Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) DRC Human Development Systems Strengthening (P145965) AFRICA | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 7 | ARCHIVED on 18-Oct-2017 | ISR29683 | Implementing Agencies: Democratic Republic of Congo, The World Bank, DRC Ministry of Finance, CFEF-Ministry of Finance, World Bank, World Bank Key Dates Key Project Dates Bank Approval Date:23-Apr-2014 Effectiveness Date:20-Jan-2015 Planned Mid Term Review Date:22-Jan-2018 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2018 Revised Closing Date:31-Dec-2020 Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to strengthen select management systems for education and health services in targetedgeographic areas in the Recipient's territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Information Systems:(Cost $40.52 M) Component 2: Systems for Safe Essential Medicines:(Cost $12.71 M) Component 3: Analytical Products:(Cost $2.85 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Risk Rating  Substantial  Substantial 10/18/2017 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Implementation Status and Key Decisions English. The project has three components: i) Information systems (US$40.52 million); ii) Systems for safe essential medicines (US$12.71 million); and iii) Analytic products (US$ 2.85 million). Component 1 aims to enable data-driven decision-making, leading to more efficient use of resources and improved human development outcomes. A major sub-component (US$20m) was added for civil registration and vital statistics (CRVS) through the additional financing. Component 2 aims to enhance the capacity of the system that provides safe and effective essential medicines. Component 3 has two objectives: i) to ensure that targeted ministries have access to high quality analytical products to inform decision-making and systems development; and ii) to enable DRC to learn from and share its lessons with the global community, particularly from/with other fragile and conflict-affected states. While progress is improving, the pace is well below what is necessary to reach the project’s development objectives in the allotted timeframe. A major concern is the continuing inability to declare the additional financing effective, which will hinder many activities. There is progress on the action plan for 2017 and more is needed to strengthen project performance and show progress towards the development outcomes based upon the indicators agreed with the government. Français. Le projet a trois composantes : (i) systèmes d’information (40,52 millions USD) ; (ii) les systèmes pour des médicaments essentiels sains (12,71 millions USD) et (iii) produits analytiques (2,85 millions USD). La composante 1 a pour ambition de permettre la prise de décisions sur la base d’informations quantitatives permettant d’améliorer l’efficacité de l’utilisation des ressources et donc le développement humain. Une sous-composante importante (20 millions USD) a été rajoutée dans le financement additionnel pour l’état civil et les statistiques connexes. La deuxième composante renforce le système d’approvisionnement de médicaments essentiels de qualité et efficaces. La troisième composante a deux objectifs : (i) de permettre aux ministères ciblés d’avoir des études de qualité pour la prise de décisions et le développement de systèmes et (ii) de permettre à la RDC d’échanger des bonnes pratiques et expériences à l’international, particulièrement avec les pays fragiles ou en conflit. Bien qu’il y ait des améliorations, la progression actuelle est nettement inférieure à ce qui est nécessaire pour atteindre les objectifs du projet dans la durée prévue. L’incapacité de déclarer la mise en vigueur du financement additionnel est particulièrement important car ça retardera beaucoup d’activités. Il y a des progrès sur le plan d’action 2017 et plus est nécessaire pour améliorer la performance du projet et montrer des progrès sur les objectifs de développement qui font l’objet de l’accord avec le gouvernement. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  High  High Macroeconomic  --  Substantial  Substantial Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  --  High  High Fiduciary  --  Substantial  Substantial Environment and Social  --  Low  Low Stakeholders  --  Substantial  Moderate Other  --  --  -- Overall  --  Substantial  Substantial 10/18/2017 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Results Project Development Objective Indicators PHINDPDOTBL  Educational sub-provinces in targeted areas with annual plans and reports based on improved SIGE data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Apr-2014 30-Dec-2016 06-Oct-2017 31-Dec-2020 Comments Reports based upon older data are available for 27% of the targeted areas, but no action plans exist. Action plans and reports using the new data are currently expected in December 2017. PHINDPDOTBL  Strategy for a national CRVS system developed and endorsed by the various stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 31-Dec-2015 25-Feb-2016 