The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Salvador Social Multi-Sector Service Delivery Project II (P172605) LATIN AMERICA AND CARIBBEAN | Brazil | Social Protection & Jobs Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 4 | ARCHIVED on 22-Jun-2022 | ISR51251 | Implementing Agencies: Casa Civil, Municipality of Salvador Key Dates Key Project Dates Bank Approval Date: 22-Sep-2020 Effectiveness Date: 18-Oct-2021 Planned Mid Term Review Date: 06-Feb-2023 Actual Mid-Term Review Date: Original Closing Date: 30-Dec-2024 Revised Closing Date: 30-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the efficiency of social service delivery in the Municipality of Salvador in the social assistance, education, and health sectors. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Support for strategic actions to improve service delivery:(Cost $119.69 M) Technical Assistance:(Cost $5.00 M) Front-End Fee:(Cost $0.31 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 Substantial Substantial Implementation Status and Key Decisions Since project effectiveness (October 18, 2021), the Project has made good progress regarding its development results and reached (and exceeded in the case of health) the intermediate targets for the PDO indicators for the corresponding period. The Project has also made positive implementation progress given by the project's first disbursements (US$25 million for retroactive funding of COVID-19 related activities) and thus it has disbursed. US$25.31 million to date (20 percent of the loan amount). 6/22/2022 Page 1 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial High High Macroeconomic Substantial Substantial Substantial 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 Moderate Moderate Moderate Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Substantial Substantial Substantial Overall Moderate Substantial Substantial Results PDO Indicators by Objectives / Outcomes Support for strategic actions to improve service delivery IN01135823 ►Descentralized Municipal Management Index IGD-M (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.76 0.76 0.76 0.80 Date 30-Apr-2020 14-May-2021 28-Feb-2022 28-Jun-2024 The Index is used to monitor the integrated offer of social assistance, education, and health services for Comments: families beneficiaries of Bolsa Família program and includes other three factors reflecting the management of the Unified Social Assistance System (SUAS). IN01135824 ►Age-grade distortion rates at Lower Secondary Education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.50 42.50 36.00 30.00 Date 30-Apr-2020 14-May-2021 31-Dec-2021 28-Jun-2024 The official Age-Grade Distortion data comes from School Census from the Ministry of Education. The Census is applied in March-April and officially published in December, sometimes later 1-2 later. In 2022, Comments: it has followed the same procedure: the School Census has been applied in March and might be published by the end of 2022. For this reason, more updated data of Age-grade Distortion might be available at the end of 2022. 6/22/2022 Page 2 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) IN01135825 ►Proportion of hospital admissions for Ambulatory Care Sensitive Conditions (ACSC) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 26.60 26.60 15.20 25.50 Date 30-Apr-2020 14-May-2021 24-Jan-2022 30-Dec-2024 Proportion of the hospital admissions for ACSC, their length of stay and readmissions, which could be Comments: prevented by primary health care interventions Overall Comments PDO The education indicator reflects the latest available information as assessments could not be undertaken while schools were closed. As school have reopened, data will be updated after next mission. Intermediate Results Indicators by Components Support for strategic actions to improve service delivery IN01135827 ►Percentage of families in suspension of benefits due to non-compliance of conditionalities assisted by social assistance sector (PBC#1) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 0.47 50.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Percentage of families with benefit suspended in the period assisted by social assistance according to Comments: protocols from federal government. IN01135829 ►Number of social assistance units offering Cadastro Unico services (PBC#2) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 8.00 14.00 35.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Number of social assistance equipment with registration service offer per year ascertained by the Comments: interviewer's proof in the SUAS Registration System, CADSUAS. IN01135830 ►Performance Index of CRAS / Average CRAS (PBC#3) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 2.28 2.28 2.77 3.50 6/22/2022 Page 3 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Average CRAS performance indexes assessed by physical structure, human resources and Comments: services/benefits. IN01135832 ►Performance Index of CREAS / average CREAS (PBC#4) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 2.95 2.95 3.33 3.75 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Average CREAS performance indexes assessed by physical structure, human resources and Comments: services/benefits. IN01135833 ►Rate of monitoring of health conditionalities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 67.00 67.00 67.14 72.