The World Bank Report No: ISR4639 Implementation Status & Results Cote d'Ivoire Emergency Multi-Sector HIV/AIDS Project (P071631) Public Disclosure Copy Operation Name: Emergency Multi-Sector HIV/AIDS Project (P071631) Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: Country: Cote d'Ivoire Approval FY: 2008 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Emergency Recovery Loan Implementing Agency(ies): Ministry in Charge of HIV/AIDS Key Dates Board Approval Date 12-Jun-2008 Original Closing Date 30-Sep-2012 Planned Mid Term Review Date 08-Nov-2010 Last Archived ISR Date 26-Jan-2011 Effectiveness Date 01-Oct-2008 Revised Closing Date 30-Sep-2012 Actual Mid Term Review Date 23-Jan-2011 Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed emergency HIV/AIDS Multi-Sectoral Project aims at supporting the government response to the pandemic by: (a) Strengthened access to and increased utilization of prevention services among vulnerable and high risk groups (such as women, youth, commercial sex workers, personnel of line ministries); (b) Improved access and utilization of treatment and care services for HIV/AIDS infected and affected persons, notably the persons living with HIV/AIDS (including PLWHA and OVC). Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Social mobilization and HIV prevention services 6.40 Public Sector 7.80 Public Disclosure Copy Capacity Building 3.30 Coordination, Management, Monitoring and evaluation 2.50 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Page 1 of 5 The World Bank Report No: ISR4639 Implementation Status Overview Despite the post election crisis, the project is making progress in reaching project targets. For example: (iI) the percentage and number of high risk groups female sex workers (FSW) who received an HIV test in the last 12 months and who came back for their test increased from 2912 (28% of the target) in June 2010 to 6933 (99%) in June 2011; (ii) the percentage and number of adults and children with advanced HIV infection receiving antiretroviral therapy rose by 1,303 people increasing from 218 to 1501, representing 61 % of the Public Disclosure Copy end of project target; (iii) the number of sub-contracts awarded and implemented for High Risk Groups (HRG ) and the vulnerable increased from 74 subprojects to 81, surpassing the end of project target by 59%. Studies related to the impact indicators launched in 2010 have been delayed due to the crisis. Disbursement: Currently all project funds have been committed; disbursement increased from 55% in January 2011 to currently 75.86%. It is expected that the full Grant amount will be disbursed prior to the closing date (June 2012). Locations No Location data has been entered Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target % of female sex workers reporting the use of Text Value 95% ENSEA Report 96% a condom with their most recent client (disaggregated by age (<25, 25+>) (UNGASS, Date 31-Dec-2007 30-Jun-2011 30-Sep-2012 AAP) Comments Data not yet available, survey was launched in April 2010 and the data was expected to be available in January 2011, but due to thePost election crisis, the study was suspended and data will be available by end November. % of women and men from 15-49 years of age Text Value 12 % women 30 % men 14.25% women 36 % men having had more than 1 sexual partner in the (Report AIS 2005) preceding 12 months reporting condom use Date 31-Dec-2007 30-Jun-2011 30-Sep-2012 during their last sexual intercourse; Public Disclosure Copy Comments Data not yet available, survey was launched in April 2010 and the data was expected to be available in January 2011, but due to the Post election crisis, the study was suspended and data will be available by end November. Page 2 of 5 The World Bank Report No: ISR4639 Indicator Name Core Unit of Measure Baseline Current End Target Percentage and number of HIV-infected Text Value 0% 34% 75% pregnant women who received a completed 425 930 Public Disclosure Copy antiretroviral treatment to reduce the risk of Date 31-Dec-2007 30-Jun-2011 30-Sep-2012 mother-to-child transmission (UNGASS, UA, Comments Source: Programme National AAP) de Prise En Charge (PNPEC) Percentage and number of adults and children Percentage Value 0.00 1501.00 2500.00 with advanced HIV infection receiving antiretroviral therapy Sub Type Date Supplemental Comments Percentage and number of adults and children Text Value 0% and 0 Male 594 100% and 2 500 with advanced HIV infection receiving Female 907 antiretroviral therapy [disaggregated by sex Date 31-Dec-2007 30-Jun-2010 30-Sep-2012 andage (<15, 15+)] - (UNGASS, UA, AAP) Comments Source Programme National Prise En Charge Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of condoms distributed (male & Text Value 0 1040908 5 180 000 female) among the CSW in the 4 target Project regions. Date 31-Dec-2007 30-Jun-2011 30-Sep-2012 Comments Source: Project Number of sub-contracts awarded and Text Value 0 81 At least 51 have been implemented for HRG and vulnerable implemented (per year) populations Date 15-Jul-2008 30-Jun-2011 30-Sep-2012 Comments Source: Project Number of decentralized ( department) plans Text Value 0 16 24 departments in the project developed and implemented in the four regions zone for Health and Education Date Public Disclosure Copy 15-Jul-2008 30-Jun-2011 30-Sep-2012 Comments Souce: Project. This indicator has not changed since the last supervision because other partners (PEPFAR&Global FUND) are covering the remaining 8 departments. Page 3 of 5 The World Bank Report No: ISR4639 Indicator Name Core Unit of Measure Baseline Current End Target Percentage and number of CTAIL put in place Text Value 0 32% or 100% or 19 and operational 6 CTAIL Public Disclosure Copy Date 15-Jul-2008 30-Jun-2011 30-Sep-2012 Comments We have a problem since there's a change in the institutional arrangement, in the new government; we have only a ministry of Healthand HIV, while the CTAIL are regional representation of the Ministry of HIV/AIDS. Health personnel receiving training Number Value 0.00 2633.00 3000.00 Date 31-Dec-2007 30-Jun-2011 30-Sep-2012 Comments IDA 15 indicators 400 Percentage and number of high risk groups Number Value 2417.00 6933.00 10500.00 (FSW) who received an HIV test in the last 12 months and who came back for their test Date 07-Sep-2007 30-Jun-2011 30-Sep-2012 results Comments FHI 2007 Report in the 4 Source: Project regions Percentage of people from at risk-groups who Percentage Value 18.00 18.00 21.50 both correctly identify ways of preventing sexual transmission of HIV and who reject Date 03-Jun-2005 30-Jun-2011 30-Sep-2012 major misconceptions about HIV transmission . Comments Data not yet available, survey was lauched in April 2010 and the data was expected in January. Due to the post election crisis, the study was suspended and data will be available by end November. Joint annual report of the Multisectoral HIV/ Number Value 0.00 1.00 3.00 Public Disclosure Copy AIDS Program, disseminated during the annual Meeting of the CNLS. Date 01-Sep-2008 30-Jun-2010 30-Sep-2012 Comments Source: Project. The annual report was elaborated but since we had some changes in the HIV/AIDS institutional arrangements, we don't know if the annual meeting of CNLS will be maintained or not. Page 4 of 5 The World Bank Report No: ISR4639 Data on Financial Performance (as of 05-Dec-2011) Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date Public Disclosure Copy P071631 IDA-H3990 Effective 12-Jun-2008 25-Jul-2008 01-Oct-2008 30-Sep-2012 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P071631 IDA-H3990 Effective XDR 12.30 12.30 0.00 9.90 2.40 80.00 Disbursement Graph Key Decisions Regarding Implementation Public Disclosure Copy N/a Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 5 of 5