The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Health Service Delivery & System Support Project (P153064) AFRICA | Sierra Leone | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 5 | ARCHIVED on 12-Oct-2018 | ISR33649 | Implementing Agencies: Ministry of Finance, Ministry of Health and Sanitation Key Dates Key Project Dates Bank Approval Date: 23-Jun-2016 Effectiveness Date: 02-Nov-2016 Planned Mid Term Review Date: 25-Jun-2018 Actual Mid-Term Review Date: 25-Jun-2018 Original Closing Date: 30-Sep-2019 Revised Closing Date: 30-Sep-2019 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) of the Health Service Delivery and System Support Project is to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The project development objective (PDO) of the Health Service Delivery and System Support Project is to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Components Table Name Health Service Delivery:(Cost $11.10 M) Health System Support:(Cost $4.40 M) Contingency Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions 10/12/2018 Page 1 of 4 The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) The Project implementation has been accelerated during this reporting period, however, the project has only 14 months for implementation before it is expected to be completed on September 30, 2019. The PDOs and the design of two technical components remain valid and pertinent. It is agreed between the GoC and the Bank team that the Project needs to be restructured in the following aspects: (a) the project implementation arrangements. The M&E function will be integrated to the DPPI. The Project Committee needs to be reactivated; (b) the project disbursement categories will be consolidated and proceeds needs to be reallocated; (c) the project results framework needs to be updated by adding quality indicators, and indicators that contributing to the measurement of project attributions in terms of outputs and outcomes. The Project completion date will be remained unchanged as September 30, 2019. The Government and the Bank team has reached an agreement on the action plan for the remaining 14 months. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Substantial Macroeconomic Substantial Moderate Substantial Sector Strategies and Policies Moderate Moderate Substantial Technical Design of Project or Program Substantial Substantial Moderate Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Overall Comments PDO Three out of five targets at PDO level and three out of four targets at intermediary level have either been achieved or surpassed. The indicator "percentage of CHWs rated as good performer by their communities" has not been measured since it is outdated and will be removed after this MTR. No data has been reported for "percent of hard to reach communities having at least one CHW". 10/12/2018 Page 2 of 4 The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Intermediate Results Indicators by Components Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P153064 IDA-58460 Effective USD 10.00 10.00 0.00 1.99 8.30 19% P153064 TF-A2598 Closed USD 5.50 5.50 0.00 3.43 2.07 62% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P153064 IDA-58460 Effective 23-Jun-2016 04-Aug-2016 02-Nov-2016 30-Sep-2019 30-Sep-2019 P153064 TF-A2598 Closed 23-Jun-2016 04-Aug-2016 02-Nov-2016 30-Sep-2019 30-Jun-2018 Cumulative Disbursements 10/12/2018 Page 3 of 4 The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Restructuring History Level 2 Approved on 13-Apr-2018 Related Project(s) There are no related projects. 10/12/2018 Page 4 of 4