Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) AFRICA | Madagascar | Education Global Practice | IBRD/IDA | Emergency Recovery Loan | FY 2013 | Seq No: 5 | ARCHIVED on 21-Sep-2015 | ISR20441 | Implementing Agencies: ONN/PNNC-SEECALINE, UAT-Unit� d'Appui Technique � l'Education Pour Tous, UGP-Sante Key Dates Key Project Dates Board Approval date:29-Nov-2012 Effectiveness Date:25-Apr-2013 Planned Mid Term Review Date:03-Nov-2014 Actual Mid-Term Review Date:27-Oct-2014 Original Closing Date:31-Jul-2016 Revised Closing Date:30-Jul-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to preserve critical education, health and nutrition service delivery in targeted vulnerable areas in the recipient’s territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Preserving Critical Education Services:(Cost $25.00 M) Component 2: Preserving Critical Health Services:(Cost $26.40 M) Component 3: Preserving Critical Nutrition Services:(Cost $21.70 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Overall Risk Rating  --  Low 9/21/2015 Page 1 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Implementation Status and Key Decisions The project is on track to achieve its Development Objectives. This emergency operation was ambitious in that it sought to maintain social service delivery in a challenging country context and during a period of political and economic crisis in some of the poorest regions of the country. The project should be considered a success in this regard. In addition, with just under a year and a half of implementation, the Project has not only helped the Government maintain basic service delivery in targeted areas but has significantly helped schools, health centers, and community nutrition sites thrive. This has resulted in a better learning environment for students, increased access and utilization of services at primary health center level, and increased access to improved nutrition interventions for pregnant women and children under five in the poorest areas of the country. The last implementation support mission took place from July 15, 2015-July 30, 2015. The Project continues to make progress toward completion of project activities and is disbursing quickly. As of August 19, 2015 the overall disbursement rate for the original credit is 62% and the disbursement rate of the AF credit is 17% with and additional 50% of remaining funds committed to activities. A level 2 restructuring was processed in July 2015 with the amendment signed by the Government on August 19, 2015. The main changes to the project as a result of this restructuring are: reallocation from the unallocated category across the three components, support to the health results based financing pilot, and a closing date extension of the AF credit by one year to July 30, 2017. 9/21/2015 Page 2 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) 9/21/2015 Page 3 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) 9/21/2015 Page 4 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Low Macroeconomic  --  --  Low Sector Strategies and Policies  --  --  Low Technical Design of Project or Program  --  --  Low Institutional Capacity for Implementation and Sustainability  --  --  Moderate Fiduciary  --  --  Moderate Environment and Social  --  --  Low Stakeholders  --  --  Low Other  --  --  -- Overall  --  --  Low Results Project Development Objective Indicators PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1864330.00 1864330.00 1916726.00 Date 31-Jul-2012 31-Oct-2014 31-Dec-2014 31-Jul-2016 9/21/2015 Page 5 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Comments This indicator is measured annually and will be formally reported in the next ISR. PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 50.02 50.02 55.00 PHINDPDOTBL  Students enrolled in primary schools in targeted regions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 974300.00 1089709.00 1089709.00 974300.00 Date 31-Jul-2012 31-Oct-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. PHINDPDOTBL  Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 49.00 49.90 49.90 49.00 PHINDPDOTBL  Total number of schools receiving school grants funded by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6561.00 6561.00 6050.00 9/21/2015 Page 6 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Date 31-Jul-2012 31-Oct-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. PHINDPDOTBL  People with access to a basic package of health, nutrition, or reproductive health services (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 762882.00 762882.00 932426.00 Date 31-Jul-2012 30-Sep-2014 31-Dec-2014 31-Jul-2016 Comments This indicator is measured annually and will be formally reported in the next ISR. PHINDPDOTBL  Pregnant/lactating women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 147173.00 147173.00 182161.00 Date 31-Jul-2012 30-Sep-2014 31-Dec-2014 31-Jul-2016 PHINDPDOTBL  Children under 5 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 615709.00 615709.00 750265.00 Date 31-Jul-2012 30-Sep-2014 31-Dec-2014 31-Jul-2016 PHINDPDOTBL  Births (deliveries) attended by skilled health personnel (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25589.00 74593.00 12600.00 9/21/2015 Page 7 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Date 31-Jul-2012 30-Sep-2014 30-Jun-2015 31-Jul-2016 Comments This indicator is measured every 6 months. The indicator target has been significantly surpassed due to the delivery of essential equipment to all targeted CSBs in the project, the voucher system, and the distribution of safe delivery kits. PHINDPDOTBL  Children immunized (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 79892.00 149376.00 18300.00 Date 31-Jul-2012 30-Sep-2014 30-Jun-2015 31-Jul-2016 Comments This indicator is measured every 6 months. This indicator value has been significantly surpassed due to the support for implementing the Strategie Avancee which provides direct outreach and vaccinations in communities up to 15KM from health centers as well as the Maternal and Child Health weeks which have fully resumed after the crisis. PHINDPDOTBL  Children immunized - under 12 months against DTP3 (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 79892.00 149376.00 18300.00 Date 31-Jul-2012 30-Sep-2014 30-Jun-2015 31-Jul-2016 PHINDPDOTBL  Children under the age of 24 months benefiting from improved infant and young child feeding (IYCF) practices (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70160.00 160794.00 124823.00 164220.00 Date 31-Jul-2012 31-Aug-2014 30-Jun-2015 31-Jul-2016 Comments This indicator is measured every 6 months. 