Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) National AIDS Control Support Project (P130299) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2013 | Seq No: 6 | ARCHIVED on 31-Dec-2015 | ISR22006 | Implementing Agencies: National AIDS Control Organisation, Department of AIDS Control Key Dates Key Project Dates Bank Approval Date:01-May-2013 Effectiveness Date:22-Jul-2013 Planned Mid Term Review Date:21-Mar-2016 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2017 Revised Closing Date:31-Dec-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase safe behaviors among high risk groups in order to contribute to the nationalgoal of reversal of the HIV epidemic by 2017. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Scaling Up Targeted Prevention Interventions:(Cost $220.00 M) Behavior Change Communications:(Cost $20.00 M) Institutional Strengthening:(Cost $15.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Risk Rating  Moderate  Moderate 12/31/2015 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Implementation Status and Key Decisions The overall implementation progress in the last six months has been slow. However, the project is making progress and has initiated most of the activities planned under project. At outcome level, the latest official HIV estimates published on December 1, 2015 showed overall reduction in adult HIV prevalence from 0.34% in 2007, through 0.29% in 2011 to 0.26% in 2015.Similarly, the estimated annual new HIV infections (among all population) fell from 127,576 in 2007 to 98,974 in 2011and to 86,309 in 2015. It is also estimated that around 32% new infections have been averted from 2007 to 2015. Despite of fund flow challenges, about 84% of Non-government Organization (NGO) contracts were issued as per plan. The project currently covers 676,000 (78%) Female Sex Workers (FSWs) through 492 targeted interventions (TIs), 242,730 (68%) male having sex with male (MSMs) through 149 TIs, 24,000 (33%) transgender (TGs) through 38 TIs, and 129,967 (75%) Intravenous Drug Users (IDUs) through 266 TIs as of October 2015. The coverage of OST has increased to 22,380 IDUs (against a target of 35000). Currently, 207 OST centers are functional across 32 states. The contracts of the technical support units (TSUs) and state training resource centers (STRCs) are being processed and the majority of them are likely to be completed by end of March 2016. The critical procurements under the behavior change communication (BCC) sub-component and the supply chain management are delayed but under progress. The project has also completed Integrated Bio-Behavioral Surveillance (IBBS) study and the findings were presented to Bank team. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Substantial  Substantial Environment and Social  --  Low  Low Stakeholders  --  Low  Low Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Female sex workers who report using a condom with their last client (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/31/2015 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Value 80.00 80.00 -- 85.00 Date 01-Mar-2009 01-Mar-2009 -- 31-Mar-2017 Comments IBBS 2015 PHINDPDOTBL  Men who have sex with men who report using a condom during sex with their last male partner (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 -- 65.00 Date 01-Mar-2009 01-Mar-2009 -- 31-Mar-2017 Comments IBBS 2015 PHINDPDOTBL  Injecting drug users who do not share injecting equipment during the last injecting act (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 -- 65.00 Date 01-Mar-2009 01-Mar-2009 -- 31-Mar-2017 Comments IBBS 2015 Overall Comments Provisional findings from the national Integrated Bio Behavioral Surveillance (IBBS) 2015 presented to the JIR mission team. Once the data is finalized, the team will submit interim ISR. Intermediate Results Indicators 12/31/2015 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  FSWs who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 80.45 76.29 90.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments According to program data, against the mapping estimates of 868000 FSWs, the population coverage is 662191 FSWs. (average coverage April-Sept 2015) PHINDIRITBL  High Risk MSM who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 67.00 69.39 66.80 80.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments According to program data, against the mapping estimates of 357000 MSM, the population coverage was 238466 MSM. (average coverage April-Sept 2015) PHINDIRITBL  IDUs who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 75.12 72.47 85.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments According to program data, against the mapping estimates of 177000 IDUs, the population coverage was 128264 IDUs. (average coverage April-Sept 2015) 12/31/2015 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  TIs that have validated high risk group size data in the last 12 months. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 69.40 70.50 75.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments During the intensive visit, HRG validation is one of the regular activity taken up by the POs In the quarter of April-June HRG validation exercise was conducted in 944 TIs. Similarly in Jul-Sept 2015, HRGs in 1015 TIs was validated. PHINDIRITBL  TIs will be graded according to the performance indicators of SIMS. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 94.70 88.17 75.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments 1565 TIs were assessed across 29 SACS/UT for the period April-Sept 2015 against 1775 TIs on board as of September 2015. During the same period, 62 out of 171 TIs underwent evaluation; 7 Tis were disqualified and eventually closed down in Oct/Nov 2015. PHINDIRITBL  TIs reporting condom stock out, in the last quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 0.00 -- 2.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments Based on the monthly 31 indicator data set, states which has shown stock out for more than one month was Delhi, Gujarat, Chhattisgarh, Nagaland and Goa. The state managed to reallocated Condom from their respective state NHM. Stock position has improved since October 2015. 12/31/2015 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  Planned prevention interventions for migrants implemented as per plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 90.60 89.08 90.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments The project has contracted 302 TIs against the target of 339 interventions as of September for the period 2015-16. PHINDIRITBL  Planned prevention interventions for truckers implemented as per plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 81.30 75.42 90.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments The project has contracted 89 intervention out of expected 118. In addition to 89, 2 TIs are under dispute and off the board. PHINDIRITBL  States submitting completed audit reports to DAC/NACO within agreed time limits, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 90.00 90.00 90.00 Date 31-Mar-2012 31-Mar-2015 31-Mar-2015 31-Mar-2017 PHINDIRITBL  NGO contracted as per SACS annual plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 87.00 84.97 80.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 12/31/2015 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Comments The project has contract 1775 as on board against the target of 2089 interventions as per annual action plan 2014-15 in September 2015 PHINDIRITBL  States updating, reporting and responding to dashboard indicators (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 100.00 97.35 90.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments Out of 1775 TIs on board, 1728 TIs have reported as of September 2015. PHINDIRITBL  High burden districts implementing Behavior Change Communications strategy and plan with focus on demand generation and stigma reduction, by 2017 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 30.00 30.00 80.00 Date 31-Mar-2012 31-Mar-2012 31-Mar-2012 31-Mar-2017 Comments NACO to identify the information/ data collection system needed to capture this indicator. PHINDIRITBL  FSW who have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 71.86 68.98 50.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments Between April ’15 – Sept ‘15, 456767 FSWs out of a total of 662191(average coverage during the period) have undergone HIV counseling 12/31/2015 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) and testing. PHINDIRITBL  High Risk MSMs who have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 70.57 68.13 50.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments Between April ’15 – Sept ‘15, 162462 MSMs out of a total of 238466(average coverage during the period) have undergone HIV counseling and testing. PHINDIRITBL  IDUs have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 66.98 69.29 50.00 Date 31-Mar-2012 31-Mar-2015 30-Sep-2015 31-Mar-2017 Comments Between April ’15 – Sept ‘15, 88880 IDUs out of a total of 128264(average coverage during the period) have undergone HIV counseling and testing. PHINDIRITBL  Health care provider express discriminatory attitudes towards people living with HIV and AIDS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- -- -- 30.00 Date -- -- -- 31-Mar-2017 Comments 12/31/2015 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) NACO to identify the information/ data collection system needed to capture this indicator. Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P130299 IDA-52360 Effective XDR 168.40 168.40 0.00 36.56 131.84 22% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P130299 IDA-52360 Effective 01-May-2013 18-Jun-2013 22-Jul-2013 31-Dec-2017 31-Dec-2017 Cumulative Disbursements 12/31/2015 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/31/2015 Page 10 of 10 Public Disclosure Copy