The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Health Services Reinforcement Project (P164696) AFRICA | Burkina Faso | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 3 | ARCHIVED on 09-Dec-2019 | ISR39008 | Implementing Agencies: Ministry of Economy, Finance, and Development, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 06-Jul-2018 Effectiveness Date: 19-Dec-2018 Planned Mid Term Review Date: 11-Jan-2021 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase the quality and utilization of health services with a particular focus on maternal, child and adolescent health, nutrition and disease surveillance Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Health System Capacity:(Cost $40.00 M) Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH+N):(Cost $45.00 M) Reinforcing Health Security and Supporting Institutional Strengthening:(Cost $15.00 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Le projet a effectivement commencé ses activités et devrait connaître une accélération dans les mois à venir. Les efforts actuels se focalisent sur des activités essentielles (p.ex. formation en gestion des districts et en chirurgie essentielle) ou structurantes (p.ex. soutien au Recensement général de la population et de l’habitat, développement de l’achat stratégique, l’enquête nationale nutrition). The project has effectively started its activities and should accelerate in the coming months. Current efforts are focused on activities that are essential (e.g. trainings on district management and essential basic surgery) or structural (e.g. support to the population and housing census, development of strategic purchasing, and the national nutrition survey). 12/9/2019 Page 1 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial High High Macroeconomic Moderate High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Low Low Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase the quality and utilization of health services IN00757786 ►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 0.00 5,000,000.00 Date 01-Aug-2018 08-Apr-2019 30-Sep-2019 31-Jul-2023 IN00757788 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 0.00 3,000,000.00 Date 01-Aug-2018 08-Apr-2019 30-Sep-2019 31-Jul-2023 IN00757789 ►Average score of the quality of care checklist (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/9/2019 Page 2 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Value 0.00 0.00 0.00 70.00 Date 01-Aug-2018 08-Apr-2019 30-Sep-2019 31-Jul-2023 Improved disease surveillance IN00757787 ►Multi-hazard national public health emergency preparedness and response plan is implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 27-Apr-2018 08-Apr-2019 30-Sep-2019 30-Jun-2023 Has not yet been reassessed. Comments: N'a pas encore fait l'objet d'une réévaluation. Intermediate Results Indicators by Components Strengthening Health System Capacity IN00757790 ►Facilities receiving strategic purchasing quality payments on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 01-Aug-2018 08-Apr-2019 30-Sep-2019 31-Jul-2023 Strategic purchasing is not yet launched. Comments: L'achat stratégique n'a pas encore commencé. IN00757793 ►Number of districts applying ths strategic purchasing approach as a purchasing mechanism for PHC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 0.00 0.00 50.00 Date 27-Apr-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 Strategic purchasing has not started. Comments: L'achat stratégique n'a pas encore commencé. IN00757796 ►National HeaIth Insurance Fund operationalization index (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 21-May-2018 31-Aug-2018 31-Aug-2018 30-Jun-2023 12/9/2019 Page 3 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition IN00757791 ►Number of community health workers receiving training on community-level IYCF and IMPC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5,000.00 Date 27-Apr-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 IN00757794 ►Number of women using modern contraceptives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,650,000.00 Date 10-May-2018 31-Aug-2018 30-Sep-2019 31-Jul-2023 IN00757797 ►Percent of newborns receiving birth certificates (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 81.00 81.00 90.00 Date 10-May-2018 31-Aug-2018 31-Aug-2018 31-Jul-2023 IN00757798 ►Number of children immunized (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 750,000.00 Date 10-May-2018 31-Aug-2018 30-Sep-2019 31-Jul-2023 IN00757799 ►Proportion of women delivering in facilities in the strategic purchasing program receiving post-partum family planning (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 21-May-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 Strategic purchasing has not started. Comments: L'achat stratégique n'a pas encore commencé. IN00757800 ►Proportion of adolescent girls delivering in facilities in the strategic purchasing program receiving post-partum family planning (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 21-May-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 Strategic purchasing has not started. Comments: L'achat stratégique n'a pas encore commencé. IN00757801 12/9/2019 Page 4 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) ►Average exit interviews scores of RMNCAH+N services in facilities in the strategic purchasing program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 21-May-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 Strategic purchasing has not started. Comments: L'achat stratégique n'a pas encore commencé. Reinforcing Health Security and Supporting Institutional Strengthening IN00757792 ►Interoperable, interconnected, electronic real-time reporting system (national capacity score) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 27-Apr-2018 31-Aug-2018 31-Aug-2018 30-Jun-2023 Evaluation has not been updated. Comments: L'évaluation n'a pas été mise à jour. IN00757795 ►Mechanism is established for the coordination of relevant sectors for implementation of IHR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 27-Apr-2018 31-Aug-2018 30-Sep-2019 30-Jun-2023 Overall Comments IR Project financing has not yet reached the point of service delivery aside from the general surgery trainees who are now in the residency phase. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164696 IDA-D3540 Effective USD 80.00 80.00 0.00 8.10 68.68 11% P164696 TF-A7763 Effective USD 20.00 20.00 0.00 1.20 18.80 6% Key Dates (by loan) 12/9/2019 Page 5 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164696 IDA-D3540 Effective 06-Jul-2018 21-Aug-2018 19-Dec-2018 30-Jun-2023 30-Jun-2023 P164696 TF-A7763 Effective 06-Jul-2018 21-Aug-2018 19-Dec-2018 31-Dec-2021 31-Dec-2021 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) P168823-Health Services Reinforcement Project Additional Financing (PoN) 12/9/2019 Page 6 of 6