The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Nagaland Health Project (P149340) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 6 | ARCHIVED on 28-Jun-2019 | ISR36965 | Implementing Agencies: Republic of India, Department of Health and Family Welfare, Government of Nagaland Key Dates Key Project Dates Bank Approval Date: 19-Dec-2016 Effectiveness Date: 20-Mar-2017 Planned Mid Term Review Date: 14-Oct-2019 Actual Mid-Term Review Date: -- Original Closing Date: 31-Mar-2023 Revised Closing Date: 31-Mar-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve health services and increase their utilization by communities in targeted locations in Nagaland. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Community action for health and nutrition:(Cost $18.00 M) Health system development:(Cost $42.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The Project continues to make steady progress towards achievement of its Development Objective. Three out of five outcome indicators achieved or surpassed their FY 2019 targets. End-of FY 2019 targets have been also been achieved for nine of the 13 intermediate results indicators The overall performance under Community Action for Health and Nutrition component is on track and being scaled up to nearly all the target health committees. In the last six months, the PMU has made significant progress under Component 2 (Health system development), especially on completing a substantial proportion of procurement for civil works, solar energy, biomedical waste management and consultancy services for ICT. The procurement for 70 percent of the targeted civil work has been completed, and infrastructure revamping has commenced in 8 out of 11 district hospitals. Similarly, construction of bio-medical waste pits in all Community Health Centers (CHCs) and Primary Health Centers (PHCs), and erection and commission of solar panels in eight district hospitals are implemented at good pace. Similarly, the progress under procurement strengthening and supply chain management (SCM) activity is also on track. 6/28/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Moderate Moderate Macroeconomic -- Moderate Moderate Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Substantial Substantial Fiduciary -- Substantial Substantial Environment and Social -- Moderate Moderate Stakeholders -- Low Low Other -- -- -- Overall -- Moderate Moderate Results PDO Indicators by Objectives / Outcomes Increase utilization of health service by communities in targeted locations. IN00700083 ►Children age under one year registered for immunization in targeted communities whose growth was recorded at least twice in the previous six months (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 28.70 46.61 40.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700131 Female children age under one year registered for immunization in targeted communities whose growth was recorded at least twice in the previous six months (Percentage) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 33.00 50.37 40.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700132 ►Children ages 9-11 months registered for immunization in targeted communities who have received all recommended immunizations (Percentage). (Percentage, Custom) 6/28/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 81.00 46.70 60.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700133 Female children ages 9-11 months registered for immunization in targeted communities who have received all recommended immunizations (Percentage). (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 81.00 46.02 60.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700134 ►Mothers who delivered in the previous 6 months in targeted communities who had at least 3 antenatal care check-ups (Percentage) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 54.11 15.09 75.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700135 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 22,121.00 14,115.00 60,000.00 Date 01-Apr-2016 30-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700136 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,121.00 14,115.00 60,000.00 Date 01-Apr-2016 30-Jun-2018 31-Mar-2019 31-Mar-2023 Improve health services. IN00700084 ►Community health workers (ASHAs) in targeted communities supplied with complete kits (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 41.00 21.80 70.00 Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 IN00700085 ►Targeted health facilities with at least one functional handwashing facility with running water (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 31.00 33.00 56.50 70.00 6/28/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Date 01-Feb-2017 29-Jun-2018 31-Mar-2019 31-Mar-2023 Intermediate Results Indicators by Components Community action for health and nutrition IN00700138 ►Target villages where a village health and nutrition day was organized in the previous month (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 14.00 23.73 34.26 50.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700140 ►Births in targeted communities in the previous year for which birth certificates were issued (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80.00 51.39 30.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700143 2.a. Female births in targeted communities in the previous year for which birth certificates were issued (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 77.70 78.66 30.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700144 ►Targeted Village Health Committees that have received training (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 68.70 99.65 70.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700146 ►Targeted Village Health Committees that received Health and Nutrition Incentives in the previous year (Percentage). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 31.50 98.01 70.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700148 ►Targeted Village Health Committees with a female co-chair (Percentage). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 98.01 70.00 6/28/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700150 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 Health system development IN00700139 ►Targeted health facilities with at least one functional flush or pour flush toilet facility (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 46.00 30.00 28.92 70.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700141 ►Community electricity connections constructed (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 14.00 14.00 100.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700142 ►A procurement manual based on National Health Mission guidelines is adopted by the Department of Health and Family Welfare and staff are trained on its use (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700145 ►Common database, integrated with the Health Management Information System, recording all service delivery data reported by health facilities (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700147 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 250.00 2,822.00 5,000.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 IN00700149 ►Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) 6/28/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.00 100.00 100.00 Date 01-Feb-2017 21-Sep-2018 31-Mar-2019 31-Mar-2023 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P149340 IDA-59270 Effective USD 48.00 48.00 0.00 6.66 41.34 14% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P149340 IDA-59270 Effective 19-Dec-2016 16-Jan-2017 20-Mar-2017 31-Mar-2023 31-Mar-2023 Cumulative Disbursements 6/28/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Nagaland Health Project (P149340) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/28/2019 Page 7 of 7