The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) Crecer Sano: Guatemala Nutrition and Health Project (P159213) LATIN AMERICA AND CARIBBEAN | Guatemala | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 5 | ARCHIVED on 26-Jun-2019 | ISR36575 | Implementing Agencies: Republic of Guatemala, Ministry of Public Health and Social Assistance (Ministerio de Salud Pública y Asistencia Social - M Key Dates Key Project Dates Bank Approval Date: 24-Mar-2017 Effectiveness Date: -- Planned Mid Term Review Date: 22-Nov-2021 Actual Mid-Term Review Date: -- Original Closing Date: 31-Mar-2022 Revised Closing Date: 31-Mar-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to improve selected practices, services and behaviors known to be key determinants of chronic malnutrition (with an emphasis on the first 1,000 days of life) in the intervention areas. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Providing Inter-sectoral Services to Address Chronic Malnutrition Risk Factors:(Cost $81.00 M) Moving the Focus towards Results:(Cost $14.75 M) Supporting Project Management, Monitoring and Evaluation:(Cost $4.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating High Substantial Implementation Status and Key Decisions The World Bank Board approved the Crecer Sano Nutrition and Health Project ($100M Loan) on March 24, 2017. The Project seeks to improve selected practices, services and behaviors known to be key determinants of chronic malnutrition (with an emphasis on the first 1000 days of life) in the intervention areas prioritized by the National Strategy to Prevent Chronic Malnutrition 2016-2020. The Project is accompanied by a Global Financing Facility Trust Fund ($9M), a performance-based Grant, that will buy down interest rates and/or other IBRD loan charges to more concessional terms. 6/26/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) The National Congress approved the operation through Decree No. 1-2019 on February 27, 2019. As per Government request, on March 20, 2019, the World Bank extended the deadline for signing by an additional 60 days, establishing the new date as May 21, 2019. The Loan and Grant agreements were signed on May 15, 2019. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies High High High Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Sustainability High High Substantial Fiduciary High High Substantial Environment and Social Substantial Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High Substantial Results PDO Indicators by Objectives / Outcomes To improve selected practices, services and behav. key to chronic malnutrition in the interv. areas IN00711494 ►Proportion of municipalities where combined interventions were implemented (coordinated interventions/services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 10-May-2016 -- 10-May-2016 31-Dec-2023 Actual value and date is a mandatory field. Results framework is currently reporting baseline data since Comments: Project has not been signed. IN00711553 ►Number of families being served by new or rehabilitated water systems in the intervention areas (services) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80,000.00 6/26/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711557 ►Coverage of growth promotion for children under 24-months old in the intervention areas (practices and services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 -- 19.00 70.00 Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711560 ►Percentage of children six months old with exclusive breastfeeding in the intervention areas (behavior) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 -- 43.00 65.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 Overall Comments PDO The only change to this indicator is the “end target” date that is now December 31, 2023. Intermediate Results Indicators by Components Providing Inter-sectoral Services to Address Chronic Malnutrition Risk Factors IN00711495 ►Health posts in the intervention areas with updated census of houses and families (services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 -- 5.00 90.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 IN00711554 ►Number of families served by new or rehabilitation works for sanitation systems in the intervention areas (services) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 7,000.00 Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711562 ►Percentage of children 12-months old in the intervention areas receiving micronutrients as defined in the protocol (services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 -- 5.00 60.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 IN00711563 6/26/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) ►Percentage of children 12-months old in the intervention areas receiving complete vaccination scheme required for their age (services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 74.00 -- 74.00 95.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 IN00711564 ►Number of women of reproductive age in the intervention areas having access/receiving at least one family planning method (practices and services) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 190,000.00 -- 190,000.00 230,000.00 Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711565 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2,400.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00711571 Health personnel in the intervention areas receiving training (female health workers) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,800.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00711566 ►Surveillance system for safe drinking water in place, and reporting as defined in the protocols (services) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711567 ►Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 154.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00719658 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 680,000.00 Date 31-May-2016 -- 14-Jun-2019 29-Dec-2023 IN00719660 6/26/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 400,000.00 Date 31-May-2016 -- 14-Jun-2019 31-Dec-2023 IN00719661 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 280,000.00 Date 31-May-2016 -- 14-Jun-2019 31-Dec-2023 Moving the Focus towards Results IN00711552 ►The Unique Registry of Beneficiaries receives individual level data on health system usage (services) (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Data is being shared with the CCT Program Value No -- No for verification of co- responsibilities. Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00711556 ►Percentage of children under two years old who are beneficiaries of the CCT Program receiving transfers based on compliance with full verification cycle of health co-responsibilities in the interventi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00711559 ►CCT information system tracks and reports compliance with health and nutrition co-responsibilities of individual household members (services) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 10-May-2016 -- 10-May-2016 31-Dec-2023 IN00711561 ►Coverage of prenatal care with at least four visits in the intervention areas (services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18.70 -- 18.70 50.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 Supporting Project Management, Monitoring and Evaluation IN00711551 6/26/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) ►Percentage of municipalities in the intervention areas that are using a monitoring dashboard for chronic malnutrition (services) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 31-Dec-2015 -- 31-Dec-2015 31-Dec-2023 IN00711555 ►Participants in consultation activities during project implementation (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40,000.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 IN00711568 Participants in consultation activities during project implementation - female (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 28,000.00 Date 31-Mar-2016 -- 31-Mar-2016 31-Dec-2023 Overall Comments IR The only change to this indicator is the “end target” date that is now December 31, 2023. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P159213 IBRD-87300 USD 100.00 100.00 0.00 0.00 100.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P159213 IBRD-87300 24-Mar-2017 15-May-2019 -- 31-Mar-2022 31-Mar-2022 Effective Cumulative Disbursements 6/26/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Crecer Sano: Guatemala Nutrition and Health Project (P159213) Restructuring History Level 2 Approved on 10-May-2019 Related Project(s) There are no related projects. 6/26/2019 Page 7 of 7