06-Oct-2017 31-Dec-2020 PHINDPDOTBL  National LMIS strategy, based upon pilot testing, endorsed by the stakeholders (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 31-Dec-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDPDOTBL  Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 10/18/2017 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Date 01-Apr-2014 28-Mar-2017 06-Oct-2017 31-Dec-2020 Comments Information exists, but is not yet on the ministry's web site. PHINDPDOTBL  Health zones in targeted areas with annual plans and reports based on improved SNIS data available on the internet (PHRD- financed areas) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 25.80 25.80 25.80 90.00 Date 31-Dec-2015 15-Aug-2016 06-Oct-2017 31-Dec-2018 PHINDPDOTBL  Priority action points in the first SDI action plan which have been completed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Apr-2014 28-Mar-2017 06-Oct-2017 31-Dec-2020 Overall Comments Intermediate Results Indicators PHINDIRITBL  Territorial coverage of the GIS-based education map system in the targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Apr-2014 28-Mar-2017 06-Oct-2017 31-Dec-2020 Comments Procurement underway. 10/18/2017 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) PHINDIRITBL  Recommendations from 2014 WHO evaluation of the DPM which have been implemented with support from the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 3.00 20.00 Date 31-Dec-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 Comments Recommendations 50, 53, and 59. PHINDIRITBL  Children receiving a birth registration certificate (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 600,000.00 Date 31-Dec-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Children receiving a birth registration certificate (under 5 years of age) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 125,000.00 Date 31-Dec-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 10/18/2017 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) PHINDIRITBL  CRVS-linked feedback cases addressed and closed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Territorial coverage of the GIS-based health map system in the targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 43.50 90.00 Date 01-Apr-2014 28-Mar-2017 13-Sep-2017 31-Dec-2020 Comments Information on land area is not available at this time, so the indicator is calculated as 27/62, with the 27 zones of Haut-Katanga that are covered, and those from Mai-Ndombe and Sud Ubangui are not done (total=62). Once the required information is available, the indicator will be restated appropriately. PHINDIRITBL  HMIS reports submitted in a timely fashion in health zones supported by PHRD grant (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.80 25.80 28.00 90.00 Date 31-Dec-2015 31-Dec-2015 06-Oct-2017 31-Dec-2018 PHINDIRITBL  Health and education workers trained on information management systems in targeted areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 325.00 549.00 2,480.00 Date 01-Apr-2014 30-Dec-2016 06-Oct-2017 31-Dec-2020 Comments Education: 218, health: 331. 10/18/2017 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) PHINDIRITBL  Action plans developed based on Service Delivery Indicators (SDI) surveys and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 01-Apr-2014 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Business plan for a more autonomous essential medicines regulatory authority developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Business plan for the FEDECAME developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2014 28-Mar-2017 06-Oct-2017 31-Dec-2020 10/18/2017 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) PHINDIRITBL  Action plan to optimize logistics of essential medicines in targeted provinces developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2014 15-Aug-2016 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Studies supported by Component 3 of the project which have been completed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 2.00 10.00 Date 01-Apr-2015 28-Mar-2017 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 325.00 549.00 603,500.00 Date 01-Apr-2014 30-Dec-2016 06-Oct-2017 31-Dec-2020 PHINDIRITBL  Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.80 9.80 45.00 Overall Comments 10/18/2017 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P145965 IDA-D1110 USD 30.00 30.00 0.00 0.00 29.41 0% Effective P145965 IDA-H9360 Effective USD 15.00 15.00 0.00 6.91 6.67 46% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P145965 IDA-D1110 29-Mar-2016 13-May-2016 -- 31-Dec-2020 31-Dec-2020 Effective P145965 IDA-H9360 Effective 23-Apr-2014 19-Jun-2014 20-Jan-2015 31-Dec-2018 31-Dec-2018 Cumulative Disbursements Restructuring History Level 2 Approved on 12-Jan-2016 10/18/2017 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report DRC Human Development Systems Strengthening (P145965) Related Project(s) P156421-AF-DRC Human Development Systems Strengthening 10/18/2017 Page 10 of 10 Public Disclosure Copy