The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Salvador Social Multi-Sector Service Delivery Project II (P172605) LATIN AMERICA AND CARIBBEAN | Brazil | Social Protection & Jobs Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 1 | ARCHIVED on 24-Nov-2020 | ISR44398 | Implementing Agencies: Municipality of Salvador, Casa Civil Key Dates Key Project Dates Bank Approval Date: 22-Sep-2020 Effectiveness Date: -- Planned Mid Term Review Date: 15-Dec-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Dec-2024 Revised Closing Date: 30-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the efficiency of social service delivery in the Municipality of Salvador in the social assistance, education, and health sectors. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Support for strategic actions to improve service delivery:(Cost $119.69 M) Technical Assistance:(Cost $5.00 M) Front-End Fee:(Cost $0.31 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Moderate Implementation Status and Key Decisions Project was approved by World Bank Board of Directors on September 22, 2020. Project has not been signed yet and is not yet effective. It is pending final guarantee analysis by the Ministry of Economy and Senate approval. 11/24/2020 Page 1 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial -- Substantial Macroeconomic Substantial -- Substantial Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Moderate -- Moderate Sustainability Fiduciary Moderate -- Moderate Environment and Social Substantial -- Substantial Stakeholders Moderate -- Moderate Other Substantial -- Substantial Overall Moderate -- Moderate Results PDO Indicators by Objectives / Outcomes Support for strategic actions to improve service delivery IN00920815 ►Descentralized Municipal Management Index IGD-M (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.76 -- 0.76 0.80 Date 30-Apr-2020 -- 18-Nov-2020 28-Jun-2024 The Index is used to monitor the integrated offer of social assistance, education, and health services for Comments: families beneficiaries of Bolsa Família program and includes other three factors reflecting the management of the Unified Social Assistance System (SUAS). IN00920836 ►Age-grade distortion rates at Lower Secondary Education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.50 -- 42.50 30.00 Date 30-Apr-2020 -- 18-Nov-2020 28-Jun-2024 Ratio given between the number of students overaged (with two or more years of delay) at the final years Comments: of elementary school and the number of total students in the final years of elementary school IN00920837 11/24/2020 Page 2 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) ►Proportion of hospital admissions for Ambulatory Care Sensitive Conditions (ACSC) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 26.60 -- 26.60 25.50 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Proportion of the hospital admissions for ACSC, their length of stay and readmissions, which could be Comments: prevented by primary health care interventions Intermediate Results Indicators by Components Support for strategic actions to improve service delivery IN00920839 ►Percentage of families in suspension of benefits due to non-compliance of conditionalities assisted by social assistance sector (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 -- 1.00 50.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Percentage of families with benefit suspended in the period assisted by social assistance according to Comments: protocols from federal government IN00920841 ►Number of social assistance units offering Cadastro Unico services (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 8.00 -- 8.00 35.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Number of social assistance equipment with registration service offer per year ascertained by the Comments: interviewer's proof in the SUAS Registration System, CADSUAS. IN00920842 ►Performance Index of CRAS / Average CRAS (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 2.28 -- 2.28 3.50 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Average CRAS performance indexes assessed by physical structure, human resources and Comments: services/benefits IN00920844 ►Performance Index of CREAS / average CREAS (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 2.95 -- 2.95 3.75 11/24/2020 Page 3 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Average CREAS performance indexes assessed by physical structure, human resources and Comments: services/benefits IN00920845 ►Rate of monitoring of health conditionalities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 67.00 -- 67.00 72.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 The indicador measure access of preventive health care through children immunization and pre-natal care Comments: visits for poor and extreme poor families beneficiaries of social program IN00920846 ►Rate of monitoring of education conditionalities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 87.00 -- 87.00 90.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 The indicator measure access and retention of school-aged children in school from poor and extreme poor Comments: families beneficiaries of social program. IN00920847 ►Registration of homeleness population in Cadastro Unico (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2,200.00 -- 2,200.00 4,000.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Comments: Number of families classified as homeless population enrolled in Cadastro Unico. IN00920848 ►Updated Records in Cadastro Unico (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 76.00 -- 76.00 80.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 It measures proportion of updating records in Cadastro Unico social registry for families with per capita Comments: income below ½ minimum wage in the municipality of Salvador IN00920849 ►Percentage of social workers enrolled in the municipal plan of continuous education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 11/24/2020 Page 4 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Development of continuing education plan and training of social workers developed in accordance with the Comments: Permanent Education Program of the Municipality. IN00920850 ►Number of adult women victims of domestic violence attended by the Protection and Comprehensive Service to Families and Individuals (PAEFI) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 78.00 -- 78.00 350.