Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) AFRICA | Congo, Democratic Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 7 | ARCHIVED on 27-Jun-2018 | ISR32577 | Implementing Agencies: Ministry of Health, Ministry of Health, Democratic Republic of Congo, Ministry Of Finances Key Dates Key Project Dates Bank Approval Date:18-Dec-2014 Effectiveness Date:30-May-2016 Planned Mid Term Review Date:22-Jul-2019 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2019 Revised Closing Date:31-Dec-2021 Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to improve utilization and quality of maternal and child health services in targeted areas within the Recipient's Territory. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improve Utilization and Quality of Health Services at Health Facilities through PBF:(Cost $182.00 M) Improve Governance, Purchasing and Coaching and Strengthen Health Administration Directorates and Services through PBF:(Cost $92.70 M) Strengthen Health Sector Performance – Financing and Health Policy Capacities:(Cost $110.30 M) Disease Surveillance System Strengthening and Response:(Cost $15.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Overall Risk Rating  Substantial  Substantial 6/27/2018 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Implementation Status and Key Decisions The Health System Strengthening for Better Maternal and Child Health Results Project has been implemented successfully since its effectiveness on May 31, 2016. Two additional financing have been approved to strengthen the scope and depth of the interventions being financed. To date 2,748 contracts have been signed with health facilities in the 11 Provinces covered by the Project. In addition, results are showing that as of December 2017, 39,000 more children were vaccinated with the BCG vaccine, and 25,000 with three doses of the DTP/Hepatitis B/Hib pentavalent vaccine, there were 15,000 more assisted deliveries, and about 4,000 more women attended 4 ante-natal counselling sessions, compared to January 2017. 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  --  Substantial  Substantial Fiduciary  --  Substantial  Substantial Environment and Social  --  Moderate  Moderate Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Percentage of pregnant women having at least 3 antenatal care visits before delivery (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.00 41.00 50.00 65.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 6/27/2018 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) PHINDPDOTBL  People who have received essential Health, Nutrition, Population services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,500,000.00 2,835,000.00 25,000,000.00 Date 31-Dec-2016 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDPDOTBL  New curative consultations per capita per year (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.25 0.32 0.42 0.50 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDPDOTBL  Percentage of Children Fully Immunized (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 54.00 56.00 66.00 65.00 Date 31-Jul-2014 31-Dec-2016 30-Mar-2018 31-Dec-2021 PHINDPDOTBL  Average score of the quality checklist at the health centers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 49.50 58.10 60.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 Overall Comments Intermediate Results Indicators 6/27/2018 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) PHINDIRITBL  Number of new and existing acceptors of modern contraceptive use (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 194,480.00 214,319.00 178,200.00 500,000.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Average number of days with stock out of tracer drugs in targeted health facilities on the day of the visit (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value >30 days -- >30 days >15 days Date 31-Dec-2016 30-Jun-2017 30-Jun-2017 31-Dec-2021 PHINDIRITBL  First time adolescent girls acceptant of modern contraceptives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 14,256.00 50,000.00 Date 31-Dec-2016 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Percentage of children under 24 months participating in the Growth Monitoring and Promotion activities at community level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 26.90 28.00 28.00 45.00 Date 31-Dec-2015 31-Dec-2016 30-Jun-2017 31-Dec-2021 6/27/2018 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) PHINDIRITBL  Health facilities receiving Client Tracer and Satisfaction Survey feedback (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 64.00 70.00 Date 31-Dec-2016 31-Dec-2016 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Civil servants eligible for retirement in the Ministry of Health that have received their retirement indemnities/packages and retired from active service (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 4,000.00 Date 31-Dec-2016 31-Dec-2016 30-Jun-2017 31-Dec-2021 PHINDIRITBL  Single contract signed and implemented at province level (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 6.00 4.00 11.00 Date 31-Dec-2016 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Percentage of families participating in parental education sessions at community level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 31-Dec-2016 31-Dec-2016 30-Jun-2017 31-Dec-2021 6/27/2018 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) PHINDIRITBL  Exclusive breastfeeding for children under 6 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 54.00 54.00 66.00 Date 31-Dec-2015 31-Dec-2016 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Percentage of pregnant women counseled and tested for HIV (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.50 30.00 74.00 40.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Average quality of nutritional services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 20.00 55.00 Date 31-Dec-2015 31-Dec-2016 30-Jun-2017 31-Dec-2021 PHINDIRITBL  Number of poor people benefiting from fee exemption mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5,248.00 5,429.00 34,085.00 6,500.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 6/27/2018 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,935.00 4,946.00 10,000.00 Date 31-Jul-2014 30-Jun-2017 30-Mar-2018 31-Dec-2021 PHINDIRITBL  Number of Direct Beneficiaries, of which female (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,862,580.00 5,862,580.00 25,000,000.00 Date 31-Jul-2014 30-Jun-2017 30-Jun-2017 31-Dec-2021 PHINDIRITBL  Number of women (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,500,000.00 3,500,000.00 15,000,000.00 Date 31-Dec-2014 31-Dec-2017 31-Dec-2017 31-Dec-2021 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P147555 IDA-55720 Effective USD 130.00 130.00 0.00 51.11 72.64 41% P147555 IDA-59980 Effective USD 120.00 120.00 0.00 12.93 111.81 10% 6/27/2018 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) P147555 IDA-D0210 Effective USD 90.00 90.00 0.00 42.03 44.53 49% P147555 TF-18375 Effective USD 6.50 6.50 0.00 2.04 4.46 31% P147555 TF-A4579 Effective USD 40.00 40.00 0.00 1.00 39.00 2.5% P147555 TF-A5096 Effective USD 3.50 3.50 0.00 1.75 1.75 50% Not P147555 TF-A6945 USD 10.00 10.00 0.00 0.00 10.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147555 IDA-55720 Effective 18-Dec-2014 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 IDA-59980 Effective 31-Mar-2017 19-Apr-2017 13-Feb-2018 31-Dec-2021 31-Dec-2021 P147555 IDA-D0210 Effective 18-Dec-2014 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 TF-18375 Effective 20-Jan-2015 20-Jan-2015 30-May-2016 31-Dec-2019 31-Dec-2021 P147555 TF-A4579 Effective 19-Apr-2017 19-Apr-2017 18-Aug-2017 31-Dec-2021 31-Dec-2021 P147555 TF-A5096 Effective 24-May-2017 24-May-2017 22-Nov-2017 30-Jun-2019 30-Jun-2019 Not P147555 TF-A6945 24-Jan-2018 -- -- 31-Aug-2018 31-Aug-2018 Effective Cumulative Disbursements 6/27/2018 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (P147555) Restructuring History Level 2 Approved on 01-Sep-2015 Related Project(s) P157864-DRC Health System Strengthening Additional Financing ,P165435-DRC - Additional Financing Health System Strengthening Project for Better Maternal and Child Health Results ,P166004-Health System Strengthening for Better Maternal and Child Health Results AF2 ,P167766- Health System Strengthening for Better Maternal and Child Health PEF AF 6/27/2018 Page 9 of 9 Public Disclosure Copy