The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Lao PDR Health Governance and Nutrition Development Project (P151425) EAST ASIA AND PACIFIC | Lao People's Democratic Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 8 | ARCHIVED on 25-Jun-2019 | ISR37613 | Implementing Agencies: Lao People's Democratic Republic, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 23-Jun-2015 Effectiveness Date: 12-Oct-2015 Planned Mid Term Review Date: 19-Nov-2018 Actual Mid-Term Review Date: 13-Nov-2018 Original Closing Date: 31-Dec-2020 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR, and to provide immediate and effective response in case of an Eligible Crisis or Emergency. Components Table Name Component 1: Health Sector Governance Reform:(Cost $2.00 M) Component 2: Service Delivery:(Cost $30.40 M) Component 3: Nutrition Social and Behavior Change Communication:(Cost $5.20 M) Component 4: Project Management, Monitoring and Evaluation:(Cost $3.80 M) Component 5: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Moderate Implementation Status and Key Decisions 6/25/2019 Page 1 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) With 18 months left for implementation, the Project continues to progress well. The Project is largely on track to achieving its PDO. Disbursement is also on track at approximately 60 percent to-date, with an expectation that this will reach about 85 percent in the next 6 months based on pending payments and commitments. Component 1 (Health Sector Governance) continues to advance well. Integration of different vertical program data into DHIS2, training and roll out of data entry using event capture at Provincial/District Hospitals/Health Centers as well as direct data entry at health center levels are all on track. Preparatory activities to roll out the Village Health Information System (Family Folder) have been completed and nationwide data collection is expected to be completed by November 2019. Component 2 (Service Delivery) while the status of achievement for Year 4 disbursement-linked indicators (DLIs) cannot be confirmed yet since MOH reporting will come at the end of July and independent verification to be completed in September 2019, progress based on DHIS2 data available up to April 2019 (10 months into Year 4 targets for central DLIs and 11 months for provincial DLIs) confirm good progress overall. Component 3 (nutrition SBCC) has made progress. The revised training plan for Phase III village facilitators has been completed (reflecting recommendations from the Mid-Term Review), and training materials are being finalized. Phase III and IV training will roll out in July and is expected to be completed by the end of the year, thus allowing for one year of implementation in all 881 villages. Establishing this platform will be critical for the multisectoral nutrition convergence flagship projects. The project continues to be in compliance with all legal requirements, except for the pending audit that needs to be completed as soon as possible. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program High High High Institutional Capacity for Implementation and Sustainability High High High Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Moderate Results PDO Indicators by Objectives / Outcomes 6/25/2019 Page 2 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Increase coverage of reproducitve, maternal and child health and nutrition services in target areas IN00716066 ►Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 60,281.00 81,778.00 74,246.00 84,393.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) is for Y4 (June 2018- April 2019) covering a period of 11 months implementation from 14 Target Provinces. Given its current pace, this indicator is likely to achieve its Y4 targets in at least 8 of the 14 provinces, while others are likely to Comments: achieve >60%. End targets is a 40% increase over baseline. Data source: DHIS2. IN00716067 ►Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 56,292.00 79,662.00 75,434.00 78,809.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014- May 2015). Most recent data is for Y4 (June 2018- April 2019) covering a period of 11 months implementation from 14 Target Provinces. End target is a 40 % increase over baseline, this indicator is on track. Comments: Data source: DHIS2. IN00716068 ►Number of children 6-11 months who received first dose of Vitamin A (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 123,389.00 113,290.00 117,965.00 140,000.00 Date 30-Sep-2017 30-Sep-2018 31-Dec-2018 31-Dec-2020 Baseline is newly added from the September 2017 restructuring and captures CY 2016 (12 months) nationwide (18 provinces) as reported by DHIS2. Actual (current) covers the calendar year 2018 Comments: (Jan - Dec). This is not a DLI. This indicator is off track. IN00716069 ►Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 186,556.00 191,144.00 199,399.00 223,867.00 Date 30-Sep-2017 31-May-2018 30-Apr-2019 31-Dec-2020 This indicator was restructured with new baseline from "new women aged 15-49 years using long term family planning methods" to "continued users of long term family planning methods" established for May 2017 to align with DLI implementation year. This is a cumulative number for all current continued users of: injectable, implants, IUDs and sterilization. Comments: Actual (current) value is for DLI Y4 (June 2018- April 2019) covering a period of 11 months implementation from 14 Target Provinces. End target is a 20% increase over baseline, this indicator is off track. 