,900,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 131.00 131.00 -- 7/15/2024 Page 8 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 25-Jan-2024 20-Jun-2024 -- IN01433764 ►PBC 3 Financial management system is strengthened (Text, Outcome, 51,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 3.1, 3.2, 3.3, 3.4, DLR 3.1, 3.2, 3.3, 3.4, 3.5 FMAU has drafted Value 3.5 and 3.6 verified to be and 3.6 verified to be -- recruitment rules achieved achieved Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.1 MOHFW submits FMAU recruitment rules to MOPA (Yes/No, Process, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.2 MOPA endorses FMAU recruitment rules (Yes/No, Process, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.3 MOF concurs to FMAU recruitment rules (Yes/No, Process, 10,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.4 MOPA approves FMAU recruitment rules (Yes/No, Process, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.5 At least 50% of required FMAU staff are recruited (Yes/No, Output, 10,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 7/15/2024 Page 9 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 3.6 MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) (Yes/No, Intermediate Outcome, 20,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433771 ►PBC 4 Asset management is improved (Text, Outcome, 13,700,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 4.1 have been DLR 4.1 have been verified to be achieved verified to be achieved and disbursement made and disbursement made for it. DLR 4.2 for FY19, for it. DLR 4.2 for FY19, Value AMS piloted FY20, FY21 and FY22 AMS rolledout FY20, FY21 and FY22 has has been verified to be been verified to be achieved and achieved and disbursements made for disbursements made for it. it. Date -- 25-Jan-2024 20-Jun-2024 -- PBC 4.1 Assessment and plan are approved for AMS scale-up (Yes/No, Output, 4,700,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 4.2 Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) (Number, Intermediate Outcome, 9,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 1.00 14.00 14.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433774 ►PBC 5 Procurement process is improved using information technology (Text, Process, 19,800,000.00, 100.00%) 7/15/2024 Page 10 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 DLR 5.1 verified to be DLR 5.1 verified to be achieved. DLR 5.2 e-GP not initiated in achieved. DLR 5.2 verified Value verified to be achieved -- MOHFW to be achieved for FY19, for FY19, FY20, FY21 FY20, FY21 and FY22 and FY22 Date -- 25-Jan-2024 20-Jun-2024 -- PBC 5.1 e-GP is initiated for procurement by MOHFW (Yes/No, Process, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 5.2 Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) (Percentage, Intermediate Outcome, 14,800,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 98.00 98.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433777 ►PBC 6 Institutional capacity is developed for procurement and supply management (Text, Outcome, 10,160,000.00, 29.53%) Baseline Actual (Previous) Actual (Current) FY2022 CMSD restructuring DLR 6.1 has been DLR 6.1 has been verified Value -- proposal finalized verified to be achieved . to be achieved . Date -- 25-Jan-2024 20-Jun-2024 -- PBC 6.1 MOPA approves CMSD restructuring proposal (DLI 6) (Yes/No, Process, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes No -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 6.2 MOF concurs to CMSD restructuring proposal (Yes/No, Process, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 25-Jan-2024 20-Jun-2024 -- 7/15/2024 Page 11 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PBC 6.3 MOPA approves CMSD restructuring proposal (Yes/No, Process, 4,100,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433781 ►PBC 7 Availability of midwives for maternal care is increased (Text, Outcome, 45,400,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 7.1 verified to be DLR 7.1 verified to be MOHFW initiated process achieved. DLR 7.2 for achieved. DLR 7.2 for Value to create positions for FY19, FY20 and FY21 FY19, FY20 and FY21 -- midwives reported and verified to reported and verified to be be achieved achieved Date -- 25-Jan-2024 20-Jun-2024 -- PBC 7.1 At least 2,500 midwife posts are created by MOHFW and recruitment of midwives is underway (Yes/No, Process, 20,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 7.2 Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) (Number, Outcome, 25,400,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 382.00 382.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433784 ►PBC 8 Information system is strengthened, including gender-disaggregated data (Number (Thousand), Intermediate Outcome, 20,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 3,838.00 7,006.00 7.00 Date -- 25-Jan-2024 20-Jun-2024 -- PBC 8.1 Increase in the number of Community Clinics providing complete essential data on service delivery, including gender- disaggregated (DLI 8) (Number, Intermediate Outcome, 20,000,000.00, 34.00%) 7/15/2024 Page 12 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 3,838.00 7,006.