The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Cambodia Nutrition Project (P162675) EAST ASIA AND PACIFIC | Cambodia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 7 | ARCHIVED on 22-Jun-2022 | ISR52068 | Implementing Agencies: Kingdom of Cambodia, Ministry of Health, National Committee for Sub-National Democratic Development Secretariat Key Dates Key Project Dates Bank Approval Date: 04-Apr-2019 Effectiveness Date: 10-Oct-2019 Planned Mid Term Review Date: 28-Feb-2023 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2024 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO is to improve utilization and quality of priority maternal and child health and nutrition services for targeted groups in Cambodia. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening the delivery of priority health services:(Cost $24.00 M) Component 2: Stimulating demand and accountability at the community level:(Cost $10.80 M) Component 3: Ensuring an effective and sustainable response:(Cost $18.20 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions This interim ISR is being filed to update the results framework after the project restructuring processed on June 8, 2022 and to provide update on the citizen engagement (CE) indicators. All other project and risk ratings remain the same as per the ISR archived on May 11, 2022. 6/22/2022 Page 1 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Moderate Moderate Macroeconomic Low Moderate Moderate Sector Strategies and Policies Low Low Low 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 Low Low Low Stakeholders Low Low Low Other Low Low Low Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes To improve utilization of priority maternal and child health and nutrition services IN01159188 ►Percent of children born in the last 24 months who were put to the breast within one hour of birth (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.50 56.50 56.50 68.00 Date 01-Jul-2019 01-Jul-2019 01-Jul-2019 28-Jun-2024 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed early 2022. IN01159190 ►Number of children under 12 months of age in target areas receiving DPT-HepB-Hib 3 in the last calendar year (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38,500.00 41,280.00 41,280.00 46,000.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 Updated based on 2021 Heath Achievement Report (HAR) of the National Health Congress (NHC) 2022. The indicator has already surpassed the project end target and will thus be restructured to include a Comments: revised end target. 6/22/2022 Page 2 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) To improve quality of priority maternal and child health and nutrition services IN01159187 ►Percent of children 6-23 months of age in target provinces who receive foods from 4 or more food groups, by gender (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 31-Dec-2018 31-Dec-2018 31-Dec-2018 31-Dec-2023 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed early 2022. IN01159189 Female (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 01-Feb-2019 31-Dec-2018 31-Dec-2018 30-Jun-2024 IN01159191 Males (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 50.00 Date 26-Feb-2019 31-Dec-2018 31-Dec-2018 30-Jun-2024 IN01159192 ►Percent of pregnant women in target areas receiving micronutrient supplementation in accordance with national guidelines (annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.20 83.15 83.15 90.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 IN01159193 ►Number of health facilities in target areas scoring over 60 percent on their Maternal and Child Health and Nutrition Scorecards (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 31.63 31.63 90.00 Date 01-Feb-2019 10-Feb-2022 10-Feb-2022 31-Dec-2023 The first quality assessment using the MCHN-S conducted in January 2021 by certified operational district assessors in six CNP provinces which aligned with the CNP impact evaluation samples (excluded Preah Comments: Vihear province). IN01159194 ►Number of commune/sangkats in target areas receiving Commune/Sangkat Service Delivery Grants (C/S-SDGs) for women and children (annual) (Number, Custom) 6/22/2022 Page 3 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 380.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 First CS-SDG assessments conducted in October-November 2021. Comments: Intermediate Results Indicators by Components Component 1: Strengthening the Delivery of Priority Health Services IN01159195 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 442,395.00 442,395.00 1,060,000.