The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Program Towards Elimination of Tuberculosis (P167523) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | Requesting Unit: SACIN | Responsible Unit: HSAHN IBRD/IDA | Program-for-Results Financing | FY 2019 | Team Leader(s): Ronald Upenyu Mutasa Seq No: 4 | ARCHIVED on 24-Feb-2021 | ISR44436 | Created by: Tanusree Talukdar on 20-Nov-2020 | Modified by: Tanusree Talukdar on 12-Feb- 2021 Program Development Objectives Program Development Objective (from Program Appraisal Document) To improve the coverage and quality of TB control interventions in the private and public sector in targeted states of India Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Implementation Status and Key Decisions The World Bank board approved the US$400 million operation in March 29, 2019. The task team is working closely with the MOHFW to implement the operation. The MOHFW is implementing the PTETB successfully. The MOHFW has put in place a strong team which is managing the four results areas of the project. In addition, the MOHFW consistently follows up on key actions agreed with the Bank during missions and in virtual meetings. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P167523 IBRD-89260 Effective USD 400.00 400.00 0.00 163.20 236.80 41% P167523 TF-B4445 Effective USD 40.60 40.60 0.00 13.58 27.02 33% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167523 IBRD-89260 Effective 29-Mar-2019 27-Jun-2019 20-Aug-2019 30-Jun-2024 30-Jun-2024 P167523 TF-B4445 Effective 13-May-2019 13-May-2019 13-May-2019 31-Dec-2023 30-Jun-2024 2/24/2021 Page 1 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) DLI Disbursement Achievement Disbursed amount in Disbursement % for DLI ID DLI Type Description Coc DLI Amount Status Coc DLI Loan: IBRD89260-001 DLI1 Rev Apprv National 1 Regular USD 16,000,000.00 Fully Achieved 16,000,000.00 100 % Guidelines RNTCP DLI1.1No of Pvt Notf net Partially 2 Regular USD 70,000,000.00 18,385,388.00 26 % off Public noti Achieved DLI1.2 Success rate of TB Partially 3 Regular USD 70,000,000.00 28,560,000.00 41 % patients notif Achieved DLI1.3 Establ of TSU in Partially 4 Regular USD 20,000,000.00 5,000,000.00 25 % CTD and STSU Achieved DLI2.0 Dev Nikshay Mod 5 Regular USD 10,000,000.00 Fully Achieved 10,000,000.00 100 % Dir Bene Tr Schem DLI2.1 Distr Impl Digital Partially 6 Regular USD 5,000,000.00 1,625,000.00 33 % Sign Appr proc Achieved DLI2.2.1 TB patients pub 7 Regular USD 23,000,000.00 Not Achieved 0.00 pro rece NPY DLI 2.2.2 TB patients Pvt Partially 8 Regular USD 22,000,000.00 6,732,156.00 31 % notif pro NP Achieved DLI3.1 TB patients tested Partially 9 Regular USD 70,000,000.00 52,902,043.00 76 % rifampicin suc Achieved DLI4 Nikshay Mech Dedup 10 Regular USD 14,000,000.00 Fully Achieved 14,000,000.00 100 % and Recon DLI4.1.1 Multi yr RNTCP 11 Regular USD 10,000,000.00 Not Achieved 0.00 at CTD State Lev DLI4.1.2 Red of Staff 12 Regular USD 40,000,000.00 Not Achieved 0.00 gapfor CTD DLI4.2 Dev Impl Perf Partially 13 Regular USD 29,000,000.00 9,000,000.00 31 % based mgmt mech Achieved Program Action Plan Annual surveillance system analysis published; including data quality by district, annual state/CTD surveillance Action Description system evaluation, and estimates for potential under-notification and duplication Source DLI# Responsibility Timing Timing Value Status Technical DLI Yes CTD Recurrent Yearly In Progress Annual Surveillance System Analysis Report Approved by the Bank. Completion Measurement Achieved for Year 1 Comments Action Description GOI and World Bank agree to a multi-year capacity building plan 2/24/2021 Page 2 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Capacity Building Plan executed annually Source DLI# Responsibility Timing Timing Value Status Technical CTD Recurrent Yearly Completed Completion Measurement Capacity Building Plan Approved by MOH&FW AS. Due Date: October 30, 2020 (Revised); Yearly Execution Comments Central, State and District TB Forum strengthened to improve learning and accountability. Action Description Central, State and District TB forum strengthened per the TOR agreed to with the World Bank. Source DLI# Responsibility Timing Timing Value Status Technical States and CTD Recurrent Yearly In Progress Government approval of the revised TORs for State and National TB For a. Completion Measurement Due Date: Oct. 30, 2020 (CTD shares final TORs with the Bank for review and clearance); Annual Fora in Program States and at CTD by the following: June 30, 2020; 21; 22; 23; 24 Status as of Dec. 2020: The ToR of National TB Forum has been revised and Forum has been re-constituted with the revised ToR. 1st meeting of the revised Forum was convened on 30th Sep 2020. Review of State TB Forums is Comments ongoing CTD Strengthens Data Collection and Monitoring of Tribal Population Transport Reimbursement. Action Description - Annual CTD report which capture coverage and trends in DBT