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Number of adult women victims of domestic violence attended by the Protection Service and Specialized Comments: Care for Families and Individuals (PAEFI) registered in the SUAS Monthly Care Record Tool (RMA). IN00920851 ►Percentage of children enrolled in acceleration programs at primary education that progress at least 2 grades (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 53.00 -- 53.00 65.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given between the number of children enrolled in accelerated learning programs in primary Comments: education who advance at least 2 grade and the total number of enrolled in accelerated learning programs in primary education. An advancement in grade is considered in relation to the original grade. IN00920852 ►Number of students enrolled in full-time education (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 5,820.00 -- 5,820.00 10,000.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 The total number of students in primary and lower secondary education of the municipal network enrolled Comments: in full time education. IN00920853 ►Number of children from 0 to 3 years old with home visits on cognitive and socioemotional stimulation provided by SMED early childhood interventions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 800.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given by the number of children from 0 to 3 years old who participate in the cognitive and Comments: socioemotional stimulation provided by SMED interventions in early childhood. IN00920854 ►Age-grade distortion rates at Primary Education (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 24.10 -- 24.10 16.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 11/24/2020 Page 5 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Ratio given between the number of students in age-grade distortion in the Early Years of Elementary Comments: School at the municipal network and the number of total number of students in the Early Years of Elementary School at the municipal network. IN00920855 ►Percentage of children enrolled in accelerated learning programs at lower secondary education that progress at least 2 grades (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given between the number of children enrolled in accelerated learning programs in the final years of elementary school at the municipal network who advance at least 2 years and the total number of Comments: students in the Final Years in Age distortion enrolled in accelerated learning programs at the municipal network. IN00920856 ►Attendance rates of students who completed the accelerating programs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 85.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given between the number of frequent students graduating from flow regularization programs at the Comments: municipal network and the total number of graduating students from flow regularization programs at the municipal network. IN00920857 ►Percentage of accelerated learning student groups (both in primary and lower secondary education) with adequate number of supporting staff (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 85.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given between the number of student groups of accelerated learning programs at the municipal network with an adequate number of supporting staff and the total of student groups of accelerated Comments: learning programs. Adequate number of supporting staff is defined as the 1 for every 8 student groups of accelerated learning programs. IN00920858 ►Percentage of students in remedial education programs to reduce repetition with at least with 80% of attendance. (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 85.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given by the number of students in the remedial education programs to reduce grade repetition with Comments: at least 80% attendance and the number of students in the remedial education programs to reduce grade repetition at the municipal network. IN00920859 ►Age-grade distortion rate at the first grade (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 11/24/2020 Page 6 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Value 7.50 -- 7.50 4.70 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Ratio given between the number of students in distortion enrolled in the first year of elementary school at Comments: the municipal network and the total number of students enrolled in the first year at the municipal network, IN00920860 ►Proportion of Primary Health Care coverage (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.20 -- 50.20 61.70 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Proportion of population in a territory receiving continuing, comprehensive and preventive health care Comments: services (e.g., family practice, internal medicine, obstetrics/gynecology, or pediatrics) that are the first point of health care for a patient in an ambulatory setting. IN00920861 ►Proportion of ill-defined causes of deaths (IDCD) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 93.50 -- 93.50 95.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Investigation of ill-defined causes of deaths to improve vital registration (VR) and support decision-making Comments: process in health. The investigation and its analysis enable the identification of the sequence of events leading to death, therefore defining the underlying cause of death IN00920862 ►Percentage of medium complexity health procedures contracted out (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 66.00 -- 66.00 80.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Percentage of provision and actual delivery of medium complexity health procedures by the private sector Comments: that are offered through the municipal regulation system. IN00920863 ►Response time to provide hospitals beds for emergency patients through the municipal regulation system (percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 -- 63.00 73.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Percentage of patients, from intermediate Emergency Care Units (UPAs), demanding hospital beds Comments: referred to hospitals within 24-hours IN00920864 ►Response time to provide hospitals beds for COVID-19 patients through the municipal regulation system (percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 11/24/2020 Page 7 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Value 68.00 -- 68.00 73.