The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) Senegal Health & Nutrition Financing (P129472) AFRICA | Senegal | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 10 | ARCHIVED on 13-Apr-2019 | ISR36334 | Implementing Agencies: Ministry of Health and Prevention, Government of Senegal Key Dates Key Project Dates Bank Approval Date: 11-Dec-2013 Effectiveness Date: 14-May-2014 Planned Mid Term Review Date: 09-Jan-2017 Actual Mid-Term Review Date: 01-Jun-2017 Original Closing Date: 29-Jun-2018 Revised Closing Date: 30-Jun-2019 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the project is to increase utilization and quality of maternal, neonatal and child health and nutritional services, especially among the poorest households in Targeted Areas in the Recipient's territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name 1. Result-Based Financing for health and nutrition services and capacity building:(Cost $15.70 M) 2. Improvement of accessibility to maternal, nutrition, and children health services:(Cost $15.60 M) 3. Institutional strengthening and project implementation:(Cost $9.50 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 long strike period in 2018 and delays in verification of the PBF results have hindered the collection of updated data on most of the indicators. However, progress towards achievement of the PDO and overall implementation progress have been steady over the course of the last six months. Two out of the six PDO indicators have already been achieved (severely malnourished detected children and index of quality of care) and the four others are progressing, and targets should be reached by June 2019. Disbursements have increased from 51% in August 2018 (68% IDA; 41% TF) to 63%(81% IDA; 48% TF) in March 2019. Almost all remaining balance of the Project financing is committed (contracts and Results-Based financing) and implementation of interventions project components has speed up. 4/13/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) Under Component 1 (Supply Side Results Based Financing) results verification for the four quarters of 2018 is ongoing but need to be accelerated. With only three months remaining before Project closing, the implementation of this component presents a significant probability of not being completed and its impact may not be seen by the end of the Project. Interventions in component 2 (Increasing financial accessibility) are being implemented satisfactorily (for universal health insurance and nutrition activities). The implementation of the pilot project on the integration of free care into health insurance will be evaluated by June 2019. Interventions under component 3 (Institutional strengthening and project coordination) are being implemented satisfactorily. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Substantial Substantial Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Substantial Substantial Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Moderate Moderate Fiduciary -- Substantial Substantial Environment and Social -- Moderate Moderate Stakeholders -- Moderate Moderate Other -- Low Low Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase utilization of maternal, neonatal and child health services IN00681154 ►Number of poor people reached by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,200,773.00 2,200,773.00 2,800,000.00 Date 01-Feb-2011 30-Jun-2018 30-Jun-2018 30-Jun-2019 IN00681206 ►New acceptors of modern contraceptive method (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 85,712.00 85,712.00 107,041.00 4/13/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) Date 05-Jun-2013 30-Jun-2018 30-Jun-2018 30-Jun-2019 IN00681208 ►Severly malnourished detected children who are referred and received at the health center for all necessary visits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7,136.00 7,136.00 6,745.00 Date 01-Feb-2011 30-Jun-2018 30-Jun-2018 30-Jun-2019 Increase quality of RMNACH services IN00681155 ►Percentage of pregnant women having 4 antenatal care visits (at standard quality) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 22.00 22.00 35.00 Date 01-Feb-2011 22-Dec-2017 22-Dec-2017 30-Jun-2019 Due to the ongoing strike of health workers in Senegal, there is a retention of health information which Comments: prevents to update this indicator with comprehensive data. IN00681207 ►Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 176,495.00 176,495.00 271,679.00 Date 01-Feb-2011 29-Jun-2018 29-Jun-2018 30-Jun-2019 Due to the ongoing strike of health workers in Senegal, there is a retention of health information which did Comments: not allow to update this indicator with comprehensive data. IN00681209 ►Index of quality of health care (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 72.66 72.66 70.00 Date 