The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 14 | ARCHIVED on 15-May-2019 | ISR37023 | Implementing Agencies: Ministry of Women and Child Development, Republic of India Key Dates Key Project Dates Bank Approval Date: 06-Sep-2012 Effectiveness Date: 26-Nov-2012 Planned Mid Term Review Date: 30-Jun-2014 Actual Mid-Term Review Date: 02-Feb-2015 Original Closing Date: 31-Oct-2015 Revised Closing Date: 30-Aug-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To support the Government of India and participating states to (i) strengthen the Integrated Child Development Services (ICDS) policy framework, systems and capacities, and facilitate community engagement, to ensure greater focus on children under three years of age; and (ii) strengthen convergent actions for improved nutrition outcomes. 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 improve the coverage and quality of ICDS nutrition services to pregnant and lactating women and children under 3 years of age Components Table Name Component 1: ICDS Institutional and Systems Strengthening:(Cost $207.20 M) Component 2: Community Mobilization and Behavior Change Communication (BCC):(Cost $77.60 M) Component 4: Convergent Nutrition Action:(Cost $14.40 M) Component 5: Project Management, Monitoring & Evaluation:(Cost $18.40 M) Component 3: Performance Based Incentives:(Cost $82.40 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 Moderate Moderate Implementation Status and Key Decisions Since the previous mission in October 2018, there has been an increase in the pace of implementation along all project components. 12 DLI targets under the additional financing (AF) and 2 of the 8 pending DLI targets from the original project have been achieved resulting in a disbursement of 5/15/2019 Page 1 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) USD 22.27 million in 2019. An additional 9 DLI targets under the AF and 2 under the original project are currently being verified by the independent verification agency with final reports expected by end May 2018. These DLI achievements are primarily reflective of progress made by the MWCD in the development and issuance of operational guidelines related to convergent nutrition actions, supportive supervision and performance based incentives for states; and progress made by 6 of the 11 priority states in the roll out of community based events on nutrition, capacity building of Anganwadi Workers (AWWs) on maternal and child nutrition through the incremental learning approach and the development of state and district convergent action plans. All the remaining 5 states (Jharkhand, Maharashtra, Uttar Pradesh, Tamil Nadu and Karnataka) have initiated roll out of the above mentioned program interventions, however they are yet to achieve agreed targets. Significant progress has also been made in the roll out of ICDS-CAS since October 2018, with all 11 priority states in advanced stages of procurement of mobile phones, growth monitoring devices and helpdesk staff. The final contract issuance has however been delayed due to the model code of conduct for the national elections. The DLIs associated with strengthened monitoring systems related to the ICDS-CAS are thus expected to be met only post elections after July 2019. Additionally, based on progress to date, in the upcoming quarter, DLI targets associated with performance-based incentives for home visits and growth monitoring by AWWs are likely to met by better performing states such as Madhya Pradesh, Andhra Pradesh, Rajasthan and Chhattisgarh. There are two areas where implementation progress is slower than expected. This is in the establishment of a strengthened grievance redress system for the POSHAN Abhiyaan and the operationalization of supportive supervision by ICDS supervisory cadres in accordance with the issued guidelines. While draft standard operating procedures for the grievance redress and citizen engagement system have been developed, these are yet to be finalized and issued by the MWCD; and the lack of attention paid to field supervision by the MWCD and the priority states is resulting in negligible movement on supportive supervision within the program, which is critical for quality service delivery. This has been recognized by the MWCD and action on both these is expected in the coming month. Another area where action has been initiated by the MWCD but requires active follow up is completing assessments of prevalent nutrition customs and practices among vulnerable groups in states to help refine the communication strategy. Risks Systematic Operations Risk-rating Tool 5/15/2019 Page 2 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Moderate Moderate Macroeconomic -- Moderate Moderate 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 -- Moderate Moderate Results PDO Indicators by Objectives / Outcomes To improve the coverage of ICDS nutrition services to PLW and children under 3 years IN00701342 ►Cumulative number of pregnant/lactating women (PLW) and children under 3 years in project districts reached by ICDS services (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56,000.00 56,000.00 56,000.00 64,000.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701397 Cumulative number of (female) children under 3 years in project districts reached by ICDS services (Number (Thousand), Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 8,300.00 8,300.00 8,300.00 8,700.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701398 ►Percentage of AWWs who meet at least 60% of their targeted number of home visits to pregnant/lactating women (PLW) and children under 3 years in the previous month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 10.00 10.00 50.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 To improve quality of ICDS nutrition services IN00701344 5/15/2019 Page 3 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) ►Percentage of children age 6-8 months receiving solid or semi-solid food and breastmilk (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.70 42.70 42.70 55.00 Date 01-Jan-2018 01-Jan-2018 01-Jan-2018 30-Aug-2022 To be reported at mid-term Comments: IN00701396 ►Percentage of children 6-23 months of age who receive foods from 4 or more food groups (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.90 19.90 19.90 30.00 Date 01-Jan-2018 01-Jan-2018 01-Jan-2018 30-Aug-2022 To be reported at mid-term Comments: IN00701400 ►Percentage of AWCs that deliver a minimum set of services at AWCs in the last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.30 29.30 29.30 50.