Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) Nigeria HIV/AIDS Program Development Project II (P102119) AFRICA | Nigeria | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2009 | Seq No: 15 | ARCHIVED on 23-May-2016 | ISR22747 | Implementing Agencies: National Agency for the Control of AIDS (NACA) Key Dates Key Project Dates Bank Approval Date:16-Jun-2009 Effectiveness Date:25-Feb-2011 Planned Mid Term Review Date:15-Nov-2013 Actual Mid-Term Review Date:30-Oct-2013 Original Closing Date:31-Dec-2013 Revised Closing Date:28-Feb-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to reduce the risk of HIV infections by scaling up prevention interventions and to increase access to and utilization of HIV counseling, testing, care and support services Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Expanding the Public Sector Response:(Cost $68.00 M) Expanding the civil society and private sector response:(Cost $79.00 M) Strengthening mechanisms for project coordination and management:(Cost $78.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial 5/23/2016 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) Implementation Status and Key Decisions Project implementation At the extension of the project last year in October, the Bank and NACA agreed that the focus of HPDP 2 moving forward would be: (i) HIV counseling and testing, (ii) combination prevention for key populations, (iii) scaling-up Prevention of Mother to Child Transmission (PMTCT) through public and private health sector; and (iv) strengthen the documentation of results. HIV counseling and testing and combination prevention for key populations: for States with available resources in this component, it was agreed that a maximum of 5 high performing CSOs will be engaged to provide a Minimum Prevention Package Intervention (MPPI) package targeting most-at- risk populations (FSWs, IDUs and MSM). The TOR and selection criteria for the engagement of the 5 high performing CSOs per State have been developed by NACA and cleared by the Bank. NACA is in the process of hiring implementing partners to carry out this important activity. Engagement of Private Health Facilities (PHF) to provide PMTCT services: The Bank team had an extensive discussion with NACA on this and agreed that a performance based financing (PBF) model will be deployed with the Bank resources paying for results on pregnant women only. Inputs and processes will not be paid for. PBF will be employed both for private health providers and the implementation partners. An independent Verifying Agencies (IVAs) will be engaged to verify claims by both the PHF and IPs. Funds will be disbursed to the IPs and PHFs only after claims have been verified. Strengthen the documentation of results: National HIV/AIDS Indicator Survey. Due to slow progress made on the conduct of the proposed national HIV/AIDS survey and in order not to miss out on the opportunity presented by the conduct of multi-indicator cluster survey (MICS) (which has the indicators that is expected from the NARHS), the Bank and NACA team agreed to support the development of 2016 MICS. In order to meet up with the additional indicators required by the project, the Bank will also support NACA to develop an Integrated Biological and Behavioral Surveillance Survey (IBBSS) like survey tagged ‘Assessment of key populations’. Result of this survey will include indicators of Health and Family Life Education (FLHE). An economic and financial analysis will be conducted to inform the implementation completion report. NACA to send to the Bank a protocol and budget for this analysis. The TORs and the protocol will be worked on by NACA and the World Bank. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating 5/23/2016 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) Political and Governance  --  Substantial  Substantial Macroeconomic  --  Substantial  Substantial Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  --  Substantial  Substantial Fiduciary  --  Substantial  Substantial Environment and Social  --  Substantial  Substantial Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Young women and men aged 15-24 reporting the use of a condom during the last sexual intercourse with a non-regular partner (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- -- -- -- Date 31-Dec-2007 -- -- 28-Feb-2017 PHINDPDOTBL  Male (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 52.20 61.20 61.20 69.20 Date 31-Dec-2007 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDPDOTBL  Female (Percentage, Custom Breakdown) 5/23/2016 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) Baseline Actual (Previous) Actual (Current) End Target Value 34.30 43.00 43.00 40.00 Date 31-Dec-2007 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDPDOTBL  Percentage of female sex workers who were tested for HIV in the last calendar year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.80 -- 88.00 43.00 Date 01-Jan-2010 -- 10-May-2016 28-Feb-2017 PHINDPDOTBL  Percentage of Female Sex Workers (Brothel-Based and Non