for tribal populations Source DLI# Responsibility Timing Timing Value Status Technical CTD Recurrent Continuous Not Yet Due Data Collection and Monitoring Plan for Tribal Populations Completion Measurement Annual TB Report with data on DBT for Tribal Populations Comments Action Description Development and adoption of framework for TB and gender in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Other CTD Due Date 30-Sep-2020 Completed 2/24/2021 Page 3 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Framework for TB Among Women Adopted by CTD for Program Management Purposes. Completion Measurement Gender specific data for TB monitoring reported by CTD in annual reports. Comments Action Description The CTD formulates and adopts health and safety guidelines for staff/workers involved in the transport of sputum Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Sep-2020 Completed Health and Safety Guidelines for Sputum Transportation Published on RNTCP website and disseminated to State TB Completion Measurement Offices for implementation Comments Servicing Standard Operating Procedures of key lab equipment Action Description (BSC, AHU, centrifuge, autoclaves) [only where there is health and safety implications for workers] Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Sep-2020 Completed Completion Measurement Standard operating procedures for lab equipment published on RNCTP websites and disseminated to states Comments Action Description Process evaluation of the implementation and effect of DBT on adherence to TB treatment and success rate. Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2021 Not Yet Due Completion Measurement Process Evaluation Report. Due Dates: June 30, 2021; June 30, 2023 Comments Operating Procedures for Grievance Redressal developed and adopted by CTD in a manner and substance Action Description satisfactory to the Bank Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Oct-2020 In Progress Completion Measurement Approved Grievance Redressal Policy Comments 2/24/2021 Page 4 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Strengthen the capacity of Central Medical Services Society (CMSS) to manage the procurement and supply chain Action Description management for drugs and equipment in line with increased workload emanating from the Program. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CMSS Due Date 30-Oct-2020 In Progress a) Filling the 5 vacant staff positions & maintain full staff strength thereafter; Completion Measurement (b) Expanding number of laboratories to conduct post destination quality assurance (presently 5 labs); & (c) enhancing CMSS/Supplier interface & overall proc. effic Comments Action Description Decentralize data entry on TB drug stock in the Nikshay Aushadhi software at TU level. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CTD Due Date 30-Oct-2020 Delayed Completion Measurement Nikshay Aushadi data entry decentralized to TU levels in targeted states. Comments Action Description Ensure proper testing by empaneled independent Quality Assurance Lab and monitor the time taken by the labs Source DLI# Responsibility Timing Timing Value Status Technical CMSS and CTD Recurrent Yearly In Progress Completion Measurement Drug quality testing report Comments Implementation of PFMS to monitor and track real time fund utilization, including preparation of expenditure reports Action Description from PFMS, in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CTD and states Recurrent Yearly Completed Completion Measurement Expenditure reports produced from PFMS. Initial report due date: September 30, 2020; Yearly execution Comments Regular FM review by CTD of the state and district TB cells, pursuant to scope, protocols and standards agreed with Action Description the Bank. 2/24/2021 Page 5 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CTD and States Recurrent Semi-Annually In Progress Completion Measurement FM review completed. Initial Review: September 30, 2020. Execution every 6 months Comments Action Description Scale-up RNTCP call center from 50 to 100 seats Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2019 Completed Completion Measurement Contract effective and staff in place for 100 seat call centers. Comments Updated supervision and monitoring guidelines to include integration of routine assessment and improvement of data Action Description completeness and quality in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 31-Dec-2020 Not Yet Due Updated supervision and monitoring guidelines to include integration of routine assessment and improvement of data Completion Measurement completeness and quality Comments Action Description Beneficiary Satisfaction Survey as the TOR agreed with the World Bank. Source DLI# Responsibility Timing Timing Value Status Other CTD Recurrent Semi-Annually In Progress Completion Measurement Beneficiary Satisfaction Survey Report. First survey due dt. September 30, 2020 Comments Strengthen RNTCP Guidelines to include protocols/standard operating procedures for standardization in servicing Action Description and replacing/decommissioning key lab safety equipment Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 31-Dec-2019 Completed Completion Measurement Standard operating procedures for lab equipment published on RNTCP website and disseminated to states. 