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 Original project PDO indicators (no further reporting on these) IN00701343 ►Percentage of targeted AWCs reporting key nutrition and service delivery indicators using ICT systems every month for the last 3 mon ths (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 60.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 IN00701345 ►Percentage of project districts that have implemented the “incremental capacity building” system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 IN00701399 ►Number of project states in which “convergent nutrition action plans” have been developed by the district convergence committees in at least one district (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 6.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 5/15/2019 Page 4 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Intermediate Results Indicators by Components Component 1: ICDS Institutional and Systems Strengthening IN00701401 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 388,541.00 388,541.00 280,000.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. IN00701406 ►Percentage of AWWs in project districts who have completed all online ILA modules (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701409 ►Percentage of Block Resource Groups (BRGs) and sectors that conducted at least four monthly learning and review meetings on ILA themes in the last six months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701411 ►Percentage of targeted AWCs reporting using ICDS-CAS systems every month for the last six months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 8.20 8.20 60.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701413 ►ICDS Personnel recieved training on ICDS-CAS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60,000.00 92,328.00 92,328.00 560,000.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701415 ►Number of states with strengthened grievance redress system (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 5/15/2019 Page 5 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 Protocols for strengthened grievance redress system not yet finalized Comments: IN00701416 ►Percentage of project districts with district resource groups trained to implement the incremental capacity building system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 62.00 100.00 100.00 95.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. IN00701417 ►Percentage of targeted AWWs trained on the ICT based management, monitoring and communication system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 76.94 76.94 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. Component 2: Community Mobilization and Behavior Change Communication (BCC) IN00701402 ►Percentage of AWCs in project districts that have implemented at least 4 CBEs focusing on agreed MIYCN themes in the last 6 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 48.60 48.60 65.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701407 ►Percentage of CBEs implemented in project districts in the last 6 months that focus on community influencers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 15.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701410 ►Number of project states where at least one mid-media campaign was deployed in the past year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701412 ►Percentage of Anganwadi Centers (AWCs) in project districts implementing monthly community-based processes focused on nutrition andhealth counselling (at least 5 events in the past 6 months) (Percentage, Custom) 5/15/2019 Page 6 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 61.67 61.67 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. Component 3: Performance Based Incentives IN00701405 ►Percentage of AWWs provided with ICDS-CAS training, who – in the last six months – received their monthly performance incentive at least 4 times (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 Component 4: Convergent Nutrition Action IN00701403 ►Percentage of project districts that operationalised convergent nutrition action plans among those that developed them in the past year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 Component 5: Project Management, Monitoring & Evaluation IN00701404 ►Percentage of ICDS supervisors who complete at least 60% of mandated supervision visits to AWCs in the last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 01-Jan-2018 30-Sep-2018 30-Sep-2018 30-Aug-2022 IN00701408 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 29,791,521.00 29,791,521.00 64,000,000.00 Date 01-Oct-2016 30-Sep-2018 30-Sep-2018 30-Aug-2022 The actual value reported against this indicator reflects data from the original 8 project States, which is carried over from the original project. Data from the new States is not reported due to issues in data Comments: quality. Systems are being strengthening to support better reporting against this CRI indicator. IN00701414 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) 5/15/2019 Page 7 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 29,791,521.00 29,791,521.00 64,000,000.00 Date 01-Oct-2016 30-Sep-2018 30-Sep-2018 30-Aug-2022 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P121731 IBRD-88390 Effective USD 200.00 200.00 0.00 27.36 172.64 14% P121731 IDA-51500 Effective USD 106.00 106.00 0.00 85.17 7.31 92% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P121731 IBRD-88390 Effective 30-Mar-2018 07-May-2018 11-Jun-2018 30-Aug-2022 30-Aug-2022 P121731 IDA-51500 Effective 06-Sep-2012 05-Nov-2012 26-Nov-2012 31-Oct-2015 30-Aug-2022 Cumulative Disbursements 5/15/2019 Page 8 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Restructuring History Level Approved on 15-Apr-2013 ,Level 2 Approved on 21-Oct-2013 ,Level 2 Approved on 08-Sep-2015 ,Level 2 Approved on 30-Mar-2017 ,Level 2 Approved on 21-Jul-2017 ,Level 2 Approved on 28-Feb-2019 Related Project(s) P165493-National Nutrition Mission (also known as ICDS Systems Strengthening and Nutrition Improvement Project: Additional Financing 5/15/2019 Page 9 of 9