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433786 ►PBC 9 Post-partum family planning services are improved (Text, Outcome, 32,750,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLRs 9.1, 9.2 and 9.3 DLRs 9.1, 9.2 and 9.3 has has been achieved. DLR been achieved. DLR 9.4 9.4 for FY19 (6%), FY 20 for FY19 (6%), FY 20 (13%) and FY21 (54%) (13%) and FY21 (54%) PPFP services need Value has been reported and has been reported and -- improvement verified to be achieved. verified to be achieved. DLR 9.4 for FY 22 has DLR 9.4 for FY 22 has also been reported and also been reported and verified to be achieved. verified to be achieved. Date -- 25-Jan-2024 20-Jun-2024 -- PBC 9.1 Facility readiness criteria and assessment instrument for PPFP services are approved (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 9.2 Reporting and training guidelines for PPFP services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 9.3 Assessment and action plan are completed for expansion of PPFP services in targeted health facilities in Sylhet and Chittagong divisions (Yes/No, Output, 5,205,000.00, 99.90%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 9.4 Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chattogram divisions, reported for the previous CY (DLI 9) (Percentage, Intermediate Outcome, 19,550,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 7/15/2024 Page 13 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value 0.00 61.50 61.50 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433791 ►PBC 10 Utilization of maternal health care services is increased (Text, Outcome, 21,090,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 10.1 verified to be DLR 10.1 verified to be achieved for FY17, FY18, achieved for FY17, FY18, FY19 and FY20. The FY19 and FY20. The verified figure for FY20 Normal deliveries need to verified figure for FY20 Value was 154,796. DLR 10.2 -- be increased was 154,796. DLR 10.2 for FY21 reported for FY21 reported 184,275 184,275 deliveries and deliveries and for FY22 for FY22 reported reported 175262 175262 Date -- 25-Jan-2024 20-Jun-2024 -- PBC 10.1 Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) (Number, Outcome, 12,800,000.00, 97.66%) Baseline Actual (Previous) Actual (Current) FY2022 Value 106,673.00 151,305.00 151,305.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 10.2 Number of normal deliveries in public health facilities in Sylhet, Chattogram and Barisal divisions, reported for the previous CY (Number, Outcome, 8,200,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 106,673.00 175,262.00 175,262.00 170,000.00 Date -- 25-Jan-2024 20-Jun-2024 -- IN01433794 ►PBC 11 Emergency obstetric care services are improved (Text, Outcome, 39,200,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLRs 11.1, 11.2 and DLRs 11.1, 11.2 and 11.3 11.3 (for FY17, FY18, (for FY17, FY18, FY19, CEmONC services need to Value FY19, FY20, FY21, FY20, FY21, FY22) have -- be improved FY22) have been verified been verified and and achieved. achieved. Date -- 25-Jan-2024 20-Jun-2024 -- 7/15/2024 Page 14 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PBC 11.1 Facility assessment instrument for CEmONC is approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 11.2 Assessment and action plans are approved for development of CEmONC services in targeted district hospitals in Sylhet and Chattogram divisions (Yes/No, Output, 4,700,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 11.3 Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number, Intermediate Outcome, 31,500,000.00, 83.30%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 12.00 12.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433798 ►PBC 12 Immunization coverage and equity is enhanced (Text, Outcome, 51,500,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 12.1 achieved. For DLR 12.1 achieved. For DLR 12.2, achievement DLR 12.2, achievement was 13 districts in FY17, was 13 districts in FY17, 15 districts in FY18, 15 15 districts in FY18, 15 Immunization coverage Value districts in FY19 and 12 districts in FY19 and 12 -- needs to be improved districts in FY20. All districts in FY20. All these these results have been results have been verified. verified. DLR 12.3 for FY DLR 12.3 for FY 21 and 21 and FY22. FY22. Date -- 25-Jan-2024 20-Jun-2024 -- PBC 12.1 Immunization microplans for CY2017 are approved for each district in Sylhet and Chattogram divisions (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 12.2 Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 months in Sylhet and Chattogram divisions (DLI 12) (Number, Outcome, 27,500,000.00, 100.00%) 7/15/2024 Page 15 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value 14.00 21.00 21.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 12.3 Number of districts reaching at least 85% coverage of measles-rubella vaccination among children ages 0-12 months in Sylhet, Chattogram and Barisal divisions of Bangladesh,reported for the previous CY (Number, Outcome, 19,020,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 14.00 21.00 21.00 20.00 Date -- 25-Jan-2024 20-Jun-2024 -- IN01433802 ►PBC 13 Maternal nutrition services are expanded (Text, Outcome, 30,400,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLRs 13.1, 13.2, 13.3, DLRs 13.1, 13.2, 13.3, Maternal nutrition services Value 13.4 has been verified to 13.4 has been verified to -- need to be improved be achieved. be achieved. Date -- 25-Jan-2024 20-Jun-2024 -- PBC 13.1 Technical standards for maternalnutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 20-Jun-2024 -- PBC 13.2 Reporting and quality assessment guidelines for maternal nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 20-Jun-2024 -- PBC 13.3 Assessment is completed of maternal nutrition service quality in Sylhet and Chattogram divisions (Yes/No, Output, 7,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 18-Aug-2023 -- PBC 13.4 Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and Chattogram divisions, reported for the previous CY (DLI 13) (Percentage, Outcome, 17,400,000.00, 100.00%) 7/15/2024 Page 16 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 84.00 84.