The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) REPORT NO.: RES30131 RESTRUCTURING PAPER ON A PROPOSED PROJECT RESTRUCTURING OF MATERNAL AND CHILD HEALTH AND NUTRITION SERVICES SUPPORT PROJECT APPROVED ON FEBRUARY 19, 2014 TO REPUBLIC OF TOGO HEALTH, NUTRITION & POPULATION AFRICA Regional Vice President: Makhtar Diop Country Director: Pierre Frank Laporte Senior Global Practice Director: Timothy Grant Evans Practice Manager/Manager: Gaston Sorgho Task Team Leader: Elizabeth Mziray The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) ABBREVIATIONS AND ACRONYMS ANC Antinatal Consultations ASC Community Health Worker (Agent de Santé Communautaire) CD Country Director CHW Community Health Worker CRI Corporate Results Indicator DHS Demographic and Health Survey DHIS2 District Health Information System FM Financial Management HMIS Health Management Information System IDA International Development Association LLIN Long-Lasting Insecticide-treated Malaria Nets MCH Maternal Child Health MIS Malaria Indicator Survey MWMP Medical Waste Management Plan NEA Essential Nutrition Actions NSP National Strategic Plan (Actions Essentielles en Nutrition) PASMIN Maternal and Child Health and Nutrition Services Support Project (Projet d’Appui aux services de Santé Maternelle et Infantile et de Nutrition) PCIMNE-C Comprehensive Community-Based Child and Newborn Disease Package PDO Project Development Objective PNLP National Malaria Control Program (Programme National de Lutte contre le Paludisme) PSE Monitoring and Evaluation Plan (Plan de Suivi et Evaluation) RDT Rapid Diagnostic Test SNIS National Health Information System (Système National d’Information Sanitaire) SP Sulfadoxinepyrimethamine TF Trust Fund UNICEF United Nations Childrens’ Fund USAID United States Agency for International Development The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) BASIC DATA Product Information Project ID Financing Instrument P143843 Investment Project Financing Original EA Category Current EA Category Partial Assessment (B) Partial Assessment (B) Approval Date Current Closing Date 19-Feb-2014 31-Oct-2018 Organizations Borrower Responsible Agency Republic of Togo Ministry of Health Project Development Objective (PDO) Original PDO To increase utilization of selected maternal and child health and nutrition services for pregnant women and children. OPS_TABLE_PDO_CURRENTPDO Summary Status of Financing Net Ln/Cr/Tf Approval Signing Effectiveness Closing Commitment Disbursed Undisbursed IDA-H9110 19-Feb-2014 06-May-2014 23-Feb-2015 31-Oct-2018 14.00 10.20 2.49 Policy Waiver(s) Does this restructuring trigger the need for any policy waiver(s)? No The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Note to Task Teams: End of system generated content, document is editable from here. I. PROJECT STATUS AND RATIONALE FOR RESTRUCTURING 1. The Grant was approved on February 19, 2014, in the amount of SDR9.1 million (US$14 million equivalent) and became effective a year later on February 23, 2015, following which there was another 8 months delay until the project launch (September 2015). This was the first World Bank operation in the health sector in Togo over a decade. As such the project was designed to build on the lessons learned from other social sector projects in Togo. The project supports the ongoing effort of the Government of Togo and its partners to improve access to proven, cost-effective and high impact malaria control and nutritional services through routine delivery of Maternal and Child Health (MCH) services. The Project Development Objective (PDO), which still remain relevant, is to increase utilization of selected maternal and child health and nutrition services for pregnant women and children. 2. Progress toward achievement of the PDO (DO) is rated Moderately Unsatisfactory (MU) and Implementation Progress (IP) Moderately Satisfactory (MS) in the last ISR. Three of the five PDO indicators require survey data for their measurement. Due to the unavailability of survey data the project has utilized proxy indicators to report on the results framework and to assess the progress towards the achievement of the PDO (see Table 1 below). One of the five PDO indicators has surpassed its end of project target value “Proportion of suspected malaria cases tested by community health workers using an RDT”. Original Indicator and Source Proxy Indicator Used and Source Proportion of pregnant women who slept under a LLIN Percentage of Pregnant women receiving LLINs during the previous night (DHS) ANC visits (PNLP routine monitoring data) Proportion of women who received IPT during ANC visits Percentage of pregnant women who received 3 doses during their last pregnancy (DHS) of SP (IPT) during ANC visits (PNLP routine monitoring data) Percentage of pregnant women attending ANC who Proportion of pregnant women who received 90 IFA received 90 IFA tablets during their last pregnancy in the tablets during ANC visits (Nutrition Program routine project supported regions (Centrale & Plateaux) monitoring data) 3. The project includes two components (each with sub-components), to (i) support increased utilization of maternal and child health, and nutrition services for pregnant women and children; and (ii) strengthen the overall health managenent information system. Progress under each component is as follows: COMPONENT 1: Improved