Public Disclosure Copy The World Bank Implementation Status & Results Report DJ Improving Health Sector Performance (P131194) DJ Improving Health Sector Performance (P131194) MIDDLE EAST AND NORTH AFRICA | Djibouti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 11 | ARCHIVED on 13-Sep-2018 | ISR33973 | Implementing Agencies: Republic of Djibouti, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 02-Apr-2013 Effectiveness Date: 11-Jul-2013 Planned Mid Term Review Date: 15-Mar-2016 Actual Mid-Term Review Date: 23-May-2016 Original Closing Date: 31-Dec-2018 Revised Closing Date: 31-Dec-2018 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to improve the utilization of quality health care services for maternal and child health andcommunicable disease control programs (HIV/AIDS, tuberculosis and malaria). Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Components Table Name Improving health services delivery performance:(Cost $4.00 M) Strengthening health system management:(Cost $1.00 M) Strengthening program management and monitoring and evaluation capacity:(Cost $2.00 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 A mission is planned for September 19-27, 2018, after which another ISR will be filed with the latest update. 9/13/2018 Page 1 of 5 Public Disclosure Copy The World Bank Implementation Status & Results Report DJ Improving Health Sector Performance (P131194) 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 -- Low Low 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 PDO Indicators by Objectives / Outcomes To improve the utilization of maternal and child health and communicable disease control services IN00562967 ►Number of women receiving prenatal visits 2-4 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6,100.00 61,180.00 61,180.00 77,100.00 Date 01-Jun-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562970 ►Percentage of children fully immunized before their first birthday (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 45.51 45.51 51.50 Date 01-Dec-2012 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562972 ►Number of HIV positive pregnant women receiving treatment according to protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 317.00 317.00 1,175.00 Date 01-Nov-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 9/13/2018 Page 2 of 5 Public Disclosure Copy The World Bank Implementation Status & Results Report DJ Improving Health Sector Performance (P131194) Quality health care services IN00562968 ►Average facility quality (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.00 46.10 46.10 60.00 Date 01-Dec-2012 31-Dec-2017 31-Dec-2017 31-Dec-2018 Intermediate Results Indicators by Components Improving health services delivery performance IN00562950 ►Number of WCBA visiting the public system to obtain modern family planning (oral contraceptives and injections) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7,304.00 73,860.00 73,860.00 105,000.00 Date 01-Nov-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562966 ►Pregnant/lactating women, adolescent girls and/or children under age five-reached by basic nutrition services (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7,117.00 126,042.00 126,042.00 150,000.00 Date 01-Nov-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562976 Pregnant/lactating women, adolescent girls and/or children under age five- reached by basic nutrition services – Others (specify) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 7,117.00 126,042.00 126,042.00 150,000.00 Date 01-Nov-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562969 ►Number of women giving birth in a contracted facility assisted by qualified personnel (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,026.00 19,206.00 19,206.00 25,525.00 Date 01-Jun-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562974 ►People receiving tuberculosis treatment in accordance with the WHO-recommended “Directly Observed Treatment Strategy” (DOTS) (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 9/13/2018 Page 3 of 5 Public Disclosure Copy The World Bank Implementation Status & Results Report DJ Improving Health Sector Performance (P131194) Value 300.00 2,849.00 2,849.00 2,100.00 Date 01-Dec-2012 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562975 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,543,826.00 1,543,826.00 825,000.00 Date 01-Dec-2012 31-Dec-2017 31-Dec-2017 31-Dec-2018 IN00562977 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 65.00 Strengthening health system management IN00562971 ►Percentage of pregnant women receiving at least two doses of tetanus toxoid (TT2) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 27.20 27.20 45.00 Date 01-Dec-2012 31-Dec-2017 31-Dec-2017 31-Dec-2018 Strengthening program management and monitoring and evaluation capacity IN00562973 ►Number of curative care visits per person per year in the public system (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.15 0.46 0.46 0.52 Date 01-Nov-2014 31-Dec-2017 31-Dec-2017 31-Dec-2018 Overall Comments IR The results framework will be updated as part of the restructuring. Data on Financial Performance Disbursements (by loan) 9/13/2018 Page 4 of 5 Public Disclosure Copy The World Bank Implementation Status & Results Report DJ Improving Health Sector Performance (P131194) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P131194 IDA-52160 Effective USD 7.00 7.00 0.00 5.95 0.61 91% P131194 TF-19258 Effective USD 7.00 7.00 0.00 4.69 2.31 67% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P131194 IDA-52160 Effective 02-Apr-2013 21-Apr-2013 11-Jul-2013 31-Dec-2018 31-Dec-2018 P131194 TF-19258 Effective 13-May-2015 13-May-2015 27-Jul-2015 31-Dec-2018 31-Dec-2018 Cumulative Disbursements Restructuring History Level 1 Approved on 23-Apr-2015 Related Project(s) P152705-DJ HRITF Health AF ,P168250-Djibouti Improving Health Sector Performance Project Additional Financing 9/13/2018 Page 5 of 5