Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) Health System Support (P156165) AFRICA | Mauritania | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 1 | ARCHIVED on 24-Jul-2017 | ISR29136 | Implementing Agencies: Ministry of Health, Islamic Republic of Mauritania Key Dates Key Project Dates Bank Approval Date:19-May-2017 Effectiveness Date:-- Planned Mid Term Review Date:21-Jun-2019 Actual Mid-Term Review Date:-- Original Closing Date:30-Jun-2021 Revised Closing Date:30-Jun-2021 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to improve utilization and quality of Reproductive Maternal Neonatal and Child Health (RMNCH) services in selected regions, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improving Utilization of Quality RMNCH Health Services through PBF:(Cost $9.50 M) Increasing Demand for Health Services:(Cost $2.50 M) Capacity Building and Project Management:(Cost $5.00 M) Contingency Emergency Response Component Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  --  Satisfactory Overall Implementation Progress (IP)  --  Satisfactory Overall Risk Rating  --  Moderate 7/24/2017 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) Implementation Status and Key Decisions The project was approved by the IDA Board on May 19, 2017 and the Financing Agreement was signed on June 16, 2017. The effectiveness is anticipated by September 14, 2017 and the Ministry of Health and its partners are taking the necessary actions to achieve this. An implementation support mission to assess progress towards effectiveness and to provide assistance is planned for September 2017. Risks Systematic Operations Risk-rating Tool 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  --  Moderate Fiduciary  Substantial  --  Substantial Environment and Social  Moderate  --  Moderate Stakeholders  Low  --  Low Other  --  --  -- Overall  Moderate  --  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Pregnant women completing four antenatal care visits to a health facility during pregnancy (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4,444.00 -- -- 41,211.00 Date 31-Dec-2015 -- -- 30-Jun-2021 Comments This ISR serves to update on progress towards effectiveness. Later ISRs will update on progress. 7/24/2017 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) PHINDPDOTBL  Children 12-23 months fully immunized (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9,046.00 -- -- 63,289.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDPDOTBL  Average score of the quality of care checklist (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 60.00 Date 31-Dec-2015 -- -- 30-Jun-2021 Overall Comments This ISR serves to update on progress towards effectiveness. Later ISRs will update on progress. Intermediate Results Indicators PHINDIRITBL  Women accepting modern family planning methods (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8,969.00 -- -- 94,622.00 Date 31-Dec-2015 -- -- 30-Jun-2021 Comments This ISR serves to update on progress towards effectiveness. Later ISRs will update on progress. 7/24/2017 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) PHINDIRITBL  Children under the age of five treated for severe and acute malnutrition (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 321.00 -- -- 1,878.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health facilities without essential medicines stockouts over the last three months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 94.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Basic equipment availability (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.50 -- -- 94.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Visits by under-5 children to health facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 68,185.00 -- -- 450,169.00 Date 31-Dec-2015 -- -- 30-Jun-2021 7/24/2017 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) PHINDIRITBL  Post-natal consultation visits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2,568.00 -- -- 26,764.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Conditional cash transfer beneficiaries (% eligible households receiving full transfers) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 60.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Districts that implement the community health strategy (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 6.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Pregnant women referred for ANC1 by community health workers (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 23,084.00 Date 31-Dec-2015 -- -- 30-Jun-2021 7/24/2017 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) PHINDIRITBL  Health facilities transmitting complete HMIS reports on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 95.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  User satisfaction with health care services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 80.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Health facilities with functioning management committees (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 39.70 -- -- 100.00 Date 31-Dec-2016 -- -- 30-Jun-2021 PHINDIRITBL  People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 94,427.00 -- -- 1,761,769.00 Date 31-Dec-2015 -- -- 30-Jun-2021 7/24/2017 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) PHINDIRITBL  Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 4,885.00 -- -- 43,089.00 Date 31-Dec-2015 -- -- 30-Jun-2021 PHINDIRITBL  Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 12,278.00 -- -- 78,812.00 Date 31-Dec-2015 -- -- 30-Jun-2021 Overall Comments This ISR serves to update on progress towards effectiveness. Later ISRs will update on progress. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P156165 IDA-D1890 USD 17.00 17.00 0.00 0.00 17.42 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P156165 IDA-D1890 19-May-2017 16-Jun-2017 -- 30-Jun-2021 30-Jun-2021 Effective Cumulative Disbursements 7/24/2017 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Support (P156165) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 7/24/2017 Page 8 of 8 Public Disclosure Copy