2/24/2021 Page 6 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Comments Action Description Update the Tribal Action Plan in a manner and substance satisfactory to the Bank Source DLI# Responsibility Timing Timing Value Status Other CTD Due Date 31-Dec-2020 Delayed Completion Measurement Updated Tribal Action Plan approved at CTD and disseminated to states. Comments Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Low Macroeconomic Low Low Low Sector Strategies and Policies Low Low Low Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other Low Low Low Overall Substantial Substantial Substantial RiskComments Comments Nil Results PDO Indicators by Objectives / Outcomes To imp the coverage & quality of TB control intrv in the pvt & public sec in targt states of India IN00921848 ►PDO Indicator 1- DLI 1.1: Number of private notifications, net of any decrease in public notifications in targeted states (Annual) (Number, Custom) 2/24/2021 Page 7 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) End Target Value 346,919.00 0.00 347,090.00 800,000.00 Date 29-May-2020 15-May-2019 31-Dec-2020 30-Jun-2024 (Jan-Oct 2020) 289242 ( 60% ) Annualized- 347090 (72%) Comments IN00921849 ►PDO Indicator 2- DLI 2.2: Proportion of TB patients receiving financial support via Nikshay Poshan Yojana in targeted states (Annual, by category of DBT scheme) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 05-Feb-2019 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921850 PDO Indicator 2.1- DLI 2.2.1: Proportion of TB patients notified by public providers receiving 1st Nikshay Poshan Yojana payment in targeted states (Annual) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 66.00 0.00 64.71 77.00 Date 29-May-2020 15-May-2019 31-Oct-2020 30-Jun-2024 IN00921916 PDO Indicator 2.2- DLI 2.2.2: Proportion of TB patients notified by private providers receiving 1st Nikshay Poshan Yojana payment in targeted states (Annual) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 16.00 0.00 37.00 60.00 Date 29-May-2020 15-May-2019 31-Oct-2020 30-Jun-2024 IN00921917 ►PDO Indicator 3- DLI 3.1: Proportion of notified TB patients tested for Rifampicin susceptibility in targeted states (Annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.40 0.00 63.65 64.00 Date 29-May-2020 15-May-2019 30-Sep-2020 30-Jun-2024 63.65% Comments (Data is from Jan- Sep 2020. Source: NIKSHAY) IN00921918 ►PDO Indicator 4-DLI 1.2: Treatment success rate of TB patients notified by private providers in targeted states (Annual, patients notified in prior calendar year) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 0.00 77.30 80.00 Date 29-May-2020 15-May-2019 31-Oct-2020 30-Jun-2024 77.3% (Data for the period Jan-Oct 2020) Comments 2/24/2021 Page 8 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Intermediate Results Indicators by Results Areas Intermediate Results Area 1: Scaling up Private Provider Engagement IN00921919 ►Intermediate Results Indicator 1: Proportion of privately notified Pulmonary TB patients that have microbiological confirmation in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 17.55 45.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 (Jan-Oct 2020) (Microbiological Testing was done in 46.7% of those patients only 17.55% were MTB Comments detected and the rest were clinically diagnosed) IN00921923 ►Intermediate Results Indicator 2-DLI 1.3: Establishment of TSUs in CTD and targeted states to support activities related to private sector, DBT, PFMS, and multi sectoral engagement as per agreed TOR (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 10 TSUs established at CTD and state levels by MOH&FW Timeline for Value No TSUs - N/A achievement- June 2021 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 1.Shortlisting of agencies for NTSU & 9 STSUs completed through EoI. 2.Comments on Draft RFPs have been obtained from WB and all the implementing states. 3.The RFP finalization committee meeting held in Dec, 2020. Comments 4.On progress for completion by June 2021. IN00921927 ►Intermediate Results Indicator 3: Proportion of Blocks with molecular diagnostic services operational in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 0.00 18.00 30.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 (1082 Truenat instruments have been dispatched to the States and are in the process of installation) Comments IN00921931 ►Intermediate Results Indicator 4: GOI annual expenditure on strategic purchasing under NGO/Private Provider budget head in targeted states (million INR per year) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 197.00 0.00 200.00 760.