The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Health Services Reinforcement Project (P164696) WESTERN AND CENTRAL AFRICA | Burkina Faso | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 7 | ARCHIVED on 22-Jun-2022 | ISR50706 | Implementing Agencies: Ministry of Economy, Finance, and Development, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 06-Jul-2018 Effectiveness Date: 19-Dec-2018 Planned Mid Term Review Date: 21-Jan-2021 Actual Mid-Term Review Date: 08-Dec-2020 Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase the quality and utilization of health services with a particular focus on maternal, child and adolescent health, nutrition and disease surveillance Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Health System Capacity:(Cost $26.00 M) Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH+N):(Cost $69.00 M) Reinforcing Health Security and Supporting Institutional Strengthening:(Cost $15.00 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Unsatisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Unsatisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Des progrès significatifs ont été notés concernant la mise en œuvre global du projet depuis la validation de la restructuration le 24 novembre 2022. La restructuration inclus l’extension de la date de clôture du financement du Mécanisme mondiale de financement (GFF; US$20 millions) du 31 décembre 2021 au 30 juin 2023, en plus des changements sur la composante 1 et le cadre de résultats. Le décaissement du projet a augmenté de 7 millions de dollar au cours des derniers six mois et des progrès concernant l’atteinte des objectifs de développement du projet ont été notés. Cela se traduit par une augmentation de l’utilisation des services de santé et de nutrition d’octobre 2021 à mars 2022. De plus, des progrès importants ont été réalisés en matière d’exécution du financement additionnel (le fond fiduciaire Power of Nutrition), dont les décaissements sont passés de 6.4 à 65% d’octobre 2021 à mai 2022. Il faut aussi noter le démarrage des activités de la composante 1 du Projet qui devrait permettre l’accélération de la mise en œuvre du projet dans les prochains mois. 6/22/2022 Page 1 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Progress has been made in the overall implementation of the project since the restructuring, which was approved on November 24, 2021. The restructuring included the extension of the closing date of the Global Financing Facility co-financing (US$20 million) from December 31, 2021 to June 30, 2023, in addition to changes to the Component 1 activities and the results framework. Project disbursement has increased by US$ 7 million over the last six months, in particular the disbursement rate of the Additional Financing (Power of Nutrition (PoN) Trust Fund) increased from 6.4 to 65 percent from October 2021 to May 2022. Progress is being made towards achieving the Project Development Objective. This translates in an increase in the utilization on health and nutrition services, particularly by women and children, from October 2021 to March 2022. It’s important to note that activities under Component 1 of the project have started, which will allow the acceleration of project implementation in the coming months. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Moderate Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Moderate Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Low Low Low Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase the quality and utilization of health services IN01118499 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,801,929.00 6,599,137.00 10,230,550.00 Date 01-Aug-2018 30-Sep-2021 31-Mar-2022 30-Jun-2023 IN01118526 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) 6/22/2022 Page 2 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,253,573.00 3,990,558.00 6,381,660.00 Date 01-Aug-2018 30-Sep-2021 31-Mar-2022 31-Jul-2023 IN01118527 Number of children immunized (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 987,623.00 1,311,541.00 2,337,200.00 Date 10-May-2018 30-Sep-2021 31-Mar-2022 30-Jun-2023 IN01118528 Number of deliveries attended by skilled health personnel (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,224,784.00 1,297,038.00 1,511,690.00 Date 22-Dec-2020 30-Sep-2021 31-Mar-2022 30-Jun-2023 IN01118529 ►Average score of the