Document of The World Bank Report No: 66053 v1 DRAFT RESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING OF NIGERIA HIV/AIDS PROGRAM DEVELOPMENT PROJECT II PROJECT CREDIT June 16, 2009 TO THE FEDERAL REPUBLIC OF NIGERIA September 27, 2011 Regional Vice President: Obiageli Ezekwesili Country Director: Marie Francoise Marie-Nelly Sector Manager / Director: Ritva Rienikka Task Team Leader: Francisca Ayodeji Akala 2 NIGERIA NIGERIA HIV/AIDS PROGRAM DEVELOPMENT PROJECT II P102119 CONTENTS Page A. SUMMARY................................................................................................................ 4 B. PROJECT STATUS.................................................................................................. 4 C. PROPOSED CHANGES .......................................................................................... 4 ANNEX 1: Results Framework and Monitoring............................................................ 5 ANNEX 2: Revised Disbursement Esitmates…………………………………………………..11 3 NIGERIA HIV/AIDS PROGRAM DEVELOPMENT PROJECT II RESTRUCTURING PAPER SUMMARY 1. This Restructuring Paper seeks the approval of the Country Director to restructure the Second HIV/AIDS Program Development Project (P102119, Cr. 45960) and make necessary amendments to the project’s legal documents. The project was approved by the World Bank Board on June 16, 2009. Due to the changes in the procedures of the Federal Government of the Republic of Nigeria, the credit agreement was signed seventeen months later on November 25, 2010. 2. The proposed restructuring includes: (i) extension of the closing date, (ii) revisions of the performance indicators, baselines and targets and (iii) formal revision of the Disbursement Estimates. The project’s development objective remains the same. The proposed changes have been discussed and agreed with the Government. PROJECT STATUS The World Bank approved the Credit of USD225 million on June 16, 2009. The project became effective on February 25, 2011. The start of the project implementation was delayed due to the prolonged delay in the signing of the Credit Agreement. Accordingly, the project performance is currently rated ‘Moderately Satisfactory’. As of September 26, 2011, it has disbursed USD5.3 million (2.2%). Twelve states and Federal are currently disbursing and several more states will join them as they meet their disbursement conditions. The first audit report for the Credit is not yet due and therefore there is currently no outstanding audit report. PROPOSED CHANGES Project Development Objective: There are no proposed changes to the project development objective. Closing Date: The project is due to close on December 31, 2013, leaving less than three years out of the five years Government requires for implementation to achieve the project objectives. Government has therefore requested to extend the project closing date to November 30, 2015. Results/Indicators: Two types of changes are proposed: (i) updating baselines to reflect the delayed start of the project implementation and aligning the target values accordingly, and (ii) streamlining the number of indicators so to ensure the sharper results focus (including dropping the intermediate indicator “by June 2011, all Participating States and the Federal Capital Territory have transformed their SACAs into financially 4 autonomous statutory agencies� erroneously included as a PDO indicator in the current Financing Agreement. This indicator will continue to be monitored by Government). The proposed changes have been reviewed in consultation with the National Agency for Control of AIDS (NACA). The proposed changes are summarized in the Annex 1. Disbursement Estimates: Formal revision of the disbursement estimates in line with the revised implementation period. The revised schedule is in Annex 2. 5 6 ANNEX 1 Results Framework and Monitoring NIGERIA: NIGERIA HIV/AIDS PROGRAM DEVELOPMENT PROJECT II Project Development Objective (PDO): 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 Revised Project Development Objective: No change D=Dropped Cumulative Target Values** C=Continue Responsibility Core PDO Level Results N= New Unit of Data Source/ R=Revised Baseline YR 1 YR 2 YR 3 YR4 Frequency for Data Indicators* Measure Methodology (2011) (2012 (2013) (EoP) Collection Indicator One: Women 34.3% Women 38% Women 40% Biennial National AIDS HIV/AIDS Percentage of young women C % Men 52.2% Men 57% Men 60% and Division, and men aged 15-24 reporting Reproductive Federal Ministry the use of a condom during NARHS 2007 Health Survey of Health (last) sexual intercourse with a (NARHS) (population non regular partner (of those based survey) reporting sexual intercourse with a non regular partner in the last 12 months) Indicator Two: Women 1.1% Women 0.9% Women 0.6% Biennial NARHS HIV/AIDS Percentage of women and men C % Men 7.2% Men 6.5% Men 5.0% Division, aged 15-49 who have had (population Federal Ministry sexual intercourse with more NARHS 2007 based survey) of Health than one partner in the last 12 months Indicator Three: Female Sex Female Sex Biennial Integrated Bio- HIV/AIDS Percentage of Female Sex R % Workers Workers Behavioural Division, Workers (Brothel-Based and 68% (brothel 72% (brothel Surveillance Federal Ministry Non Brothel-Based) reporting based) based) Survey (IBBSS) of Health consistent condom use with 61% (non brothel 65% (non casual partner in the last 12 based) brothel based) months. IBBSS 2010 8 Indicator Four: 4.4 million 6 million 10 million Biennial NDHS National [Project Beneficiaries] R Number NARHS Population Number of women and men (previously NDHS 2008 Commission; aged 15-49 who received an given as %) (estimated from HIV/AIDS X HIV test in the last 12 months population Division, and who know their results based surveys) Federal Ministry of Health Indicator Five: 26,133 28,000 40,000 Annual Routine HIV/AIDS Pregnant women living with Number Reporting/ Division, HIV who receive a complete R Surveys Federal Ministry course of antiretroviral X (previously Federal Ministry of Health prophylaxis to reduce the risk given as %) of Health 2010 of MTCT Indicator Six: FSWs 34% FSWs 50% Biennial IBBSS HIV/AIDS C % MSM 33% MSM 57% Division, IDUs 45% IDUs 47% Federal Ministry Percentage of most-at risk of Health IBBSS 2010 populations who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission. Ratio of current school attendance between orphans D and non-orphans. 