Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) SOUTH ASIA | India | Social, Urban, Rural and Resilience Global Practice Global Practice | Recipient Executed Activities | Technical Assistance Loan | FY 2012 | Seq No: 21 | ARCHIVED on 19-Oct-2016 | ISR25323 | Implementing Agencies: Tamil Nadu Pudhu Vaazhvu State Society Key Dates Key Project Dates Bank Approval Date:01-Mar-2012 Effectiveness Date:13-Mar-2012 Original Closing Date:30-Jun-2015 Revised Closing Date:30-Sep-2016 Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the participation of persons with mental disability in community activities including access to livelihoods. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Implementation Status and Key Decisions The key interventions that were envisaged to achieve the PDO were (i) enhancing the awareness, sensitivity, acceptance and capacity of people with mental disability, communities, non-government organization, project staff, private and public sector providers to identifying, screening, counseling, treatment and rehabilitation of people with mental disability issues; (ii) developing the social mobilization and self-help group models to address social and cultural barriers including stigma and create a platform for voice and participation for people with mental health issues; (iii) partnering with civil society organizations, public and private sector to provide the referral services for treatment and rehabilitation, skills enhancement and livelihoods generation; (iv) enhancing access to social protection services like certification, insurance, pension, etc; and (v) facilitating skill training for employment and livelihood activities for the people with mental disabilities. 10/19/2016 Page 1 of 5 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) During project implementation period starting October 2012, the pilot project was implemented in 578 Gram Panchayats in 15 blocks and 15 districts building on the social and institutional platform created under the first phase of TNEPRP. Nearly 7025 people with mental disability were successfully identified, treated and supported with livelihood support to enable their rehabilitation into families and communities. Of these 5353 persons were assisted with disability ID cards, 6504 with NREGAs job card, and 4522 with monthly pension schemes and social protection program. A total of 6207 persons were included into SHGs, 4348 eligible persons were assisted with regular psychiatric medicines and 762 eligible persons were supported with hospitalization. A total of 2776 persons were assisted with livelihood/vocational training for economic activity, 830 persons were assisted with startup funds to pursue a livelihood, 420 persons were assisted with startup funds for pursue an self-employment. The key challenges to sustaining project outcomes include sustaining the attention to people with mental disability including medication and hospitalization where necessary, support to care givers through facilities like day care centers for the mentally disabled to allow family members to pursue livelihood activities, and securing ID cards for Mentally Ill patients so that they can access social safety net programs and other entitlements. In the context, the Government of Tamil Nadu confirmed that support to people with mental disability will be continued under the TNEPRP as well as the State Rural Livelihoods Project. The State Planning commission also approved a proposal to scale up the mental health program in Ramnad and Thoothukudi districts (4 blocks each) with a funding of INR 4.40 Crores for one year. In addition, a workshop will be organized by the Rural Development Department with all relevant Departments to deepen institutional support to people with mental disability which will be informed by the impact evaluation currently being finalized. Risks Overall Risk Rating Risk Category Rating at Approval Previous Rating Current Rating Overall  Low  Low  Low Results Project Development Objective Indicators PHINDPDOTBL At least half of the people identified with mental disability are part of self-help groups (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 86.00 88.00 50.00 Date 20-Apr-2011 15-Oct-2015 30-Sep-2016 30-Sep-2016 PHINDPDOTBL At least 40% of those identified with mental disabilities have benefited from follow-up and rehabilitation services including referralservices in the health system. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 96.00 98.00 40.00 Date 20-Apr-2011 15-Oct-2015 30-Sep-2016 30-Sep-2016 10/19/2016 Page 2 of 5 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) PHINDPDOTBL At least 30% of people with mental disability pursue a livelihood or employment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 46.00 67.00 30.00 Date 20-Apr-2011 15-Oct-2015 30-Sep-2016 30-Jun-2015 Overall Comments Intermediate Results Indicators PHINDIRITBL 70% of VPRC plans assessed for compliance with project principles, and viability of proposed activities as per agreed service standards. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 70.00 Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 PHINDIRITBL Target villages have community members with greater sensitivity to mental disability issues (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 100.00 80.00 Date 01-Jun-2012 -- 30-Sep-2016 30-Sep-2016 PHINDIRITBL 80% of target villages have trained community teams for screening and mobilizing people with mental disability issues. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 10/19/2016 Page 3 of 5 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) PHINDIRITBL 80% of VPRCs organize communication campaigns and have a roster for referrals, treatment, and livelihoods and skill straining. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 PHINDIRITBL 40% of identified people with mental disability have accessed referral services and treatment. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 95.00 98.00 40.00 Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 PHINDIRITBL 30% of people identified with mental disability have completed skill training and are employment or started a livelihood activity. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 67.00 30.00 Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 PHINDIRITBL Six-monthly regional forums for exchange of experience sharing and problem solving organized. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Monthly at RRA level, Monthly at RRA level, Regular six- Value 0 six-monthly at state six-monthly at state and monthly forums and regional levels regional levels at regional level Date 01-Jun-2012 15-Oct-2015 30-Sep-2016 30-Sep-2016 Overall Comments Data on Financial Performance 10/19/2016 Page 4 of 5 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Tamil Nadu Empowernment and Poverty Reduction Project : TA Disability (P129119) Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P129119 TF-11450 Closed USD 2.79 2.79 0.00 2.30 0.49 83% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P129119 TF-11450 Closed 01-Mar-2012 13-Mar-2012 13-Mar-2012 30-Jun-2015 30-Sep-2016 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/19/2016 Page 5 of 5 Public Disclosure Copy