The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) National Immunization Support Project (P132308) SOUTH ASIA | Pakistan | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 14 | ARCHIVED on 28-Jun-2021 | ISR46715 | Implementing Agencies: Economic Affairs Division, Federal EPI Cell, Ministry of National Health Services, Regulation and Coordination, Benazir Income Support Program Key Dates Key Project Dates Bank Approval Date: 21-Apr-2016 Effectiveness Date: 23-Nov-2016 Planned Mid Term Review Date: 03-Feb-2020 Actual Mid-Term Review Date: 03-Feb-2020 Original Closing Date: 31-Dec-2021 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to increase the equitable coverage of services for immunization against vaccine preventablediseases (VPD), including poliomyelitis, for children between 0 and 23 months in Pakistan. 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 is to increase the equitable coverage of services for immunization against vaccine preventablediseases (VPD), including poliomyelitis, for children between 0 and 23 months in Pakistan. Components Table Name Component 1: Strengthening Management, Governance and Stewardship Functions:(Cost $43.30 M) Component 2: Improving Service Delivery Performance:(Cost $23.15 M) Component 3: Demand Generation:(Cost $24.45 M) Component 4:Health Systems Strengthening:(Cost $34.00 M) Component 5: Improving Capacity in Technical Areas for Increased Immunization Coverage:(Cost $12.80 M) 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 The results of the the Third-Party Validation Immunization Coverage Survey (TPVICS), a national household health survey implemented by Aga Khan University confirmed the substantial progress in immunization coverage that has been made over the project period. Punjab, in particular, has now achieved all the original DLI targets under the project. However, due to the impact of COVID-19, progress in achieving year 4 PDO indicator 6/28/2021 Page 1 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) targets is lagging in all provinces except Punjab. Procurement performance of the Federal Expanded Programme for Immunization (EPI) has also significantly improved with all previous recommendations being implemented. The Environment and Social Management Plan (ESMP) coordinators are in place for ESMP monitoring of the project in all provinces except Sindh. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High High Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Substantial Substantial Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and -- Moderate Moderate Sustainability Fiduciary -- Moderate Moderate Environment and Social -- Moderate Moderate Stakeholders -- Substantial Substantial Other -- -- -- Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase equitable coverage of services for immunization againts vaccine preventable diseases (VPD) IN00993167 ►Percent of children aged between 12-23 months in the province or territory who are fully immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 Data from PDHS 2017-18 Comments: IN00993168 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 6/28/2021 Page 2 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value 16.00 29.00 37.50 65.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993169 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 53.00 55.00 67.10 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993170 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 66.00 80.00 88.90 77.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993221 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 49.00 59.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993222 ►Percentage of districts in each province reporting coverage of >80% Penta3 in children between 12-23 months which have these reports validated (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2015 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993223 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 39.00 6.00 60.00 Date 31-Dec-2015 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993224 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 68.00 40.00 90.00 Date 31-Dec-2015 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993225 Punjab (Percentage, Custom Breakdown) 6/28/2021 Page 3 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 100.00 97.20 61.00 Date 31-Dec-2015 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993226 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 66.00 24.40 75.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993227 ►Drop-out rate between Penta1 and Penta3 in each province (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993228 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 11.00 14.00 17.30 10.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993229 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 9.00 11.90 7.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993230 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 11.00 4.00 3.00 10.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993231 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 26.00 13.00 15.00 8.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993232 6/28/2021 Page 4 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) ►Penta3 coverage in each province between the lowest and the highest wealth quintile (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 A TPVICS survey is underway which will provide update on this indicator. Comments: IN00993233 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 0.00 23.00 20.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993234 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 0.00 38.00 15.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993235 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 0.00 1.00 28.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 IN00993236 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 0.00 24.00 15.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 30-Jun-2021 Intermediate Results Indicators by Components Component 1: Strengthening Management, Governance and Stewardship Functions IN00993237 ►Percentage of Districts in each province with at least 80% timeliness and completeness reporting on vLMIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 6/28/2021 Page 5 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993244 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 82.00 100.00 70.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993247 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 84.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993251 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993256 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 97.