The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) Investing in Maternal, Child and Adolescent Health (P162042) AFRICA WEST | Senegal | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 09-Sep-2020 | ISR42182 | Implementing Agencies: Ministry of Health and Social Action, Republic of Senegal Key Dates Key Project Dates Bank Approval Date: 26-Sep-2019 Effectiveness Date: 14-Apr-2020 Planned Mid Term Review Date: 30-Jun-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed Project Development Objective is to improve utilization of essential reproductive, maternal, neonatal, child and adolescent health and nutrition (RMNCAH-N) services meeting quality standards in Priority Regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name 1. Improving availability of RMNACH-N services of adequate quality:(Cost $60.00 M) 2. Promoting adolescent health and women’s empowerment:(Cost $25.00 M) 3. Supporting reforms to strengthen governance, equity, and financing sustainability in the health sector:(Cost $65.00 M) 4. Contingency Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The project became effective on April 14, 2020 and the project is progressing well. The recruitment of key personnel has been finalized as of August 20, 2020. Key manuals for the project are also being prepared, updated and finalized. Due to the COVID-19 pandemic, a virtual mission will be held in September 2020. 9/9/2020 Page 1 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate 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 -- -- -- Overall Moderate Moderate Moderate Results PDO Indicators by Objectives / Outcomes Increased utilization of RMNCAH-N services in the targeted regions IN00854584 ►Utilization of health services by patients covered by an insurance mechanism (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 15.00 15.00 40.00 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: number of people covered by an insurance mechanism that have used at least once the Comments: health services over the last year Denominator: number of people covered by an insurance mechanism IN00854616 ►Percentage of children under 5 suffering from childhood stunting (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 17.00 17.00 10.00 Date 30-Jun-2017 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Number of children aged 0 to 59 months suffering from stunting in the three regions of the Comments: initiative (Ziguinchor, Sedhiou, Kedougou) Denominator: Number of children aged 0 to 59 months in the three regions of the initiative 9/9/2020 Page 2 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) IN00854618 ►Utilisation rate of modern contraceptive methods by adolescent girls in a relationship, aged 15-19 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 8.00 8.00 18.50 Date 19-Sep-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Number of adolescents girl in a relationship aged 15-19 using modern contraceptive methods Comments: Denominator: Number of adolescent girls in a relationship aged 15-19 Improved quality of health services in the 6 priority regions IN00854585 ►Quality index of health services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 70.00 70.00 82.00 Date 18-Sep-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 Comments: Average quality score of health services across 12 core indicators IN00854617 ►Percentage of pregnant women having 4 antenatal care visits (at standard quality) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 52.00 52.00 89.00 Date 28-Dec-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Number of pregnant women having 4 antenatal care visits at standard quality Denominator: Comments: Total number of pregnant women Overall Comments PDO Most of the indicators in the results framework are meant to be updated on a yearly basis. Therefore, since the project recently became effective, an update on the indicators should be provided once the project begins disbursing. Intermediate Results Indicators by Components 1. Improve availability of RMNCAH and nutrition services IN00854619 ►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 2,466,625.00 9/9/2020 Page 3 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 IN00854624 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,404,809.00 IN00854625 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 546,590.00 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 IN00854627 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 1,577,041.00 Date 18-Sep-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 IN00854629 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 342,993.00 Date 18-Sep-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 IN00854630 ►Percentage of births in health centers with a functional EmONC base (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 14.90 14.90 14.90 18.30 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Nominator: Number of births in health centers with a functional EmONC base in the six regions of the Comments: project Denominator: Total number of expected births in the 6 regions IN00854631 ►Percentage of newborns who benefited from an immediate care package at birth (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 83.00 83.00 83.00 97.00 Date 30-May-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Number of newborns who receive immediate care after birth according to MOHSA guidelines Comments: Denominator: Number of newborns during the reference period IN00854633 9/9/2020 Page 4 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) ►Percentage of births delivered in high capacity health facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 20.00 20.00 30.00 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: number of deliveries taking place in health facilities with more than 500 births a year Comments: Denominator: total number of expected births 2. Promote adolescent health and women’s empowerment IN00854621 ►Number of adolescent girls who benefited from cash transfers (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 191,155.00 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Number of adolescent girls who benefited from credits and cash transfers. Cumulative number. Cash Comments: transfers targeting the poorest adolescent girl quintile, with year 1 being the pilot project implemented in 6 districts only. IN00854623 ►Adolescent girls pregnancy rate among the beneficiaries of cash transfer initiatives (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 16.00 16.00 16.00 4.00 Date 30-May-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Number of beneficiaries of cash transfer who report a pregnancy in the calendar year. Comments: Denominator: Total number of girls who benefited from a cash transfer in that calendar year. IN00854626 ►Contraceptive prevalence rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 26.00 26.00 26.00 36.00 Date 08-Jul-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: Total number of women aged 15 to 49 years using a modern method of contraception Comments: Denominator: Total number of women aged 15 to 49 years Support reforms to strengthen equity and financing sustainability in the health sector IN00854620 ►Number of beneficiaries of the CBHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 816,393.00 816,393.00 816,393.00 2,837,532.00 9/9/2020 Page 5 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) Date 31-Dec-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 Comments: Number of people covered by a Community Based Health Insurance Scheme IN00854622 ►Number of vulnerable beneficiaries (children aged 0-5 and pregnant women) covered by the CBHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 454,060.00 Date 30-May-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Number of vulnerable beneficiaries (children aged 0-5 and pregnant women) covered by the Community Comments: Based Health Insurance Scheme IN00854628 ►Completion rate of health facilities data reports (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 91.50 91.50 91.50 99.00 Date 30-May-2019 22-Jan-2020 31-Aug-2020 31-Dec-2024 Numerator: number of reports provided by health facilities (health centers and health posts) that report Comments: SRSE health data for the 6 regions of the project Denominator: number of expected reports IN00854632 ►Number of Scorecards made and disseminated annually at regional and national level (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 30-Aug-2018 22-Jan-2020 31-Aug-2020 31-Dec-2024 Cumulative number of Scorecards made and disseminated annually at regional and national level (2 at the Comments: national level and 2 per region annually). The scorecards include feedback from beneficiaries and the civil society, as well as monitoring the effectiveness of the responses to the GRM and satisfaction surveys. Overall Comments IR Most of the indicators in the results framework are meant to be updated on a yearly basis. Therefore, since the project recently became effective, an update on the indicators should be provided once the project begins disbursing. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed 9/9/2020 Page 6 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) P162042 IDA-64950 Effective USD 140.00 140.00 0.00 0.41 137.77 0.3% P162042 TF-B0766 Effective USD 10.00 10.00 0.00 0.00 10.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P162042 IDA-64950 Effective 26-Sep-2019 21-Feb-2020 14-Apr-2020 31-Dec-2024 31-Dec-2024 P162042 TF-B0766 Effective 26-Sep-2019 07-Feb-2020 14-Apr-2020 31-Dec-2024 31-Dec-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) 9/9/2020 Page 7 of 8 The World Bank Implementation Status & Results Report Investing in Maternal, Child and Adolescent Health (P162042) There are no related projects. 9/9/2020 Page 8 of 8