The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) AFRICA | Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 11 | ARCHIVED on 03-Jan-2020 | ISR38798 | Implementing Agencies: Republic of Burundi, Democratic Republic of Congo, Republic of Rwanda, CFEF Ministere des Finances (DRC), MOPH (DRC), Fonds Social de la République Démocratique du Congo (FSRDC) (DRC), Ministry of Human Right, Social Affairs and Gender (Burundi), Ministry of Public Health and Fight against AIDS (Burundi), Ministry of Gender and Family Promotion (MIGEPROF) (Rwanda) Key Dates Key Project Dates Bank Approval Date: 26-Jun-2014 Effectiveness Date: 22-Sep-2014 Planned Mid Term Review Date: 31-Jul-2017 Actual Mid-Term Review Date: 17-Nov-2017 Original Closing Date: 30-Jun-2018 Revised Closing Date: 31-Dec-2019 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of this project are to: (i) expand the provision of services to mitigate the short and medium term impact of sexual and gender based violence; and (ii) expand utilization of a package of health interventions targeted to poor and vulnerable females. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Holistic Support for Sexual and Gender Based Violence and Violence Prevention:(Cost $50.62 M) High Impact Basic Health Services:(Cost $34.03 M) Regional Networking, Knowledge Sharing, Capacity Building and Research:(Cost $21.18 M) Program Management 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 High High Implementation Status and Key Decisions The project will be closing on December 31, 2019. At the Centers of Excellence in DRC, 731 women received fistula repair, 1,546 received treatment for uterine prolapse and 242 for other gynecological complications. 3991 women benefited from economic empowerment activities. All activities in DRC have now closed. The project met its targets for increasing utilization of prenatal care, institutional deliveries and use of modern contraception in health zones supported through performance based financing. In Burundi, 4,150 people received treatment at One Stop Centers 1/3/2020 Page 1 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) (OSCs). 13,639 survivors benefited from economic empowerment activities. All activities will end by the project's closure. Finally, in Rwanda, 44,285 people received services at OSCs. 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 -- Substantial Substantial Stakeholders -- Moderate Moderate Other -- -- -- Overall -- High High Results PDO Indicators by Objectives / Outcomes Service provision to survivors of GBV IN00750954 ►Percentage of eligible cases of SGBV who receive emergency kits (PEP) within 72 hours, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 100.00 96.00 50.00 Date 26-Jun-2014 31-Mar-2019 31-Mar-2019 31-Dec-2019 This indicator is calculated differently in DRC as compared to Rwanda and Burundi. In DRC, the denominator is the number of SGBV survivors who arrive at a health facility within 72 hours (and are hence eligible for PEP). In Rwanda and Burundi, the denominator is all SGBV survivors who arrive at a facility, even after the 72 hour window when PEP can be administered. Comments: Data reported for this indicator in DRC come from two source: the Centers of Excellence (Panzi and Heal Africa), and the National Health Management Information System, which reports the indicator for all other health facilities in North and South Kivu supported by the project. All SGBV cases that arrive at the Centers of Excellence within 72 hours receive PEP. The proportion of eligible cases who receive PEP is 1/3/2020 Page 2 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) lower for health facilities, at 95% for Q1 2019 and 92% for Q2 2019. Data on the number of cases from the Centers of Excellence is not yet available for Q2 2019, which is why the indicator is reported for Q1 2019. This indicator has remained constant over the life of the project. Taken as an annual (rather than quarterly average) it was 93% in 2015; 95% in 2016; 96% in 2017; 93% in 2018; and 94% through Q2 2019. If the indicator were calculated using the same methodology as Burundi and Rwanda, the value in Q4 2019 would be 43% IN00750956 ►Percentage of reported cases of SGBV who receive emergency kits (PEP) within 72 hours, Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 31.00 37.00 35.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Delivery of PEP in One Stop Centers in Burundi started in Q1 2017. When examined as an annual (rather than quarterly) percentage, the proportion of women who received PEP within 72 hours was 36% in 2017, 25% in 2018 and 34% through Q2 2019. This indicator does not illustrate a full picture of the project’s achievements. Between Q1 2017 and Q2 2019, the number of women who received PEP within 72 hours Comments: each quarter increased from 20 to 243. However, a substantially higher number of women also sought services at the One Stop Centers after the 72-hour window passed – an increase from 38 women in Q1 2017 to 664 women in Q2 2019. Hence, many women still do not arrive at One Stop Centers within the 72 hours, but overall, a higher number of women received PEP through project support. IN00750958 ►Percentage of reported cases of SGBV who receive emergency kits (PEP) within 72 hours, Rwanda (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 31.00 34.00 42.