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 The indicator measures access of preventive health care through children immunization and pre-natal Comments: care visits for poor and extreme poor families beneficiaries of social program. IN01135834 ►Rate of monitoring of education conditionalities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 87.00 87.00 87.06 90.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 The indicator measures access and retention of school-aged children in school from poor and extreme Comments: poor families beneficiaries of social program. IN01135835 ►Registration of homelessness population in Cadastro Unico (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2,200.00 2,200.00 4,376.00 4,000.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Comments: Number of families classified as homeless population enrolled in Cadastro Unico. IN01135836 ►Updated Records in Cadastro Unico (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/22/2022 Page 4 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Value 76.00 76.00 75.00 80.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 It measures the proportion of updating records in Cadastro Unico social registry for families with per capita Comments: income below ½ minimum wage in the municipality of Salvador. IN01135837 ►Percentage of social workers enrolled in the municipal plan of continuous education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 19.43 50.00 Date 30-Apr-2020 14-May-2021 01-Mar-2022 30-Dec-2024 Development of continuing education plan and training of social workers developed in accordance with the Comments: Permanent Education Program of the Municipality. IN01135838 ►Number of adult women victims of domestic violence attended by the Protection and Comprehensive Service to Families and Individuals (PAEFI) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 78.00 78.00 100.00 350.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Number of adult women victims of domestic violence attended by the Protection Service and Specialized Comments: Care for Families and Individuals (PAEFI) registered in the SUAS Monthly Care Record Tool (RMA). IN01135839 ►Percentage of children enrolled in acceleration programs at primary education that progress at least 2 grades (PBC#5) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 53.00 53.00 4.60 65.00 Date 30-Apr-2020 14-May-2021 31-Dec-2021 30-Dec-2024 The current data decline reflects the COVID-19 pandemic shock. Comments: IN01135840 ►Number of students enrolled in full-time education (PBC#6) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 5,820.00 5,820.00 2,064.00 10,000.00 Date 30-Apr-2020 14-May-2021 31-Dec-2021 30-Dec-2024 The total number of students in primary and lower secondary education of the municipal network enrolled Comments: in full time education. IN01135841 ►Number of children from 0 to 3 years old with home visits on cognitive and socioemotional stimulation provided by SMED early childhood interventions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/22/2022 Page 5 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Value 0.00 0.00 0.00 800.00 Date 30-Apr-2020 14-May-2021 15-Mar-2022 30-Dec-2024 This program requires a multi-sector approach in partnership with SEMPRE and its formulation did not Comments: start yet, as the municipality of Salvador faced delays in organizing multi-sector meetings. IN01135842 ►Age-grade distortion rates at Primary Education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 24.10 24.10 17.40 16.00 Date 30-Apr-2020 14-May-2021 31-Dec-2021 30-Dec-2024 Ratio given between the number of students in age-grade distortion in the Early Years of Elementary Comments: School at the municipal network and the number of total number of students in the Early Years of Elementary School at the municipal network. IN01135843 ►Percentage of children enrolled in accelerated learning programs at lower secondary education that progress at least 2 grades (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 30-Apr-2020 14-May-2021 15-Mar-2022 30-Dec-2024 Baseline and actual figure are zero because the program for lower secondary education only started in Comments: 2022 and the indicator is measured at the end of the school year. IN01135844 ►Attendance rates of students who completed the accelerating programs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 85.00 Date 30-Apr-2020 14-May-2021 15-Mar-2022 30-Dec-2024 The municipality did not measure this indicator since they started the school year in February 2022. Comments: IN01135845 ►Percentage of accelerated learning student groups (both in primary and lower secondary education) with adequate number of supporting staff (PBC#7) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 37.30 85.00 Date 30-Apr-2020 14-May-2021 15-Mar-2022 30-Dec-2024 Ratio given between the number of student groups of accelerated learning programs at the municipal network with an adequate number of supporting staff and the total of student groups of accelerated Comments: learning programs. Adequate number of supporting staff is defined as the 1 for every 8 student groups of accelerated learning programs. IN01135846 ►Percentage of students in remedial education programs to reduce repetition with at least with 80% of attendance (PBC#8) (Percentage, Custom, PBC) 6/22/2022 Page 6 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 85.00 Date 30-Apr-2020 14-May-2021 15-Mar-2022 30-Dec-2024 The remedial education program is currently under design; therefore, the indicator is zero. Comments: IN01135847 ►Age-grade distortion rate at the first grade (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.50 7.50 8.00 4.70 Date 30-Apr-2020 14-May-2021 31-Dec-2021 30-Dec-2024 Age-grade distortion rates are published yearly by INEP. It increased as many parents delayed children's entrance to schools due to COVID. More updated data of Age-grade Distortion might be available at the Comments: end of 2022. IN01135848 ►Proportion of Primary Health Care coverage (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.20 50.20 56.40 61.70 Date 30-Apr-2020 14-May-2021 25-Jan-2022 30-Dec-2024 Proportion of population in a territory receiving continuing, comprehensive and preventive health care Comments: services (e.g., family practice, internal medicine, obstetrics/gynecology, or pediatrics) that are the first point of health care for a patient in an ambulatory setting. IN01135849 ►Proportion of ill-defined causes of deaths (IDCD) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 93.50 93.50 93.60 95.00 Date 30-Apr-2020 14-May-2021 04-Mar-2022 30-Dec-2024 Investigation of ill-defined causes of deaths to improve vital registration (VR) and support decision-making process in health. The investigation and its analysis enable the identification of the sequence of events Comments: leading to death, therefore defining the underlying cause of death. IN01135850 ►Percentage of medium complexity health procedures contracted out (PBC#9) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 66.00 66.00 64.00 80.00 Date 30-Apr-2020 14-May-2021 25-Jan-2022 30-Dec-2024 Percentage of provision and actual delivery of medium complexity health procedures by the private sector Comments: that are offered through the municipal regulation system. IN01135851 6/22/2022 Page 7 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) ►Response time to provide hospitals beds for emergency patients through the municipal regulation system (percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 63.00 73.00 73.00 Date 30-Apr-2020 14-May-2021 27-Feb-2022 30-Dec-2024 Percentage of patients, from intermediate Emergency Care Units (UPAs), demanding hospital beds Comments: referred to hospitals within 24-hours. IN01135852 ►Response time to provide hospitals beds for COVID-19 patients through the municipal regulation system (percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 68.00 68.00 88.00 73.00 Date 30-Apr-2020 14-May-2021 27-Feb-2022 30-Dec-2024 Percentage of COVID-19 patients, from intermediate Emergency Care Units, demanding hospital beds Comments: referred to hospitals within 24-hours. IN01135853 ►Number of home-based visits provided by multidisciplinary home-care teams (PBC#10) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 1,046.00 1,046.00 3,829.00 14,680.00 Date 30-Apr-2020 14-May-2021 25-Jan-2022 30-Dec-2024 Number of home-based visits provided by EMAD, aiming at health promotion, prevention, treatment, Comments: rehabilitation and palliation. IN01135854 ►Proportion of low risk (green) or no risk (blue) patients cared in the Intermediate Emergency Care Units (UPAs) (PBC#11) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 81.60 81.60 75.70 75.00 Date 30-Apr-2020 14-May-2021 25-Jan-2022 30-Dec-2024 Proportion of primary health care patients attended in intermediate emergency units. Measures the Comments: solvability of the caretaking in primary care: multiprofessional articulation and services network. IN01135855 ►Percentage of patients accessing the municipal healthcare facilities with clinical information recorded in the municipal Electronic Medical Record System (PBC#12) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 59.80 59.80 94.60 95.00 Date 30-Apr-2020 14-May-2021 24-Feb-2022 30-Dec-2024 Percentage of patients attended in the municipal health care facilities with clinical information recorded in Comments: the municipal Electronic Medical Records System. Expresses actual utilization of the system to provide better health care, better clinical decision-making and improve efficiency and lower health care costs. 