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Percentage of COVID-19 patients, from intermediate Emergency Care Units, demanding hospital beds Comments: referred to hospitals within 24-hours IN00920865 ►Number of home-based visits provided by multidisciplinary home-care teams (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 1,046.00 -- 1,046.00 14,680.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Number of home-based visits provided by EMAD, aiming at health promotion, prevention, treatment, Comments: rehabilitation and palliation IN00920866 ►Proportion of low risk (green) or no risk (blue) patients cared in the Intermediate Emergency Care Units (UPAs) (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 81.60 -- 81.60 75.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Proportion of primary health care patients attended in intermediate emergency units. Measures the Comments: solvability of the caretaking in primary care: multiprofessional articulation and services network. IN00920867 ►Percentage of patients accessing the municipal healthcare facilities with clinical information recorded in the municipal Electronic Medical Record System (Percentage, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 59.80 -- 59.80 95.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Percentage of patients attended in the municipal health care facilities with clinical information recorded in Comments: the municipal Electronic Medical Records System. Expresses actual utilization of the system to provide better health care, better clinical decision-making and improve efficiency and lower health care costs. Technical Assistance IN00920838 ►Implementation of an integrated operational system for SUAS and Cadastro Unico (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 30-Apr-2020 -- 18-Nov-2020 30-Apr-2024 Development and implementation of a management system for SUAS and Cadastro Unico information Comments: described in Project Progress Report of the stages: conceptual design, operational design, implementation and utilization. IN00920840 11/24/2020 Page 8 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) ►Number of social media and communication campaigns to inform and educate on GBV prevention and increase knowledge of social services available for domestic violence victims (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 Comments: Communication campaigns reported in the Progress Report IN00920843 ►Grievance Redress Mechanism. Rate of complaints on Project related sectors that are addressed within normatives (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.19 -- 1.19 30.00 Date 30-Apr-2020 -- 18-Nov-2020 30-Dec-2024 The indicator is measured as the number of complaints on social assistance, education, and health Comments: sectors addressed on time according to the OGM normative divided by the total number of complaints in those sectors expressed as a percentage. Performance-Based Conditions IN00920868 ►PBC 1 Percentage of families in suspension of benefits due to non-compliance of conditionalities assisted by social assistance sector (Percentage, Intermediate Outcome, 1,250,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 1.00 -- 1.00 -- Date -- -- 18-Nov-2020 -- IN00920869 ►PBC 2 Number of social assistance units offering Cadastro Unico services (Number, Intermediate Outcome, 1,100,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 8.00 -- 8.00 -- Date -- -- 18-Nov-2020 -- IN00920870 ►PBC 3 Performance Index of CRAS / Average CRAS (Number, Intermediate Outcome, 1,200,000.00, 3.00%) 11/24/2020 Page 9 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Baseline Actual (Previous) Actual (Current) FY24 Value 2.28 -- 2.28 -- Date -- -- 18-Nov-2020 -- IN00920871 ►PBC 4 Performance Index of CREAS / average CREAS (Number, Intermediate Outcome, 1,200,000.00, 3.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 2.95 -- 2.95 -- Date -- -- 18-Nov-2020 -- IN00920872 ►PBC 5 Percentage of children enrolled in acceleration programs at primary education that progress at least 2 grades (Percentage, Intermediate Outcome, 4,750,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 53.00 -- 53.00 -- Date -- -- 18-Nov-2020 -- IN00920873 ►PBC 6 Number of students enrolled in full-time education (Number, Intermediate Outcome, 1,900,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 5,820.00 -- 5,820.00 -- Date -- -- 18-Nov-2020 -- IN00920874 ►PBC 7 Percentage of accelerated learning student groups (both in primary and lower secondary education) with adequate number of supporting staff (Percentage, Intermediate Outcome, 4,750,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 0.00 -- 0.00 -- Date -- -- 18-Nov-2020 -- 11/24/2020 Page 10 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) IN00920875 ►PBC 8 Percentage of students in remedial education programs to reduce repetition with at least with 80% of attendance. (Percentage, Intermediate Outcome, 2,850,000.00, 5.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 0.00 -- 0.00 -- Date -- -- 18-Nov-2020 -- IN00920876 ►PBC 9 Percentage of medium complexity health procedures contracted out (Percentage, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 66.00 -- 66.00 -- Date -- -- 18-Nov-2020 -- IN00920877 ►PBC 10 Number of home-based visits provided by multidisciplinary home-care teams (Number, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 1,046.00 -- 1,046.00 -- Date -- -- 18-Nov-2020 -- IN00920878 ►PBC 11 Proportion of low risk (green) or no risk (blue) patients cared in the Intermediate Emergency Care Units (UPAs) (Percentage, Intermediate Outcome, 18,920,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY24 Value 81.60 -- 81.60 -- Date -- -- 18-Nov-2020 -- IN00920879 ►PBC 12 Percentage of patients accessing the municipal healthcare facilities with clinical information recorded in the municipal Electronic Medical Record System (Percentage, Intermediate Outcome, 18,927,500.00, 12.00%) 11/24/2020 Page 11 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) Baseline Actual (Previous) Actual (Current) FY24 Value 59.80 -- 59.80 -- Date -- -- 18-Nov-2020 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P172605 IBRD-91620 USD 125.00 125.00 0.00 0.00 125.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P172605 IBRD-91620 22-Sep-2020 -- -- 30-Dec-2024 30-Dec-2024 Effective Cumulative Disbursements 11/24/2020 Page 12 of 13 The World Bank Implementation Status & Results Report Salvador Social Multi-Sector Service Delivery Project II (P172605) 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) There are no related projects. 11/24/2020 Page 13 of 13