The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Investing in Early Years for Growth and Productivity in Malawi (P164771) AFRICA EAST | Malawi | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 5 | ARCHIVED on 10-Jul-2020 | ISR41967 | Implementing Agencies: Government of Malawi, Ministry of Gender, Child Development and Community Development, Ministry of Health, Ministry of Local Government and Rural Development Key Dates Key Project Dates Bank Approval Date: 19-Dec-2018 Effectiveness Date: 24-Jul-2019 Planned Mid Term Review Date: 12-Jul-2021 Actual Mid-Term Review Date: Original Closing Date: 28-Jun-2024 Revised Closing Date: 28-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to improve coverage and utilization of early childhood development services with focus on nutrition, stimulation and early learning from conception to 59 months in selected districts of Malawi. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Community-based nutrition and early stimulation interventions:(Cost $26.20 M) Center-based early learning, nutrition and health interventions:(Cost $19.30 M) Multisectoral coordination, capacity and system strengthening:(Cost $14.50 M) Contingent Emergency Response Component 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 Implementation of project activities is gaining traction. All the staff under the Project Facilitation Team (PFT) and districts have been recruited, and the district project team is in place. Training materials for integrated early learning and nutrition have been finalized and will lead to cascading of trainings to respective cadres at lower levels. The current COVID-19 situation poses challenges to implementation and is likely to cause delays in implementation of project activities. If the current condition (state of disaster, declared by the President on March 20, 2020) continues, there is the risk that schools will remain closed (including community-based childcare centers (CBCCs)), and some delays on construction of CBCC might arise. The World Bank task team is closely monitoring the development of the crisis. 7/10/2020 Page 1 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improved coverage of ECD services IN00848866 ►Children aged 6-23 months receiving a minimum acceptable diet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13.00 13.00 13.00 46.00 Date 23-Feb-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Malawi Community Based Nutrition (CBN) Survey The baseline is 13% based on the findings of the 2019 CBN report. Through discussions and consultation with key stakeholders, an agreement was made to adjust the target from 46% to 15%. The project will be Comments: updating this indicator through Annual Surveys. IN00848868 ►Children aged 0-6 months who were exclusively breastfed (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target 7/10/2020 Page 2 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Value 60.00 60.00 60.00 81.00 Date 23-Feb-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Source: Malawi Community Based Nutrition Survey. The project will be updating this indicator through Annual Survey, to be updated in the next ISR. Comments: IN00848869 ►Project beneficiaries who are children 0-59 months, adolescent girls 11-19 years and pregnant women (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,600,000.00 Date 31-Aug-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Number of project beneficiaries in project areas. As the district grants have just been disbursed, data on project beneficiaries will soon be populated and included in all subsequent ISRs. Comments: Improved utilization of ECD services IN00848867 ►Children aged 36-59 months who completed at least one year of early learning in CBCCs (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 31-Aug-2018 08-Mar-2019 08-Jun-2020 28-Jun-2024 Numerator: Number of children aged 36-59 months who have completed at least one year of early learning in CBCCs in project areas Denominator: Number of children aged 36-59 months who enrolled in Comments: CBCCs in project areas Overall Comments PDO Due to the delayed implementation and the fact that the project has been effective for under 12 months, data has not been collected to report on the current achievement status. The indicators will be updated during the next mission (tentatively scheduled in November 2020). Intermediate Results Indicators by Components Component 1: Community-based nutrition and early stimulation interventions IN00848870 ►Households practicing integrated homestead farming (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 28.00 28.00 38.00 7/10/2020 Page 3 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Date 23-Feb-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: Number of households practicing integrated homestead farming (IHF). Denominator: Total number of households in the project districts. Implementation of IHF activities will start in the second year, Comments: and be captured in the next ISR. IN00848873 ►Children aged 6-24 months who received micronutrient powder supplementation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 5.00 5.00 50.00 Date 23-Feb-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: number of children aged 6-24 months who received micronutrient powder supplementation. Denominator: total number of children aged 6-24 months who received micronutrient powder