6/25/2019 Page 3 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) IN00716070 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 216,532.00 888,865.00 990,474.00 1,400,000.00 Date 31-May-2017 30-Sep-2018 30-Apr-2019 31-Dec-2020 This indicator is cumulative with baseline after September 2017 Additional Financing (AF)/restructuring, and includes data for: (1) assisted deliveries; (2) number of women aged 15-49 years who are continued users of long term family planning methods; (3) children 9-11 months receiving measles and rubella vaccination in Target Provinces; and (4) number of children under 2 years old who have 4 growth Comments: monitoring and promotion sessions in the year. Most recent data is cumulative covering the period June 2015- April 2019 from 14 Target Provinces. IN00716071 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 88.00 75.00 80.00 Intermediate Results Indicators by Components Component 1: Health Sector Governance Reform IN00716072 ►Number of new born children provided with birth notification in target provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 93,586.00 47,767.00 59,994.00 131,020.00 Date 31-Dec-2017 30-Sep-2018 31-Dec-2018 31-Dec-2020 Baseline value has been updated in the April 2018 mission to cover CY 2017 (12 months) based on DHIS2. End target is 40% increase over baseline. The baseline value is currently being verified as it Comments: seems too high. Actual value is from Jan - Dec 2018 from 14 Target Provinces. Data source: DHIS2. IN00716075 ►Number of health centers directly entering DHIS2 data (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 195.00 202.00 200.00 Date 30-Sep-2017 30-Sep-2018 31-May-2019 31-Dec-2020 This is a new DLI introduced in the September 2017 Additional Financing/restructuring. Data is based on National Project Coordination Office (NPCO) report for implementation May 2017 - May 2019 (cumulative). Breakdown of actual (current) value of 202 HCs: (Luanprabang: 80; Oudomxay: 43, Comments: Salavanh: 71, Xaysomboun: 1, and Huaphan: 7). Currently surpassed target for 2020. IN00716078 ►Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Custom, DLI) 6/25/2019 Page 4 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Baseline Actual (Previous) Actual (Current) End Target Value 54.10 90.00 95.00 90.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) value is DLI Y4 (June 2018- April 2019) covering a period of 11 months with timeliness 92%, completeness 99%. Currently surpassed target for 2020. Comments: Data source: DHIS2. Component 2: Service Delivery IN00716073 ►Number of immunization target districts that have increased their coverage of IPV (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 45.00 44.00 45.00 Date 30-Sep-2017 31-May-2018 30-Apr-2019 31-Dec-2020 Actual (current) value is the most recent data from DHIS2 for DLI Y4 (June 2018- April 2019) for 11 months implementation for 50 target districts. On track with 44 out of 50 target districts most likely to beable to increase IPV by 8% target. End target is 45 out of 50 target districts which are able to Comments: increase IPV by 8% target. Source: DHIS2 IN00716076 ►Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 453,350.00 235,872.00 493,203.00 544,020 Date 31-May-2017 31-May-2018 30-Apr-2019 31-Dec-2020 Actual (current) value is DLI Y4 (June 2018- April 2019) covering a period of 11 months for 14 Target Provinces.This indicator is unlikely to achieve the DLI Y4 target. End target is a 20% increase over baseline, currently off track. Data source: DHIS2. Comments: IN00716079 ►Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 86.20 74.00 80.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Actual (current) value is DLI Y4 (June 2018- April 2019) covering a period of 11 months. Round 1 is 95% and Round 2 is not yet complete with only 53% reported in DHIS2. Awaiting data entry by all districts and Comments: provinces. Data source: DHIS2. IN00716081 6/25/2019 Page 5 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) ►Number of villages in Zones 2 and 3 in which complete Integrated Outreach Sessions are conducted at least three times during the year (DLI P5). (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,242.00 1,129.00 800.