utilization of malaria and nutrition services (US$10.0 million) a) Subcomponent 1.1: Support for (i) malaria control in pregnancy through provision of LLINs and SPs as part of the basic package of ANC services; (ii) community-based diagnosis and treatment of malaria; and (iii) management, supervision, and behavioral changes to ensure effective utilization (US$7.0 million). Activities under this sub- component are on-going and progressing well with significant implementation progress made in 2017 and the first quarter of 2018. Eighty percent of these activities planned for 2017 have been completed. Some of the achievements include: (i) Implementation of the advanced ANC strategy in the 10 districts including training of The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) health facility managers, midwives and birth attendants on the Comprehensive Community-Based Child and Newborn Disease Package (PCIMNE-C) and Essential Nutrition Actions (NEA); (ii) acquisition of inputs: 345,700 LLINs, 422,258 RDT kits and 785,736 doses of Sulfodoxinepyrimethamine (SP); (iii) review of the Malaria National Control Program (PNLP); (iv) development of the new National Strategic Plan (NSP) and Monitoring and Evaluation Plan (PSE) all of the aforementioned activities have resulted in an increase in coverage of the distribution of LLINs, and improvements in access and quality of ANC services including increasing access to IPT for pregnant women. In addition, in 2016 the project was able to rapidly respond to a meningitis outbreak that killed close to 200 people, through the provision of both technical and financial support. The interventions under this sub-component fill the funding gap in complement to the financing from the Government of Togo and the Global Fund to fight AIDS TB and Malaria (GFATM). b) Subcomponent 1.2: Community - based nutrition services for pregnant women and young children under five years of age (US$3.0 million). Following the slow start of this sub-component, with scaling up of activities only beginning in 2017, there has been significant progress. Eighty percent of activities planned for 2017 were completed with the rest ongoing by end-December 2017. In addition, the CHWs supported by PASMIN have generated significant demand for nutrition services in the Plateaux and Centrale region that in some cases exceeds the supply in terms of availability of inputs for the treatment of severe and moderate acute malnutrition. Some of the challenges that currently exist include the insufficient supervision of the ASCs to ensure the quality of the data collected; the significant delays in the delivery of the tools for conducting the anthropometric measurements, and the distribution of enriched flour. There is no recent data available on the prevalence of malnutrition, a SMART survey was planned for 2016 with UNICEF financing but it has not been launched yet due to lack of financing. COMPONENT 2: Strengthening Health Monitoring and Evaluation Systems; Project Management (US$4.0 million). c) Subcomponent 2.1: Strengthening the health monitoring and evaluation system, particularly the HMIS, including the Government’s capacity to monitor its MCH programs (US$2.6 million). Strengthening Health Monitoring and Evaluation Systems; Project Management. Activities under this sub-component have been progressing on a number of fronts including the support provided for strengthening the national information system and 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. d) Subcomponent 2.2: Project coordination and implementation support (US$1.4 million). Activities under this sub- component have been carried out by the Project Coordination Unit under the Ministry of Health such as: day to day project management, overseeing of financial management and audit; procurement; training and supervision, including costs related to supporting the government in its implementation of safeguards policy measures (notably the medical waste management plan (MWMP). The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) 4. The Financial Management (FM) arrangements, includng planning and budgeting, accounting, financial reporting, external audit, internal controls and fund flow at the Project Impementation Unit are overall satisfactory and acceptable to the Bank. Therefore, Financial Management requirements under the Project (including audit compliance) as stipulated in the Financing Agreement are satisfactory and complied with. There are no overdue audit reports under the Project. The amount disbursed under the Project is US$10.20 million, representing 80.36 percent of the committed amount. 