quality of care checklist (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Aug-2018 24-Jun-2020 24-Jun-2020 30-Jun-2023 Improved disease surveillance IN01118500 ►Multi-hazard national public health emergency preparedness and response plan is implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 27-Apr-2018 24-Jun-2020 24-Jun-2020 30-Jun-2023 Has not yet been reassessed. Comments: N'a pas encore fait l'objet d'une réévaluation. Intermediate Results Indicators by Components Strengthening Health System Capacity IN01118530 ►Facilities receiving strategic purchasing quality payments on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/22/2022 Page 3 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Value 0.00 0.00 0.00 75.00 Date 01-Aug-2018 24-Jun-2020 31-Mar-2022 31-Jul-2023 Strategic purchasing is not yet launched. Comments: L'achat stratégique n'a pas encore commencé. IN01118531 ►Districts applying the strategic purchasing approach as a purchasing mechanism for PHC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 0.00 0.00 47.00 Date 27-Apr-2018 24-Jun-2020 31-Mar-2022 30-Jun-2023 Strategic purchasing has not started. Comments: L'achat stratégique n'a pas encore commencé. Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition IN01118532 ►Women using modern contraceptives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,010,635.00 1,194,435.00 1,650,000.00 Date 10-May-2018 30-Sep-2021 31-Mar-2022 31-Jul-2023 IN01118536 ►Infants 0-5 months of age exclusively breastfed in targeted regions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 55.80 64.30 69.60 80.00 Date 31-Dec-2018 31-Dec-2020 31-Mar-2021 30-Jun-2023 IN01118537 ►Children 6-23 months of age with minimum dietary diversity in targeted regions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 24.60 29.20 31.60 32.00 Date 31-Dec-2018 31-Dec-2020 31-Mar-2021 30-Jun-2023 IN01118538 ►Children 6-59 months of age receiving Vitamin A supplementation within the last six months in targeted regions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.80 75.80 77.10 95.00 Date 31-Dec-2018 31-Dec-2018 31-Mar-2022 30-Jun-2023 6/22/2022 Page 4 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) IN01118539 ►Women receiving iron and folic acid supplementation for 90 or more days at last pregnancy in targeted regions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 81.70 75.90 85.00 Date 31-Dec-2010 31-Dec-2020 31-Mar-2022 30-Jun-2023 IN01118540 ►Health personnel receiving training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,426.00 1,907.00 5,270.00 Date 27-Apr-2018 30-Sep-2021 31-Mar-2022 30-Jun-2023 IN01118541 ►Children aged 6-23 months receiving Lipid based Nutrient Supplements (LNS) in targeted regions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 290,490.00 Date 30-Sep-2021 30-Sep-2021 31-Mar-2022 20-Jun-2023 Reinforcing Health Security and Supporting Institutional Strengthening IN01118533 ►Mechanism is established for the coordination of relevant sectors for implementation of IHR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 27-Apr-2018 24-Jun-2020 24-Jun-2020 30-Jun-2023 IN01118534 ►Health personnel trained in applied epidemiology (frontline, intermediate and advanced) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 102.00 Date 15-Sep-2021 15-Sep-2021 31-Mar-2022 30-Jun-2023 IN01118535 ►Laboratory personal trained on techniques used for core testing and quality control results (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 15-Sep-2021 15-Sep-2021 31-Mar-2022 30-Jun-2023 6/22/2022 Page 5 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164696 IDA-D3540 Effective USD 80.00 80.00 0.00 17.52 58.20 23% P164696 TF-A7763 Effective USD 20.00 20.00 0.00 7.35 12.65 37% P164696 TF-B0496 Effective USD 10.00 10.00 0.00 7.25 2.75 73% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164696 IDA-D3540 Effective 06-Jul-2018 21-Aug-2018 19-Dec-2018 30-Jun-2023 30-Jun-2023 P164696 TF-A7763 Effective 06-Jul-2018 21-Aug-2018 19-Dec-2018 31-Dec-2021 30-Jun-2023 P164696 TF-B0496 Effective 15-Jan-2021 21-Jan-2021 22-Mar-2021 30-Jun-2023 30-Jun-2023 Cumulative Disbursements 6/22/2022 Page 6 of 7 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Restructuring History Level 2 Approved on 24-Nov-2021 Related Project(s) P168823-Health Services Reinforcement Project Additional Financing (PoN) 6/22/2022 Page 7 of 7