The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Strengthening Primary Health Care and Surveillance in Haiti (P167512) LATIN AMERICA AND CARIBBEAN | Haiti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 4 | ARCHIVED on 22-Aug-2021 | ISR47566 | Implementing Agencies: Ministère de la Santé Publique et de la Population, Republic of Haiti Key Dates Key Project Dates Bank Approval Date: 16-May-2019 Effectiveness Date: 28-Aug-2019 Planned Mid Term Review Date: 16-May-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO of the proposed Project is to: (i) increase utilization of primary health care services in selected geographical areas; and (ii) strengthen surveillance capacity especially for cholera. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Primary Health Care Service Delivery:(Cost $55.60 M) Strengthening Surveillance and Control for Infectious Diseases:(Cost $29.60 M) Supporting Project Management and Implementation Support:(Cost $7.00 M) Contingent Emergency Response Component Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Unsatisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The Project was approved by the Board on May 16, 2019 and declared effective on August 28, 2019. The Project’s development objective is to (i) increase utilization of primary health care services in selected geographical areas; and (ii) strengthen surveillance capacity especially for cholera. On April 9, 2021 the Project was restructured to incorporate co-financing by the Global Fund to Fight Aids, Tuberculosis, and Malaria (GF) to the Government of Haiti, to complement and scale up priority health systems strengthening activities in Haiti. Project implementation is underway. 8/22/2021 Page 1 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other Substantial Substantial Substantial Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase utilization of primary health care services in selected geographical areas IN01017845 ►Percentage of children aged between 12 and 23 months fully vaccinated in Project intervention areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.30 45.30 45.30 51.00 Date 30-Jun-2018 01-Jun-2020 01-Jun-2020 31-Dec-2024 This indicator will be reported on once the next DHS round will be completed. Comments: IN01017907 ►Percentage of institutional deliveries in Project intervention areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.20 38.20 38.20 44.00 Date 30-Jun-2018 01-Jun-2020 01-Jun-2020 31-Dec-2024 This indicator will be reported on once the next DHS round will be completed. Comments: 8/22/2021 Page 2 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Strengthen surveillance capacity especially for cholera IN01017906 ►Percentage of notifications of suspected cases of cholera for which laboratory results are available to the Health Departmental Directorates (DDSs) within 10 days of collection (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 50.00 70.00 Date 24-Nov-2018 01-Jun-2019 30-Jun-2021 31-Dec-2024 Value for January-June 2021. Out of a total of 10 suspected cases, 5 samples were delayed, mostly due Comments: transportation constraints linked to the country security situation. Intermediate Results Indicators by Components Component 1: Strengthening Primary Health Care Service Delivery IN01017908 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 301,777.00 828,000.00 Date 01-Jun-2019 12-Dec-2020 02-Aug-2021 31-Dec-2024 IN01017910 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 18,468.00 79,000.00 IN01017912 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 228,071.00 260,000.00 Date 01-Jun-2019 12-Dec-2020 02-Aug-2021 31-Dec-2024 IN01017914 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 64,439.00 500,000.00 Date 01-Jun-2019 12-Dec-2020 02-Aug-2021 31-Dec-2024 IN01017915 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) 8/22/2021 Page 3 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 9,267.00 68,000.00 Date 01-Jun-2019 12-Dec-2020 02-Aug-2021 31-Dec-2024 IN01017916 ►Contracted service providers achieving the minimum quality score (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 71.00 92.93 94.54 78.00 Date 30-Jun-2018 31-Dec-2019 02-Aug-2021 31-Dec-2024 IN01017917 ►Number of health facilities undergoing rehabilitation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 24.00 55.00 Date 30-Jun-2019 31-Dec-2020 11-Aug-2021 31-Dec-2024 24 Rehabilitations have been fully completed. However, following the August 14th earthquake, damage assessments of civil works in the South, Grand'Anse and Nippes are ongoing and additional civil works Comments: will likely be needed. IN01017918 ►Contracted health providers supervised at least quarterly - maintained at 100 percent (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 80.00 100.00 Date 30-Jun-2018 30-Jun-2018 02-Aug-2021 31-Dec-2024 IN01017919 ►Citizen Engagement: percentage of facilities under RBF that developed an action plan(s) based on the results of community satisfaction surveys (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 01-Jun-2019 01-Jun-2019 02-Aug-2021 31-Dec-2024 Value for this indicator is not yet available. It will be reported during the next ISR, after finalization of Comments: verification activities. IN01017920 ►Number of Community Health Workers who were trained based on the new Community Health Strategy (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 225.00 Date 22-Mar-2021 22-Mar-2021 22-Mar-2021 31-Dec-2023 8/22/2021 Page 4 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) This new indicator is part of the restructuring that will include Global Fund co-financing and will be Comments: reported in the next ISR. IN01017921 ►Number of peripheral storage warehouses upgraded based on identified need and in accordance with minimum national standards on storage of medical products (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 22-Mar-2021 22-Mar-2021 22-Mar-2021 31-Dec-2023 This new indicator is part of the restructuring that will include Global Fund co-financing and will be Comments: reported in the next ISR. Component 2: Strengthening Surveillance and Control for Infectious Diseases IN01017909 ►Percentage of suspected cases of diphtheria investigated and responded to within 48h after notification (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 72.00 85.00 98.07 90.00 Date 30-Jun-2019 12-Dec-2020 30-Jun-2021 31-Dec-2024 Value for April-June 2021 Comments: IN01017911 ►Percentage of notified maternal deaths investigated per year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 28-Jun-2019 12-Dec-2020 30-Jun-2021 31-Dec-2024 In 2021, 89 maternal death were reported until June. Activities to strengthen systematic maternal death Comments: investigation with the departmental health directorates are ongoing. IN01017913 ►Number of laboratories who comply with national standard requirements for infrastructure and equipment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 22-Mar-2021 22-Mar-2021 22-Mar-2021 31-Dec-2023 This new indicator is part of the restructuring that will include Global Fund co-financing and will be Comments: reported in the next ISR. Performance-Based Conditions 8/22/2021 Page 5 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P167512 IDA-D4670 Effective USD 55.00 55.00 0.00 9.78 47.05 17% P167512 TF-B0067 Effective USD 15.00 15.00 0.00 0.00 15.00 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167512 IDA-D4670 Effective 16-May-2019 05-Jun-2019 28-Aug-2019 31-Dec-2024 31-Dec-2024 P167512 TF-B0067 Effective 16-May-2019 05-Jun-2019 28-Aug-2019 31-Dec-2024 31-Dec-2024 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 8/22/2021 Page 6 of 7 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Restructuring History Level 2 Approved on 09-Apr-2021 ,Level 2 Approved on 03-May-2021 Related Project(s) P175761-AF Strengthening Primary Health Care and Surveillance in Haiti (PROSYS) ,P175949-AF Strengthening Primary Health Care and Surveillance in Haiti (PROSYS) 8/22/2021 Page 7 of 7