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 It is the cumulative number of the 3 sub-indicators below from 2020. In year 1, basic nutrition services limited only to receipt of Vitamin A, excluding number of mother of children aged 0-2 years old attending the Commune Program for Women and Children (CPWC) events, as the CPWC activities has not yet been rolled out. It should be noted that this indicator already surpassed the target set of 422,500.00 in 2021 and will be revised during the CNP restructuring. In addition, the previous value (451,654.00, dated 31-Dec-2020) has included the data for 2019 and this needs to be corrected to 227,030.00 only to account Comments: for 2020. In this regard, the previous value for sub-indicators, 'Number of children immunized (Number, Corporate Breakdown)', needs to be corrected to 45,307.00 (dated 31-Dec-2020); 'Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown)' to 39,960.00 (dated 31-Dec-2020); and 'Number of women and children who have received basic nutrition services (Number, Corporate Breakdown)' to 141,763.00 (dated 31-Dec-2020). IN01159199 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 86,587.00 86,587.00 200,000.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 28-Jun-2024 IN01159201 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80,455.00 80,455.00 160,000.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 IN01159204 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 275,353.00 275,353.00 700,000.00 6/22/2022 Page 4 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 IN01159206 ►Number of coaching sessions conducted in target areas with participation of NMCHC (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 Coaching will accompany MCHN-S rollout which is expected to begin in 2022. Comments: IN01159209 ►Average health center staff score (%) on GMP vignette in target areas (annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 61.60 61.60 65.00 Date 31-Dec-2018 10-Feb-2022 10-Feb-2022 31-Dec-2023 This is the 3rd vignette on growth monitoring and promotion (GMP) which is a component of the MCHN-S Comments: rollout in January 2022. IN01159211 ►Number of integrated outreach sessions in target areas supported by the project (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 Delivery of integrated outreach will be monitored as part of MCHN-S and has been delayed due to Comments: COVID-19. IN01159213 ►Percent of children 12-23 months in target areas fully immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.04 63.04 63.04 75.00 Date 20-Aug-2014 01-Jul-2019 01-Jul-2019 28-Jun-2024 Current baseline derived from Cambodia Demographic and Health Survey (CDHS) 2014. Baseline data to be updated using data from the CNP impact evaluation household survey, for which data collection is Comments: ongoing and to be completed in 2022. IN01159214 Bottom 40% of households (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 56.30 56.30 56.30 68.00 Date 30-Jun-2014 01-Jul-2019 01-Jul-2019 30-Jun-2024 6/22/2022 Page 5 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159215 Upper 60% of households (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 77.80 77.80 77.80 85.00 Date 30-Jun-2014 01-Jul-2019 01-Jul-2019 30-Jun-2024 IN01159216 ►Utilization of outpatient HEF services in target areas in the last calendar year (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 232,872.00 0.00 0.00 256,000.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 Since the CNP only supports children aged under two years old of informal workers, thus this target will be Comments: revised as part of project restructuring. Component 2. Stimulating Demand and Accountability at the Community Level IN01159197 ►Number of citizens in target areas providing feedback on commune services for women and children (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 The COVID-19 community transmission delayed the rollout of project’s activities at the community level thus no numeric values of the feedbacks have yet to be reported. However, the National Committee for Sub-National Democratic Development Secretariat (NCDDS) has developed the citizen feedback report template, the leaflet for grievance redress mechanism (electronic copy has already been distributed to key actors at sub-national administration level) and trained 182 commune/sangkat (C/S) citizen engagement Comments: focal points (the focal points of the Commune Committee for Women and Children/CCWC-FP) to collect, report and follow up on the citizen feedbacks. As the template and leaflets were distributed in late May 2022 and communities currently being informed about the mechanism, it is expected that the next ISR for the upcoming six-month period will be able to capture and report on this indicator. IN01159200 ►Number of communes in target areas have addressed or responded to the beneficiaries’ feedback (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 312.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 The C/S-SDG training which has been provided to 29 district/municipal administrations and 182 C/S key actors includes guidance to collect beneficiary feedback and address this through the Commune Investment Program (CIP) development process. This process happens on an annual basis and was prepared for this year prior to the rollout of the C/S-SDG and associated beneficiary feedback Comments: mechanisms. Thus, the current year’s CIP will not capture beneficiary feedback. The collected beneficiary feedbacks will be incorporated in the 2023 Commune Investment Program ( a C/S 3-years rolling program) by the end of 2022. Thus the ISR covering the first months of 2023 will be able to capture the number of communes incorporating citizen feedback. 