5. Environmental Safeguards. The Project’s rating on safeguards compliance is Satisfactory. An Environmental Management Framework developed and adopted for guiding site-specific environmental work is being followed through. Rationale for Restructuring 6. The mid-term review (MTR) of March 2017 and the in-depth supervision mission of February 2018, have identified a number of areas in the project that require revisions, including: (i) the reallocation of funding between components to include new activities such as preparatory activities for the pipeline Performance Based Financing (PBF) project and the introduction of a Contingent Emergency Response Component (CERC) to allow for rapid reallocation of project proceeds in the event of a natural or man-made disaster or crisis; (ii) the revision of the Results Framework to better reflect the achievements of the project and to assess the progress towards achievement of the PDO; and (iii) the extension of the Closing Date for 1 year to allow Government to complete all planned activites. II. DESCRIPTION OF PROPOSED CHANGES This Level 2 restructuring includes: 7. Revisions of Project Components and costs: The original cost for Component 1 of US$10 million will be reduced to US$9.23 million; and the original cost for Component 2 of US$4 million would be increased to US$4.76 million. The change in the component costs under Component 2, notably the increase in allocation to subcomponent 2.2. will enable the MOH to fill the financing gap in Project Coordination and Implementation Support including for undertaking the preparatory activities for the pipeline PBF project to meet the environmental and social safeguards requirements as well as strengthening the capacity of key MOH staff on PBF; and for continued support to the project management unit (PMU) for overseeing and monitoring project implementation, and coordinating with key stakeholders during the extension period. Table 1. Reallocation between components in US$ million Components Original Revised allocation allocation Component 1: Improved Utilization of Malaria and Nutrition Services 10,000,000 9,236,070 1.1. Improved Utilization of Malaria Services 7,000,000 5,836,454 1.2. Community-based nutrition services for pregnant women and young 3,000,000 3,399,616 children The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Component 2: Strengthening Health Monitoring and Evaluation System; 4,000,000 4,763,930 Project Management 2.1. Strengthening the Health Monitoring & Evaluation System (HMIS) 2,600,000 2,278,540 2.2. Project Coordination and Implementation Support 1,400,000 2,485,390 Total 14,000,000 14,000,000 8. Introduction of Component 4: Contingent Emergency Response Component: All IDA financed projects are advised to include the Contingent Emergency Response Component (CERC) to facilitate rapid response to a possible emergency which could threaten the health of the population. The implementation of this component would follow the procedures governed by OP/BP 10.00 paragraph 12 (Rapid Response to Crises and Emergencies). If during the life of the project an epidemic or outbreak of public health importance or other health emergency occurs, this component would allow the Government to receive support by reallocating funds from other project components or serving as a conduit to process Additional Financing from the Pandemic Emergency Facility (PEF) or other funding sources for eligible emergencies to mitigate, respond and recover from the potential harmful consequences arising from the emergency situation. Disbursements under this component will be subject to the declaration of emergency[1] and the preparation of an “Emergency Response Operational Manual” to be included in the Project Implementation Manual. 9. Revision of the Results Framework: This restructuring will revise the results framework by changing the indicators to ones that utilize routine monitoring data and enable the assessment of progresss towards achievement of the PDO. Consequently, the baseline and target values for PDO and Intermediate results indicators will be revised to reflect implementation progress, improve measurability of specific indicators, and ensure consistency of data sources. 10. Due to the unavailability of survey data most of the outcome indicators have not been reported on since the baseline in 2014. The baseline data for the project was informed by the Demographic and Health Survey (DHS) and the Multiple Indicator Cluster Survey (MICS), conducted in 2013 and 2010, respectively; and the first Malaria Indicator Survey (MIS)1 is currently being conducted with support from USAID. Fieldwork was completed at the end of 2017, however, and it is unclear when results will be available. This restructuring will formalize the use of proxy indicators to measure the project’s performance since it is not possible to report on three of the original PDO indicators. Other changes include (i) the revision of some of the target values for PDO and intermediate results indicators; (ii) ensuring consistency of data sources (see section IV on the proposed revisions of the Results Framework). The changes are summarized in Table 2 below. [1] The Government of Togo, the international community or the UN needs to issue a declaration of emergency. 1MIS collects data on all internationally recognized malaria indicators including two of the PDO indicators related to household ownership of insecticide-treated mosquito nets and their use, especially by children under five years of age and pregnant women; and Intermittent Preventive Treatment (IPT) against malaria during pregnancy. The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Table 2. Results Framework - Summary of proposed changes PDO Indicators Original Indicator Revised Indicator Baseline (2014) Actual Values Target Target Source (2017) Values Values (2018) (2019) 1. Proportion of pregnant  This indicator is being changed 2.7% 25% 75% 82% PNLP women who slept under to “Percentage of pregnant Routine women receiving LLINs during Monitoring a LLIN the previous night ANC visits” because it depends Data on survey data that is currently unavailable.  