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- IN01433807 ►PBC 14 Infant and child nutrition services are expanded (Text, Outcome, 34,200,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLRs 14.1,14.2,14.3 DLRs 14.1,14.2,14.3 Infant and child nutrition Value and14.4 has been and14.4 has been verified -- services need improvement verified to be achieved. to be achieved. Date -- 25-Jan-2024 20-Jun-2024 -- PBC 14.1 Technical standards for infant and child nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 14.2 Reporting and quality assessment guidelines for infant and child nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 25-Jan-2024 -- PBC 14.3 Assessment is completed of infant and child nutrition service quality in Sylhet and Chattogram divisions (Yes/No, Output, 7,150,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 25-Jan-2024 -- PBC 14.4 Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions (DLI 14) (Percentage, Outcome, 21,050,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 77.00 77.00 -- Date -- 25-Jan-2024 20-Jun-2024 -- 7/15/2024 Page 17 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) IN01433812 ►PBC 15 School-based adolescent HNP program is developed and implemented (Text, Outcome, 17,700,000.00, 77.40%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 15.1, DLR 15.2 and DLR 15.1, DLR 15.2 and School-based adolescent DLR 15.3 verified and DLR 15.3 verified and Value HNP program needs to be achieved. DLR 15.4 and achieved. DLR 15.4 and -- developed 15.5 has also been 15.5 has also been reported to be achieved . reported to be achieved . Date -- 25-Jan-2024 20-Jun-2024 -- PBC 15.1 Revised teacher training manual is approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 20-Jun-2024 -- PBC 15.2 Assessment of current school-based services in Sylhet and Chattogram divisions is jointly completed with the education sector (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 20-Jun-2024 -- PBC 15.3 MOHFW completes training for the school-based adolescent health program in at least 50 schools in targeted districts of Sylhet and Chattogram divisions (Yes/No, Output, 2,780,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 18-Aug-2023 20-Jun-2024 -- PBC 15.4 Budget for implementation of MOHFW's school based adolescent HNP program is included in the relevant MOHFW operational plan (Yes/No, Intermediate Outcome, 2,700,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 25-Jan-2024 -- PBC 15.5 MOHFW implements the MOHFW's school-based adolescent HNP program in targeted schools in at least 7 districts in Sylhet and Chattogram divisions (Yes/No, Output, 4,100,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes Yes 7/15/2024 Page 18 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 25-Jan-2024 25-Jan-2024 -- IN01433818 ►PBC 16 Emerging challenges are addressed (Text, Outcome, 15,020,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Emerging challenges like DLR 16.1, DLR 16.2, DLR 16.1, DLR 16.2, DLR urban health and non- DLR 16.3, DLR 16.4 and 16.3, DLR 16.4 and DLR Value -- communicable diseases DLR 16.5 has been 16.5 has been verified and need to be addressed verified and achieved. achieved. Date -- 25-Jan-2024 25-Jan-2024 -- PBC 16.1 Urban Health Coordination Committee meets and agrees on actions to improve coordination on urban health (Yes/No, Process, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 25-Jan-2024 -- PBC 16.2 Guidelines for screening, referral and treatment of hypertension are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 25-Jan-2024 -- PBC 16.3 Plan and technical materials are approved for implementation of hypertension diagnosis and referral services (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 16.4 Hypertension diagnosis and referral services are implemented at the primary level in at least 2 upazilas (Yes/No, Intermediate Outcome, 3,020,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- PBC 16.5 Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) (Yes/No, Intermediate Outcome, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 7/15/2024 Page 19 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value No Yes Yes -- Date -- 25-Jan-2024 20-Jun-2024 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P160846 IDA-61270 Effective USD 500.00 500.00 0.00 490.61 7.47 98% P160846 IDA-63020 Effective USD 8.33 8.33 0.00 8.05 0.05 99% P160846 IDA-D3610 Effective USD 41.67 41.67 0.00 40.59 0.43 99% P160846 TF-A4355 Closed USD 15.00 15.00 0.00 15.00 0.00 100% P160846 TF-A6941 Effective USD 131.16 131.16 0.00 128.39 2.77 98% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P160846 IDA-61270 Effective 28-Jul-2017 28-Aug-2017 02-Oct-2017 31-Dec-2022 30-Jun-2024 P160846 IDA-63020 Effective 28-Jun-2018 20-Sep-2018 25-Oct-2018 31-Dec-2022 30-Jun-2024 P160846 IDA-D3610 Effective 28-Jun-2018 20-Sep-2018 25-Oct-2018 31-Dec-2022 30-Jun-2024 P160846 TF-A4355 Closed 28-Jul-2017 28-Aug-2017 02-Oct-2017 31-Dec-2021 30-Sep-2023 P160846 TF-A6941 Effective 05-Nov-2018 05-Nov-2018 05-Nov-2018 31-Dec-2022 30-Jun-2024 Cumulative Disbursements 7/15/2024 Page 20 of 21 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Restructuring History Level 2 Approved on 13-Oct-2018 ,Level 2 Approved on 19-Apr-2020 ,Level 2 Approved on 11-Mar-2021 ,Level 2 Approved on 23-Dec-2021 ,Level 2 Approved on 16-Jan-2022 ,Level 2 Approved on 04-Jun-2023 ,Level 2 Approved on 13-Jun-2024 Related Project(s) P167672-Additional Financing for Health Sector Support Project 7/15/2024 Page 21 of 21