Brothel-Based) reporting consistent condom use with casual partner in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- -- -- -- Date 31-Dec-2007 -- -- 28-Feb-2017 PHINDPDOTBL  Female sex workers (brothel based) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 68.00 70.20 83.00 72.00 Date 31-Dec-2007 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDPDOTBL  Female sex workers (non-brothel based) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 61.00 62.40 74.00 65.00 Date 31-Dec-2007 10-May-2015 10-May-2016 28-Feb-2017 5/23/2016 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) PHINDPDOTBL  Number of women and men aged 15-49 who received an HIV test in the last 12 months and who know their results (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2287805.00 6448480.00 6448480.00 10000000.00 Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDPDOTBL  Pregnant women living with HIV who receive a complete course of antiretroviral prophylaxis to reduce the risk of mother to child transmission (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 26133.00 63350.00 63350.00 40000.00 Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 Overall Comments Intermediate Results Indicators PHINDIRITBL  Number (and percentage) of health facilities that provide HIV counseling and testing services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1064.00 8114.00 8114.00 1600.00 Date 31-Dec-2010 31-Dec-2014 10-May-2016 28-Feb-2017 PHINDIRITBL  Number of female sex workers who were tested for HIV in the last calendar year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25596.00 -- 35640.00 40000.00 Date 31-Dec-2014 -- 10-May-2016 28-Feb-2017 5/23/2016 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) PHINDIRITBL  Number of project supported private health care facilities providing HIV testing and counseling services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 31-Dec-2014 -- 10-May-2016 28-Feb-2017 Comments Activity has not yet started but NACA is in process of signing contracts with implementing partners. PHINDIRITBL  Number of project supported private health care facilities providing prevention of mother-to-child transmission services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 31-Dec-2014 -- 10-May-2016 28-Feb-2017 Comments Activity has not yet started but NACA is in process of signing contracts with implementing partners. PHINDIRITBL  Number of new most-at-risk populations (MARPs) reached with MPPI (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 64310.00 10000.00 Date 31-Dec-2014 -- 10-May-2016 28-Feb-2017 PHINDIRITBL  Schools that provided life skills-based HIV education in the last academic year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 22.80 30.00 30.00 30.00 Date 31-Dec-2009 30-Sep-2015 10-May-2016 28-Feb-2017 5/23/2016 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) PHINDIRITBL  Percentage of organizations that submit quarterly Financial Management and Procurement reports according to specific guidelines (disaggregated by Private Sector Organizations and CSOs) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 92.00 92.00 80.00 Date 31-Dec-2010 31-Dec-2014 10-May-2016 28-Feb-2017 PHINDIRITBL  Availability of Annual HAF performance report prepared by NACA (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDIRITBL  Percentage of SACAs and Public Sector Organizations that hold quarterly partner forums to report on planning, decisions and progress (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 83.00 83.00 80.00 Date 31-Dec-2010 10-May-2015 10-May-2016 28-Feb-2017 PHINDIRITBL  SACAs, State and Federal leval public sector organizations that have a written strategic plan clearly linked to the National Strategic objectives and priorities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 100.00 100.00 100.00 Date 01-Jul-2009 30-Sep-2015 10-May-2016 28-Feb-2017 5/23/2016 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) PHINDIRITBL  SACAs (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 37.00 37.00 37.00 Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDIRITBL  Federal LM (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 13.00 13.00 13.00 Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 PHINDIRITBL  Number of LACAs implementing HIV/AIDS workplans (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 603.00 603.00 272.00 Date 31-Dec-2010 30-Sep-2015 10-May-2016 28-Feb-2017 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P102119 IDA-45960 Effective XDR 150.40 150.40 0.00 111.87 38.53 74% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P102119 IDA-45960 Effective 16-Jun-2009 25-Nov-2010 25-Feb-2011 31-Dec-2013 28-Feb-2017 5/23/2016 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Nigeria HIV/AIDS Program Development Project II (P102119) Cumulative Disbursements Restructuring History Level Approved on 16-Dec-2011 ,Level 2 Approved on 23-May-2014 ,Level 2 Approved on 20-Nov-2015 Related Project(s) There are no related projects. 5/23/2016 Page 9 of 9 Public Disclosure Copy