01-Feb-2011 22-Dec-2017 22-Dec-2017 30-Jun-2019 The indicator will be update after the April 2019 mission. Comments: Overall Comments PDO The actual numbers will be updated after the April 2019 implementation support mission. Intermediate Results Indicators by Components 4/13/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) 1. Result-Based Financing for health and nutrition services and capacity building IN00681210 ►Number of health facilities that have an RBF contract (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 318.00 371.00 318.00 Date 01-Jul-2013 29-Jun-2018 31-Dec-2018 30-Jun-2019 IN00681213 ►Percentage of facilities with verified results and having received their payments (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 63.00 63.00 85.00 Date 01-Jul-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681216 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,331,326.00 2,331,326.00 3,016,899.00 Date 01-Jul-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681219 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 1,355,728.00 1,355,728.00 1,778,108.00 IN00681221 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 266,455.00 266,455.00 445,220.00 Date 31-Dec-2013 29-Jun-2018 29-Jun-2018 30-Jun-2019 IN00681222 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,402,774.00 2,402,774.00 2,300,000.00 Date 31-Dec-2013 29-Jun-2018 29-Jun-2018 30-Jun-2019 IN00681223 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 155,397.00 155,397.00 271,679.00 Date 31-Dec-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681224 4/13/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) ►Pregnant women receiving antenatal care during a visit to a health provider (cumulative number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 309,413.00 309,413.00 468,884.00 Date 31-Dec-2013 29-Jun-2018 29-Jun-2018 30-Jun-2019 IN00681225 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,916.00 2,916.00 3,144.00 Date 01-Feb-2011 22-Dec-2017 22-Dec-2017 30-Jun-2019 2. Improvement of accessibility to maternal, nutrition, and children health services IN00681211 ►Children aged 0-23 months who attended at least one growth monitoring and promotion service during the 3 precedent months (cumulative number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 316,366.00 316,366.00 585,456.00 Date 01-Jul-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681214 ►Number of maternal health vouchers distributed (cumulative number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 21,025.00 21,025.00 50,245.00 Date 01-Jul-2013 29-Jun-2018 29-Jun-2018 30-Jun-2019 IN00681217 ►Percentage of eligible women that have received a maternal health financial incentive (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 36.00 36.00 72.00 Date 01-Jul-2013 29-Jun-2018 29-Jun-2018 30-Jun-2019 IN00681218 ►Number of people effectively targeted by the communication activities of the CMU (cumulative number) (Amount(USD), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 53,571.00 53,571.00 165,000.00 Date 01-Jul-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681220 ►Number of operationnal SIGICMU modules (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/13/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) Value 0.00 0.00 0.00 5.00 Date 22-Dec-2017 22-Dec-2017 22-Dec-2017 30-Jun-2019 3. Institutional strengthening and project implementation IN00681212 ►Number of hospitals where the cost accounting system has been implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 34.00 Date 01-Jul-2013 22-Dec-2017 22-Dec-2017 30-Jun-2019 IN00681215 ►One continuous Demographic and Health Survey (DHS) report and one health Service Delivery report are produced every year (cumulative number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 8.00 10.00 Date 01-Jul-2013 01-Aug-2018 31-Dec-2018 30-Jun-2019 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P129472 IDA-53240 Effective USD 20.00 20.00 0.00 14.92 3.55 81% P129472 TF-15872 Effective USD 20.00 20.00 0.00 9.05 10.95 45% P129472 TF-16618 Closed USD 0.45 0.19 0.26 0.19 0.00 100% P129472 TF-A0565 Closed USD 0.83 0.78 0.04 0.78 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P129472 IDA-53240 Effective 11-Dec-2013 28-Mar-2014 14-May-2014 29-Jun-2018 30-Jun-2019 P129472 TF-15872 Effective 28-Mar-2014 28-Mar-2014 29-May-2014 29-Jun-2018 28-Jun-2019 P129472 TF-16618 Closed 17-Dec-2014 17-Dec-2014 17-Dec-2014 30-Jun-2015 31-Mar-2016 P129472 TF-A0565 Closed 28-Jan-2016 28-Jan-2016 28-Jan-2016 31-Dec-2016 31-Dec-2016 Cumulative Disbursements 4/13/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Senegal Health & Nutrition Financing (P129472) Restructuring History Level 2 Approved on 04-May-2016 ,Level 2 Approved on 10-Apr-2018 Related Project(s) There are no related projects. 4/13/2019 Page 7 of 7