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 The target will not be met for this indicator in Rwanda. However, as described for the Burundi indicator, it does not illustrate the full story of the project's work in Rwanda because most survivors seeking services Comments: arrive to the OSCs after the 72-hour window when PEP can be administered. Trend data in Rwanda (similar to that in DRC and Burundi) is currently being prepared. IN00750960 ►Percentage of reported cases of SGBV who receive at least 2 multidisciplinary services as needed (medical, legal and psychosocial), DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 67.00 51.00 75.00 Date 26-Jun-2014 31-Mar-2019 31-Mar-2019 31-Dec-2019 Data are reported from NGOs working at the community level at the two Centers of Excellence (Panzi and Heal Africa). Previously, this indicator was calculated and reported for the entire project, rather than each quarter. For the life of the project, 73% of survivors receive at lest 2 multidisciplinary services. However, in Q1 2019, only 51% of survivors received at least two services, and this proportion has decreased over time. The annual average once these services began decreased from 87% to 65% to 54% to 51% through Q1 2019. This indicator does not illustrate the nuanced nature of service provided through various avenues of the Comments: project in DRC: the vast majority of survivors who are treated at the Centers of Excellence received at least two services. However, survivors whose first point of contact is an NGO at the community level are less likely to receive two services. The project in DRC has experienced challenges with referring survivors from the community level to health facilities. Geographical accessibility to the Centers of Excellence where a package of integrated services for survivors is provided is much more limited in DRC than in Burundi or Rwanda (longer travel time in a more insecure region). IN00750962 1/3/2020 Page 3 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) ►Percentage of reported cases of SGBV who recieve at least 2 multidisicplinary services as needed (medical, legal and psychosocial), Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 87.00 86.00 75.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Data are reported from One Stop Centers. After an initial 16 percent increase when services first started in quarter 1 2017 (from 71% to 87%), the Comments: proportion of women receiving this service has remained relatively constant at the project's final target, fluctuating between 86% and 93%. IN00750964 ►Percentage of reported cases of SGBV who receive at least 2 multidisciplinary services as needed (medical, legal and pshychosocial), Rwanda (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 100.00 100.00 100.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Data are reported from the One Stop Centers. All survivors who go to a One Stop Center in Rwanda now Comments: receive at least 2 multidisciplinary services. Trend data in Rwanda is currently being prepared. Utilization of a package of health interventions IN00750955 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,878,700.00 6,025,723.00 8,448,893.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Burundi: the number of beneficiaries reached is three times higher than the project's target. The initial indicator target was set without providing a definition of what should be counted as a project beneficiary, thereby having limited value. The definition was later clarified. The annual number of beneficiaries increased from 0 in 2016, to 46,779 for 2017, to 96,720 for 2018 and to 137,892 for just the first two quarters of 2019. The project had a slower start, but once activities were started, they reached many Comments: people. DRC: Note that the total number of beneficiaries includes the total number of services delivered and verified through PBF, which is why it is substantially higher than Burundi or Rwanda. While the same person may have received more than one PBF service, the project in DRC reached many people in a short amount of time. IN00750957 Direct project beneficiaries, DRC (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,249,830.00 5,249,830.00 8,000,000.00 Date 26-Jun-2014 30-Sep-2018 30-Sep-2018 31-Dec-2019 IN00750959 Beneficiaries accessing holistic sexual and gender based violence services, DRC (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 1/3/2020 Page 4 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Value 0.00 450,217.00 450,217.00 337,500.00 Date 26-Jun-2014 31-Mar-2019 31-Mar-2019 31-Dec-2019 IN00750961 Female beneficiaries (DRC) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,463,871.00 1,463,871.00 1,900,000.00 Date 26-Jun-2014 30-Sep-2018 30-Sep-2018 31-Dec-2019 IN00750963 Direct project beneficiaries, Rwanda (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35,154.00 44,285.00 29,600.00 Date 24-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 IN00750965 Female Beneficiaries (Rwanda) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 31,695.00 39,992.00 23,000.00 Date 31-Oct-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 IN00750966 Direct Project Beneficiaries, Burundi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 143,499.00 281,391.00 81,793.