Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) eGabon (P132824) AFRICA | Gabon | Transport & Digital Development Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 4 | ARCHIVED on 08-Aug-2018 | ISR33560 | Implementing Agencies: Gabonese Republic, National Commission for Public Infras. Works and Promotion of Small-Scale Enterprises (CN-TIPPEE) Key Dates Key Project Dates Bank Approval Date:03-Jun-2016 Effectiveness Date:19-Apr-2017 Planned Mid Term Review Date:15-Jan-2019 Actual Mid-Term Review Date:-- Original Closing Date:05-Jan-2022 Revised Closing Date:05-Jan-2022 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to: (i) improve the timeliness and availability of information to support the delivery and management of public health services; and (ii) to foster the development and roll-out of eHealth applications and services, and Information and Communication Technology (ICT) services more generally. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Strengthening the National Health Information System:(Cost $40.08 M) Component 2: Advancing the Digital Innovation Ecosystem Development:(Cost $11.00 M) Component 3: Project Management, coordination, monitoring and evaluation of the Project:(Cost $4.78 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial 8/8/2018 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) Implementation Status and Key Decisions This Sequence #4 ISR (i) reflects the findings of the implementation support mission conducted in May 23rd – June 1st, 2018 in Gabon and subsequent interactions with the project teams. As of July 2018, the project disbursements reached around $10.6 million (19 percent of the total loan amount), slightly below the projections. The project has completed the key preparatory work, but is yet to engage main activities essential for the both the delivery of the health information system (component 1) and the development of the digital ecosystem (component 2). For component 1, the “schema directeur” document has been approved and communicated extensively. Other important tasks have started (change management, stakeholders survey) or are about to start in the coming weeks (legal framework for e-health applications) but are not completed yet. The key activity at this point is the preparation of the complex tender documents for the health information system. As for component 2, detailed technical discussions were held during the last mission on the incubator (business plan, offering, positioning, etc.) between the Bank’s team, the project team and the board of the incubator, and a common vision was reached. The renovation of the physical space for the incubator of Libreville is completed, and the project team is fully engaged to launch the operations of the incubator in September. This milestone will allow most of the other activities of this component to be engaged. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Moderate  Moderate  Moderate Macroeconomic  Moderate  Moderate  Moderate Sector Strategies and Policies  Moderate  Moderate  Moderate Technical Design of Project or Program  Substantial  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  Moderate  Moderate  Moderate Fiduciary  Moderate  Moderate  Substantial Environment and Social  Moderate  Low  Low Stakeholders  Substantial  Substantial  Substantial Other  --  --  -- Overall  Substantial  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Prescriptions transmitted electronically (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 8/8/2018 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDPDOTBL  Health workers reporting that they regularly use and update the patients’ electronic medical record during clinical consultations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDPDOTBL  Start-up projects incubated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDPDOTBL  percent of start-up projects in eHealth (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 PHINDPDOTBL  Increase in the level of satisfaction by ICT sector actors regarding government’s promotion of the digital economy (Percentage, Custom) 8/8/2018 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDPDOTBL  Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,820,000.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDPDOTBL  Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 0.00 0.00 55.00 Overall Comments Intermediate Results Indicators PHINDIRITBL  Health workers level of satisfaction regarding the effectiveness of NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 8/8/2018 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) PHINDIRITBL  Service providers (CNAM-GS and others) level of satisfaction regarding the effectiveness of the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  Patient perception of the quality of electronically supported public health services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  Patient women perception of the quality of electronically supported public health services (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 PHINDIRITBL  Health professionals and managers having achieved a sufficient level of knowledge regarding the use of the NHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 8/8/2018 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) PHINDIRITBL  Health women professionals and managers having achieved a sufficient level of knowledge regarding the use of the NHIS (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 PHINDIRITBL  Information technology managers and technicians trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  Health care providers and administrators at the national level trained with improved skills and ability to use the NHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 400.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  Completion of business process re-engineering and change management activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 8/8/2018 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) PHINDIRITBL  Number of participants in application competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 500.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  % of women in Number of participants in application competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 PHINDIRITBL  % of youth in Number of participants in application competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 PHINDIRITBL  Number of participants in business plan competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 8/8/2018 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) PHINDIRITBL  % of women in Number of participants in business plan competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 PHINDIRITBL  % of youth in Number of participants in business plan competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 PHINDIRITBL  Number of participants in training courses offered by the incubators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 750.00 Date 31-Dec-2015 31-Dec-2017 31-Dec-2017 31-Dec-2020 PHINDIRITBL  % of women in Number of participants in training courses offered by the incubators (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 8/8/2018 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) PHINDIRITBL  % of youth in Number of participants in training courses offered by the incubators (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P132824 IBRD-86240 Effective USD 56.00 56.00 0.00 10.64 45.61 19% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P132824 IBRD-86240 Effective 03-Jun-2016 21-Jul-2016 19-Apr-2017 05-Jan-2022 05-Jan-2022 Cumulative Disbursements 8/8/2018 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report eGabon (P132824) Restructuring History There has been no restructuring to date. Related Project(s) P164035-eGabon Additional Financing 8/8/2018 Page 10 of 10 Public Disclosure Copy