Baseline and target values revised. 2. Proportion of women  This indicator is being changed 30% 35% 72% 74% PNLP who received IPT during to “Percentage of pregnant Routine ANC visits during their women who received 3 doses of Monitoring last pregnancy SP (IPT) during ANC visits Data because it depends on survey data that is currently unavailable  Source of data, baseline and target values revised. 3. Proportion of suspected  The indicator is revised to 0% 92% 82% 83% PNLP malaria cases tested by “Percentage of suspected Routine community health malaria cases tested by Monitoring workers using an RDT community health workers Data using an RDT”  The end target has been changed from 60% to 82% for 2018 and to 83% for 2019 4. Proportion of infants 0-5 Plateaux: Plateaux: Plateaux: Plateaux: Nutrition months (less than 180 50.8% 61% 63% 63% Program days) of age who were Data The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) exclusively breastfed No change. Target added for 2019 Centrale: Centrale: Centrale: Centrale: (Plateaux and Centrale which will remain the same as 65.2% 75% 77% 77% regions) target for 2018 5. Percentage of women  This indicator is being revised Plateaux: 28% Plateaux: Plateaux: Plateaux: Nutrition attending ANC who to use the proxy indicator: Centrale: 49% 71.72% 75% 80% Program received 90 IFA tablets Proportion of pregnant Centrale: Centrale: Centrale: Data during their last women who received 90 79.26% 80% 85% pregnancy in the project tablets of Folic Acid Iron supported regions during ANC visits. (Centrale & Plateaux)  Baseline and target values added Intermediate Indicators Original Indicator Revised Indicator Baseline (2014) Actual Values Target Target Source (2017) Values Values (2018) (2019) 6. Number of pregnant The end target for this indicator 0 203,037 203,476 213,440 DSMI women receiving has decreased from 312,653 to Routine antenatal care during a 213,440 Monitoring visit to a health provider Report 7. Percentage of pregnant  This indicator is being changed 57% 24% 64% 69% DSMI women who attend at to “Proportion of pregnant annual least four antenatal care women attending at least four reports visits during the last antenatal care visits pregnancy in two regions (Plateaux & Centrale) 8. Number of LLIN  This indicator is not 0 42,042 203,476 213,440 PNLP distributed to pregnant progressing. Only 42,042 LLIN Routine women during ANC visits have been distributed to Monitoring (routine distribution of pregnant women in 2017 Data LLIN) against an annual target of 230,477. Therefore, the end project target has been revised from 512,165 to 213,440 The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) 9. Number of long-lasting 345,700 LLIN were distributed in 0 345,700 521,165 02 PNLP insecticide-treated 2017 against an annual target of Routine malaria nets purchased 230,477. No purchases of bednets Monitoring and/or distributed planned in 2019 as the project will Data be wrapping up. 10. Percentage of children The end target is being revised from Plateaux: 31% Plateaux: Plateaux: Plateaux: Nutrition under 2 years of age who 88% to 90% (an average for the 2 Centrale: 73% 70.1% 76% 80% Program attend the GMP session regions Plateaux and Centrale) Centrale: Centrale: Centrale: at least once during the 78.5% 100% 100% previous month in the regions (Centrale & Plateaux) supported by the project 11. Percentage of household  In 2017, this indicator had 0 61% 68% 75% Nutrition with children under age surpassed (61%) it’s end of Program of two which was visited project target (60%). The end by CHW to support infant of project target has been and child nutrition revised to 75% practices in the Centrale and Plateaux regions 12. Percentage of health  In 2017, this indicator had 0 95.5% 70% 85% DIS Reports facilities submitting surpassed (95.5%) its end of standardized HMIS project target of 70%. The monthly reports within target for 2019 has been set at one month of the 85%. reporting month 13. Percentage of districts  In 2017, this indicator had 0 100% 50% 80% DIS Reports where at least 25% of the surpassed (100%) its end of received HMIS reports project target of 50%. The end were verified of project target has been revised to 80% 2 This indictor is not cumulative, it is a stand-alone annual indictor The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) 14. Basic list of health  No changes No Yes Yes Yes DIS Reports facilities developed and updated as planned 15. Direct project  1,055,689 beneficiaries were 0 1,055,698 1,369,462 1,408,355 DIS, PNLP beneficiaries (number) of reached in 2017 against an and which women annual target of 1,331,644. Nutrition (percentage)  The end of project target is Reports revised from 5,190,968 to 1,408,355 The above-mentioned changes will not affect the scope of the project and the expected project outcome. The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) 11. Extension by 12 months of the Closing Date: The project experienced more than a one-year delay in starting implementation, therefore, this request to extend the Closing Date from October 31, 2018 to October 31, 2019 is necessary to continue the implementation and the full completion of the planned activities. As per BP 10.00 Paragraph 47 for Extension of Closing Date, the project objectives continue to be achievable; the performance of the Borrower and the Project