Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Health Sector Development Support (P101160) AFRICA | Burundi | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2009 | Seq No: 14 | ARCHIVED on 12-May-2016 | ISR22540 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:09-Jun-2009 Effectiveness Date:30-Sep-2009 Planned Mid Term Review Date:-- Actual Mid-Term Review Date:01-Dec-2014 Original Closing Date:30-Dec-2012 Revised Closing Date:30-Jun-2017 Project Development Objectives Health Sector Development Support (P101160) Project Development Objective (from Project Appraisal Document) To increase the use of a defined package of health services by pregnant women and children under the age of five. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) To increase the use of a defined package of health services by pregnant women, children under the age of five and couples ofreproductive age. Components Name Component 1 - Increased financing for a redefined free package of services:(Cost $67.55 M) Component 2 - Strengthening capacity of the Ministry of Public Health and entities involved in RBF:(Cost $17.25 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial 5/12/2016 Public Disclosure Copy Page 1 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Implementation Status and Key Decisions This ISR provides an update following the December 2015 and March 2016 missions in Bujumbura. The missions noted that health services and programs have continued to function quite normally throughout most of the country, despite the political situation and security issues that have had an impact on the health system. The resilience of the health system has been quite high, except in Bujumbura (capital city) where utilization of services decreased from 98% to 22% between May 2015 and September 2015. The PDO is currently maintained at “satisfactory”, while implementation progress is maintained at "moderately satisfactory”. 5/12/2016 Public Disclosure Copy Page 2 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  High  High Macroeconomic  --  Substantial  Substantial Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Substantial  Substantial Fiduciary  --  Moderate  Moderate Environment and Social  --  Moderate  Moderate Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Average number of visits to a health provider by children under the age of 5 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.68 2.20 2.20 2.30 Date 31-Dec-2009 31-Aug-2014 01-Feb-2016 30-Jun-2017 5/12/2016 Public Disclosure Copy Page 3 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Comments HMIS Report - 2014 The new Annual National Health Information Report will be available in June/July and will be used to update the results framework at that point PHINDPDOTBL  Children immunized (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 297780.00 335498.00 340379.00 359930.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 Comments HMIS Report - 2014 PHINDPDOTBL  Children immunized - under 12 months against DTP3 (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 297780.00 333298.00 339258.00 341030.00 Date 31-Dec-2009 15-Jun-2013 31-Dec-2014 31-Aug-2014 PHINDPDOTBL  Number of pregnant women living with HIV who received antiretrovirals to reduce the risk of Mother To Child Transmission (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1582.00 3499.00 3499.00 3600.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 PHINDPDOTBL  Coverage of prenatal care services for pregnant women (at least 3 visits) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 59.40 58.10 61.40 65.50 5/12/2016 Public Disclosure Copy Page 4 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 Comments HMIS Report - 2014 PHINDPDOTBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 415799.00 517195.00 516750.00 549564.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 Comments HMIS Report - 2014 PHINDPDOTBL  Percentage of births assisted by skilled personnel (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 64.40 78.40 78.40 86.20 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2107726.00 2158312.00 2210111.00 Date -- 31-Dec-2014 31-Dec-2015 30-Jun-2017 PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) 5/12/2016 Public Disclosure Copy Page 5 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1297496.00 1333685.00 1360523.00 PHINDPDOTBL  Contraceptive prevalence rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.80 31.70 31.70 34.85 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 PHINDPDOTBL  Pregnant/lactating women, adolescent girls and/or children under age five-reached by basic nutrition services (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 31-Dec-2009 -- -- 31-Dec-2009 PHINDPDOTBL  Children between the age of 6 and 59 months receiving Vitamin A supplementation (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 1265275.00 1361809.00 1583761.00 1664878.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 PHINDPDOTBL  Children under age five treated for moderate or severe acute malnutrition (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 87170.00 39309.00 38024.00 83081.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 5/12/2016 Public Disclosure Copy Page 6 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) Overall Comments Development Partners, especially WFP, reduced their contributions and support to the Government to fight against acute malnutrittion. Global Environmental Objective Indicators Overall Comments Intermediate Results Indicators PHINDIRITBL  Percent of public and non-profit health facilities offering the free package of services through the RBF system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.90 99.86 96.80 100.00 Date 31-Mar-2010 31-Dec-2014 30-Jun-2015 30-Jun-2017 Comments RBF Database PHINDIRITBL  Births (deliveries) attended by skilled health personnel (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 188135.00 334527.00 334646.00 364090.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2014 30-Jun-2017 Comments HMIS Report - 2014 PHINDIRITBL  Number of couple-years of contraceptive protection using modern methods (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 228082.00 668040.00 568511.00 734520.00 Date 31-Dec-2009 31-Aug-2014 31-Aug-2014 30-Jun-2017 Comments HMIS Report - 2014 5/12/2016 Public Disclosure Copy Page 7 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) PHINDIRITBL  Percentage of health facilities that did run out of essential drugs in the previous month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5.10 5.10 4.90 Date 31-Mar-2010 31-Dec-2012 31-Dec-2012 30-Jun-2017 Comments Health Facility Survey 2012 PHINDIRITBL  Percentage of health facilities that have a Head with A2 Level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 49.00 58.00 60.00 Date 31-Dec-2009 31-Dec-2014 31-Dec-2015 30-Jun-2017 Comments Districts Report 2015 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P101160 IDA-H4880 Closed USD 25.00 24.99 0.01 26.06 0.00 104% 5/12/2016 Public Disclosure Copy Page 8 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) P101160 IDA-H8080 Effective USD 25.00 25.00 0.00 10.60 12.78 42% P101160 TF-12526 Closed USD 14.80 14.79 0.01 14.79 0.00 100% P101160 TF-13043 Effective USD 20.00 20.00 0.00 7.85 12.15 39% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P101160 IDA-H4880 Closed 09-Jun-2009 07-Jul-2009 30-Sep-2009 30-Dec-2012 31-Aug-2014 P101160 IDA-H8080 Effective 23-Oct-2012 10-Dec-2012 08-Apr-2013 31-Dec-2018 30-Jun-2017 P101160 TF-12526 Closed 25-Jul-2012 25-Jul-2012 12-Oct-2012 31-Aug-2014 31-Aug-2014 P101160 TF-13043 Effective 10-Dec-2012 10-Dec-2012 08-Apr-2013 31-Dec-2018 30-Jun-2017 Cumulative Disbursements Restructuring History Level 2 Approved on 30-Jan-2015 ,Level 2 Approved on 26-Mar-2015 Related Project(s) 5/12/2016 Public Disclosure Copy Page 9 of 10 Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Development Support (P101160) P126742-Health Sector Development Support - Additional Financing ,P131919-Second Additional Financing Burundi Health Sector Development Support Project 5/12/2016 Public Disclosure Copy Page 10 of 10