Public Disclosure Copy 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 | Specific Investment Loan | FY 2013 | Seq No: 9 | ARCHIVED on 27-Dec-2016 | ISR26000 | Implementing Agencies: 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:-- Original Closing Date:31-Jul-2015 Revised Closing Date:31-Dec-2018 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)PHRPDODEL To assist the Recipient, as part of a global polio eradication effort, to achieve and sustain at least 80% coverage with oral poliovaccine immunization in every state in the Recipient's territory, and sustain national routine immunization coverage. Components Name Supply of oral polio vaccine to national strategic cold stores:(Cost $95.00 M) Polio Eradication Operations Support:(Cost $90.00 M) Routine Immunization Support:(Cost $110.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Highly Satisfactory  Satisfactory Overall Implementation Progress (IP)  Highly Satisfactory  Highly Satisfactory Overall Risk Rating  High  High 12/27/2016 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Implementation Status and Key Decisions Progress toward Polio Eradication: The project is downgraded to satisfactory on its development objective - although four out of its five development objectives have exceeded their target. But the overall implementation progress remains highly satisfactory. Nigeria, was polio free for 23 months and on its path to achieving polio free certification, before it recorded four (4) new cases of Wild Polio Virus (WPV) in Borno state. However, immunization performance remains very high – 97.7% of the 87 very high risk Local Government Areas (LGAs) achieved more than 80% of oral polio vaccine (OPV) coverage in May 2016. The high OPV coverage even in the face of insurgency has been through the use of innovative strategies such as ‘hit and run’, ‘fire walling’, use of permanent health camps and mobile teams. The provision of military personnel as security for vaccination teams and their use in vaccinating children contributed to the observed high performance. Four out of the five rounds of Immunization Plus Days were carried out in the region affected and neighbouring states and countries in the last four months. There has been regular supply of oral polio vaccines (OPV) with stock that lasts till the end of December 2016. The new additional financing will ensure availability of vaccines for RI till mid-2018 and OPV till March 2017. The operational data on routine immunization shows a lot of progress even in security-compromised states. Polio infrastructure is being used to enhance routine immunization activities in high-risk states. In a recent drive, the Global Polio Eradication Initiative partners are still strongly advocating for more resources of polio eradication and effective programming in the wake of the resurgence. A new plan was developed with the government in October 2016. 12/27/2016 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 12/27/2016 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 12/27/2016 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy 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  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Moderate  Moderate Stakeholders  --  Moderate  Moderate Other  --  High  High Overall  --  High  High Results Project Development Objective Indicators PHINDPDOTBL  Immunization coverage of OPV in the country (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 91.80 95.60 97.70 80.00 Date 15-Apr-2012 31-Jan-2016 01-Nov-2016 31-Dec-2018 12/27/2016 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) PHINDPDOTBL  Immunization coverage of OPV in each high risk state (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 89.00 95.60 97.70 80.00 Date 31-Dec-2012 31-Jan-2016 01-Nov-2016 31-Dec-2018 PHINDPDOTBL  Children immunized (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,479,402.00 5,479,402.00 6,561,446.00 Date 09-Jul-2012 30-Oct-2015 30-Oct-2015 31-Dec-2018 PHINDPDOTBL  Children immunized - under 12 months against DTP3 (number) (Number, Core Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3,304,952.00 3,304,952.00 3,465,493.00 Date 09-Jul-2012 30-Oct-2015 30-Oct-2015 31-Dec-2018 PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,479,402.00 5,479,402.00 6,561,446.00 Date 09-Jul-2012 30-Oct-2015 30-Oct-2015 31-Dec-2018 PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 50.00 50.00 50.00 12/27/2016 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) PHINDPDOTBL  Pentavalent 3 coverage rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 48.80 48.80 52.00 Date 05-May-2014 02-Feb-2016 02-Feb-2016 31-Dec-2018 Overall Comments Intermediate Results Indicators PHINDIRITBL  Percentage of teams with viable vaccine according to the Vaccine Vial Monitor (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97.00 98.00 100.00 98.00 Date 15-Apr-2012 30-Oct-2015 01-Nov-2016 31-Dec-2018 PHINDIRITBL  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 30-Oct-2015 01-Nov-2016 31-Dec-2018 12/27/2016 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) PHINDIRITBL  Pencentage 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 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P130865 IDA-51330 Closed XDR 61.30 61.26 0.04 61.26 0.00 100% P130865 IDA-56180 Effective XDR 142.20 142.20 0.00 139.50 2.70 98% Not P130865 IDA-58530 XDR 88.20 88.20 0.00 0.00 88.20 0% Effective 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 Effective 10-Apr-2015 22-May-2015 29-May-2015 31-Jul-2017 31-Jul-2017 Not P130865 IDA-58530 07-Jun-2016 -- -- 31-Dec-2018 31-Dec-2018 Effective Cumulative Disbursements 12/27/2016 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Restructuring History There has been no restructuring to date. Related Project(s) P154660-NG-Polio Eradication Support - Additional Financing ,P158557-Additional Financing NG-Polio Eradication Support Project 12/27/2016 Page 9 of 9 Public Disclosure Copy