The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) DRC Human Development Systems Strengthening (P145965) AFRICA | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 12 | ARCHIVED on 30-Jun-2020 | ISR41942 | Implementing Agencies: Democratic Republic of Congo, The World Bank, DRC Ministry of Finance, CFEF-Ministry of Finance, World Bank, World Bank Key Dates Key Project Dates Bank Approval Date: 23-Apr-2014 Effectiveness Date: 20-Jan-2015 Planned Mid Term Review Date: 11-Jun-2018 Actual Mid-Term Review Date: 30-Jul-2018 Original Closing Date: 31-Dec-2018 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to strengthen select management systems for education and health services in targetedgeographic areas in the Recipient's territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Information Systems:(Cost $40.52 M) Component 2: Systems for Safe Essential Medicines:(Cost $12.71 M) Component 3: Analytical Products:(Cost $2.85 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 project has three components: i) Information systems (US$40.52 million); ii) Systems for safe essential medicines (US$12.71 million); and iii) Analytic products (US$2.85 million). Component 1 aims to enable data-driven decision-making, leading to more efficient use of sources and improved human development outcomes. A major sub-component (US$20m) was added for civil registration and vital statistics (CRVS) through the additional financing. Component 2 aims to enhance the capacity of the system that provides safe and effective essential medicines. Component 3 has two objectives: i) to ensure that targeted ministries have access to high quality analytical products to inform decision-making and systems development; and ii) to enable DRC to learn from and share its lessons with the global community, particularly from/with other fragile and conflict- affected states. Improvement trends continue to be positive. Over 90% of educational sub-Provinces have workplans, over 90% of health zones have work plans, and the Logistic Management Information System (LMIS) strategy has now been finalized and pending validation. Of the 15 intermediate indicators, 6/30/2020 Page 1 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) 8 have already been achieved or about to be achieved, including the GIS mapping of health facilities and the development of a Business Plan which supported the creation of an autonomous regulatory agency (ACOREP). The implementation of the Service Delivery Indicator (SDI) surveys and Civil Registration and Vital Statistics (CRVS) reforms are underway and on track. The geo-mapping of health facilities in the areas covered by the project is underway as well as for the mapping of school facilities at kindergarten and primary levels. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High Substantial Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Substantial Substantial Institutional Capacity for Implementation and -- High Substantial Sustainability Fiduciary -- Substantial Substantial Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Strengthen select management systems for education and health services in targeted geogr. areas IN00848006 ►Educational sub-provinces in targeted areas with annual plans and reports based on improved SIGE data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 01-Apr-2014 11-Oct-2019 11-Oct-2019 31-Dec-2020 IN00848007 ►Strategy for a national CRVS system developed and endorsed by the various stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/30/2020 Page 2 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Value No No No Yes Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 The 3 phases remaining phases of the strategy development are Orientation, Development, and Decision. Comments: These will be completed by December 2020. IN00848008 ►National LMIS strategy, based upon pilot testing, endorsed by the stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 A LMIS strategy has already been developed and approved. Comments: IN00848009 ►Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 95.00 95.00 90.00 Date 01-Apr-2014 11-Oct-2019 11-Oct-2019 31-Dec-2020 IN00848010 Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (PHRD-financed areas) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 25.80 90.00 90.00 90.00 Date 31-Dec-2015 11-Oct-2019 11-Oct-2019 31-Dec-2018 IN00848011 ►Priority action points in the first SDI action plan which have been completed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator will be assessed after completion of the SDI survey currently underway. Comments: Intermediate Results Indicators by Components Component 1: Information Systems IN00848013 ►Territorial coverage of the GIS-based education map system in the targeted areas (Percentage, Custom) 6/30/2020 Page 3 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 IN00848016 ►Territorial coverage of the GIS-based health map system in the targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 96.70 96.77 90.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 IN00848018 ►HMIS reports submitted in a timely fashion in health zones supported by PHRD grant (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.90 32.00 38.90 60.00 Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2018 IN00848020 ►Action plans developed based on Service Delivery Indicators (SDI) surveys and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 2.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been achieved so far at 50%. Comments: IN00848021 ►CRVS-linked feedback cases addressed and closed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 57.00 90.00 Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 So far no complaint has been registered. CRVS activities are being conducted in Kinshasa and have Comments: recently been expanded to the Kasai Province. IN00848022 ►Children receiving a birth registration certificate (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,939.00 314,016.00 600,000.00 Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 The distribution of birth certificates in well advanced in Kinshasa. Comments: 6/30/2020 Page 4 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) IN00848023 Children receiving a birth registration certificate (under 5 years of age) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 62,803.00 150,000.00 Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 IN00848024 ►Health and education workers trained on information management systems in targeted areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,890.00 1,806.00 2,480.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been achieved at 76%. Comments: IN00848025 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,573.00 1,428,013.00 603,130.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This also captures CRVS activities including children receiving birth certificates. Additonal funds have Comments: been made available to surpass the target on CRVS. IN00848026 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.43 49.00 45.00 Component 2: Systems for Safe Essential Medicines IN00848012 ►Business plan for a more autonomous essential medicines regulatory authority developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 01-Apr-2015 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been already achieved. Comments: IN00848015 ►Action plan to optimize logistics of essential medicines in targeted provinces developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/30/2020 Page 5 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Value 0.00 0.00 1.00 1.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been achieved. Comments: IN00848017 ►Business plan for the FEDECAME developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 01-Apr-2014 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been achieved. Comments: IN00848019 ►Recommendations from 2014 WHO evaluation of the DPM which have been implemented with support from the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 20.00 20.00 Date 31-Dec-2015 11-Oct-2019 15-May-2020 31-Dec-2020 This indicator has been achieved. Comments: Component 3: Analytical Products IN00848014 ►Studies supported by Component 3 of the project which have been completed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 10.00 Date 01-Apr-2015 11-Oct-2019 11-Oct-2019 31-Dec-2020 This indicator has been achieved so far at 60%. Comments: Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P145965 IDA-D1110 Effective USD 30.00 30.00 0.00 17.72 12.27 59% 6/30/2020 Page 6 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) P145965 IDA-H9360 Effective USD 15.00 15.00 0.00 12.76 0.75 94% P145965 TF-A1960 Effective USD 10.00 10.00 0.00 7.89 2.11 79% P145965 TF-A2421 Effective USD 1.08 1.08 0.00 0.28 0.80 26% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P145965 IDA-D1110 Effective 29-Mar-2016 13-May-2016 17-Nov-2017 31-Dec-2020 31-Dec-2020 P145965 IDA-H9360 Effective 23-Apr-2014 19-Jun-2014 20-Jan-2015 31-Dec-2018 31-Aug-2020 P145965 TF-A1960 Effective 25-Feb-2016 13-May-2016 17-Nov-2017 31-Dec-2020 31-Dec-2020 P145965 TF-A2421 Effective 05-Apr-2016 13-May-2016 17-Nov-2017 30-Jun-2019 31-Aug-2020 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 6/30/2020 Page 7 of 8 The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Restructuring History Level 2 Approved on 12-Jan-2016 ,Level 2 Approved on 17-Jun-2019 ,Level 2 Approved on 05-Sep-2019 Related Project(s) P156421-AF-DRC Human Development Systems Strengthening 6/30/2020 Page 8 of 8