Coordination Unit is satisfactory; the Borrower has prepared a specific action plan acceptable to the Bank to facilitate implementation of Project activities. III. SUMMARY OF CHANGES Changed Not Changed Change in Results Framework ✔ Change in Components and Cost ✔ Change in Loan Closing Date(s) ✔ Change in Implementing Agency ✔ Change in DDO Status ✔ Change in Project's Development Objectives ✔ Cancellations Proposed ✔ Reallocation between Disbursement Categories ✔ Change in Disbursements Arrangements ✔ Change in Disbursement Estimates ✔ Change in Overall Risk Rating ✔ Change in Safeguard Policies Triggered ✔ Change of EA category ✔ Change in Legal Covenants ✔ Change in Institutional Arrangements ✔ Change in Financial Management ✔ Change in Procurement ✔ Change in Implementation Schedule ✔ Other Change(s) ✔ Change in Economic and Financial Analysis ✔ Change in Technical Analysis ✔ Change in Social Analysis ✔ The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Change in Environmental Analysis ✔ IV. DETAILED CHANGE(S) OPS_DETAILEDCHANGES_RESULTS_TABLE RESULTS FRAMEWORK Project Development Objective Indicators PDO_IND_TABLE Percentage of Pregnant women receiving LLINs during ANC visits Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 2.70 25.00 82.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Percentage of pregnant women who received 3 doses of SP (IPT) during ANC visits Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 30.00 35.00 74.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Percentage of suspected malaria cases tested by community health workers using an RDT Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 88.00 92.00 83.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Proportion of infants 0-5 months (less than 180 days) of age who were exclusively breastfed (Plateaux and Centrale regions) Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 58.00 58.00 70.00 No Change Date 31-Oct-2013 30-Sep-2017 31-Oct-2018 Proportion of pregnant women who received 90 tablets of Folic Acid Iron during ANC visits The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 38.00 75.00 83.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Intermediate Indicators IO_IND_TABLE Number of pregnant women receiving antenatal care during a visit to a health care provider (number) Unit of Measure: Number Indicator Type: Custom Baseline Actual (Current) End Target Action Value 0.00 203037.00 213440.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Long-lasting insecticide-treated malaria nets purchased and/or distributed (number) Unit of Measure: Number Indicator Type: Custom Baseline Actual (Current) End Target Action Value 0.00 345700.00 0.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 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 Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 0.00 61.00 75.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Percentage of health facilities submitting standardized HMIS monthly reports within one month of the reporting month (Percentage Custom) Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Value 0.00 95.50 85.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Percentage of districts where at least 25% of the received of HMIS reports were verified Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 0.00 100.00 80.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Proportion of pregnant women attending at least four antenatal care visits Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 57.00 24.00 69.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Number of LLIN distributed to pregnant women during ANC visits (routine distribution of LLIN) Unit of Measure: Number Indicator Type: Custom Baseline Actual (Current) End Target Action Value 0.00 42042.00 213440.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 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 Unit of Measure: Percentage Indicator Type: Custom Baseline Actual (Current) End Target Action Value 52.00 74.00 90.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Direct project beneficiairies (number) of which women (percentage Unit of Measure: Number Indicator Type: Custom Baseline Actual (Current) End Target Action The World Bank Maternal and Child Health and Nutrition Services Support Project (P143843) Value 0.00 1055698.00 1408355.00 Revised Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 Basic list of health facilities developed and updated as planned Unit of Measure: Text Indicator Type: Custom Baseline Actual (Current) End Target Action Value Yes/No Yes Yes New Date 31-Oct-2014 31-Dec-2017 31-Oct-2019 OPS_DETAILEDCHANGES_COMPONENTS_TABLE COMPONENTS Current Current Proposed Proposed Cost Action Component Name Component Name Cost (US$M) (US$M) Improved utilization of malaria Improved utilization of malaria 10.00 Revised 9236070.00 and nutrition services and nutrition services Strengthening Health Monitoring Strengthening Health and Evaluation Systems; Project 4.00 Revised Monitoring and Evaluation 4763930.00 Management Systems; Project Management Contingent Emergency 0.00 New 0.00 Response TOTAL 14.00 14,000,000.00 OPS_DETAILEDCHANGES_LOANCLOSING_TABLE LOAN CLOSING DATE(S) Original Revised Proposed Proposed Deadline Ln/Cr/Tf Status Closing Closing(s) Closing for Withdrawal Applications IDA-H9110 Effective 31-Oct-2018 31-Oct-2019 29-Feb-2020