supplementation. Following the roadmap, procurement of nutrition commodities including MNPs will start Comments: from April 2020, and hence to be captured in the next ISR. IN00848876 ►Pregnancies registered in the community (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 16-Jul-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Percentage of pregnant women who receive at least 2 home visits by a HSA during their pregnancy Numerator: number of pregnant women who receive at least 2 home visits by a HSA Denominator: total number of pregnant women recorded. Progress will be captured in the next ISR, as implementation of Comments: district grants has just commenced, which will include capturing this indicator. IN00848879 ►Adolescent girls aged 11-19 who received iron-folate supplementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,700,000.00 Date 31-Aug-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: number of adolescent girls aged 11-19 years who receive iron-folate supplementation in project areas. Denominator: total number of adolescent girls aged 11-19 years who receive iron-folate supplementation in project areas. This indicator will be reported in next ISR, once the IFAs have been Comments: procured. IN00848882 ►Care group cluster leaders and promoters who received an integrated training package (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 7/10/2020 Page 4 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Date 31-Aug-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: Number of care group cluster leaders and promoters that received an integrated training package in the project areas Denominator: Number of care group cluster leaders and promoters in the project areas. This will be covered in the next ISRs, as its a deliverable after achieving the DLIs on Comments: integrated stimulation and nutrition (at advanced stage). IN00848885 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,600,000.00 Date 07-Jun-2019 03-Apr-2020 08-Jun-2020 28-Jun-2024 This is a corporate results indicator capturing the cumulative number of people receiving essential nutrition services over the project life cycle. Data on actuals will be captured in next ISRs, as district Comments: grants have just been disbursed. IN00848887 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2,600,000.00 Date 07-Jun-2019 03-Apr-2020 08-Jun-2020 28-Jun-2024 Component 2: Center-based early learning, nutrition and health interventions IN00848871 ►Model CBCCs upgraded and equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 13-Sep-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Number of model CBCCs that are upgraded and equipped. Tender for construction of CBCCs have just Comments: been launched, hence progress on this indicator will be monitored in subsequent ISRs. IN00848874 ►Model CBCCs in target communities engaged in VSL activities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 16-Jul-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Number of model CBCCs in each project district integrated VSL activities participated by caregivers, mentors and management committee members. The end target has been revised to 150. Comments: The VSL mapping tool has just been finalized which will guide in the VSL activities which is expected to start from May 2020. Data on CBCCs engagement in VSL will therefore be captured in next ISR. IN00848877 7/10/2020 Page 5 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) ►Children aged 48-59 months achieved at least 50% score on literacy and numeracy components of the MDAT (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 17.00 17.00 50.00 Date 31-Aug-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: number of children aged 48-59 months achieved at least 50% score on literacy and numeracy components of the MDAT in project districts. Denominator: total number of children aged 48-59 months took MDAT in project districts. The MDAT assessment tool has been developed and survey underway Comments: (from April 2020), including trainings and data collection. The data for actual therefore will be reported in the next ISR. IN00848880 ►CBCC caregivers and mentors that received an integrated training package (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 16-Jul-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: Number of CBCC caregivers and mentors that received an integrated training package in project districts. Denominator: total number of CBCC caregivers and mentors in 25 model CBCCs and at least 25% of other CBCCs in project districts. This activity follow fulfillment of the DLI on training manual Comments: for integrated early stimulation and learning, which has just been submitted to the Bank for review. Data on actual CBCCs caregivers and mentors will therefore be captured after training has been rolled out, in the next ISR. IN00848883 ►Adolescent girls aged 15-19 years who have begun childbearing (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 29.00 29.00 21.00 Date 01-Feb-2017 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: number of adolescent girls aged 15-19 years with first pregnancy in the project districts.. Denominator: total number of adolescent girls aged 15-19 years in the project districts. This indicator will Comments: be captured through Annual Survey, planned for the second year, as interventions are just being commenced on the ground. IN00848886 ►Households where children 0-36 months play with toys made from locally available materials (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 43.00 43.00 58.00 Date 23-Feb-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: Number of households where children 0-36 months play with toys made from locally available materials in project districts. Denominator: Number of households with children 0-36 months in the project Comments: districts. Through MDAT/MELE survey (underway), this indicator will be captured in next ISR. 7/10/2020 Page 6 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Component 3: Multisectoral coordination, capacity and systems strengthening IN00848872 ►Councils that receive a satisfactory rating from women and caregivers whose children received nutrition interventions and early learning and stimulation services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13.00 Date 16-Jul-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Number of District Councils that receive a satisfactory rating from women and caregivers whose children received nutrition interventions and early learning and stimulation services. This data will be collected by Comments: the citizen engagement firm, whose contract is being finalized - hence actual data will be collected in the next ISR. IN00848875 ►Percentage of districts budget allocated for nutrition and early learning in the project districts (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 16-Jul-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: total budget allocated for nutrition and early learning in the project districts. Denominator: total budget in the project districts. Districts are isolating nutrition and early learning activities in their district Comments: implementation plans (underway), and the data will be captured in the next ISR. IN00848878 ►Councils that submitted a monthly report into the nutrition database on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 40.00 90.00 Date 13-Sep-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Numerator: number of project District Councils that submitted a monthly report into the nutrition database on time. Denominator: total number of project districts. Currently, 40% of the councils are reporting. With Comments: more M&E training, the compliance to reporting is expected to increase. IN00848881 ►Staff completed short and long term courses including diploma and master programs (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 01-Feb-2019 03-Apr-2020 08-Jun-2020 28-Jun-2024 Number of government staff completed Diploma and Masters degree programs in ECD and/or nutrition that have been approved and offered in Malawi. This activity is scheduled in the second year of Comments: implementation after completion of capacity assessment which was planned in the first year of implementation. IN00848884 ►Councils incorporated and implemented DIPs with ECD and nutrition (Number, Custom, PBC) 7/10/2020 Page 7 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13.00 Date 13-Sep-2018 03-Apr-2020 08-Jun-2020 28-Jun-2024 Total number of project District Councils incorporated and implemented DIPs with ECD and nutrition. This will be reported in the second year of implementation, as first year was to sensitize the councils and Comments: develop necessary reporting templates. Performance-Based Conditions IN00848888 ►PBC 1 Care group cluster leaders and promoters who received an integrated training package (Percentage, Intermediate Outcome, 6,214,000.00, 20.32%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- IN00848889 ►PBC 2 Children aged 0-6 months who were exclusively breastfed (Percentage, Outcome, 1,000,000.00, 0.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 60.00 60.00 60.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- IN00848890 ►PBC 3 CBCC caregivers and mentors that received an integrated training package (Percentage, Intermediate Outcome, 2,660,000.00, 20.85%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- 7/10/2020 Page 8 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) IN00848891 ►PBC 4 Children aged 36-59 months who completed at least one year of early learning in CBCCs (Percentage, Outcome, 250,250.00, 0.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- IN00848892 ►PBC 5 Councils incorporated and implemented DIPs with ECD and nutrition (Number, Intermediate Outcome, 1,060,000.00, 1.77%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- IN00848893 ►PBC 6 Staff completed short and long term courses including diploma and master programs (Number, Intermediate Outcome, 1,200,000.00, 2.00%) Y4 (fourth fiscal year after Baseline Actual (Previous) Actual (Current) effectiveness) Value 0.00 0.00 0.00 -- Date -- 03-Apr-2020 08-Jun-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164771 IDA-D4000 Effective USD 50.00 50.00 0.00 5.40 43.96 11% P164771 TF-A8736 Effective USD 10.00 10.00 0.00 0.41 9.59 4.1% Key Dates (by loan) 7/10/2020 Page 9 of 10 The World Bank Implementation Status & Results Report Investing in Early Years for Growth and Productivity in Malawi (P164771) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164771 IDA-D4000 Effective 19-Dec-2018 14-Mar-2019 24-Jul-2019 28-Jun-2024 28-Jun-2024 P164771 TF-A8736 Effective 19-Dec-2018 14-Mar-2019 24-Jul-2019 28-Jun-2024 28-Jun-2024 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 7/10/2020 Page 10 of 10