The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Rwanda Stunting Prevention and Reduction Project (P164845) AFRICA | Rwanda | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 2 | ARCHIVED on 26-Oct-2018 | ISR34438 | Implementing Agencies: MINISTRY OF FINANCE AND ECONOMIC PLANNING, Rwanda Biomedical Center Key Dates Key Project Dates Bank Approval Date: 28-Feb-2018 Effectiveness Date: 05-Jun-2018 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: -- Original Closing Date: 30-Apr-2023 Revised Closing Date: 30-Apr-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed Project Development Objective (PDO) is to contribute to the reduction in the stunting rate among children under five years of age (with a focus on those under two) in the targeted districts. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Prevention of Stunting at Community and Household Levels:(Cost $35000000.00 M) Component 2: High-impact Health and Nutrition Services:(Cost $14500000.00 M) Component 3: Monitoring and Evaluation, and Program Management:(Cost $5500000.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The project was approved by the Board on February 28, 2018, and the legal agreements were signed between the Bank and the Government of Rwanda on March 7, 2018. Immediately following the launch of the Rwanda’s Multi-sectoral program to Combat Chronic Malnutrition and Invest in the early years in May 2018, the project became effective on June 5, 2018. Since then, political commitment to eliminate stunting has been broadened, and there has been progress in multisectoral coordination and collaboration among various institutions under the leadership of the National ECD Program (NECDP). Memoranda of Understanding between the Rwanda Biomedical Center (RBC) and each of the 13 target districts were signed in August 2018. Total of US$7.0 million has been disbursed since project effectiveness. Project Implementation Manual and supplemental Performance Based Financing (PBF) manuals have been finalized and recruitment of key five positions at RBC-SPIU is nearly complete. 10/26/2018 Page 1 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Moderate Moderate Moderate Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To contribute to reduction in the stunting rate among children under five in the target districts IN00585135 ►Indicator 1a: Percentage of children under 5 years with height-for-age z-score below -2 standard deviations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 37.10 -- 0.00 27.20 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585286 ►Indicator 1b: Percentage of children under 2 years with height-for-age z-score below -2 standard deviations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 37.10 -- 0.00 27.20 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585311 ►Indicator 2: Percentage of children 6-23 months old who are fed a diverse diet (Percentage, Custom) 10/26/2018 Page 2 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Baseline Actual (Previous) Actual (Current) End Target Value 22.90 -- 0.00 50.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585312 ►Indicator 3: Percentage of women who attended 4 or more ANC visits during their most recent pregnancy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 -- 0.00 55.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585313 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,660,000.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585314 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,660,000.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585315 Indicator 4a: Number of children under 5 were beneficiaries of project interventions (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 560,000.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585316 Indicator 4b: Number of women of reproductive age (including pregnant and lactating women) who were beneficiaries of project interventions (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,100,000.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 Overall Comments PDO The project has become effective just four months ago, therefore, there is no updated data available for the PDO indicators yet. Intermediate Results Indicators by Components 10/26/2018 Page 3 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Component 1: Prevention of Stunting at Community and Household Levels IN00585285 ►IRI 1: Percentage of children at risk of stunting identified at the health center receiving follow up visits by CHWs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585321 ►IRI 2: Percentage of home-based ECD centers with satisfactory scores on quality score card (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585322 ►IRI 3: Number of parenting groups created and functional (positive deviance) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 0.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 The endline target value depends on number of ECDs supported. Will be entered at the early stage of Comments: implementation. IN00585323 ►IRI 4: % of CHWs who received a quarterly supportive supervision visit from HC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 -- 0.00 80.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585317 ►IRI 5: Percentage of pregnant women who attended the first ANC visit during the first trimester (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.00 -- 0.00 75.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585318 ►IRI 6: Percentage of pregnant women with anemia (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 21.90 -- 0.00 15.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585319 ►IRI 7: Percentage of participants at CHW education sessions surveyed who demonstrate knowledge of proper care, feeding, and WASH practices (Percentage, Custom) 10/26/2018 Page 4 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585320 ►IRI 8: Percentage of children 6-23 months old receiving micronutrient powders (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585371 ►IRI 9: Percentage of children under two with diarrhea treated with ORS and zinc within 24 hours or referred to health facility (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585372 ►IRI 10: Number of Ubudehe 1 households with improved latrines (from project interventions) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 37,000.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585373 ►IRI 11: Number of districts with satisfactory ratings on the DPEM activity scorecard (to be developed) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 13.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 Component 2: High-impact Health and Nutrition Services IN00585374 ►IRI 12: Percentage of children under 5 with height correctly measured and recorded at health facility (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585375 ►IRI 13: Percentage of health facilities with no stock out of Zinc for diarrhea treatment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 10/26/2018 Page 5 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585376 ►IRI 14: Percentage of women 15-49 who are new users of modern contraceptives (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 Component 3: Monitoring and Evaluation, and Program Management IN00585272 ►IRI 15: Percentage of participating health facilities that receive satisfactory rating from women and caregivers whose children received nutrition services (Citizen Engagement indicator) (Amount(USD), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 IN00585273 ►IRI 16: Number of peer learning events conducted (within and between districts and sectors) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 28-Feb-2018 -- 15-Oct-2018 30-Apr-2023 Overall Comments IR The project has become effective just four months ago, therefore, there is no updated data available for the intermediate results indicators yet. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164845 IDA-61870 Effective USD 25.00 25.00 0.00 2.81 22.03 11% P164845 TF-A6567 Effective USD 20.00 20.00 0.00 1.85 18.15 9.2% P164845 TF-A6783 Effective USD 10.00 10.00 0.00 2.33 7.67 23% Key Dates (by loan) 10/26/2018 Page 6 of 7 The World Bank Implementation Status & Results Report Rwanda Stunting Prevention and Reduction Project (P164845) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164845 IDA-61870 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 30-Apr-2023 P164845 TF-A6567 Effective 28-Feb-2018 07-Mar-2018 05-Jun-2018 30-Apr-2023 30-Apr-2023 P164845 TF-A6783 Effective 29-Jan-2018 07-Mar-2018 05-Jun-2018 31-Dec-2021 31-Dec-2021 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/26/2018 Page 7 of 7