Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) Lesotho HIV and AIDS Technical Assistance Project (P107375) AFRICA | Lesotho | Health, Nutrition and Population Global Practice | IBRD/IDA | Technical Assistance Loan | FY 2010 | Seq No: 11 | ARCHIVED on 18-Dec-2014 | ISR15831 | Implementing Agencies: Ministry of Health Key Dates Key Project Dates Board Approval date:27-Aug-2009 Effectiveness Date:14-Jan-2010 Planned Mid Term Review Date:-- Actual Mid-Term Review Date:30-Oct-2011 Original Closing Date:31-Jan-2015 Revised Closing Date:31-Jan-2016 Project Development Objectives Project Development Objective (from Project Appraisal Document) The project aims at building capacity of government agencies and civil society organizations at both the national and local level to address the identified key gaps in implementing the National HIV and AIDS Strategic Plan in an effort to contain and reverse the epidemic. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Improved institutional capacity of NGOs/CSOs to implement HIV programs:(Cost $1.70 M) Component 2: Scaling up the Health Sector Response:(Cost $1.78 M) Component 3: Supporting a Decentralized local response:(Cost $1.22 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Moderately Satisfactory Overall Risk Rating  --  Moderate 12/18/2014 Page 1 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) Implementation Status and Key Decisions The Lesotho HIV and AIDS Technical Assistance project (HTAP) is recognized as an important contribution to the national response to the epidemic in Lesotho as it continues to fill gaps in support to technical assistance and capacity building needs identified in the National Strategic Plan (NSP). The project's remaining activities are focused on high-priority capacity gaps, namely: (i) building NGO capacity to address the HIV epidemic, (ii) strengthening the supply chain to improve availability of HIV prevention commodities, and (iii) supporting district and community councils to mainstream HIV activities. Recent progress includes: (i) Capacity building provided to over 100 civil society organizations (CSOs) in grants management, including organizational development, fiduciary skills and grant proposal writing. This TA is well-coordinated to fill gaps in GFATM’s support to CSOs; (ii) TA in supply chain management focused on bringing key skills, processes and tools for the implementation of the MOH logistics management strategic plan. Specifically, the project supported capacity building in forecasting and procurement planning to develop a three year rolling forecast and procurement plan for condoms for HIV prevention. This gap filling addresses persistent stock imbalances of stock-outs, overstocks and under stocks, training in Supply and Warehouse Management for service providers, and Quantification and Forecasting for health program managers and select development partners; and (iii) An assessment of the HIV Essential Services Package (ESP) implementation at district and community levels which has informed the Ministry of Local Government, Chieftainship and Parliamentary Affairs’ (MOLGCPA) development of a strategic framework to strengthen the decentralized, multisectoral HIV/AIDS response. At the request of the Ministry of Finance, this grant has been extended by 12 months with a new closing date of January 31, 2016. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Substantial Macroeconomic  --  --  Moderate Sector Strategies and Policies  --  --  Substantial Technical Design of Project or Program  --  --  Low Institutional Capacity for Implementation and Sustainability  --  --  Substantial Fiduciary  --  --  Substantial Environment and Social  --  --  Moderate Stakeholders  --  --  Moderate Other  --  --  -- Overall  --  --  Moderate Results Project Development Objective Indicators 12/18/2014 Page 2 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) PHINDPDOTBL  Number of NGOs that received capacity building in at least two of the five training priority areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 100.00 Date 30-Sep-2013 31-Mar-2014 31-Mar-2014 31-Jan-2016 PHINDPDOTBL  Consolidated 3 year rolling condom forecast and procurement plan in place (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2009 17-May-2013 17-May-2013 31-Jan-2016 PHINDPDOTBL  Number of council approved projects that include an HIV component (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 64.00 64.00 192.00 Date 31-Dec-2009 13-Dec-2011 13-Dec-2011 31-Jan-2016 Overall Comments The Government requested a revision to the Results Framework to better monitor the project’s progress in attaining the PDO. While the original PDO remains the same, one of the three PDO indicators has been changed. The PDO indicator related to Component 1, "Percent of Global Fund quarterly grant performance ratings that meets or exceeds an adequate expectation," is not measurable as LCN is no longer the principal recipient for the Global Fund to Fight AIDS, TB and Malaria (GFATM) civil society grant. The new proposed PDO indicator for Component 1 adequately reflects LCN’s contribution to advancing the PDO: "Number of NGOs that received capacity building in at least two of the five training priority areas." Capacity building needs were categorized into five priority areas based on assessments conducted by LCN and TA supported by the project: (i) HIV and AIDS Competency, (ii) Project Development and Management, (iii) Organizational Development and Management, (iv) HIV/AIDS Programming, (v) Livelihood and Income Generation Activities. Intermediate Results Indicators 12/18/2014 Page 3 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) PHINDIRITBL  Percent of CSOs/NGOs with increased knowledge and skills in two of the five training priority areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 30-Dec-2011 28-Feb-2014 28-Feb-2014 31-Jan-2016 PHINDIRITBL  An updated national Health Law drafted for approval (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2009 28-Sep-2012 28-Sep-2012 31-Jan-2015 PHINDIRITBL  Guidelines for conducting ethical research drafted (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2009 09-Mar-2012 09-Mar-2012 31-Jan-2015 PHINDIRITBL  Policy guidelines on adoption of orphans drafted (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2009 28-Sep-2012 28-Sep-2012 31-Jan-2015 12/18/2014 Page 4 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) PHINDIRITBL  Draft module on identification and referral of OVCs included in the Social Worker Training Program (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2009 02-Dec-2011 02-Dec-2011 31-Jan-2015 PHINDIRITBL  Percentage of Auxilliary Social Workers trained in identification, referral and follow up of OVC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2009 02-Jul-2012 02-Jul-2012 31-Jan-2015 PHINDIRITBL  Percentage of Districts reporting condoms distributed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 10.00 10.00 100.00 Date -- 30-Sep-2014 30-Sep-2014 31-Jan-2016 PHINDIRITBL  Number of HIV Essential Service Package (ESP) interventions implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 556.00 877.00 877.00 700.00 Date 31-May-2009 02-Dec-2011 02-Dec-2011 31-Jan-2015 Overall Comments Three intermediate outcome indicators have been removed as they did not sufficiently measure the project's progress toward the PDO. Instead, one intermediate outcome indicator has been added (“Percentage of Districts reporting condoms distributed”) and another has been revised to better reflect component activities and their link to the PDO indicators (“Percent of CSOs/NGOs with increased knowledge and skills in two of the five training priority areas”). 12/18/2014 Page 5 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lesotho HIV and AIDS Technical Assistance Project (P107375) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P107375 IDA-H5020 Effective XDR 3.30 3.30 0.00 2.33 0.97 70% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P107375 IDA-H5020 Effective 27-Aug-2009 21-Oct-2009 14-Jan-2010 31-Jan-2015 31-Jan-2016 Cumulative Disbursements Restructuring History Level Approved on 22-Dec-2011 ,Level 2 Approved on 17-Dec-2014 Related Project(s) There are no related projects. 12/18/2014 Page 6 of 6 Public Disclosure Copy