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Actual value is DLI Y4 (June 2018- April 2019) covering a period of 11 months implementation for 14 Target Provinces. Current value is tentative based on NPCO reporting and is subject to change upon final validation based on reliability calculation by IAI. Most likely to achieve Y4 targets and on track for end Comments: target. Data source: DHIS2. IN00716083 ►Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 29.00 26.00 40.00 Date 30-Sep-2017 30-Sep-2017 30-Apr-2019 31-Dec-2020 This is a new indicator (DLI P8) added during the September 2017 AF/ restructuring. Actual value is the most recent data from DHIS2 for DLI Y4 (June 2018- April 2019) for 11 months implementation for 50 target districts. Currently 26 target districts out of 50 target districts are on track of Comments: increasing 8% coverage of Penta 3 and MR for DLI Y4. Data Source: DHIS2 IN00719914 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 961,335.00 1,200,000.00 Date 31-Oct-2018 -- 30-Apr-2019 31-Dec-2020 As per definition of CRI, this indicator's baseline is 0, cumulative from the beginning of project until the latest information available. Most recent data is cumulative from June 2015-April 2019 (47 months) implementation from 14 Target Comments: Provinces. Data source: DHIS2. IN00719915 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 721,000.00 960,000.00 IN00719916 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 294,684.00 400,000.00 Date 31-Oct-2018 -- 30-Apr-2019 31-Dec-2020 IN00719917 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) 6/25/2019 Page 6 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 201,005.00 400,000.00 Date 31-Oct-2018 -- 30-Apr-2019 31-Dec-2020 IN00719918 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 297,088.00 400,000.00 Date 31-Oct-2018 -- 30-Apr-2019 31-Dec-2020 Component 3: Nutrition and Social and Behavioral Change Communication IN00716074 ►Children age 0-6 months in target high priority nutrition districts exclusively breastfed. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.20 56.20 56.20 60.00 Date 29-Sep-2017 30-Sep-2018 30-Sep-2018 31-Dec-2020 Based on preliminary results from the Baseline KAP survey that was undertaken recently. This indicator can only be collected from the KAP survey so baseline number continues until the next survey before the Comments: end of project. IN00716077 ►Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 700.00 1,762.00 800.00 Date 01-Oct-2015 30-Sep-2018 31-May-2019 31-Dec-2020 The target number was reduced to 800 villages during the September 2017 restructuring. Current results include female village facilitators training in SBCC activities for Phase 1, 2 and Phase 3 villages as per NPCO report is 1762. Comments: IN00716080 ►Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35,994.00 83,040.00 40,000.00 Date 01-Oct-2015 31-May-2018 30-Apr-2019 31-Dec-2020 Definition of this indicator was modified during the September 2017 restructuring from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth plotted in the child's growth chart (for Year 0-2); to "Number of children under 2 years in the Comments: Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Y3 and 4), Actual (current) value is DLI Y4 (June 2018- April 2019) covering a period of 11 months implementation from 14 Target Provinces. 6/25/2019 Page 7 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Data source: DHIS2 IN00716082 ►Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.00 100.00 100.00 Date 01-Oct-2015 30-Sep-2018 31-May-2019 31-Dec-2020 Actual value is based on National Coordination Project Office (NPCO) report during the mission for 14 target provinces. Comments: Total of 100 ODF villages for May 2019. Disbursement Linked Indicators IN00716088 ►DLI 1 Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Process, 588,000.00, 64.69%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 54.10 91.00 95.00 -- Date -- 31-May-2018 30-Apr-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00716089 ►DLI 2 Number of Target Provinces which have two quarters’ stock of Essential Family Planning and Nutrition Commodities in the provinces or regional stores (DLI C2) (Number, Output, 4,994,000.00, 0%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 8.00 8.00 12.00 Date -- 31-May-2018 31-May-2018 -- Comments: Values of financing and actual disbursed are in USD. IN00716090 ►DLI 3 Number of Target Provinces in which the number of health centers without a community midwife as reported in DHIS2 has been reduced (DLI C3) (Number, Output, 1,000,000.00, 0%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 9.00 9.00 12.00 Date -- 31-May-2018 31-May-2018 -- Comments: Values of financing and actual disbursed are in USD. IN00716091 6/25/2019 Page 8 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) ►DLI 4 Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Outcome, 2,114,000.00, 79.36%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 47,066.00 235,872.00 493,203.00 -- Date -- 31-May-2018 30-Apr-2019 -- Values of financing and actual disbursed are in USD and disbursement includes up to Y2. End target is Comments: average of 14 provinces that have increased 20% over baseline. IN00716092 ►DLI 5 Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Outcome, 2,912,000.00, 70.63%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 60,281.00 81,778.00 74,246.00 -- Date -- 31-May-2018 30-Apr-2019 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target reflects 40% increase over baseline. IN00716093 ►DLI 6 Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Outcome, 2,912,000.00, 69.13%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 56,292.00 79,662.00 75,434.00 -- Date -- 31-May-2018 30-Apr-2019 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target is 40% over baseline. IN00716094 ►DLI 7 Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Outcome, 2,912,000.00, 49.84%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 186,556.00 191,144.00 199,399.00 -- Date -- 31-May-2018 30-Apr-2019 -- Definition of indicator changed from " Number of new women aged 15-49 years adopting long-term methods of Comments: family planning (up to Y2), during the Additional Financing/Restructuring. Actuals off target with 93% of target met for Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00716095 ►DLI 8 Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Intermediate Outcome, 2,445,332.00, 18.25%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 6/25/2019 Page 9 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Value 0.00 35,994.00 83,040.00 -- Date -- 31-May-2018 30-Apr-2019 -- Definition of indicator changed from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth is plotted in the child’s growth chart (for Comments: Year 0-2); Number of children under 2 years in the Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Years 3-4). On track for target Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00716096 ►DLI 9 Number of villages in Zones 2 and 3 in which Integrated Outreach Sessions are conducted at least three times during the Year and reported in DHIS2 (DLI P5) (Number, Intermediate Outcome, 3,600,000.00, 0%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 1,242.00 1,242.00 800.00 Date -- 31-May-2018 31-May-2018 -- Definition of indicator changed during September 2017 AF/restructuring from % increase to scalable (actually counting the number of villages where target was achieved). The status of target achievement for this DLI is Comments: currently being validated so current value is tentative based on NPCO reporting and is subject to change upon final validation. But largely on track for Y3 target.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00716097 ►DLI 10 Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Output, 2,900,000.00, 56.48%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 86.20 74.00 -- Date -- 31-May-2018 30-Apr-2019 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00716098 ►DLI 11 Percentage increase in Target Province non-salary health recurrent expenditure allocated to the districts (DLI P7) (Text, Intermediate Outcome, 2,158,000.00, 40.87%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 16% increase over Each target province Data under validation Data under validation Value Target Province baseline Baseline Date -- 31-May-2018 31-May-2018 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00716099 ►DLI 12 Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Intermediate Outcome, 2,000,000.00, 25.00%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 6/25/2019 Page 10 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Value 0.00 29.00 26.00 -- Date -- 31-May-2018 30-Apr-2019 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P151425 IDA-56760 Effective USD 13.20 13.20 0.00 9.69 3.59 73% P151425 IDA-61450 Effective USD 10.00 10.00 0.00 0.82 9.16 8.2% P151425 IDA-D0730 Effective USD 13.20 13.20 0.00 12.45 0.46 96% P151425 TF-A5620 Effective USD 4.00 4.00 0.00 1.03 2.97 26% P151425 TF-A6106 Effective USD 1.00 1.00 0.00 0.43 0.57 43% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P151425 IDA-56760 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 IDA-61450 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 P151425 IDA-D0730 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 TF-A5620 Effective 06-Nov-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 P151425 TF-A6106 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 6/25/2019 Page 11 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Restructuring History Level 2 Approved on 14-Aug-2015 Related Project(s) P163949-Additional Financing to Lao PDR Health Governance and Nutrition Development Project 6/25/2019 Page 12 of 12