6/22/2022 Page 6 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159273 ►Number of C/S have incorporating CPWC package activities in Commune/Sangkat Investment Plan (CIP) (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 312.00 Date 30-Dec-2021 -- 30-Dec-2021 30-Jun-2026 IN01159203 ►Number of villages in target areas with VHSGs recruited according to updated guidelines (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,103.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 Rollout of project activities delayed due to COVID-19. Comments: IN01159205 ►Number of VHSGs in target areas receiving incentives from the project to implement the project activities (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,206.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 Rollout of project activities delayed due to COVID-19. Comments: IN01159207 Number of female VHSGs in target areas receiving incentive from the project to implement the project activities (cumulative) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3,785.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 IN01159208 ►Number of community health and nutrition events for women and children under 2 convened in target areas (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,496.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 Rollout of project activities delayed due to COVID-19. Comments: IN01159210 ►Number of mothers/caregivers of children age 0-2 years participating in any CPWC event in the last calendar year (annual) (Number, Custom) 6/22/2022 Page 7 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25,236.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 Rollout of project activities delayed due to COVID-19. Comments: IN01159212 ►Percent of commune/sangkats in target areas receiving C/S-SDG payment within specified timelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 75.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 30-Jun-2026 First CS-SDG payments made in October-November 2021. Comments: Component 3. Ensuring an Effective and Sustainable Response IN01159196 ►Number of public health providers trained in MIYCN package (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: IN01159198 Of which female (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 145.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 IN01159202 ►Percent of health facilities receiving MCHN scorecard SDG payment within specified timelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2018 07-Dec-2021 07-Dec-2021 31-Dec-2023 Rollout of project activities delayed due to COVID-19. Comments: Performance-Based Conditions 6/22/2022 Page 8 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159217 ►PBC 1 DLI A: Subnational capacity building and rollout of C/S-SDG system (Text, Output, 700,000.00, 42.86%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. C/S-SDG checklists 1. C/S-SDG checklists and readiness guidelines and readiness guidelines distributed to all C/S and distributed to all C/S and D/K in target provinces - D/K in target provinces - achieved, 50,000 achieved, 50,000 disbursed. disbursed. 2. NCDDS is adequately 2. NCDDS is adequately C/S-SDG system and staffed to carry out C/S- staffed to carry out C/S- 1. Training on C/S- training package not SDG implementation SDG implementation SDG processes Value designed according to mutually according to mutually rolled out as per agreed staffing plan - agreed staffing plan - year 3 plan achieved, 200,000 achieved, 200,000 disbursed. disbursed. 3. Plans for subnational 3. Plans for subnational capacity building and capacity building and monitoring for C/S-SDG monitoring for C/S-SDG approved - achieved, approved - achieved, 50,000 disbursed. 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01159218 ►PBC 2 DLI B: Sustained timeliness of C/S-SDG payments and fiduciary oversight (Text, Output, 500,000.00, 20.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. Plans for sub-national 1. Plans for sub-national 1. At least 85% of capacity building and capacity building and C/S-SDG payments monitoring of financial monitoring of financial are made within the management (FM) are management (FM) are prescribed time approved - achieved, approved - achieved, 2. Activities as per 50,000 disbursed. 50,000 disbursed. Capacity building and the year 4 FM Value 2. NCDDS FM team 2. NCDDS FM team training not occurring capacity building receives training in its receives training in its and monitoring plan standard operating standard operating have been procedures and World procedures and World completed for C/S- Bank’s Procurement Bank’s Procurement SDG FM readiness Regulations - achieved, Regulations - achieved, and roll out 50,000 disbursed. 