Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) SOUTH ASIA | India | Social, Urban, Rural and Resilience Global Practice Global Practice | Recipient Executed Activities | Technical Assistance Loan | FY 2012 | Seq No: 20 | ARCHIVED on 09-Jan-2016 | ISR22353 | Implementing Agencies: Tamil Nadu Pudhu Vaazhvu State Society Key Dates Key Project Dates Bank Approval Date:01-Mar-2012 Effectiveness Date:13-Mar-2012 Original Closing Date:30-Jun-2015 Revised Closing Date:30-Sep-2016 Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the participation of persons with mental disability in community activities including access to livelihoods. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name 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 program is being piloted in 609 Village Poverty Reduction Committees (VPRCs) of 578 Village Panchayats within 15 project districts of the Tamil Nadu Empowerment and Poverty Reduction Project (TN EPRP). The project has completed the mobilization, screening, diagnosis and treatment in all 15 pilot blocks in the 15 old districts. 228 camps were completed and both Mental Illness (MI) – 2693 and Mental Retardation (MR) – 4332 cases were identified. Other support provided were medical follow up services (3739), hospitalization (632), assistance for medicines/hospitalization/consumption (4970), livelihood training (1279), national ID cards (5504), maintenance grants (4327) and NREGRA job cards (4314). Of the persons identified with MI, 359 have become stable and 170 have been provided specific assistance for livelihoods restoration. All Regional Resource Agencies (RRAs) have introduced telemedicine based referrals 2/19/2016 Page 1 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) to screen new patients, undertake referrals, and counsel. Individual assistance and livelihood support have been introduced. The project will focus more on enhancign livelihoods support in the remaining project period. Few critical actions were agreed to further consolidation efforts namely (I) training of PHC doctors in collaboration with the District Mental Health Program to ensure early detection especially of psychosomatic cases and support referral and renewal of prescriptions; (ii) training of Village Health Nurses to support early detection especially during pre- and ante-natal care; (iii) commitment from the Regional Resource Agencies commitment to hand hold pilot blocks beyond project and a tie-up with DMHP in the 10 of the 15 pilot districts; (iv) institutionalization of telemedicine referrals through fixed days and time to harness the limited availability of Psychiatrists in the state; (v) arrangements for uninterrupted supply of 3-4 antipsychotic prescription drugs currently not available through the Health System; and (vi) the greater role of MaKaMai (CBO federation) in supporting the program including CDF master trainers, refresher training for CDFs, support to other VPRCs on addressing mental health issues. Risks Overall Risk Rating Risk Category Rating at Approval Previous Rating Current Rating Overall  Low  --  Low Results 2/19/2016 Page 2 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) Project Development Objective Indicators PHINDPDOTBL At least half of the people identified with mental disability are part of self-help groups (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 80.00 86.00 50.00 Date 20-Apr-2011 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDPDOTBL At least 40% of those identified with mental disabilities have benefited from follow-up and rehabilitation services including referralservices in the health system. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 88.00 96.00 40.00 Date 20-Apr-2011 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDPDOTBL At least 30% of people with mental disability pursue a livelihood or employment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 90.00 46.00 30.00 Date 20-Apr-2011 29-May-2015 15-Oct-2015 30-Jun-2015 Overall Comments The project made important achievements in meeting the key indicators and targets. With respect to the three PDO level indicators, the following are the details 1. 2829 out of 3228 persons (86%) identified through PHRD program were included into Special SHGs 2. 3766 out of 3929 persons (95%) were assisted with psychiatric medicines and 644 out of 675 persons (94%) supported with hospitalization support. 3. 1160 out of 2540 persons (46%) were assisted with livelihood & Vocational training for economic empowerment ( 685 out of 1336 persons (51%) for livelihood training, and 475 out of 1204 persons (40%) with vocational training) Intermediate Results Indicators 2/19/2016 Page 3 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) PHINDIRITBL 70% of VPRC plans assessed for compliance with project principles, and viability of proposed activities as per agreed service standards. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 100.00 100.00 70.00 Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDIRITBL 80% of target villages have trained community teams for screening and mobilizing people with mental disability issues. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 100.00 100.00 80.00 Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDIRITBL 80% of VPRCs organize communication campaigns and have a roster for referrals, treatment, and livelihoods and skill straining. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 100.00 100.00 80.00 Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDIRITBL 40% of identified people with mental disability have accessed referral services and treatment. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 88.00 95.00 40.00 Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 2/19/2016 Page 4 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) PHINDIRITBL 30% of people identified with mental disability have completed skill training and are employment or started a livelihood activity. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 90.00 46.00 30.00 Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 PHINDIRITBL Six-monthly regional forums for exchange of experience sharing and problem solving organized. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Monthly at RRA level, Monthly at RRA level, Regular six- Value 0% six-monthly at state six-monthly at state and monthly forums and regional levels regional levels at regional level Date -- 29-May-2015 15-Oct-2015 30-Sep-2016 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P129119 TF-11450 Effective USD 2.79 2.79 0.00 1.75 1.04 63% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P129119 TF-11450 Effective 01-Mar-2012 13-Mar-2012 13-Mar-2012 30-Jun-2015 30-Sep-2016 Cumulative Disbursements 2/19/2016 Page 5 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 2/19/2016 Page 6 of 6 Public Disclosure Copy