6/22/2022 Page 8 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Technical Assistance IN01135826 ►Implementation of an integrated operational system for SUAS and Cadastro Unico (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Apr-2024 Development and implementation of a management system for SUAS and Cadastro Unico information Comments: described in Project Progress Report of the stages: conceptual design, operational design, implementation and utilization. IN01135828 ►Number of social media and communication campaigns to inform and educate on GBV prevention and increase knowledge of social services available for domestic violence victims (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 30-Apr-2020 14-May-2021 28-Feb-2022 30-Dec-2024 Communication campaigns to be supported with technical assistance have not started yet. Comments: IN01135831 ►Grievance Redress Mechanism. Rate of complaints on Project related sectors that are addressed within normatives (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.19 1.19 83.30 30.00 Date 30-Apr-2020 14-May-2021 31-Dec-2021 30-Dec-2024 The current data refers to the Project related complaints received addressed on time according to the OGM normative during 2021 divided by the total number of complaints during the same period, expressed Comments: as a percentage. No complaints have been received yet through the direct standalone Project GRM operated by the PMU under Casa Civil because it has been recently launched. Performance-Based Conditions IN01135856 ►PBC 1 Percentage of families in suspension of benefits due to non-compliance of conditionalities assisted by social assistance sector (PBC#1) (Percentage, Intermediate Outcome, 1,250,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 1.00 1.00 0.47 -- Date -- 14-May-2021 28-Feb-2022 -- 6/22/2022 Page 9 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) IN01135857 ►PBC 2 Number of social assistance units offering Cadastro Unico services (PBC#2) (Number, Intermediate Outcome, 1,100,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 8.00 8.00 14.00 -- Date -- 14-May-2021 28-Feb-2022 -- IN01135858 ►PBC 3 Performance Index of CRAS / Average CRAS (PBC#3) (Number, Intermediate Outcome, 1,200,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 2.28 2.28 2.77 -- Date -- 14-May-2021 28-Feb-2022 -- IN01135859 ►PBC 4 Performance Index of CREAS / average CREAS (PBC#4) (Number, Intermediate Outcome, 1,200,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 2.95 2.95 3.33 -- Date -- 14-May-2021 28-Feb-2022 -- IN01135860 ►PBC 5 Percentage of children enrolled in acceleration programs at primary education that progress at least 2 grades (PBC#5) (Percentage, Intermediate Outcome, 4,750,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 53.00 53.00 4.60 -- Date -- 14-May-2021 31-Dec-2021 -- IN01135861 ►PBC 6 Number of students enrolled in full-time education (PBC#6) (Number, Intermediate Outcome, 1,900,000.00, 5.00%) 6/22/2022 Page 10 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Baseline Actual (Previous) Actual (Current) FY24 Value 5,820.00 5,820.00 2,064.00 -- Date -- 14-May-2021 31-Dec-2021 -- IN01135862 ►PBC 7 Percentage of accelerated learning student groups (both in primary and lower secondary education) with adequate number of supporting staff (PBC#7) (Percentage, Intermediate Outcome, 4,750,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 0.00 0.00 37.30 -- Date -- 14-May-2021 15-Mar-2022 -- IN01135863 ►PBC 8 Percentage of students in remedial education programs to reduce repetition with at least with 80% of attendance (PBC#8) (Percentage, Intermediate Outcome, 2,850,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 0.00 0.00 0.00 -- Date -- 14-May-2021 15-Mar-2022 -- IN01135864 ►PBC 9 Percentage of medium complexity health procedures contracted out (PBC#9) (Percentage, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 66.00 66.00 64.00 -- Date -- 14-May-2021 25-Jan-2022 -- IN01135865 ►PBC 10 Number of home-based visits provided by multidisciplinary home-care teams (PBC#10) (Number, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 1,046.00 1,046.00 3,829.00 -- Date -- 14-May-2021 25-Jan-2022 -- 6/22/2022 Page 11 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) IN01135866 ►PBC 11 Proportion of low risk (green) or no risk (blue) patients cared in the Intermediate Emergency Care Units (UPAs) (PBC#11) (Percentage, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 81.60 81.60 75.70 -- Date -- 14-May-2021 25-Jan-2022 -- IN01135867 ►PBC 12 Percentage of patients accessing the municipal healthcare facilities with clinical information recorded in the municipal Electronic Medical Record System (PBC#12) (Percentage, Intermediate Outcome, 18,927,500.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 59.80 59.80 94.60 -- Date -- 14-May-2021 24-Feb-2022 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P172605 IBRD-91620 Effective USD 125.00 125.00 0.00 25.31 99.69 20% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P172605 IBRD-91620 Effective 22-Sep-2020 04-Oct-2021 18-Oct-2021 30-Dec-2024 30-Dec-2024 Cumulative Disbursements 6/22/2022 Page 12 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/22/2022 Page 13 of 13