The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) Health System Support Project ("KIRA") (P156012) AFRICA EAST | Burundi | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 10 | ARCHIVED on 26-Jan-2022 | ISR49928 | Implementing Agencies: Ministry of Health, MINISTRY OF FINANCE Key Dates Key Project Dates Bank Approval Date: 24-Feb-2017 Effectiveness Date: 20-Jun-2017 Planned Mid Term Review Date: 24-Feb-2020 Actual Mid-Term Review Date: 24-Feb-2020 Original Closing Date: 30-Jun-2021 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Performance-based Payments to Support the Recipient's Free Health Care (FHC) Program:(Cost $91.00 M) Implementation Support for the FHC program-related activities:(Cost $19.24 M) Strengthening the Newly Integrated FHC Program Service Providers:(Cost $2.20 M) Contingent Emergency Response Support:(Cost $0.46 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Additional financing to the Project was approved by the Board on April 22nd, 2021. The AF has been effective since August 2021 and has started disbursing. The AF will allow the Project to expand support in areas such as laboratory capacity strengthening and gender based violence. To date, the performance of the Project has been satisfactory with four indicators already meeting or surpassing endline targets and the others on track to meet those targets within the year. 1/26/2022 Page 1 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other High High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services IN01090317 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26,583,191.00 26,724,801.00 33,473,918.00 Date 30-Jun-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 This indicator is a CRI indicator and replaces the original indicator (from PAD) which had the same label Comments: but for which definitions were not aligned with CRI guidelines. IN01090318 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6,742,901.00 6,914,587.00 8,884,732.00 Date 01-Feb-2017 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090319 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) 1/26/2022 Page 2 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,693,771.00 17,693,771.00 22,169,131.00 Date 01-Feb-2017 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090320 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,146,519.00 2,377,806.00 2,420,055.00 Date 01-Feb-2017 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090341 ►Percentage of pregnant women who received four antenatal care visits (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.35 42.00 42.00 44.50 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090342 ►National quality average score of district hospital (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 82.61 82.61 89.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090343 ►Contraceptive prevalence rate for modern methods (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.30 36.40 36.40 37.00 Date 29-Dec-2017 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090344 ►Contraceptive prevalence rate among adolescents (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.50 4.90 4.90 5.20 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 Given the low frequency of PMS / DHS surveys, the PNSR proposed to calculate the indicator using Comments: routine DHIS2 data using utilization rate of contraceptives by adolescents aged 15-19. Intermediate Results Indicators by Components 1/26/2022 Page 3 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) Use of Performance-based Payments to Support the Recipient's Free Health Care (FHC) Program IN01090345 ►Number visits to a health facility for Children under five years of age (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.20 2.50 2.50 2.60 Date 01-Dec-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090346 ►Pregnant women receiving antenatal care during a visit to a health provider (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,089,640.00 2,089,640.00 1,702,288.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090347 ►Number of years-protection couples for modern methods (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7,004,633.00 7,004,633.00 8,533,041.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090348 ►Coverage of births attended by qualified personnel (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 77.30 85.70 85.70 95.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090349 ►Pregnant women on ARV protocol for the prevention of mother-child transmission (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3,885.00 17,794.00 19,173.00 20,825.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090350 ►Satisfaction rate of beneficiaries on health care delivered by health centers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.43 100.00 97.83 99.00 Date 30-Dec-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090351 1/26/2022 Page 4 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) ►Public health facilities that offer FHC and use RBF (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97.00 100.00 100.00 100.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090352 ►Number of new Family Planning acceptors referred by Community Health Workers and who arrived at the health center (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 268,901.00 326,058.00 337,702.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090353 ►Pregnant women referred for early antenatal care ANC1 (TRIM1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 470,043.00 470,043.00 446,374.00 Date 01-Jan-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090354 ►Total number of children aged 6-59 months tested and referred by community health workers for malnutrition (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 399,846.00 399,846.00 516,017.00 Date 30-Dec-2016 31-Mar-2021 30-Sep-2021 30-Jun-2023 IN01090355 ►Children under 2 fully immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 87.70 87.70 79.00 Date 30-Jun-2017 31-Mar-2021 30-Sep-2021 30-Jun-2023 Baseline and current value of the indicator don't use the same source. Need to revise baseline and targets Comments: according to the new definition. IN01090356 ►Grievances registered related to delivery of project benefits that are actually addressed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 25-Feb-2019 31-Mar-2021 30-Sep-2021 30-Jun-2023 Mecanism not yet operational Comments: 1/26/2022 Page 5 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) IN01090357 ►Sexual violence cases that arrive at a health facility and receive Post Exposition Prophylaxis within 72 hours (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 31.00 31.00 0.00 44.00 Date 12-Feb-2021 12-Feb-2021 30-Sep-2021 30-Jun-2023 This indicator was previously misreported. Comments: IN01090358 ►Laboratories having referred samples to excellence laboratories (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 12-Feb-2021 12-Feb-2021 30-Sep-2021 30-Jun-2023 IN01090359 ►Satellite laboratories awarded four-star status under regional accreditation program based on WHO/AFRO five-step accreditation approach (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 7.00 7.00 8.00 Date 12-Feb-2021 12-Feb-2021 30-Sep-2021 30-Jun-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P156012 IDA-D1660 Effective USD 50.00 50.00 0.00 51.97 0.00 100% P156012 IDA-D7900 Effective USD 50.00 50.00 0.00 5.66 43.06 12% P156012 TF-B0539 Effective USD 8.30 8.30 0.00 8.30 0.00 100% P156012 TF-B5105 Effective USD 4.60 4.60 0.00 1.29 3.31 28% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P156012 IDA-D1660 Effective 24-Feb-2017 23-Mar-2017 20-Jun-2017 30-Jun-2021 30-Jun-2023 1/26/2022 Page 6 of 7 The World Bank Implementation Status & Results Report Health System Support Project ("KIRA") (P156012) P156012 IDA-D7900 Effective 22-Apr-2021 03-May-2021 19-Jul-2021 30-Jun-2023 30-Jun-2023 P156012 TF-B0539 Effective 15-May-2019 17-Jun-2019 17-Jun-2019 30-Jun-2021 30-Jun-2022 P156012 TF-B5105 Effective 31-Mar-2021 03-May-2021 19-Jul-2021 30-Jun-2021 30-Jun-2022 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 06-Feb-2020 ,Level 2 Approved on 23-Jun-2020 ,Level Approved on 07-Jul-2020 ,Level 2 Approved on 18-Jun-2021 Related Project(s) P166576-Burundi Health System Support-Additional Financing ,P173252-Health System Support Project (KIRA) Additional Financing 2 1/26/2022 Page 7 of 7