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 IN00750967 Female beneficiaries (Burundi) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 101,104.00 211,043.00 61,344.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 IN00750968 ►Prevalence of modern contraceptive use (women between 15-49 years old), DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 13.00 31.00 18.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 PBF began in Q4 2016. The annual proportion increased from 9% in 2015; to 11% in 2016; to 20% in Comments: 2017; to 24% in 2018; and 33% for the first two quarters of 2019. IN00750969 ►Annual number of women aged 15-49 who use modern contraception, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/3/2020 Page 5 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Value 38,970.00 106,236.00 124,335.00 130,343.00 Date 31-Dec-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. IN00750970 ►Percentage of pregnant women who receive 4 antenatal care visits, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 57.00 67.00 69.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 PBF began in Q4 2016. The project will likely meet the end target. The annual proportion increased from Comments: 44% in 2015; to 44% in 2016; to 64% in 2017; to 74% in 2018; to 70% for the first two quarters of 2019. IN00750971 ►Annual number of women who receive 4 antenatal care visits, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 55,302.00 95,922.00 50,572.00 94,569.00 Date 31-Dec-2014 31-Dec-2019 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project is on track to meet the annual target for 2019, and hence the final target. IN00750972 ►Percentage of births (deliveries) attended by skilled health personnel, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 47.00 93.00 100.00 84.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 The current estimate for Q2 2019 is above 100%, as the denominator is likely underestimated (number of pregnant women is estimated at 4 percent of the population by national standards). PBF started in Q4 Comments: 106. The annual percentage increased from 74% in 2016; to 99% in 2017; to 111% in 2018; to 109% for the first two quarters of 2019. IN00750973 ►Annual number of births (deliveries) attended by skilled health personnel, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52,050.00 144,834.00 78,936.00 115,860.00 Date 31-Dec-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. IN00750974 ►Prevalence of modern contraceptive use (women between 15-49 years old), Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/3/2020 Page 6 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Value 34.00 44.00 57.00 43.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project activities began in Q1 2017. Prevalence of modern contraception increased from 36% in 2015; Comments: 37% in 2016; 36% in 2017; 43% in 2018; 56% for the first two quarters of 2019. IN00750975 ►Annual number of women aged 15-49 who use modern contraception, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 112,558.00 153,560.00 106,675.00 165,860.00 Date 31-Dec-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. IN00750976 ►Percentage of pregnant women who receive 4 antenatal care visits, Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 36.00 40.00 48.00 51.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project activities began in Q1 2017. The annual proportion has increased, but will likely not meet the end Comments: target. Prevalence was 39% in 2015; 46% in 2016; 43% in 2017, 47% in 2018; and 47% through Q2 2019. IN00750977 ►Annual number of pregnant women who receive 4 antenatal care visits, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 31,622.00 45,183.00 24,106.00 52,598.00 Date 31-Dec-2014 31-Dec-2018 30-Jun-2018 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will be close but likely not surpass the annual target for 2019. IN00750978 ►Percentage of births (deliveries) attended by skilled health personnel, Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 77.00 80.00 100.00 89.