Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) Reproductive and Child Health Project - Phase 2 (P110535) AFRICA | Sierra Leone | Health, Nutrition & Population Global Practice | Recipient Executed Activities | Specific Investment Loan | FY 2011 | Seq No: 16 | ARCHIVED on 10-May-2017 | ISR27901 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:12-Aug-2010 Effectiveness Date:01-Oct-2010 Planned Mid Term Review Date:-- Actual Mid-Term Review Date:30-Aug-2013 Original Closing Date:31-Oct-2016 Revised Closing Date:30-Jun-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO is to increase utilization of a package of essential health services by pregnant and lactating women and children under the age of five. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) To increase utilization of a package of essential health services by pregnant and lactating women and children under the age of five and support the emergency response needed to contain and control the Ebola crisis. Components Name Strengthening of Service Delivery:(Cost $13.50 M) Capacity Building:(Cost $6.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial 5/10/2017 Public Disclosure Copy Page 1 of 6 Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) Implementation Status and Key Decisions Project implementation has progressed while a no-cost extension was provided to June 30, 2017 to finalize the implementation and outcome for increases in health service utilization that had dropped since the EVD outbreak. The project will then enter into an evaluation phase after project closing to glean lessons learned. Pending finalization of the assessment evaluation, the current ISR rating is downgraded. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Substantial  Substantial Sector Strategies and Policies  --  Low  Low Technical Design of Project or Program  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Substantial  Substantial Fiduciary  --  Substantial  Substantial Environment and Social  --  Low  Moderate Stakeholders  --  Low  Low Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,276,533.00 4,276,533.00 2,000,000.00 5/10/2017 Public Disclosure Copy Page 2 of 6 Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) Date 31-Dec-2009 15-Mar-2017 31-Dec-2014 30-Jun-2017 PHINDPDOTBL  Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 84.00 81.00 78.00 PHINDPDOTBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 265,302.00 762,638.00 246,000.00 Date 31-Dec-2009 15-Mar-2017 30-Dec-2016 30-Jun-2017 PHINDPDOTBL  Women who attend at least 2 antenatal care (ANC) visits (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 54.60 89.50 67.00 85.00 Date 31-Dec-2009 15-Mar-2017 30-Dec-2016 30-Jun-2017 PHINDPDOTBL  Births delivered in a health facility (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.30 65.90 50.00 63.00 Date 31-Dec-2009 15-Mar-2017 30-Dec-2016 30-Jun-2017 5/10/2017 Public Disclosure Copy Page 3 of 6 Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) PHINDPDOTBL  Children immunized (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 203,720.00 258,628.00 216,000.00 Date 31-Dec-2009 15-Mar-2017 30-Dec-2016 30-Jun-2017 PHINDPDOTBL  Doctors and other medical workers who are contracted to (a) support the Ebola control efforts; and/or (b) provide back-up medical services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 130.00 130.00 130.00 Date 31-Dec-2009 15-Mar-2017 15-Mar-2017 30-Jun-2017 Overall Comments As previously noted, the Bank team has provided support to update the indicator data, pressure-test data, and generate missing data. This ISR includes the last available data in the interim, pending full update under the ongoing effort in this regard. Intermediate Results Indicators PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89.00 89.00 150.00 Date 31-Dec-2009 15-Mar-2017 31-Dec-2014 30-Jun-2017 5/10/2017 Public Disclosure Copy Page 4 of 6 Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,404.00 2,404.00 3,770.00 Date 31-Dec-2009 15-Mar-2017 31-Dec-2014 30-Jun-2017 PHINDIRITBL  Long-lasting insecticide-treated malaria nets purchased and/or distributed (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,807,000.00 3,807,000.00 1,600,000.00 Date 31-Dec-2009 15-Mar-2017 31-Dec-2014 30-Jun-2017 Overall Comments Awaiting data reconciliation. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P110535 IDA-H8770 Effective USD 13.00 13.00 0.00 12.52 0.23 96% P110535 TF-12691 Closed USD 5.69 5.69 0.00 5.69 0.00 100% P110535 TF-15054 Effective USD 5.00 5.00 0.00 5.00 0.00 100% P132753 TF-15055 Closed USD 0.85 0.20 0.65 0.20 0.00 100% P110535 TF-96812 Effective USD 20.00 20.00 0.00 19.98 0.02 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P110535 IDA-H8770 Effective 30-Aug-2013 11-Oct-2013 09-Jan-2014 31-Oct-2016 30-Jun-2017 P110535 TF-12691 Closed 27-Sep-2012 27-Sep-2012 15-Apr-2013 31-Oct-2013 31-Oct-2016 5/10/2017 Public Disclosure Copy Page 5 of 6 Public Disclosure Copy The World Bank Implementation Status & Results Report Reproductive and Child Health Project - Phase 2 (P110535) P110535 TF-15054 Effective 11-Oct-2013 11-Oct-2013 11-Oct-2013 31-Oct-2016 30-Jun-2017 P132753 TF-15055 Closed 14-Feb-2014 26-Feb-2014 26-Feb-2014 30-Nov-2014 30-Jun-2015 P110535 TF-96812 Effective 12-Aug-2010 12-Aug-2010 01-Oct-2010 31-Oct-2013 30-Jun-2017 Cumulative Disbursements Restructuring History Level 2 Approved on 28-Oct-2013 ,Level 1 Approved on 05-Aug-2014 ,Level 2 Approved on 09-Mar-2015 ,Level 2 Approved on 15-Mar-2016 ,Level 2 Approved on 20-Oct-2016 Related Project(s) P127527-Sierra Leone - Reproductive and Child Health Phase 2 ACGF ,P132753-Sierra Leone - Reproductive and Child Health II Project - Second Additional Financing 5/10/2017 Public Disclosure Copy Page 6 of 6