9/21/2015 Page 8 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Overall Comments Intermediate Results Indicators PHINDIRITBL  Number of community teachers certified to be in service paid (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11739.00 11739.00 10000.00 Date 31-Jul-2012 31-Oct-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. . PHINDIRITBL  of which % of female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 49.00 49.00 49.00 50.00 PHINDIRITBL  School grants paid by the project on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 91.38 91.38 95.00 Date 31-May-2012 31-Dec-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. 9/21/2015 Page 9 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) PHINDIRITBL  Number of children receiving anti-helminth treatment (school age children) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 891336.00 1066586.00 667944.00 Date 31-Jul-2012 31-Dec-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. The value for the campaign last year has been updated as some of the districts were still finalizing their data during the last ISR. PHINDIRITBL  Number of parents' associations/school management committees trained on teacher accountability process and use of school grants year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6561.00 6561.00 6050.00 Date 31-Jul-2012 31-Oct-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. PHINDIRITBL  Number of teachers trained in school health and nutrition activities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2811.00 2811.00 3750.00 Date 31-Jul-2012 31-Dec-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. 9/21/2015 Page 10 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) PHINDIRITBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 22662.00 22662.00 18283.00 Date 31-Jul-2012 30-Sep-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 347.00 347.00 347.00 Date 31-Jul-2012 30-Sep-2014 31-Dec-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. The indicator will likely be surpassed by the end of the Project due to some CSBs being renovated through a sub-contract with the FID. PHINDIRITBL  Percentage of women attending antenatal clinic who are tested for syphilis (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 36.00 -- 36.00 90.00 Date 31-Jul-2013 -- 30-Jun-2015 31-Jul-2016 Comments This indicator was just added as part of a restructuring approved at the end of July 2015. The indicator will be updated in the next ISR. 9/21/2015 Page 11 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) PHINDIRITBL  Percentage of facilities visited by the district technical assistants (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 95.00 Date 31-Jul-2012 30-Sep-2014 30-Jun-2015 31-Jul-2016 Comments This indicator is measured every 6 months. PHINDIRITBL  Number of children under 2 years enrolled in the growth monitoring program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 140319.00 160794.00 211115.00 234600.00 Date 31-Jul-2012 31-Aug-2014 30-Jun-2015 -- Comments This indicator is measure every 6 months. PHINDIRITBL  Number of children enrolled in the MUAC program between 2-5 years of age (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 207368.00 198669.00 354166.00 341000.00 Date 31-Jul-2012 31-Aug-2014 30-Jun-2015 31-Jul-2016 Comments This indicator is measured every quarter (by Government) and reported every 6 months. 9/21/2015 Page 12 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) PHINDIRITBL  Number of Community Nutrition Agents trained to provide health and nutrition education (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1484.00 2000.00 2000.00 2000.00 Date 31-Jul-2012 31-Aug-2014 31-Aug-2014 31-Jul-2016 Comments This is indicator is measured annually and will be formally reported in the next ISR. . PHINDIRITBL  percentage of Nutrition sites Monthly Report submitted within +5 days of the end of the month through mobile phones (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.00 54.70 78.35 95.00 Date 31-Jul-2012 31-Aug-2014 30-Jun-2015 31-Jul-2016 Comments This activities measured by this indicator have some challenges given that some of the nutrition sites do not have regular cell phone service. The task team and PIU are working on options to resolve this issue to improve progress but this indicator may not be achieved by the end of the Project. PHINDIRITBL  Number of schools supported by ACN during de-worming (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5812.00 6587.00 2500.00 Date 31-Jul-2012 31-Dec-2014 30-Jun-2015 31-Jul-2016 Comments This is indicator is measured every 6 months. Overall Comments Data on Financial Performance Disbursements (by loan) 9/21/2015 Page 13 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P131945 IDA-51860 Effective XDR 42.20 42.20 0.00 26.36 15.84 62% P131945 IDA-53820 Effective XDR 6.50 6.50 0.00 1.14 5.36 18% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P131945 IDA-51860 Effective 29-Nov-2012 03-Dec-2012 25-Apr-2013 31-Jul-2016 31-Jul-2016 P131945 IDA-53820 Effective 27-Feb-2014 27-Mar-2014 15-Sep-2014 31-Jul-2016 30-Jul-2017 Cumulative Disbursements Restructuring History Level 2 Approved on 21-Jul-2015 Related Project(s) 9/21/2015 Page 14 of 15 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Madagascar Emergency Support to Critical Education, Health and Nutrition Services Project (P131945) P148749-AF-Emergency Support Critical Education Health and Nutrition Services 9/21/2015 Page 15 of 15 Public Disclosure Copy