The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Lebanon Health Resilience Project (P163476) MIDDLE EAST AND NORTH AFRICA | Lebanon | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 6 | ARCHIVED on 08-Jan-2020 | ISR39668 | Implementing Agencies: Ministry of Public Health, The Republic of Lebanon Key Dates Key Project Dates Bank Approval Date: 26-Jun-2017 Effectiveness Date: 14-Nov-2018 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) is to increase access to quality healthcare services to poor Lebanese and displaced Syrians in Lebanon. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Scaling up the scope and the capacity of the primary health care UHC program:(Cost $76.50 M) Provision of health Care services in public hospitals:(Cost $36.40 M) Strengthening project management and monitoring:(Cost $6.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Unsatisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The Health Resilience Project aims to strengthen the resilience of the health sector in Lebanon to meet the growing demand for health services, especially among vulnerable Lebanese and displaced Syrians. 340,000 poor Lebanese will benefit from the following subsidized packages of essential health services: (i) four gender and age specific wellness packages (age 0-18, females 19-64, males 19-64, elderly 65+); (ii) four care packages for the most common non-communicable diseases in Lebanon (diabetes, hypertension, coronary artery disease, chronic obstructive pulmonary disease); (iii) reproductive health package; and (iv) mental health package. The project has been experiencing significant delays since it became effective in November 2018. Efforts are underway to improve the implementation by putting contractual, administrative, and fiduciary systems in place. 1/8/2020 Page 1 of 6 The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Moderate Moderate High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial High Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increase Access to quality healthcare for poor Lebanese and displaced Syrians IN00776935 ►Primary care beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 280,000.00 280,000.00 280,000.00 715,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777101 Poor Lebanese (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 150,000.00 150,000.00 150,000.00 340,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777102 Displaced Syrians (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 1/8/2020 Page 2 of 6 The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Value 130,000.00 130,000.00 130,000.00 375,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777103 ►% female of total beneficiaries (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 50.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777104 ►Health facilities accredited (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 30.00 30.00 140.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777105 ►Pregnant women receiving at least four antenatal care visits (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 70.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777106 ►Public hospital admissions above the MoPH contracted ceiling (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 34,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777107 ►Children fully vaccinated under the age of two according to national immunization policy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 80.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 Intermediate Results Indicators by Components Scaling up the scope and the capacity of the primary health care UHC program IN00777108 ►Target population 40 years and above who were screened for diabetes mellitus (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/8/2020 Page 3 of 6 The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Value 0.00 0.00 0.00 60.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777111 ►Health personnel receiving training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777112 ►Health facilities contracted (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 75.00 75.00 204.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777113 ►Maintain Client Satisfaction (PHCCs & Hospitals) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 75.00 75.00 75.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777114 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 22,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 IN00777115 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 22,000.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 Strengthening project management and monitoring IN00777110 ►Grievances registered related to delivery of project benefits addressed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 40.00 40.00 75.00 Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 1/8/2020 Page 4 of 6 The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Provision of health care services in public hospitals IN00777109 ►Hospital Assessment carried out (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Assessment Value NA NA NA completed Date 15-May-2017 30-Oct-2018 17-Dec-2019 31-Dec-2022 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P163476 IBRD-87710 Effective USD 95.80 95.80 0.00 2.64 93.16 2.8% P163476 TF-A5424 Effective USD 24.20 24.20 0.00 0.60 23.60 2.5% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P163476 IBRD-87710 Effective 26-Jun-2017 09-Mar-2018 14-Nov-2018 30-Jun-2023 30-Jun-2023 P163476 TF-A5424 Effective 26-Jun-2017 09-Mar-2018 14-Nov-2018 30-Jun-2023 30-Jun-2023 Cumulative Disbursements 1/8/2020 Page 5 of 6 The World Bank Implementation Status & Results Report Lebanon Health Resilience Project (P163476) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 1/8/2020 Page 6 of 6