The World Bank Report No: ISR3040 Implementation Status & Results Africa Public Disclosure Copy IGAD Regional HIV/AIDS Partnership Program (IRAPP) Support Project (P104523) Operation Name: IGAD Regional HIV/AIDS Partnership Program (IRAPP) Project Stage: Implementation Seq.No: 6 Status: ARCHIVED Last Modified Date: 17-May-2011 Support Project (P104523) Country: Africa Approval FY: 2007 Product Line: Recipient Executed Activities Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): IGAD Key Dates Board Approval Date 28-Jun-2007 Original Closing Date 31-Dec-2011 Planned Mid Term Review Date 31-Mar-2010 Last Archived ISR Date 26-Oct-2010 Effectiveness Date 07-Feb-2007 Revised Closing Date 31-Dec-2011 Actual Mid Term Review Date 20-Dec-2010 Project Development Objectives Project Development Objective (from Project Appraisal Document) A. Increase preventative action, and reduce misconception of cross border and mobile populations, refugees, IDPs, returnees and surrounding host communities concerning HIV/AIDS prevention, treatment and mitigation in selected sites in the IGAD member states; and B. Establish a common and sustainable regional approach to supporting these populations in the IGAD member states. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1: Support for Refugees, IDPs, Returnees, Surrounding Host Communities and Cross 10.00 Border and Mobile Populations Component 2: Cross Border Collaboration on Health Sector Response by Member Countries to HIV/ 2.00 Public Disclosure Copy AIDS Component 3: Project Management, Coordination, Capacity Building and Monitoring and Evaluation 2.60 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Implementation Status Overview Page 1 of 7 The World Bank Report No: ISR3040 This update includes more current data collected from all countries as a result of the December 2010 Mid-Term Review (MTR) and the Joint Annual Review (JAR), the Financial Management Review conducted in February 2011, and the Procurement Post Review of April 2011. Public Disclosure Copy Results Project Development Objective Indicators Indicator Baseline Current End Target Indicator Name Value Value Value VCT: Percentage of populations aged 15-49 in the target areas who Uganda: 44.6% (M); 47.3% (F) UG: 66.6% (M); 67.3%(F) undergo HIV voluntary counselling and testing and know their results in SS: 14.1% (M); 22.8%(F) SS:34.1% (M); 42.8%(F) Date the last 12 months NS: 6.9% (M); 9.2% (F) NS:26.9% (M); 29.2% (F) Kenya: 4%(M); 7%(F) 15-Jun-2010 Kenya: 24% (M); 27% (F) Type Unit of Measure Date Comment Date Custom Indicator Text 15-Dec-2009 BSS resurvey to be conducted only 31-Dec-2011 at the end of the project Comment Comment For all BSS data, please note For all BSS indicators a 20 point Uganda: Refugees increase is both the maximum change that can be expected to South Sudan: Returnees occur in two years and also the minimum change that the BSS North Sudan: Refugees sample framework is designed to detect Kenya: Refugees. Data collection took place over an extended period of time and 12/15/2009 was chosen as the mid-point Indicator Baseline Current End Target Indicator Name Value Value Value Public Disclosure Copy PMTCT: Percentage of HIV-positive pregnant women in the target 0 690/724=95% 100% areas who are referred for antiretroviral treatment to reduce the risk of Date Date Date mother-to-child transmission 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Page 2 of 7 The World Bank Report No: ISR3040 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value STIs: Number of clients receiving STI services in the target areas 0 24,479 17,625 Date Date Date 15-Dec-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Target surpassed Average quarterly data were used to determine approximately the end of project target Indicator Baseline Current End Target Indicator Name Value Value Value Percentage of population aged 15 to 49 in the target areas who both UG: 29.7% (M); 19.9% (F) UG: 49.7% (M); 39.9% (F) correctly identify three ways of preventing the sexual transm.of HIV NS: 22.1%(M); 2.5% (F) NS: 42.1% (M); 22.5% (F) Date and who reject major misconceptions about HIV transm. SS: 41.1%(M); 58.9% (F) SS: 61.1% (M); 78.9% (F) Kenya: 30% (M); 16% (F) 15-Jun-2010 Kenya: 50% (M); 36% (F) Type Unit of Measure Date Comment Date Custom Indicator Text 15-Dec-2009 BSS resurvey to be conducted only 31-Dec-2011 at the end of the project Comment Comment Indicator Baseline Current End Target Indicator Name Value Value Value (i) Adoption of a common strategy that includes IRAPP target No common strategy. No Regional strategy: epidemiological All IGAD member countries population; and (ii) harmonized