Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) Mother and Child Health Services Strengthening Project (P148052) AFRICA | Chad | Health, Nutrition and Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 2 | ARCHIVED on 20-Apr-2015 | ISR18737 | Implementing Agencies: Ministry of Health Key Dates Key Project Dates Board Approval date:29-May-2014 Effectiveness Date:18-Sep-2014 Planned Mid Term Review Date:30-Sep-2016 Actual Mid-Term Review Date:-- Original Closing Date:30-Sep-2018 Revised Closing Date:30-Sep-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) 29. The objective of the Project is to increase the utilization and improve the quality of maternal and child health services in targeted areas. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Improving accessibility and quality of Maternal and Child Health Services through Performance Based Financing and Commu nity Health:(Cost $12.80 M) Component 2: Strengthening the institutional capacity to implement and sustain performance-based financing and community-level healt h care services:(Cost $2.20 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  --  Moderate Implementation Status and Key Decisions 4/20/2015 Page 1 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) On May 29, 2014, the World Bank approved a US$15.79 million IDA grant and a US$5.0 HRITF Grant (Health Results Innovation Trust Fund) to increase the utilization and improve the quality of maternal and child health services in the five targeted areas of Batha, Guera, Logone Oriental, Mandoul and Tandjile. The direct beneficiaries include approximately 2.17 million inhabitants (2014). The project would target women of reproductive age (including young women, pregnant women and mothers) and children. 4/20/2015 Page 2 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Moderate Macroeconomic  --  --  Moderate Sector Strategies and Policies  --  --  Moderate Technical Design of Project or Program  --  --  Low Institutional Capacity for Implementation and Sustainability  --  --  Substantial Fiduciary  --  --  Substantial Environment and Social  --  --  Moderate Stakeholders  --  --  Moderate Other  --  --  Moderate Overall  --  --  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 48300.00 -- -- 80000.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 PHINDPDOTBL  Births (deliveries) attended by skilled health personnel (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 20836.00 -- -- 35000.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 4/20/2015 Page 3 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) PHINDPDOTBL  Children immunized (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 15389.00 -- -- 25000.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 PHINDPDOTBL  Children immunized - under 12 months against DTP3 (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 15389.00 -- -- 25000.00 Date 14-Mar-2014 -- -- 30-Sep-2018 PHINDPDOTBL  Average score of the quality checklist (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 30.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 Overall Comments Intermediate Results Indicators PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 1000.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 4/20/2015 Page 4 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) PHINDIRITBL  Number of children under five years of age receiving preventive nutritional services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 0.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 PHINDIRITBL  Women of reproductive age using modern contraceptive methods (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7916.00 -- -- 14000.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 PHINDIRITBL  Tracer drugs available in targeted health facilities on the day of the visit (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 -- -- 75.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 PHINDIRITBL  Health facilities reporting monthly activities using standard report forms (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.00 -- -- 95.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 4/20/2015 Page 5 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) PHINDIRITBL  CHWs trained for delivering an integrated preventive and curative package at household level (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 500.00 Date 14-Mar-2014 -- 31-Mar-2015 30-Sep-2018 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P148052 IDA-H9610 Effective USD 15.79 15.79 0.00 0.00 14.99 0% P148052 TF-17138 Effective USD 5.00 5.00 0.00 0.00 5.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P148052 IDA-H9610 Effective 29-May-2014 20-Jun-2014 18-Sep-2014 30-Sep-2018 30-Sep-2018 P148052 TF-17138 Effective 20-Jun-2014 20-Jun-2014 18-Sep-2014 30-Sep-2018 30-Sep-2018 Cumulative Disbursements 4/20/2015 Page 6 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Mother and Child Health Services Strengthening Project (P148052) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 4/20/2015 Page 7 of 7 Public Disclosure Copy