The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) EAST ASIA AND PACIFIC | Papua New Guinea | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 25-Nov-2020 | ISR42798 | Implementing Agencies: Independent State of Papua New Guinea, National Department of Health Key Dates Key Project Dates Bank Approval Date: 22-Apr-2020 Effectiveness Date: -- Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2026 Revised Closing Date: 30-Jun-2026 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective is to contribute to increasing the utilization of quality essential health services in Project-supported provinces of the Recipient. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Increase service delivery readiness and community-based service delivery:(Cost $12.40 M) Component 2: Improve frontline service delivery performance:(Cost $14.60 M) Component 3: Project management:(Cost $3.00 M) Component 4: Contingent emergency response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Moderately Satisfactory Overall Implementation Progress (IP) -- Moderately Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions This is the initial Implementation Status and Results Report for the Project. There has been a delay in Effectiveness due to the state of emergency which was declared for COVID-19, as well as a Cabinet reshuffle in October. Preparatory activities are ongoing, including contracting for the Project Coordination Unit and preparation of the Operations Manual. 11/25/2020 Page 1 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- Substantial Macroeconomic Substantial -- Substantial Sector Strategies and Policies Moderate -- Low Technical Design of Project or Program Substantial -- Moderate Institutional Capacity for Implementation and Substantial -- Moderate Sustainability Fiduciary High -- High Environment and Social Moderate -- Moderate Stakeholders High -- Substantial Other Low -- Substantial Overall High -- Substantial Results PDO Indicators by Objectives / Outcomes To improve the quality of essential health services IN00871825 ►Percentage of Eligible Level 2-4 Health Care Facilities in Selected Provinces that have achieved a Minimum Service Quality Score (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target (a) For Early Adopter Provinces (first two Selected Provinces): Percentage of Eligible Level 2-4 Health Care Facilities in each Early Adopter Province that have achieved a Minimum Service Integrated Facility Integrated Facility Quality Score is at Supervision Checklist to Supervision Checklist Value -- least thirty percent measure quality not to measure quality not (30%) over the implemented implemented Baseline. (b) For Expansion Provinces (subsequent two Selected Provinces): Percentage of Eligible Level 2-4 Health Care Facilities in each Expansion Province 11/25/2020 Page 2 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) that have achieved a Minimum Service Quality Score is at least twenty percent (20%) over the Baseline. Date 03-Jun-2019 -- 13-Nov-2020 30-Dec-2025 Percentage of district hospitals, rural health centers and Community Health Posts in Selected Provinces Comments: achieving at least a minimum quality score on the NDOH adopted Integrated Facility Supervision Checklist To increase the utilization of essential health services IN00871831 ►Percentage increase in the number of Outreach Visits in Selected Provinces (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Twenty-five percent (25%) increase in the number of Outreach Visits over the Baseline in each Early Adopter Province (first two Selected Provinces). Value 0% -- 0% Twenty percent (20%) increase in the number of Outreach Visits over the Baseline in each Expansion Province (Subsequent two Selected Provinces). Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Comments: Percentage increase in the number of Outreach Visits each year (in Selected Provinces) over baseline IN00871832 ►Percentage increase in the number of pregnant women who have received four or more antenatal care check-ups (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Thirty percent (30%) increase over baseline for Early Adopter Provinces (first two Selected Provinces) Value Zero percent (0%) -- Zero percent (0%) Twenty percent (20%) increase over baseline for Expansion Provinces (subsequent two Selected Provinces) Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Percentage increase in the number of pregnant women who have received four or more antenatal care Comments: check-ups (in Selected Provinces) over baseline 11/25/2020 Page 3 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) IN00871833 ►Percentage increase in the number of children under one year of age who have received DPT-3 (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Thirty percent (30%) increase over baseline for Early Adopter Provinces (first two Selected Provinces) Zero percent (0%) Twenty percent (20%) Value -- Zero percent (0%) increase over baseline for Expansion Provinces (subsequent two Selected Provinces) Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Percentage increase in the number of children under one year of age who have received DPT-3 over Comments: baseline IN00871834 ►Increase in the number of registered DSTB patients on treatment who have been cured (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Thirty percent (30%) increase over baseline for Early Adopter Provinces (first two Selected Provinces) Zero percent (0%) Twenty percent (20%) Value -- Zero percent (0%) increase over baseline for Expansion Provinces (subsequent two Selected Provinces) Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Comments: Increase in the number of registered DSTB patients on treatment who have been cured over baseline Overall Comments PDO The project has not become effective yet, so no progress has been made on the results Intermediate Results Indicators by Components Component 1: Increase service delivery readiness and community-based service delivery IN00871835 ►Number of staff trained in RMNCH-N and PFM under the Project (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 11/25/2020 Page 4 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) At least 50 % of eligible staff was Value None -- None trained in each of the Selected Provinces Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Comments: Number of staff participating in training IN00871836 ►Innovations for community-based service delivery trialed and scaled up in Selected Provinces (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target One innovation Innovations not Innovations not implemented in each Value -- implemented implemented of the Selected Provinces Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Contracted NGO or Church service provider implementing community-based service delivery innovation in Comments: line with proposal received IN00871837 ►Percentage of health facilities that have implemented patient feedback mechanisms and responded to issues identified (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Forty percent (40%) increase over baseline for Early Adopter Provinces (first two To be established in To be established in Selected Provinces) Year 2 for Early Year 2 for Early Adopter Thirty percent (30%) Value -- Adopter Provinces and Provinces and Year 3 for increase over baseline Year 3 for Expansion Expansion Provinces for Expansion Provinces Provinces (subsequent two Selected Provinces) Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Percentage of health facilities that implemented patient feedback mechanisms and responded to issues identified. The health facilities in the denominator would be level 2-4 facilities in the four selected Early Comments: Adopter and Expansion Provinces. The indicator will be measured through the Integrated Facility Supervision Checklist. Component 2: Improve frontline service delivery performance IN00871838 ►Timely transfer of PHA Performance Funds (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Transfer of PHA Performance Funds from NDOH within 10 No transfer of PHA No transfer of PHA Value -- working days of the Performance Funds Performance Funds date of receipt of an equivalent amount of financing proceeds 11/25/2020 Page 5 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) from the World Bank for such purpose Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Transfer of PHA Performance Funds from NDOH within 10 working days of the date of receipt of an Comments: equivalent amount of financing proceeds from the World Bank for such purpose IN00871839 ►National Performance Dashboard developed and updated (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target National Performance No National No National Performance Dashboard updated Value -- Performance Dashboard and available online Dashboard Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 Comments: National Performance Dashboard developed, updated annually and published on the NDOH website IN00871840 ►Number of Selected PHAs with a complete Annual Implementation Plan submitted in a timely manner and in accordance with NDOH specifications (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Annual Implementation Plans Baseline value to be Baseline value to be submitted in a timely determined upon Value -- determined upon manner and to NDOH selection of Provinces selection of Provinces specification in each of the Selected Provinces Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 PHAs in Selected Provinces have correctly prepared an Annual Implementation Plan using NDOH's Comments: template and submitted it to NDOH before the deadline identified in NDOH's budget circular. IN00871841 ►Number of PHA Boards that have used routine data for decision making (Text, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Provincial No PHA has a Performance No PHA has a Provincial Provincial Dashboard updated Performance Dashboard; Performance and annual Supportive Value No PHA has a -- Dashboard; No PHA Supervision Plan Supportive Supervision has a Supportive prepared in each Plan Supervision Plan Selected Province Date 03-Jun-2019 -- 13-Nov-2020 31-Dec-2025 (i) Province performance dashboard for use by PHA Board developed and updated every six months Comments: using eNHIS data; and (ii) Supportive Supervision Plan to address performance concerns adopted by PHA Board Performance-Based Conditions 11/25/2020 Page 6 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) IN00871842 ►PBC 1 N-DLI 1: Memoranda of Understanding (MoU) signed with up to 4 Selected Provincial Health Authorities (PHAs) (Text, Output, 600,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value No MoU signed -- No MoU signed -- Date -- -- 08-Jul-2020 -- IN00871843 ►PBC 2 N-DLI 2: Integrated Facility Supervision Checklist adopted and updated (Text, Output, 600,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 No Integrated Facility No Integrated Facility Supervision Checklist Value -- Supervision Checklist -- implemented implemented Date -- -- 08-Jul-2020 -- IN00871844 ►PBC 3 Timely transfer of PHA Performance Funds (Text, Output, 1,500,000.00, 10.3%) Baseline Actual (Previous) Actual (Current) Year 5 No transfer of PHA No transfer of PHA Value -- -- Performance Funds Performance Funds Date -- -- 13-Nov-2020 -- IN00871845 ►PBC 4 N-DLI 4: Number of Selected Provinces that have achieved all Provincial DLIs. (Text, Output, 1,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 At least one (1) Selected Province has fully achieved DLI Targets of all Value No annual targets met -- No annual targets met Provincial DLIs for Year 5. Targeted for up to four (4) Selected Provinces. Date -- -- 08-Jul-2020 -- 11/25/2020 Page 7 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) IN00871846 ►PBC 5 Number of Selected PHAs with a complete Annual Implementation Plan submitted in a timely manner and in accordance with NDOH specifications (Text, Output, 1,600,000.00, 11%) Baseline Actual (Previous) Actual (Current) Year 5 Baseline value to be Baseline value to be determined upon selection Value -- determined upon selection -- of Provinces of Provinces Date -- -- 13-Nov-2020 -- IN00871847 ►PBC 6 Percentage of Eligible Level 2-4 Health Care Facilities in Selected Provinces that have achieved a Minimum Service Quality Score (Text, Output, 2,100,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Integrated Facility Integrated Facility Supervision Checklist to Supervision Checklist to Value -- -- measure quality not measure quality not implemented implemented Date -- -- 13-Nov-2020 -- IN00871848 ►PBC 7 Number of PHA Boards that have used routine data for decision making (Text, Output, 1,200,000.00, 5.5%) Baseline Actual (Previous) Actual (Current) Year 5 No PHA has a Provincial No PHA has a Provincial Performance Dashboard; Performance Dashboard; Value -- -- No PHA has a Supportive No PHA has a Supportive Supervision Plan Supervision Plan Date -- -- 13-Nov-2020 -- IN00871849 ►PBC 8 Percentage increase in the number of Outreach Visits in Selected Provinces (Text, Output, 2,100,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0% -- 0% -- Date -- -- 13-Nov-2020 -- 11/25/2020 Page 8 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) IN00871850 ►PBC 9 C-DLI 1: Percentage increase in the number of pregnant women who have received four or more antenatal care check-ups (Text, Intermediate Outcome, 1,200,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 NDOH has furnished to the Association a report, in form and substance described in the DLI Operational Manual, setting forth the list of Competitive DLI Provinces with a top two (2) highest percentage increase in the number of Value 0% -- 0% pregnant women who have received four (4) or more antenatal care check-ups in Year 5, compared to their respective results in Year 4, as determined in accordance with the details set forth in the DLI Operational Manual. Date -- -- 08-Jul-2020 -- IN00871851 ►PBC 10 C-DLI 2: Percentage increase in the number of children aged under one (1) year who have received DPT-3 (Text, Intermediate Outcome, 1,200,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0% -- 0% NDOH has furnished to the Association a report, in form and substance described in the DLI Operational Manual, setting forth the list of Competitive DLI Provinces with a top two (2) highest percentage increase in the number of children under one (1) year of age who have received DPT- 11/25/2020 Page 9 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) 3 in Year 5, compared to their respective results in Year 4, as determined in accordance with the details set forth in the DLI Operational Manual. Date -- -- 08-Jul-2020 -- IN00871852 ►PBC 11 C-DLI 3: Increase in the number of registered DSTB patients on treatment who have been cured (Text, Intermediate Outcome, 1,500,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 NDOH has furnished to the Association a report, in form and substance described in the DLI Operational Manual, setting forth the list of Competitive DLI Provinces with a top two (2) highest increase in the 0% Value -- 0% number of registered drug susceptible tuberculosis patients on treatment who have been cured in Year 5, compared to their respective results in Year 4, as determined in accordance with the details set forth in the DLI Operational Manual. Date -- -- 08-Jul-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P167184 IDA-64970 USD 30.00 30.00 0.00 0.00 30.72 0% Effective Key Dates (by loan) 11/25/2020 Page 10 of 11 The World Bank Implementation Status & Results Report Improving Access to and Value from Health Services in PNG: Financing the Frontlines (P167184) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P167184 IDA-64970 22-Apr-2020 22-Jul-2020 -- 30-Jun-2026 30-Jun-2026 Effective 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. 11/25/2020 Page 11 of 11