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- 6/22/2022 Page 9 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159219 ►PBC 3 DLI C: C/S-SDG assessment and coaching in accordance with guidelines (Text, Output, 450,000.00, 11.11%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1.Implementation 1.Implementation 1. At least 90% of guideline detailing C/S- guideline detailing C/S- target C/S receive SDG fund flow, rollout, SDG fund flow, rollout, timely C/S-SDG process, and oversight process, and oversight assessment C/S SDG System not arrangements is finalized arrangements is finalized 2. Actions taken as Value established and no and distributed among and distributed among per C/S-SDG assessments conducted C/S, district, provincial, C/S, district, provincial, Operational Manual and central authorities - and central authorities - to address achieved, 50,000 achieved, 50,000 discrepancies in ex- disbursed. disbursed. ante and ex-post verification scores Date -- 01-Jul-2020 01-Jul-2020 -- IN01159220 ►PBC 4 DLI D: Ongoing readiness and quality of priority nutrition services (Text, Output, 950,000.00, 15.79%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. Comprehensive 1. Comprehensive package of nutrition package of nutrition Incomplete complement of interventions defined – interventions defined – qualified personnel to carry achieved, $50,000 paid achieved, $50,000 paid out project functions; after verification after verification 1. The National comprehensive package of 2. Supervision, training, 2. Supervision, training, Nutrition Program of Value nutrition interventions not and coaching plans for and coaching plans for MOH is adequately defined; and supervision, comprehensive nutrition comprehensive nutrition staffed training and coaching plans interventions is agreed interventions is agreed for comprehensive nutrition and budgeted – and budgeted – achieved, intervention not yet agreed achieved, $50,000 $50,000 disbursed. disbursed. Date -- 18-Mar-2021 18-Mar-2021 -- IN01159221 ►PBC 5 DLI E. Delivery of an integrated outreach package including priority MCHN services (Text, Outcome, 600,000.00, 20.00%) 6/22/2022 Page 10 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. Guidelines specifying 1. Guidelines specifying integrated outreach integrated outreach package including package including minimum MCHN minimum MCHN activities, 1. ODs in target activities, frequency, and frequency, and monitoring provinces with monitoring protocol for An integrated outreach protocol for central and health centers central and OD levels is package, including priority OD levels is adopted (the conducting Value adopted (the Guidelines)- MCHN services not being Guidelines)- achieved, integrated outreach achieved, 70,000 delivered 70,000 disbursed. according to the disbursed. 2. Procurement for the Guideline 2. Procurement for the integrated outreach integrated outreach portable kits initiated - portable kits initiated - achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01159222 ►PBC 6 DLI F. Comprehensive coaching conducted for MCHN Scorecard (Text, Output, 750,000.00, 20.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. MCHN scorecard 1. MCHN scorecard developed based on the developed based on the criteria set out in the criteria set out in the Verification Protocol – Verification Protocol – achieved, 50,000 achieved, 50,000 disbursed. disbursed. 2. MCHN vignettes 2. MCHN vignettes finalized based on criteria finalized based on criteria set out in the Verification set out in the Verification Protocol – achieved, Protocol – achieved, 1.MCHN scorecard An integrated outreach 50,000 disbursed. 50,000 disbursed. coaching conducted package, including priority Value 3. Annual plan for MCHN 3. Annual plan for MCHN according to year 4 MCHN services not being coaching developed, coaching developed, plan delivered agreed, and budgeted – agreed, and budgeted – achieved, 50,000 achieved, 50,000 disbursed. disbursed. Year 1: Year 1: 1.Comprehen-sive 1.Comprehen-sive package of MCHN package of MCHN scorecard coaching scorecard coaching modules developed and modules developed and approved – achieved, approved – achieved, 100,000 disbursed. 100,000 disbursed. Date -- 07-Dec-2021 07-Dec-2021 -- 6/22/2022 Page 11 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159223 ►PBC 7 DLI G. Communication materials, training, and supervision delivered for VHSGs and HEF Promotion (Text, Output, 900,000.00, 22.22%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. SBCC implementation 1. SBCC implementation plan and list/package of plan and list/package of materials developed for materials developed for 1.NCHP undertakes VHSG, NMCHC, NNP, VHSG, NMCHC, NNP, supervision of and HEF promotion is and HEF promotion is community level approved by Project approved by Project activities and any director – achieved, director – achieved, remaining training $50,000 disbursed. Communications materials, $50,000 disbursed. programs defined for 2. Capacity building and training and supervision 2. Capacity building and year 4 in the supervision plans for Value currently not being supervision plans for Capacity Building NCHP’s support to HEF delivered for VHSGs and NCHP’s support to HEF and Supervision promotion and support to HEF Promotion promotion and support to plan CPWC (Capacity CPWC (Capacity Building 2.SBCC Building and Supervision and Supervision Plans) implementation plan Plans) aligned with aligned with C/S‐SDG for year 4 is C/S‐SDG rollout is rollout is agreed and completed agreed and budgeted – budgeted – achieved, achieved, $50,000 $50,000 disbursed. disbursed. Date -- 18-Mar-2021 18-Mar-2021 -- IN01159224 ►PBC 8 DLI H. Sustainable institutional arrangements for HEF and SDG payment and certification (Text, Output, 1,300,000.00, 11.54%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. PMRS updated to 1. PMRS updated to incorporate the expanded incorporate the expanded HEF package under Part HEF package under Part 1.Timely certification 1.2 – achieved, 100,000 1.2 – achieved, 100,000 No sustainable institutional of MCHN Scorecard disbursed. disbursed. arrangements for HEF and scores as per Value 2. Training to implement 2. Training to implement SDG payment and MOH’s relevant MOH guidelines on HEF MOH guidelines on HEF certification guideline expansion is completed expansion is completed for all target provinces – for all target provinces – achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 18-Mar-2021 18-Mar-2021 -- 6/22/2022 Page 12 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159225 ►PBC 9 DLI I. MCHN service quality monitoring enhanced and mainstreamed in the MOH (Text, Output, 900,000.00, 16.67%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1.MCHN scorecard 1.MCHN scorecard manual and guideline manual and guideline 1.MCHN scorecard finalized - achieved, finalized - achieved, implemented in new 50,000 disbursed. 50,000 disbursed. provinces and health 2. MCHN scorecard 2. MCHN scorecard facilities as per mid- guidance integrated into guidance integrated into term review SDG annual instruction SDG annual instruction for agreements for year No enhanced service for implementation - implementation - 4. Value quality monitoring and not achieved, 50,000 achieved, 50,000 2.Quarterly joint mainstreamed in MOH disbursed. disbursed. review (QAO + 3.Protocol for reviewing 3.Protocol for reviewing NMCHC) of MCHN MCNH scorecard MCNH scorecard scores and developed and templates developed and templates production of for quarterly and annual for quarterly and annual quarterly and annual MCHN scorecard reports MCHN scorecard reports reports produced - achieved, produced - achieved, 50,000 disbursed. 50,000 disbursed. Date -- 01-Jul-2020 01-Jul-2020 -- IN01159226 ►PBC 10 DLI J. Timeliness of MCHN-SDG and HEF payments ensured and continued FM capacity building for health centers (Text, Output, 900,000.00, 11.11%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 Year 0: Year 0: 1. Financial procedure 1. Financial procedure guidelines and standards guidelines and standards 1. At least 85% of for HEF and SDG for HEF and SDG MCHN-SDG and expansion finalized and expansion finalized and HEF payment are distributed to OD, PHD, distributed to OD, PHD, made within the MCHN-SDG and HEF and MOH central staff – and MOH central staff – prescribed time payments are not timely, achieved, 100,000 achieved, 100,000 2. Activities as per Value and FM capacity building disbursed disbursed the FM capacity for health centers is not 2. Sub‐national FM 2. Sub‐national FM building plan have continuous capacity building plan capacity building plan been completed for approved by MOH – approved by MOH – year 4 achieved, 50,000 achieved, 50,000 disbursed. disbursed. Date -- 07-Dec-2021 07-Dec-2021 -- 6/22/2022 Page 13 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) IN01159227 ►PBC 11 DLI K. Regularity of MCHN data availability enhanced (Text, Output, 300,000.00, 0.00%) Year 4: October 1, 2022-September 30, Baseline Actual (Previous) Actual (Current) 2023 1.Timely production of monthly, semi- annual and annual MCHN data is not regularly Year 0: Year 0: Value MCHN and HEF available Targets not achieved yet. Targets not achieved yet. utilization reports in year 4 Date -- 08-Oct-2020 08-Oct-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P162675 IDA-63940 Effective USD 15.00 15.00 0.00 2.28 12.38 16% P162675 TF-A9830 Effective USD 10.00 10.00 0.00 0.98 9.02 9.8% P162675 TF-A9833 Effective USD 5.00 5.00 0.00 1.45 3.55 29% P162675 TF-A9902 Effective USD 2.00 2.00 0.00 0.74 1.26 37% P162675 TF-B0827 Effective USD 2.00 2.00 0.00 1.44 0.56 72% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P162675 IDA-63940 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2024 30-Jun-2024 P162675 TF-A9830 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 31-Dec-2021 30-Nov-2023 P162675 TF-A9833 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2023 30-Jun-2023 P162675 TF-A9902 Effective 04-Apr-2019 22-Aug-2019 10-Oct-2019 30-Jun-2021 30-Jun-2022 P162675 TF-B0827 Effective 03-Jul-2019 22-Aug-2019 10-Oct-2019 30-Jun-2024 30-Jun-2024 Cumulative Disbursements 6/22/2022 Page 14 of 15 The World Bank Implementation Status & Results Report Cambodia Nutrition Project (P162675) Restructuring History Level 2 Approved on 30-Jun-2021 ,Level 2 Approved on 15-Dec-2021 Related Project(s) There are no related projects. 6/22/2022 Page 15 of 15