The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 9 | ARCHIVED on 30-Sep-2019 | ISR38537 | Implementing Agencies: Argentine Republic, Ministry of Health, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 11-Jun-2015 Effectiveness Date: 20-Nov-2015 Planned Mid Term Review Date: 20-May-2018 Actual Mid-Term Review Date: 06-Jul-2018 Original Closing Date: 31-Dec-2020 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to: (i) improving the readiness of public health facilities to deliver higher quality NCD-services for vulnerable population groups and expanding the scope of selected services; and (ii) protecting vulnerable population groups against prevalent NCD risk factors. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Improving the readiness of public health care facilities to provide higher quality services for NCDs for vulnerable population groups and expanding the scope of selected services.:(Cost $239.21 M) Component 2: Protecting vulnerable population groups against prevalent NCD risk factors.:(Cost $38.16 M) Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance, monitoring, promotion, prevention and control of NCDs, injuries, and risk factors.:(Cost $51.53 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO ►Moderately Satisfactory ►Moderately Satisfactory Overall Implementation Progress (IP) ►Moderately Unsatisfactory ►Moderately Satisfactory Overall Risk Rating ►High ►High Implementation Status and Key Decisions 9/30/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) A Project Restructuring has been approved to better align the Project with the implementation of the current MSN’s Strategies to achieve Universal Health Coverage (UHC) and implement the Primary Health Care (PHC) strategy which is a key pillar of the UHC strategy and foresees the implementation of an adequate care model for Non-Communicable Diseases (NCDs), all while to achieving a higher financial execution. 9/30/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- ►High ►High Macroeconomic -- ►Moderate ►Moderate Sector Strategies and Policies -- ►High ►High Technical Design of Project or Program -- ►Substantial ►Substantial Institutional Capacity for Implementation and Sustainability -- ►Substantial ►Substantial Fiduciary -- ►Substantial ►Substantial Environment and Social -- ►Low ►Low Stakeholders -- ►Moderate ►Moderate Other -- -- -- Overall -- ►High ►High Results PDO Indicators by Objectives / Outcomes Improving the Readiness of Public Health Facilities to Deliver Higher-quality NCD-Services for Vulne IN00743427 ►Percentage of public primary health care facilities certified to provide quality services for the detection and control of NCDs. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 29.40 28.67 60.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 This indicator achieved 95.55% (28.67%/30%) of its 2018 end year target. Comments: IN00743429 ►Number of public health care facilities providing new services for early detection of colon cancer. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 315.00 315.00 850.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 This indicator surpassed the 2018 end-year target (315/300). Comments: 9/30/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Protecting Vulnerable Population Groups Against Prevalent NCD Risk Factors. IN00743428 ►Prevalence of tobacco consumption among vulnerable population. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 27.70 27.50 31.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 IN00743430 ►Prevalence of sodium consumption among vulnerable population. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 13.30 13.30 16.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 Intermediate Results Indicators by Components Component 1: Improving the readiness of public health care facilities to provide higher quality services for NCDs for vulnerable population groups and expanding the scope of selected services. IN00743436 ►Percentage of public PHC facilities that have been evaluated regarding changes in their model of care for NCDs. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 30.00 30.88 65.00 Date 15-Jan-2014 31-Dec-2018 31-Dec-2018 31-Dec-2021 This indicator achieved 75% of the 2018 end-year target. Comments: IN00743439 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,141.00 2,141.00 3,500.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 2017 end year target surpassed (1200). Comments: Component 2: Protecting vulnerable population groups against prevalent NCD risk factors. IN00743437 ►Number of Provinces that have developed an NCD Plan. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 9/30/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Value 0.00 16.00 16.00 22.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 This indicator achieved 10% of the 2017 end-year target (10). Comments: IN00743440 ►Number of Provinces that have implemented recommended actions for tobacco control. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 16.00 22.00 22.00 22.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 IN00743442 ►Prevalence of tobacco consumption among adults. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.00 16.90 16.90 22.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 This indicator is being measured through Telephone Surveillance Survey, while data from the National Risk Factor Survey Comments: are still under process, to be released on April 30-2019. Therefore, it could vary. IN00743444 ►Number of Provinces that have implemented recommended actions to reduce population sodium consumption. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 19.00 19.00 22.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 2018 end-year target surpassed . Comments: Component 3: Supporting the National and Provincial Ministries of Health to improve surveillance, monitoring, promotion, prevention and control of NCDs, injuries, and risk factors. IN00743438 ►Number of Provinces that have an Intersectional working table in place with an NCD focus that include CSOs and NGOs. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 14.00 14.00 19.00 Date 15-Jan-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 IN00743441 ►Number of Provinces that have a regulation in place to prevent childhood obesity through actions in school environments (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 8.00 9/30/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Date 31-May-2019 14-May-2019 14-May-2019 31-Dec-2021 IN00743443 ►Number of provinces that implement changes to the regulatory standards regarding the advertisements and sponsorhips for tobacco products (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 6.00 Date 31-May-2019 14-May-2019 14-May-2019 31-Dec-2021 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P133193 IBRD-85080 Effective USD 350.00 303.82 46.18 143.78 160.03 47% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P133193 IBRD-85080 Effective 11-Jun-2015 09-Oct-2015 20-Nov-2015 31-Dec-2020 31-Dec-2021 Cumulative Disbursements 9/30/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Protecting Vulnerable People Against Noncommunicable Diseases Project (P133193) Restructuring History Level 2 Approved on 28-Jun-2019 Related Project(s) There are no related projects. 9/30/2019 Page 7 of 7