Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Maternal and Child Health and Nutrition Services Support Project (P143843) AFRICA | Togo | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 9 | ARCHIVED on 09-Apr-2018 | ISR32013 | Implementing Agencies: Republic of Togo, Ministry of Health Key Dates Key Project Dates Bank Approval Date:19-Feb-2014 Effectiveness Date:23-Feb-2015 Planned Mid Term Review Date:15-Mar-2017 Actual Mid-Term Review Date:15-Mar-2017 Original Closing Date:31-Oct-2018 Revised Closing Date:31-Oct-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) To increase utilization of selected maternal and child health and nutrition services for pregnant women and children. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improved utilization of malaria and nutrition services:(Cost $10.00 M) Strengthening Health Monitoring and Evaluation Systems; Project Management:(Cost $4.00 M) 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 Progress has been made on a number of fronts including the support provided for strengthening the national health information system and 4/9/2018 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) implementation of DHIS2. Training has been provided to 648 National Health Information System focal points, and the monthly data quality control missions at all levels of the health system have taken place. This has helped to improve the Government’s ability to monitor and manage its maternal and child health, and nutrition programs. Overall, the pace of implementation of the project has been progressing well and the rating for Implementation Progress (IP)has been upgraded to Moderately Satisfactory. 4/9/2018 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) 4/9/2018 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Substantial  Substantial Macroeconomic  --  Moderate  Moderate Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Moderate  Moderate Other  --  --  Moderate Overall  --  Substantial  Substantial Results Project Development Objective Indicators 4/9/2018 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) PHINDPDOTBL  Proportion of pregnant women who slept under a LLIN the previous night (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 46.30 27.10 27.10 75.00 Date 31-Oct-2013 30-Sep-2017 30-Sep-2017 31-Oct-2018 Comments This indicator will be changed during the restructuring to Percentage of pregnant women receiving LLINs during CPN visits, because it dependent to survey data. PHINDPDOTBL  Proportion of women who received IPT during ANC visits during their last pregnancy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.50 56.00 56.00 56.00 Date 31-Oct-2013 30-Sep-2017 30-Sep-2017 31-Oct-2018 Comments This indicator will be changed during the restructuring to Percentage of pregnant women who received 3 doses of SP (IPT) during CPN visits because it dependent to survey data. PHINDPDOTBL  Proportion of suspected malaria cases tested by community health workers using an RDT (Percentage, Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 92.00 92.00 60.00 Date 31-Oct-2013 30-Sep-2017 31-Dec-2017 31-Oct-2018 PHINDPDOTBL  Proportion of infants 0-5 months (less than 180 days) of age who were exclusively breastfed (Plateaux and Centrale regions) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/9/2018 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Value 58.00 -- 58.00 70.00 Date 31-Oct-2013 -- 30-Sep-2017 31-Oct-2018 PHINDPDOTBL  Percentage of women attending ANC who received 90 IFA tablets during their last pregnancy in the project supported regions (Centrale & Plateaux) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 39.00 -- 39.50 84.00 Date 31-Oct-2013 -- 30-Sep-2017 31-Oct-2018 Overall Comments Government team still facing challenges with reporting due to the fact that some of the indicators require survey data. Since it is not possible to utilize routine data to report on these indicators because of their nature; it was agreed with client to revise the results framework. Intermediate Results Indicators PHINDIRITBL  Number of pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 144,897.00 200,580.00 312,653.00 Date 31-Oct-2013 30-Sep-2017 31-Dec-2017 31-Oct-2018 PHINDIRITBL  Long-lasting insecticide-treated malaria nets purchased and/or distributed (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 237,089.00 345,700.00 521,165.00 Date 31-Oct-2013 31-Mar-2017 31-Dec-2017 31-Oct-2018 4/9/2018 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) PHINDIRITBL  Percentage of household with children under age of two which was visited by CHW to support infant and child nutrition practices in the Centrale and Plateaux regions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.24 61.00 60.00 Date 31-Oct-2013 30-Sep-2017 31-Dec-2017 31-Oct-2018 PHINDIRITBL  Percentage of health facilities submitting standardized HMIS monthly reports within one month of the reporting month (Percentage Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 91.00 95.50 70.00 Date 31-Oct-2013 30-Sep-2017 31-Dec-2017 31-Oct-2018 PHINDIRITBL  Percentage of districts where at least 25% of the received of HMIS reports were verified (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 50.00 Date 31-Oct-2013 31-Mar-2017 31-Dec-2017 31-Oct-2018 PHINDIRITBL  Percentage of pregnant women who attend at least four antenal care visit during the last pregnancy in two regions (Plateaux & Centrale) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 51.00 -- 55.00 64.00 Date 31-Oct-2013 -- 30-Sep-2017 31-Oct-2018 4/9/2018 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) PHINDIRITBL  Number of LLIN distributed to pregnant women during ANC visits (routine distribution of LLIN) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 40,723.00 521,165.00 Date 31-Oct-2013 -- 31-Dec-2017 31-Oct-2018 PHINDIRITBL  Percentage of children under 2 years of age who attend the GMP session at least once during the previous month in the regions (Centrale & Plateaux) supported by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 -- 74.00 100.00 Date 31-Oct-2013 -- 30-Sep-2017 31-Oct-2018 PHINDIRITBL  Direct project beneficiairies (number) of which women (percentage (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 1,055,689.00 5,109,968.00 Date 31-Oct-2013 -- 31-Dec-2017 31-Oct-2018 Overall Comments The results framework will be revised to include new indicators to better assess the achievement of the project. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P143843 IDA-H9110 Effective USD 14.00 14.00 0.00 9.89 2.87 78% Key Dates (by loan) 4/9/2018 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P143843 IDA-H9110 Effective 19-Feb-2014 06-May-2014 23-Feb-2015 31-Oct-2018 31-Oct-2018 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 4/9/2018 Page 9 of 9 Public Disclosure Copy