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993260 ►Percentage of districts in each province with their recognized surveillance sites having functional online surveillance for Vaccine Preventable Diseases & Adverse Events Following Immunization (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993263 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 94.00 88.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993267 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 6/28/2021 Page 6 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value 0.00 100.00 40.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993270 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993276 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 86.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993278 ►Percentage of total combined number of EDOs/EDO(H) in each province EDOs/EDO(H)s have attended MLM courses (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993280 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 79.00 82.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993283 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 0.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993285 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 94.00 80.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993287 Sindh (Percentage, Custom Breakdown) 6/28/2021 Page 7 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 0.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 Component 2: Improving Service Delivery Performance IN00993238 ►Percentage of UC in each province for which revised computerized UC level micro plans are in functional use at district and provincial levels (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993243 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80.00 91.00 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993248 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993252 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993255 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993257 ►Percentage of secure districts in each province with functional electronic tracking of the vaccinators and supervisors (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/28/2021 Page 8 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993264 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 55.00 55.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993268 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 92.00 85.00 15.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993272 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993275 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 30.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993279 ►Percentage of UC in each province with at least two skilled staff capable of providing immunization (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993281 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 66.00 81.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993284 KP (Percentage, Custom Breakdown) 6/28/2021 Page 9 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Baseline Actual (Previous) Actual (Current) End Target Value 91.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993286 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 96.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993288 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 91.00 100.00 100.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993289 ►Percentage of detailed UC supervisory plans implemented by District supervisors and made available to supervisor officers in each Project Province (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993290 Balochistan (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 76.00 89.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993291 KP (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 88.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993292 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 89.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993293 6/28/2021 Page 10 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Sindh (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 80.00 100.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993294 ►In each province, a simple average of the percent of children in each targeted city aged 12-23 months who are fully immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 07-Jun-2020 07-Jun-2020 09-May-2021 31-Dec-2021 IN00993295 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 42.00 42.00 45.60 46.20 Date 07-Jun-2020 07-Jun-2020 09-May-2021 31-Dec-2021 IN00993296 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 76.00 76.00 76.60 83.60 Date 07-Jun-2020 07-Jun-2020 09-May-2021 31-Dec-2021 IN00993297 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 77.00 77.00 87.30 84.70 Date 07-Jun-2020 07-Jun-2020 09-May-2021 31-Dec-2021 IN00993298 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 63.00 65.60 69.30 Date 07-Jun-2020 07-Jun-2020 09-May-2021 31-Dec-2021 IN00993299 ►Percentage of zero-dose children in each city who received their overdue vaccines within six months of being identified by the polio team (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 6/28/2021 Page 11 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993300 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 20.00 20.00 40.00 Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993301 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 53.00 53.00 53.00 70.00 Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993302 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 91.00 91.00 91.00 93.00 Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993303 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 30.00 30.00 60.00 Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 Component 3: Demand Generation IN00993239 ►Number of contracts by each province with CSOs for provision of immunization services in urban slums awarded (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993241 Balochistan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993245 KP (Number, Custom Breakdown) 6/28/2021 Page 12 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 31-Dec-2014 30-Jan-2020 30-Jan-2020 31-Dec-2021 IN00993249 Punjab (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2.00 4.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993253 Sindh (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 3.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993258 ►Percentage of children under two years of age with vaccination card available (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 Survey in process. Punjab result is from Punjab MICS 2018. Comments: IN00993262 Balochistan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 0.00 20.00 50.