9 INTERMEDIATE RESULTS Intermediate Result (Component One): Expanding the Public Sector Response Revised Intermediate Result (Component One): No change Intermediate Result indicator 1046 1300 1600 Yearly Routine HIV/AIDS One: N % (4%) (5%) (6%) reporting Division, Number (and percentage) of Federal Ministry health facilities that provide 2010 of Health HIV counseling and testing services Intermediate Result indicator 87% 90% 90% Yearly NNRIMS HIV/AIDS Two: Percentage of HIV- N % Routine Division, positive patients who were 2008 reporting Federal Ministry screened for TB in HIV care or [Indicator 64] of Health treatment settings Intermediate Result indicator 22.8% 25% 30% Yearly NNRIMS Federal Ministry Three: Percentage of schools C % Routine of Education that provided life skills based 2009 reporting HIV education in the last [Indicator 64] academic year (secondary schools only) Percentage of SACAs and R Public Sector organizations that hold partner forum on a regular Revised indicator moved to Component Three basis to report on planning, decisions and progress Percentage of Health Facilities D providing comprehensive care and treatement services Number of Line Ministries and LACAs implementing D HIV/AIDS workplans (disaggregated by the type of organization) 10 Intermediate Result (Component Two): Expanding the Civil Society and Private Sector Response to the HIV/AIDS Epidemic Revised Intermediate Result (Component Two): No change Intermediate Result indicator Four: R % 0% 0% 60% 70% 80% Yearly Routine NACA Percentage of organizations (timing reporting specified as that report quarterly and on 2011 “quarterly�) time on agreed project (HAF not indicators. (disaggregated by implemented yet) Private Sector organizations and CSOs) Intermediate Result indicator Five: N % 0% 0% 60% 70% 80% Yearly Routine NACA Percentage of organizations reporting that submit quarterly Financial 2011 Monitoring and Procurement (HAF not reports according to specific implemented yet) guidelines. (disaggregated by Private Sector organizations and CSOs) Number of PLWHA groups and associations that receive a basic D package of support from CSOs that implement the HIV/AIDS Fund (HAF) program. Number of orphans that receive a basic package of support from D CSOs that implement the HIV/AIDS Fund (HAF) program. 11 Intermediate Result (Component Three): Strengthening Mechanisms for Project Coordination and Management Revised Intermediate Result (Component Three): No change Intermediate Result indicator Six: N Number 0 1 1 1 1 Yearly NACA Availability of Annual HAF performance report prepared by 2011 NACA Intermediate Result indicator Seven: R % 0 0 40% 60% 80% Yearly Quarterly NACA Percentage of SACAs and Implementation SACAs Public Sector Organizations 2011 Progress that hold quarterly partner Reports forums to report on planning, decisions and progress Intermediate Result indicator Eight: C % SACAs ?/37 80% 90% 100% Yearly Routine NACA Number of SACAs, State and Federal MDAs reporting federal level public sector ?/13 organizations that have a State MDAs written strategic plan clearly ?/5 linked to the National Strategic NACA collecting objectives and priorities baseline data Intermediate Result indicator NACA collecting Target to be Target to be None: R Number baseline data agreed with agreed with Yearly Routine SACA reports Number of LACAs NACA NACA reporting implementing HIV/AIDS workplans Percentage of Public Sector, Private Sector and CSO D organizations with improved financial accounting practices Percentage of NACA/SACA staff that were trained in past D year and are demonstrating new skills in job responsibilities (disaggregated by NACA and SACA) Percentage of actual funds utilized relative to planned D 12 targets Number of States that link the National programme priorities D with their annual operational plans All Participating States and the Federal Capital Territory have D transformed their SACAs inot financially autonomous statutory agencies *Please indicate whether the indicator is a Core Sector Indicator (see further http://coreindicators) **Target values should be entered for the years data will be available, not necessarily annual 13 ANNEX 2 Revised Disbursement Estimates Quarter Original (USD) Formally Revised (USD) Q4-FY-2009 0 0 Q1-FY-2010 0 0 Q2-FY-2010 0 0 Q3-FY-2010 3,000,000.00 0 Q4-FY-2010 5,000,000.00 0 Q1-FY-2011 10,000,000.00 0 Q2-FY-2011 15,000,000.00 0 Q3-FY-2011 15,000,000.00 0 Q4-FY-2011 15,000,000.00 1,500,000 Q1-FY-2012 15,000,000.00 3,000,000 Q2-FY-2012 15,000,000.00 3,000,000 Q3-FY-2012 15,000,000.00 3,000,000 Q4-FY-2012 15,000,000.00 3,000,000 Q1-FY-2013 15,000,000.00 4,000,000 Q2-FY-2013 15,000,000.00 4,500,000 Q3-FY-2013 15,000,000.00 6,500,000 Q4-FY-2013 15,000,000.00 7,000,000 Q1-FY-2014 22,000,000.00 10,000,000 Q2-FY-2014 20,000,000.00 10,000,000 Q3-FY-2014 0 12,000,000 Q4-FY-2014 0 12,000,000 Q1-FY-2015 0 15,000,000 Q2-FY-2015 0 18,000,000 Q3-FY-2015 0 18,000,000 Q4-FY-2015 0 20,000,000 Q1-FY-2016 0 25,000,000 14 Q2-FY-2016 0 Q3-FY-2016 0 TOTAL 225,000,000.00 225,000,000.00 15 16