protocols and referral systems harmonized protocols and referral analysis of the CBMP in the region adopted a common CBMP systems. completed. Next step: countries to strategy, harmonized protocols and Date agree on common M&E and referral systems. Type Unit of Measure targets for CBMP. Date 01-May-2009 Harmonized protocols and Custom Indicator Text Public Disclosure Copy Comment standardized referral forms are 31-Dec-2011 implemented in Uganda, Kenya Comment and two sites in Ethiopia. Date 31-Dec-2010 Comment Comparative analysis of HIV/AIDS/ STIs national protocols and guidelines have been completed. Page 3 of 7 The World Bank Report No: ISR3040 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Condom use at last sex with a non-regular partner among men and UG: 46.7% (M); 31.6% (F) Uganda: 66.7% (M); 51.6% (F) women 15-49 in target areas NS: 2.3% (M); 0% (F) NS: 22.3% (M); 20%(F) Date SS: 2.5%(M); 0.3% (F) SS:22.5% (M);20.3 % (F) Kenya: 43% (M); 27% (F) Kenya: 63%(M); 47%(F) Type Unit of Measure Date Comment Date Custom Indicator Text 15-Dec-2009 BSS resurvey to be conducted only 31-Dec-2011 at the end of the project Comment Comment For females in Sudan in general, the target is unlikely to be achieved because of the hesitance to report non-regular sexual partnerships due to cultural and religious reasons. Indicator Baseline Current End Target Indicator Name Value Value Value Condom use at last sex with a transactional partner among men and Uganda: 44.6% (M); 47.3% (F) Uganda: 64.6% (M); 67.3% (F) women 15-49 in target areas SS: 14.1% (M); 22.8%(F) SS: 34.1% (M); 42.8%(F) Date NS: 6.9% (M); 9.2% (F) NS: 26.9% (M); 29.2% (F) Kenya: 4%(M); 7%(F) Kenya: 24%(M); 27%(F) Type Unit of Measure Date Comment Date Custom Indicator Text 15-Dec-2009 BSS resurvey to be conducted only 31-Dec-2011 at the end of the project Comment Comment Intermediate Results Indicators Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Number of functioning VCT sites in targeted areas 0 42 45 Date Date Date 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Page 4 of 7 The World Bank Report No: ISR3040 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Number of health facilities providing STI services in the targeted areas 0 46 45 Date Date Date 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Indicator Baseline Current End Target Indicator Name Value Value Value Number of condoms distributed in target areas by IRAPP 0 2,271,591 2,323,500 Date Date Date 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Indicator Baseline Current End Target Indicator Name Value Value Value Number of PLWHA associations supported by IRAPP in the target 0 24 30 areas Date Date Date 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text Indicator in the PAD is PLWHA Associations established not supported, so we'll have to reword this indicator in the ISR after additional financing is approved Public Disclosure Copy Indicator Baseline Current End Target Indicator Name Value Value Value Development of regional strategy for improved HIV/AIDS/STI No strategy Epidemiologic analysis completed. Regional strategy developed prevention, treatment and care services directed to cross-border and Date Date Date mobile populations, refugees and IDP. 01-May-2009 31-Dec-2010 31-Dec-2011 Type Unit of Measure Comment Comment Comment Custom Indicator Text ASAP has been providing intensive Technical Assistance Page 5 of 7 The World Bank Report No: ISR3040 Indicator Baseline Current End Target Public Disclosure Copy Indicator Name Value Value Value Number of harmonised protocols developed by topics 0 7 draft harmonised protocols 7 Date developed as follows: VCT, Date PMTCT, TB, STIs, ART, OI and 01-May-2009 PEP. 31-Dec-2011 Type Unit of Measure Comment Date Comment Custom Indicator Text 31-Dec-2010 Comment This target had already been reached by June 2010 Data on Financial Performance (as of 23-Mar-2011) Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P104523 TF-57980 Closed 07-Feb-2007 07-Feb-2007 07-Feb-2007 31-Aug-2007 P104523 TF-90523 Effective 28-Jun-2007 28-Jun-2007 28-Jun-2007 31-Dec-2011 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P104523 TF-57980 Closed USD 0.49 0.26 0.24 0.26 0.00 100.00 P104523 TF-90523 Effective USD 14.51 14.51 0.00 10.91 3.60 75.00 Disbursement Graph Public Disclosure Copy Page 6 of 7 The World Bank Report No: ISR3040 Public Disclosure Copy Key Decisions Regarding Implementation Not applicable Restructuring History There has been no restructuring to date. Related Projects P126134-Additional Financing for IGAD Regional HIV/AIDS Partnership Program (IRAPP) Support Project Public Disclosure Copy Page 7 of 7