Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) AO-Municipal Health Service Strengthening (Revitalização) (P111840) AFRICA | Angola | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2010 | Seq No: 10 | ARCHIVED on 25-Dec-2015 | ISR22190 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:08-Jun-2010 Effectiveness Date:02-Mar-2012 Planned Mid Term Review Date:31-Dec-2012 Actual Mid-Term Review Date:15-Sep-2014 Original Closing Date:31-Dec-2015 Revised Closing Date:31-Dec-2015 Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the project is to improve the population‘s access to and quality of maternal and child health care services. 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)PHRPDODEL The proposed new development objective of the project would be to improve the population’s utilization of maternal and child healthcare services. Components Name II. Training of health staff and strengthening training capacity of the MOH:(Cost $12.65 M) I - Improvement of Health Service Delivery:(Cost $44.92 M) III- Project Management and Monitoring and Evaluation:(Cost $17.73 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  --  Substantial 12/25/2015 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) Implementation Status and Key Decisions The restructuring of the project was approved by the Board on November 16, 2015. The closing date of the Project was extended from December 31, 2015 to December 31 2017. During the period of extension, the Ministry of Health will focus on the construction of maternities, training of health staff and Community Development and Health Agents (ADECOS) to further expand access to maternal and child health services in target provinces. The training of health professional covers a wide range of areas and include both pre and pos-graduate training, and refresher courses in clinical and managemetn areas to improve the care effectiveness. 12/25/2015 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating 12/25/2015 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) Political and Governance  --  --  Moderate Macroeconomic  --  --  Substantial Sector Strategies and Policies  --  --  Moderate Technical Design of Project or Program  --  --  Moderate Institutional Capacity for Implementation and Sustainability  --  --  Substantial Fiduciary  --  --  Substantial Environment and Social  --  --  Substantial Stakeholders  --  --  Moderate Other  --  --  -- Overall  --  --  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Institutional deliveries (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 56.00 61.00 60.00 Date 30-Jun-2009 31-Dec-2014 30-Jun-2015 31-Dec-2017 Comments The end target will be revised during next Mission I February, 2016. PHINDPDOTBL  Children 0-1 year immunized with Pentavalent vaccine 3rd dose (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.00 71.00 82.00 38.00 Date 30-Jun-2009 31-Dec-2014 30-Jun-2015 31-Dec-2017 Comments The end target will be revised during next Mission I February, 2016. 12/25/2015 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) PHINDPDOTBL  Children 0-1 year immunized with Pentavalent vaccine 3rd dose (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 244624.00 52777.00 52777.00 -- Date 31-Dec-2014 30-Jun-2015 30-Jun-2015 31-Dec-2017 Comments The end target will be revised during next Mission I February, 2016. PHINDPDOTBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 81000.00 244691.00 123249.00 109000.00 Date 31-Dec-2009 31-Dec-2014 30-Jun-2015 31-Dec-2015 Comments The data represents only first semester of 2015. During next mission consolidated data for the entire year will be obtained. PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 489315.00 176026.00 762672.00 Date 30-Jun-2009 31-Dec-2014 30-Jun-2015 31-Dec-2015 Comments Data refers to firs semester of 2015 only. During next mission consolidated data will be obtained for the entire year. Also the target for this indicator will be revised during next mission in February PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 78.00 87.00 63.00 12/25/2015 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) PHINDPDOTBL  Number of outpatient visits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 1488841.00 -- 1800000.00 Date -- 31-Dec-2014 30-Jun-2015 31-Dec-2017 Overall Comments Intermediate Results Indicators PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 36.00 Date 30-Jun-2009 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments The bidding documents were completed and submitted to the Bank. The actual construction has not started yet. PHINDIRITBL  Number of health facilities receiving at least 2 supervision visits per year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 0.00 -- 70.00 Date 30-Jun-2011 31-Mar-2015 31-Mar-2015 31-Dec-2017 12/25/2015 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) PHINDIRITBL  Staff houses built (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 24.00 Date 30-Jun-2011 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments The bidding documents were completed and submitted to the Bank. The actual construction has not started yet. PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 641.00 -- 1680.00 Date 30-Jun-2011 31-Mar-2015 30-Jun-2015 31-Dec-2015 PHINDIRITBL  Community Health Workers (CHWs) trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1080.00 Date 30-Jun-2011 31-Mar-2015 30-Nov-2015 31-Dec-2015 Comments The training of ADECOS (Community Development and Health Agents) was postponed to first quarter 2016 to ensure that a budget is available for the payment of the salaries after completion of the training. PHINDIRITBL  General nurses trained in Emergency Obstetric and Neonatal Care (EmONC) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 20.00 180.00 Date 30-Jun-2011 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments Another batch of trainees is currently undertaking their courses. 12/25/2015 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) PHINDIRITBL  Nurse midwives who received pre-service training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 30-Jun-2011 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments The course is ongoing PHINDIRITBL  Nurses trained in Integrated Management of childhood Illnesses (IMCI) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 194.00 194.00 345.00 Date 30-Jun-2009 31-Mar-2015 31-Mar-2015 31-Dec-2015 PHINDIRITBL  Ambulances and 4x4 station wagons purchased (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 53.00 53.00 54.00 Date 30-Jun-2009 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments There is no change in the number since the procurement had been completed. 12/25/2015 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) PHINDIRITBL  Total number of visits by mobile teams (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 605.00 -- -- 1372.00 Date 31-Dec-2014 -- -- 31-Dec-2017 PHINDIRITBL  Motorcycles purchased for outreach teams (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 184.00 184.00 146.00 Date 30-Jun-2009 31-Mar-2015 31-Mar-2015 31-Dec-2015 Comments There is no change. the number of motorcycles purchased reached and surpassed the target. PHINDIRITBL  Number of health staff trained in Health Management Information System use (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 267.00 -- -- 513.00 Date 31-Aug-2015 -- -- 31-Dec-2017 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P111840 IDA-47490 Effective USD 70.80 70.80 0.00 33.21 33.41 47% P111840 TF-14221 Effective USD 2.11 2.11 0.00 0.94 1.16 45% 12/25/2015 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report AO-Municipal Health Service Strengthening (Revitalização) (P111840) Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P111840 IDA-47490 Effective 08-Jun-2010 08-Sep-2011 02-Mar-2012 31-Dec-2015 31-Dec-2015 P111840 TF-14221 Effective 23-Oct-2013 23-Oct-2013 23-Oct-2013 31-Dec-2015 31-Dec-2015 Cumulative Disbursements Restructuring History Level 1 Approved on 16-Nov-2015 Related Project(s) There are no related projects. 12/25/2015 Page 10 of 10 Public Disclosure Copy