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993266 KP (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 39.70 0.00 57.30 80.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993271 Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.70 80.00 80.80 85.00 6/28/2021 Page 13 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993274 Sindh (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 25.90 0.00 50.50 75.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993277 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25,556,687.00 30,095,447.00 41,794,171.00 Date 31-Dec-2016 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993282 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25,556,687.00 30,095,447.00 41,794,171.00 Date 31-Dec-2016 30-Jan-2020 09-May-2021 31-Dec-2021 Component 4:Health Systems Strengthening IN00993240 ►Percentage of districts in each province with functional cold chain equipment in place as per specifications >95% in each tier of health system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993242 Balochistan (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 85.00 94.00 95.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993246 KP (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 89.00 98.00 92.00 95.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993250 6/28/2021 Page 14 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Punjab (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 73.00 100.00 97.00 95.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993254 Sindh (Percentage, Custom Breakdown, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 56.00 100.00 93.00 95.00 Date 31-Dec-2014 30-Jan-2020 09-May-2021 31-Dec-2021 IN00993259 ►In each province, the departments of health continuously maintain appropriately qualified specialized staff: epidemiologist, M&E, surveillance and FM officer positions (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Position: vacant Position: vacant Position: vacant Position: filled Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993261 Balochistan (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993265 KP (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993269 Punjab (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 IN00993273 Sindh (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date 07-Jun-2020 07-Jun-2020 07-Jun-2020 31-Dec-2021 6/28/2021 Page 15 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Performance-Based Conditions IN00993304 ►PBC 1 Percent of children aged between 12-23 months in the province or territory who are fully immunized (Percentage, Outcome, 12.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 1.1 Balochistan (Percentage, Outcome, 1.08, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 16.00 29.00 37.50 50.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 1.2 KP (Percentage, Outcome, 1.91, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 53.00 55.00 67.00 80.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 1.3 Punjab (Percentage, Outcome, 5.74, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 66.00 80.00 88.90 80.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 1.4 Sindh (Percentage, Outcome, 4.14, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 29.00 49.00 59.00 80.00 Date -- 30-Jan-2020 09-May-2021 -- IN00993309 6/28/2021 Page 16 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) ►PBC 2 Percentage of UC in each province for which revised computerized UC level micro plans are in functional use at district and provincial levels (Percentage, Process, 6.43, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 2.1 Balochistan (Percentage, Process, 0.54, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 93.00 91.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 2.2 KP (Percentage, Process, 0.95, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 99.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 2.3 Punjab (Percentage, Process, 2.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 97.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 2.4 Sindh (Percentage, Process, 2.07, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- IN00993314 ►PBC 3 Percentage of districts in each province reporting coverage of >80% Penta3 in children between 12-23 months which have these reports validated (Percentage, Outcome, 12.89, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- 6/28/2021 Page 17 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) PBC 3.1 Balochistan (Percentage, Outcome, 1.08, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 39.00 6.00 35.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 3.2 KP (Percentage, Outcome, 1.92, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 52.00 68.00 40.00 60.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 3.3 Punjab (Percentage, Outcome, 5.74, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 25.00 100.00 97.00 80.00 Date -- 30-Jan-2020 09-May-2021 -- PBC 3.4 Sindh (Percentage, Outcome, 4.14, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 33.00 66.00 24.40 80.00 Date -- 30-Jan-2020 09-May-2021 -- IN00993319 ►PBC 4 Percentage of Districts in each province with at least 80% timeliness and completeness reporting on vLMIS (Percentage, Intermediate Outcome, 6.43, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 4.1 Balochistan (Number, Intermediate Outcome, 0.54, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 30.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- 6/28/2021 Page 18 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) PBC 4.2 KP (Number, Intermediate Outcome, 0.95, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 25.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 4.3 Punjab (Number, Intermediate Outcome, 2.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 36.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 4.4 Sindh (Number, Intermediate Outcome, 2.07, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 28.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- IN00993324 ►PBC 5 Percentage of districts in each province with their recognized surveillance sites having functional online surveillance for Vaccine Preventable Diseases & Adverse Events Following Immunization (Percentage, Output, 6.44, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 5.1 Balochistan (Percentage, Output, 0.96, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 94.00 88.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 5.2 KP (Percentage, Output, 0.54, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 40.00 -- Date -- 30-Jan-2020 09-May-2021 -- 6/28/2021 Page 19 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) PBC 5.3 Punjab (Percentage, Output, 2.