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 The current estimate for Q2 2019 is above 100 percent - similar to in DRC, this is due to an underestimation of the number of women who give birth each quarter. The national approach to estimate the number of women who give birth is estimated at 5 percent of the total population in the three target Comments: provinces. The annual estimates increased substantially over the life of the project. Project activities started in Q1 2017. The indicator increased from 85% in 2015, to 83% in 2016, to 85% in 2017, to 90% in 2018 to 110% for the first two quarters of 2019. IN00750979 ►Annual number of births (deliveries) attended by skilled health personnel, Burundi (Number, Custom) 1/3/2020 Page 7 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Baseline Actual (Previous) Actual (Current) End Target Value 67,893.00 84,074.00 55,911.00 92,195.00 Date 31-Dec-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. Intermediate Results Indicators by Components Holistic Support for Sexual and Gender Based Violence and Violence Prevention IN00750982 ►Number of survivors who present themselves at least once to a SGBV case manager trained by the project, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12,927.00 13,014.00 16,913.00 Date 26-Jun-2014 31-Mar-2019 30-Jun-2019 31-Dec-2019 The project will be close, but likely not, meet the final target. Comments: IN00750984 ►Number of survivors treated in a health facility, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8,471.00 15,173.00 10,000.00 Date 26-Jun-2014 30-Sep-2018 30-Jun-2019 31-Dec-2019 The project has surpassed the end target, which takes a cumulative sum of the number of survivors who are treated at a health facility since 2015. PBF, which included services targeting women and SGBV Comments: survivors started in Q4 2016. The number of survivors treated each year was 3545 in 2015; 3235 in 2016; 3435 in 2017; 3651 in 2018 and 1307 through Q2 2019. IN00750986 ►Number of beneficiaries receiving specialized mental health care, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,708.00 2,153.00 727.00 Date 26-Jun-2014 31-Mar-2019 30-Jun-2019 31-Dec-2019 The project has surpassed the end target Comments: IN00750989 ►Survivors receiving psychosocial, legal services, and referral to health services at the community level, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,660.00 17,741.00 18,538.00 Date 26-Jun-2014 31-Mar-2019 30-Jun-2019 31-Dec-2019 1/3/2020 Page 8 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Data disaggregated by type of service is not available during this reporting period. Project on track to meet Comments: target. IN00750991 Survivors of GBV referred to health facilities (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,055.00 2,055.00 4,000.00 Date 26-Jun-2014 31-Aug-2018 31-Aug-2018 31-Dec-2019 IN00750994 Survivors of GBV receiving psychosocial care (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,055.00 2,055.00 2,500.00 Date 26-Jun-2014 31-Aug-2018 31-Aug-2018 31-Dec-2018 IN00750995 Survivors of GBV accessing legal aid services (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,843.00 2,843.00 12,038.00 Date 26-Jun-2014 31-Aug-2018 31-Aug-2018 31-Dec-2019 IN00750998 ►Number of poor and vulnerable women benefitting from economic empowerment activities, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,991.00 3,991.00 8,456.00 Date 26-Jun-2014 31-Mar-2019 30-Jun-2019 31-Dec-2019 Project is not on track to meet the end target. Comments: IN00751000 ►Number of persons benefiting from sensitization and advocacy activities to improve awareness and knowledge of SGBV, gender equalityand/or reproductive health, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 390,082.00 472,005.00 787,500.00 Date 26-Jun-2014 31-Mar-2019 30-Jun-2019 31-Dec-2019 Project not on track to meet end target. Comments: IN00751001 ►Number of poor and vulnerable women benefitting from economic empowerment activities,Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17,000.00 21,625.00 30,666.00 31,600.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Comments: The economic empowerment work has increased substantially over the past year. The project is on track to meet its target. The model used draws on funds from within communities. Women within the groups shared that they are now able to access credit to support small scale economic activities, which then 1/3/2020 Page 9 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) enables them to have greater autonomy. The Centres de Développement Familial et Communautaire were strengthened to provide continuous support to these groups after the project is complete. IN00751003 ►Survivors receiving medical treatment, psychosocial, forensic, and legal services, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,311.00 3,313.00 550.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 The project has surpassed its end target. Comments: IN00751005 ►Number of persons benefiting from sensitization and advocacy activities to improve awareness and knowledge of SGBV, gender equalityand/or reproductive health,Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2,100.00 27,633.00 130,778.00 9,400.