The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Polio Eradication Support Project (P130865) AFRICA | Nigeria | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 15 | ARCHIVED on 03-Jan-2020 | ISR38779 | Implementing Agencies: Federal Republic of Nigeria, Federal Ministry of Finance, National Primary Health Care Development Agency Key Dates Key Project Dates Bank Approval Date: 12-Jul-2012 Effectiveness Date: 05-Jun-2013 Planned Mid Term Review Date: 12-Jun-2017 Actual Mid-Term Review Date: 12-May-2017 Original Closing Date: 31-Jul-2015 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the proposed Project is to assist, as part of a global polio eradication effort, the Government of Nigeria to achieve and sustain at least 80% coverage with OPV immunization in every state in the country 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) To assist the Recipient, as part of a global polio eradication effort, to achieve and sustain at least 80 percent coverage with oral polio vaccine immunization in every state in the Recipient’s territory, and improve national routine immunization coverage. Components Table Name Polio Eradication Support:(Cost $65.00 M) Routine Immunization Support:(Cost $175.00 M) Routine Immunization System Strengthening:(Cost $16.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The overall Project has been under implementation since July 2012. The project has had three additional financing (AFs) for a total of US$569.96 million equivalent of which US$531.64 million has been disbursed or about 95%. Overall progress towards project development objective 1/3/2020 Page 1 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) (PDO) remains satisfactory. All the PDO indicators have exceeded their targets and the country continues to advance polio and routine immunization response operations. The country has not seen any new cases of wild polio virus in the last 38 months and the WHO certification process is underway. However following outbreaks of vaccine derived polio viruses in some locations, the project responded to the Government’s request for restructuring to reallocate US$10 million equivalent from Routine Immunization (RI) vaccine procurement to polio response operations. RI coverage has continued to improve since the Government declared RI an emergency in June of 2017. On this mission, the Government and the Bank agreed on measures to fast-track the renovation of the Lagos hub; create a platform for coordination of polio transition planning; and working with partners, agree on initial steps to support Government financing of vaccines from domestic resources, in line with the GAVI accountability framework 1/3/2020 Page 2 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High High Macroeconomic -- High High Sector Strategies and Policies -- Low Low Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- High High Fiduciary -- Substantial Substantial Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- Moderate Overall -- High High Results PDO Indicators by Objectives / Outcomes Achieve and sustain 80% coverage with oral polio vaccine immunization and improve RI nationwide IN00750385 ►Immunization coverage of OPV in the country (Percentage, Custom) 1/3/2020 Page 3 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Baseline Actual (Previous) Actual (Current) End Target Value 91.80 97.70 97.70 80.00 Date 15-Apr-2012 31-May-2018 21-Nov-2019 31-Dec-2020 IN00750416 ►Immunization coverage of OPV in each high risk state (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 89.00 97.70 100.00 80.00 Date 31-Dec-2012 31-May-2018 21-Nov-2019 31-Dec-2020 IN00750417 ►Number of LGAs with Pentavalent 3 coverage among children under 12 months <25% in the 12 lagging states (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 71.00 1.00 1.00 24.00 Date 18-Dec-2017 29-Mar-2019 22-Nov-2019 31-Dec-2020 IN00750418 Number of LGAs with Pentavalent 3 coverage among children under 12 months <50% in the 12 lagging states (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 123.00 33.00 33.00 41.00 IN00750419 ►Children immunized (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 62,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 16-Dec-2019 31-Dec-2020 IN00750420 Children immunized under 12 months - pentavalent 3 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 36,194,824.00 36,194,824.00 30,465,493.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00750421 ►Pentavalent 3 coverage rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 57.00 57.00 52.00 Date 05-May-2014 14-Nov-2018 14-Nov-2018 31-Dec-2018 IN00750422 ►Pentavalent 3 coverage among children under 12 months in 12 lagging states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/3/2020 Page 4 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Value 23.25 40.00 40.00 33.00 Date 18-Dec-2017 14-Nov-2018 14-Nov-2018 31-Dec-2020 Overall Comments PDO The RF remain unchanged due to the fact that no new surveys were conducted and the new indicator on total number of immunized children is from SIA. Intermediate Results Indicators by Components Routine Immunization Support IN00750425 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 56,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00750428 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 56,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 Polio Eradication Support IN00750424 ►Percentage of campaigns where vaccines are available on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 Routine Immunization System Strengthening IN00750423 ►Percentage of teams with viable vaccine according to the Vaccine Vial Monitor (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97.00 100.00 100.00 98.00 Date 15-Apr-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00750426 1/3/2020 Page 5 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) ►Percentage of health facilities in the project area with functioning management committees having community representation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Date 23-May-2015 23-May-2016 23-May-2016 31-Dec-2018 IN00750427 ►Number of LQAS conducted in 12 lagging states (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 31-Jan-2018 31-Jan-2018 31-Jan-2018 31-Dec-2020 IN00750429 ►Number of shipments of vaccines and consumables shipped to Lagos and Kano (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 40.00 Date 31-Jan-2018 31-Jan-2018 31-Jan-2018 31-Dec-2020 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P130865 IDA-51330 Closed USD 95.00 94.94 0.06 93.93 0.00 100% P130865 IDA-56180 Closed USD 200.00 200.00 0.00 195.32 3.74 98% P130865 IDA-58530 Closed USD 125.00 125.00 0.00 119.76 0.01 100% P130865 IDA-62890 Effective USD 150.00 150.00 0.00 122.63 21.45 85% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P130865 IDA-51330 Closed 12-Jul-2012 16-Apr-2013 05-Jun-2013 31-Jul-2015 31-Jul-2015 P130865 IDA-56180 Closed 10-Apr-2015 22-May-2015 29-May-2015 31-Jul-2017 31-Jul-2017 P130865 IDA-58530 Closed 07-Jun-2016 07-Aug-2016 20-Dec-2016 31-Dec-2018 31-Dec-2018 P130865 IDA-62890 Effective 27-Jun-2018 23-Oct-2018 04-Dec-2018 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 1/3/2020 Page 6 of 7 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Restructuring History Level 2 Approved on 27-Mar-2019 ,Level 2 Approved on 19-Jul-2019 Related Project(s) P154660-NG-Polio Eradication Support - Additional Financing ,P158557-Additional Financing NG-Polio Eradication Support Project ,P165247- Nigeria Polio Eradication Support Project Additional Financing 1/3/2020 Page 7 of 7