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 (*SOE of Jul-Sep'20 of Bihar & Tamil Nadu are pending; * SOE for Apr-Sep'20 of Rajasthan & Uttar Pradesh Comments are pending.) 2/24/2021 Page 9 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Intermediate Results Area 2: Rolling-out TB Patient Management and Support Interventions IN00921921 ►Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (a) Aadhaar (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 68.00 0.00 100.00 85.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 (Beneficiaries are automatically registered on notification. Nikshay provides end to end solution for DBT Comments payments.) IN00921925 ►Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (b) Verified bank account (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 0.00 0.00 70.00 Date 30-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 100% Beneficiaries are automatically registered on notification. Nikshay provides end to end solution for Comments DBT payments. IN00921929 ►Intermediate Results Indicator 6: Gender responsive framework for RNTCP developed by CTD & approved by MOH&FW (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Framework developed Value N/A - Completed & approved Date 01-Nov-2018 15-May-2019 31-Dec-2020 31-Dec-2019 Comments IN00921932 ►IRI 7: Proportion of TB patients notified by private providers for whom at least one DBT incentive payment was made to their private providers. (Reported data for TB patients disaggregated by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 31.00 60.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921934 ►Intermediate Results Indicator 8: Proportion of beneficiaries receiving financial support (2nd payments of Nikshay Poshan Yojana) through DBT in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 24.00 56.00 Date 30-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921936 ►Intermediate Result Indicator 9: Treatment success rate of female TB patients notified in targeted states in the private sector (Percentage, Custom) 2/24/2021 Page 10 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 79.00 60.00 Date 30-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments Intermediate Results Area 3: Strengthening Detection, Treatment and Monitoring of Drug-Resistant TB IN00921920 ►Intermediate Results Indicator 10: Proportion of DRTB centers in the targeted states with the action plan for AIC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.00 0.00 53.00 70.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921924 ►Intermediate Results Indicator 11: Proportion of notified rifampicin-resistant TB cases with second-line drug-susceptibility testing results documented within 3 months of DR-TB treatment initiation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 0.00 58.00 65.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921928 ►Intermediate Results Indicator 12: Treatment success rate among MDR/RR-TB patients (treatment cohort) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 46.00 0.00 49.00 65.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments Intermediate Results Area 4: Strengthening RNTCP Institutional Capacity and Information Systems IN00921922 ►13: Annual surveillance system analysis published; including data quality by district, annual state/CTD surveillance system evaluation, and estimates for potential under-notification and duplication (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Annual analysis Value N/A - Process ongoing published Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Comments IN00921926 ►Intermediate Results Indicator 14: Number of targeted states replacing paper TB registers with e-TB Nikshay adopted real-time monitoring of notification and quality of care in at least 50% ofdistricts (Number, Custom) 2/24/2021 Page 11 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 Process ongoing. Digital First, Paper Second policy incorporated in the upcoming guidelines Comments IN00921930 ►Intermediate Results Indicator 15-DLI 4.2: Development and implementation of a performance-based management mechanism between the center and the targeted states (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Implementation in 8 Value N/A - - States Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 To update in next mission Comments IN00921933 ►Intermediate Results Indicator 16: Number of targeted states adopted and transitioned from paper-based to electronic SOE generated from PFMS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 77.00 9.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 77% All 9 States targeted, 7 are submitting except Rajasthan and U.P Comments IN00921935 ►17: No. of Annual TB Forum at state & national level conducted to: (i) promote citizen engagement; (ii)foster learning within & between states; (iii)to provide a multisectoral platform for TB control (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 6.00 8.00 Date 01-Nov-2018 15-May-2019 31-Dec-2020 30-Jun-2024 2019 update: Out of 9 States, 8 States had conducted TB Forum meeting in 2019. 