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 End target was underestimated. Project substantially surpassed target. The NGO responsible for sensitization is began work again after the suspension of NGO in January 2019, resulting in a large Comments: increase in this indicator for 2019. IN00751007 ►Reported SGBV cases taken to the prosecutor, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 240.00 919.00 1,182.00 1,300.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project on track to meet target. Comments: IN00751009 ►Percentage of criminal investigations conducted on SGBV cases using reference from one stop centers, Burundi (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 32.80 57.00 34.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project has surpassed end target. Service began in Q1 2017, at which point only 13 cases were referred for criminal investigations (out of 12 investigations). This number increased substantially to 377 referrals out of 664 total investigations conducted. Anecdotally, service providers noted that perpetrators of Comments: violence now are aware that they will be investigated, and that there will be consequences, when survivors go to a One Stop Center. IN00751010 ►OSCs set up and/or upgraded and staffed as per guidelines, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 26-Jun-2014 31-Dec-2018 31-Dec-2018 31-Dec-2019 1/3/2020 Page 10 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Project equipped One Stop Centers in existing hospitals in Muyinga, Makamba and Cibitoke starting in Q1 2017. Construction of new centers began in December 2018. Construction is expected to be complete at Comments: the project's closure. IN00751011 ►Staff involved in SGBV services trained in relevant areas, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.00 936.00 972.00 320.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project surpassed end target Comments: IN00751012 ►OSCs set up and/or upgraded and staffed as per guidelines, Rwanda (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17.00 17.00 17.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Project has met end target. Comments: IN00751013 ►Survivors receiving medical treatment, psychosocial, and forensic services, Rwanda (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35,154.00 44,285.00 29,600.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Project has met end target. Comments: IN00751014 Survivors receiving legal services, Rwanda (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,585.00 2,958.00 610.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 IN00751015 Reported SGBV cases taken to the prosecutor, Rwanda (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 6,840.00 12,828.00 12,828.00 12,866.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 IN00751016 ►Sensitization and advocacy activities to promote gender equality implemented, Rwanda (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 8.00 1/3/2020 Page 11 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Project met end target. Comments: IN00751017 ►Couples trained on GBV prevention using Agents of Change methodology, Rwanda (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 640.00 640.00 640.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Project met end target. Comments: IN00751018 ►Staff involved in SGBV services trained in relevant areas, Rwanda (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,706.00 1,706.00 230.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Project met end target. Comments: IN00751019 ►Impact evaluation baseline and endline data collected, Rwanda (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Baseline data collection was completed. Comments: High Impact Basic Health Services IN00750988 ►Average availability of essential tracer drugs at health facilities, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 63.00 85.00 90.00 80.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project met end target. Comments: IN00750992 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 471,103.00 595,862.00 333,737.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 1/3/2020 Page 12 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) The project's target has been surpassed. This indicator takes the sum of all institutional deliveries in Burundi and DRC since project activities began (Q4 2016 in DRC, and Q1 2017 in Burundi). The project Comments: financed deliveries in DRC through performance based financing. However, in Burundi, the project supported institutional deliveries more indirectly by financing equipment in the three target provinces. IN00750993 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 471,103.00 595,862.00 333,737.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 IN00750996 ►New curative consultations per capita per year, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 22.00 64.00 60.00 65.