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 100.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 5.4 Sindh (Percentage, Output, 2.07, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 86.00 -- Date -- 30-Jan-2020 09-May-2021 -- IN00993329 ►PBC 6 Percentage of districts in each province with functional cold chain equipment in place as per specifications >95% in each tier of health system (Percentage, Intermediate Outcome, 6.43, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 6.1 Sindh (Percentage, Intermediate Outcome, 0.54, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 56.00 100.00 93.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 6.2 KP (Percentage, Intermediate Outcome, 0.95, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 89.00 98.00 92.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 6.3 Balochistan (Percentage, Intermediate Outcome, 2.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 63.00 85.00 94.00 -- Date -- 30-Jan-2020 09-May-2021 -- 6/28/2021 Page 20 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) PBC 6.4 Sindh (Percentage, Intermediate Outcome, 2.07, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 56.00 100.00 93.00 -- Date -- 30-Jan-2020 09-May-2021 -- IN00993334 ►PBC 7 Percentage of detailed UC supervisory plans implemented by District supervisors and made available to supervisor officers in each Project Province (Percentage, Process, 10.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 7.1 Balochistan (Percentage, Process, 0.84, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 89.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 7.2 KP (Percentage, Process, 1.49, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 100.00 88.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 7.3 Punjab (Percentage, Process, 4.45, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 89.00 89.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 7.4 Sindh (Percentage, Process, 3.22, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 80.00 80.00 -- Date -- 30-Jan-2020 09-May-2021 -- 6/28/2021 Page 21 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) IN00993339 ►PBC 8 Percentage of children under two years of age with vaccination card available (Percentage, Output, 6.44, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 8.1 Balochistan (Percentage, Output, 0.54, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 25.90 0.00 20.00 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 8.2 KP (Percentage, Output, 0.96, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 39.70 0.00 57.30 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 8.3 Punjab (Percentage, Output, 2.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 40.70 80.00 80.80 -- Date -- 30-Jan-2020 09-May-2021 -- PBC 8.4 Sindh (Percentage, Output, 2.07, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 25.90 0.00 50.50 -- Date -- 30-Jan-2020 09-May-2021 -- IN00993344 ►PBC 9 Budget allocations for immunization are continuous, adequate and can be easily tracked within the provinical financial management information systems (Text, Outcome, 12.87, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 6/28/2021 Page 22 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value No No yes -- Date -- 30-Jan-2020 09-May-2021 -- PBC 9.1 Balochistan (Text, Intermediate Outcome, 1.08, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value No No yes -- Date -- 30-Jan-2020 09-May-2021 -- PBC 9.2 KP (Text, Intermediate Outcome, 1.92, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value No No yes -- Date -- 30-Jan-2020 09-May-2021 -- PBC 9.3 Punjab (Text, Intermediate Outcome, 5.74, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value No No yes -- Date -- 30-Jan-2020 09-May-2021 -- PBC 9.4 Sindh (Text, Intermediate Outcome, 4.14, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value No No No -- Date -- 30-Jan-2020 30-Jan-2020 -- IN00993349 ►PBC 10 In each province, a simple average of the percent of children in each targeted city aged 12-23 months who are fully immunized (Percentage, Intermediate Outcome, 7.10, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 07-Jun-2020 09-May-2021 -- PBC 10.1 Balochistan (Percentage, Intermediate Outcome, 0.61, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 6/28/2021 Page 23 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value 42.00 42.00 45.50 -- Date -- 07-Jun-2020 07-Jun-2020 -- PBC 10.2 KP (Percentage, Intermediate Outcome, 1.01, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 76.00 76.00 76.60 -- Date -- 07-Jun-2020 09-May-2021 -- PBC 10.3 Punjab (Percentage, Intermediate Outcome, 3.65, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 77.00 77.00 87.30 -- Date -- 07-Jun-2020 09-May-2021 -- PBC 10.4 Sindh (Percentage, Intermediate Outcome, 1.83, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 63.00 63.00 65.60 -- Date -- 07-Jun-2020 09-May-2021 -- IN00993354 ►PBC 11 In each province, the departments of health continuously maintain appropriately qualified specialized staff: epidemiologist, M&E, surveillance and FM officer positions (Text, Output, 3.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value Positions: vacant Positions: vacant Positions: vacant -- Date -- 07-Jun-2020 07-Jun-2020 -- PBC 11.1 Balochistan (Text, Output, 0.75, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date -- 07-Jun-2020 07-Jun-2020 -- PBC 11.2 KP (Text, Output, 0.75, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 6/28/2021 Page 24 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date -- 07-Jun-2020 07-Jun-2020 -- PBC 11.3 Punjab (Text, Output, 0.75, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date -- 07-Jun-2020 07-Jun-2020 -- PBC 11.4 Sindh (Text, Output, 0.75, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value Positions: vacant Positions: vacant Positions: vacant Positions: filled Date -- 07-Jun-2020 07-Jun-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P132308 IDA-57860 Effective USD 50.00 50.00 0.00 36.75 13.63 73% P132308 TF-A2189 Effective USD 56.90 56.90 0.00 51.69 5.21 91% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P132308 IDA-57860 Effective 21-Apr-2016 31-Aug-2016 23-Nov-2016 31-Dec-2021 31-Dec-2021 P132308 TF-A2189 Effective 21-Apr-2016 31-Aug-2016 23-Nov-2016 31-Dec-2021 31-Dec-2021 Cumulative Disbursements 6/28/2021 Page 25 of 26 The World Bank Implementation Status & Results Report National Immunization Support Project (P132308) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History There has been no restructuring to date. Related Project(s) P167312-Additional Financing for Pakistan National Immunization Support Project 6/28/2021 Page 26 of 26