2020 update: 1 National TB Forum meeting and 5 State TB Forum meetings (in 4 states) have been Comments conducted till Nov 2020. Remaining 5 States have planned to conduct State TB Forum meeting in December 2020-January 2021 Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 1.0 Revision and approval of National Guidelines for partnerships under RNTCP (Prior Result) (Output, 16,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 National Guideline for Value Partnership 2014 in - - -- existence. Date -- 15-May-2019 15-May-2019 -- Comments 2/24/2021 Page 12 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) ►DLI 2 1.1 Number of private notifications, net of any decrease in public notifications in Program States (Annual) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 346,919.00 0.00 465,920.00 800,000.00 Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 3 1.2: Treatment success rate of TB patients notified by private providers in targeted states (annual, patients notified in prior calendar year) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 55.00 0.00 65.20 80.00 Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 4 1.3 Establishment of a TSU in CTD & STSUs in Program States to support activities related to pvt. sector, DBT, public financial management system, and multi-sectorial engagement as per agreed TOR (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Mechanism developed Value No TSU/STSU in place - -- and approved Date -- 15-May-2019 31-Dec-2019 -- Extension of Year 2 deadline of achievement to June 2021 Comments ►DLI 5 2.0 Development of Nikshay modules for all four direct benefit transfer schemes (Nikshay Poshan Yojana, Tribal TB Patients Scheme, Pvt. Providers Scheme and Treatment Supporters Scheme)(Prior Results) (Process, 10,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Only Nikshay Poshan Value Yojana existing in Nikshay - - -- (Sept 2018) Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 6 2.1 Proportion of districts implementing digital signature certificate-based approval process for direct benefit transfer payment in Program States (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 26.00 -- 2/24/2021 Page 13 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 7 2.2.1 Proportion of TB patients notified by public providers receiving the 1st Nikshay Poshan Yojana payment in Program States (Annual) (Output, 23,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 66.00 0.00 66.00 77.00 Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 8 2.2.2 Proportion of TB patients notified by private providers receiving the 1st Nikshay Poshan Yojana payment in Program States (Annual) (Output, 22,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 16.00 0.00 29.00 60.00 Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 9 3.1 Proportion of notified TB patients tested for rifampicin susceptibility in Program States (Annual) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 30.40 0.00 55.80 64.00 Date -- 15-May-2019 31-Dec-2019 -- Comments ►DLI 10 4.0Nikshay mechanisms devp for (i)deduplication (of patients&providers) & recol of diff provider types;(ii)reconcl of DBT payments through NIKSHAY vs pub financial mgt portal for NPY (Prior Result) (Process, 14,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Only manual mechanism Value for deduplication of patients - - -- and providers in existence Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 11 4.1.1 Development and approval of a multi-year RNTCP Human Resource Plan at CTD and state levels covering the Program States (Process, 10,000,000.00, 0%) 2/24/2021 Page 14 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) Year 5 MoHFW developed & No human resource plan in adopted HR Plan by Jan Value - -- existence 2021 Date -- 15-May-2019 31-Dec-2020 -- Extension of Year 1 timelines to Oct 2020 Comments ►DLI 12 4.1.2 Reduction of the staffing gap identified by the RNTCP Human Resource Plan for CTD and the Program States (Process, 40,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 70.00 Date -- 15-May-2019 15-May-2019 -- Extension of Year 2 timelines to June 2021 Comments ►DLI 13 4.2 Development and implementation of a performance-based management mechanism between the CTD and the Program States (Process, 29,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 The protocol for sub national certification is under finalization by a task force constituted for the purpose. 66 districts across 19 No performance-based States, 2 UTs and 1 State Value - -- mechanism in existence has submitted claims for disease free certification. These claims will be verified by an independent agency and finalized by March 2021. Date -- 15-May-2019 31-Dec-2020 -- Comments 2/24/2021 Page 15 of 15