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2018 PBF began in Q4 2016. New curative consultations increased from 59% in 2016; to 59% in 2017; to 67% in 2018; to an average of 66% for the first two quarters of 2019. The project is on track to meet the end Comments: target. IN00750997 ►Annual number of new curative consultations, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 615,397.00 2,178,125.00 1,141,673.00 2,241,340.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. IN00750999 ►Average quality score at health facilities (PBF check list), DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80.00 77.00 85.00 Date 26-Jun-2014 31-Dec-2018 31-Mar-2019 31-Dec-2019 Quality was not measured until PBF was first introduced. In Q3 2018, the initial quality score was 52%. Comments: Hence, scores have improved since PBF started. The project will be close to meeting the final target. IN00751002 ►Percentage of identified poor people benefiting of Equity Fund, DRC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 51.00 43.00 30.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Comments: Five percent of the total population is supposed to benefit from the Equity fund, which provided free services for the first time in Q1 2017. The proportion of the target population that was exempt from service fees increased from 16% in 2017 to 43% in 2018 and remains at 43% for the first two quarters of 2019. 1/3/2020 Page 13 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) IN00751004 ►Annual number of identified poor people benefiting of Equity Fund, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 59,152.00 36,826.00 51,723.00 Date 26-Jun-2014 31-Dec-2019 30-Jun-2019 31-Dec-2019 Note: the current value is reported through Q2 2019 and is tracked against an annual (not cumulative) Comments: target. The project will surpass the annual target for 2019, and hence the final target. IN00751006 ►Health personnel receiving training, DRC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,560.00 2,560.00 400.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 The project has surpassed its target. Comments: IN00751008 ►Number of youth who benefit from reproductive health services, Burundi (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,884.00 18,650.00 10,000.00 Date 26-Jun-2014 31-Dec-2018 30-Jun-2019 31-Dec-2019 Project surpassed end target Comments: Regional Networking, Knowledge Sharing, Capacity Building and Research IN00750981 ►Number of participants from ICGLR Member States benefitting from training on SGBV at the Regional Training Facility, ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 516.00 1,000.00 1,000.00 Date 26-Jun-2014 30-Sep-2018 30-Sep-2019 31-Dec-2019 IN00750983 ►Number of Master and Natrional trainers participating in Trainers of Trainers in respective areas of training received in their respective home country, ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 182.00 100.00 Date 26-Jun-2014 30-Sep-2018 30-Sep-2019 31-Dec-2019 IN00750985 ►Number of lessons learned and good practices shared among ICGLR member states, ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 1/3/2020 Page 14 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Value 0.00 0.00 0.00 6.00 Date 26-Jun-2014 30-Sep-2018 30-Sep-2019 31-Dec-2019 Symposium planned for December 10-12, 2019. Comments: IN00750987 ►Number of member states countries using regional SGBV messages developed by the ICGLR, ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 IN00750990 ►Number of M&E reports published of the progress of the Kampala Declaration published, ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 1.00 Date 26-Jun-2014 31-Mar-2019 30-Sep-2019 31-Dec-2019 Program Management IN00750980 ►Annual disclosed unqualified external financial audit with the ICGLR annual budget (planned and executed), ICGLR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 24-Jun-2014 31-Aug-2018 31-Aug-2018 30-Jun-2019 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P147489 IDA-55250 Effective USD 14.95 14.95 0.00 13.51 0.01 100% P147489 IDA-H9780 Effective USD 15.15 15.15 0.00 11.48 2.25 84% P147489 IDA-H9790 Effective USD 3.00 3.00 0.00 2.36 0.35 87% P147489 IDA-H9800 Effective USD 73.86 73.86 0.00 64.22 2.71 96% Key Dates (by loan) 1/3/2020 Page 15 of 16 The World Bank Implementation Status & Results Report AFR RI- Great Lakes Emergency Sexual and Gender Based Violence & Women's Health Project (P147489) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147489 IDA-55250 Effective 26-Jun-2014 06-Aug-2014 15-Dec-2014 30-Jun-2018 31-Dec-2019 P147489 IDA-H9780 Effective 26-Jun-2014 29-Jul-2014 27-Oct-2014 30-Jun-2018 31-Dec-2019 P147489 IDA-H9790 Effective 26-Jun-2014 06-Aug-2014 22-Sep-2014 30-Jun-2018 31-Dec-2019 P147489 IDA-H9800 Effective 26-Jun-2014 25-Jul-2014 23-Jan-2015 30-Jun-2018 31-Dec-2019 Cumulative Disbursements Restructuring History Level 2 Approved on 27-Aug-2015 ,Level 2 Approved on 27-Feb-2017 ,Level 2 Approved on 06-Mar-2018 ,Level 2 Approved on 25-Apr-2019 Related Project(s) There are no related projects. 1/3/2020 Page 16 of 16