The World Bank Report No: ISR14797 Implementation Status & Results Angola AO-Municipal Health Service Strengthening (Revitalização) (P111840) Public Disclosure Copy Operation Name: AO-Municipal Health Service Strengthening (Revitalização) Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 25-Jun-2014 (P111840) Country: Angola Approval FY: 2010 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 08-Jun-2010 Original Closing Date 31-Dec-2015 Planned Mid Term Review Date 05-Sep-2014 Last Archived ISR Date 29-Dec-2013 Effectiveness Date 02-Mar-2012 Revised Closing Date 31-Dec-2015 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the project is to improve the populatio■ s access to and quality of maternal and child health care services. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost I - Improvement of Health Service Delivery 56.30 II- Voucher Scheme Pilot 0.80 III- Project Management and Monitoring and Evaluation 18.20 Overall Ratings Previous Rating Current Rating Public Disclosure Copy Progress towards achievement of PDO Moderately Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Unsatisfactory Overall Risk Rating Implementation Status Overview The project implementation, already set back 22 months due to late effectiveness, continues to lag behind. The delays in the construction and training program are worrisome, considering that the project is expected to close in 18 months. A mid-term review is planned during second half of 2014 during which project progress will be reassessed and an action plan agreed upon for the critical activities which need to be completed. Page 1 of 8 The World Bank Report No: ISR14797 Locations Country First Administrative Division Location Planned Actual Angola Provincia da Lunda Norte Provincia da Lunda Norte Public Disclosure Copy Angola Provincia da Lunda Norte Municipio Lucapa Angola Provincia da Lunda Norte Municipio Chitato Angola Provincia da Lunda Norte Municipio Cambulo Angola Provincia do Moxico Provincia do Moxico Angola Provincia do Moxico Municipio Luau Angola Provincia do Moxico Municipio Camanongue Angola Provincia do Uige Provincia do Uige Angola Provincia do Uige Municipio Uige Angola Provincia do Uige Municipio Sanza Pombo Angola Provincia do Uige Municipio Negage Angola Provincia do Uige Muniipio Maquela do Zombo Angola Provincia de Malanje Provincia de Malanje Angola Provincia de Malanje Municipio Malanje Angola Provincia do Bengo Municipio Icoloe Bengo Angola Provincia do Bengo Municipio Dande Angola Provincia da Lunda Norte Municipio Cuango Angola Provincia do Bengo Caxito Public Disclosure Copy Angola Provincia de Malanje Municipio Calandula Angola Provincia de Malanje Municipio Cacuso Angola Provincia de Malanje Caculama Angola Provincia de Malanje Caculama Angola Provincia do Bengo Provincia do Bengo Angola Provincia do Bengo Municipio Ambriz Page 2 of 8 The World Bank Report No: ISR14797 Country First Administrative Division Location Planned Actual Angola Provincia do Moxico Luena Public Disclosure Copy Angola Not Entered Republic of Angola Angola Provincia da Lunda Norte Nzagi Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Institutional deliveries (%) Percentage Value 41.00 27.00 60.00 Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments This data is the same of the Data obtained from outreach PAD. teams. The coverage reduced significantly. Children 0-1 year immunized with Pentavalent Percentage Value 27.00 109.00 38.00 vaccine 3rd dose (%) Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments Same as above Data obtained at municipal level. The coverage is above 100% suggesting that the denominator might have been underestimated. Updated demographic data will be available after the 2014 census. Children immunized (number) Number Value 34000.00 114739.00 64000.00 Date 30-Jun-2012 31-Dec-2013 31-Dec-2015 Comments Same as above The above figure represents the number of children Public Disclosure Copy immunized with the Pentavalent vaccine 3rd dose. The number is already higher than the end target figure. These figures will be examined during the Mid Term Review (MTR). Pregnant women receiving antenatal care Number Value 81000.00 160788.00 109000.00 during a visit to a health provider (number) Date 31-Dec-2009 31-Dec-2013 31-Dec-2015 Page 3 of 8 The World Bank Report No: ISR14797 Comments Same as above The number of pregnant women receiving antenatal in 2013 surpasses the end target in 2015. This will need Public Disclosure Copy to be revised during the MTR. Direct project beneficiaries Number Value 0.00 243629.00 762672.00 Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments For this indicator the baseline is set to 0. Female beneficiaries Percentage Value 0.00 73.00 63.00 Sub Type Supplemental People with access to a basic package of Number Value 0.00 1607424.00 health, nutrition, or reproductive health services Date 30-Jun-2009 30-Jun-2013 (number) Comments Same as above The above number represents only the number of outpatient visits. This will need to be revised during the MTR Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Health facilities constructed, renovated, and/or Number Value 0.00 0.00 36.00 equipped (number) Date 30-Jun-2009 30-Apr-2014 31-Dec-2015 Comments The construction is delayed. Delivery rooms in designated health centers Percentage Value 0.00 27.00 90.00 with necessary trained personnel, equipment, Date 30-Jun-2011 31-Dec-2013 31-Dec-2015 supplies and medicines to provide 24-hour Comments This indicator is likely to be emergency obstetrical and neonatal care revised by another similar and routinely collected indicator, Public Disclosure Copy which is Number of health facilities with trained personnel solar kits, medicines to provide 24-hour emergency obstetrical and neonatal care. TO be decided at MTR. Health facilities receiving at least 2 supervision Percentage Value 0.00 173.00 70.00 visits per year using standardized checklists Date 30-Jun-2011 31-Dec-2013 31-Dec-2015 Page 4 of 8 The World Bank Report No: ISR14797 Comments This indicator is likely to be revised. The above number represents the number of health facilities that received Public Disclosure Copy at least 2 supervision visits per year. At MTR this indicator will be reexamined and the target revised as well. MHSS municipalities that have an annual Number Value 0.00 4.00 18.00 municipal plan Date 30-Jun-2011 31-Dec-2013 31-Dec-2015 Comments This indicator will be revised Provinces that have an investment plan Number Value 0.00 5.00 5.00 Date 30-Jun-2009 30-Jun-2013 31-Dec-2015 Comments The target has been met. Staff houses built Number Value 0.00 0.00 24.00 Date 30-Jun-2011 30-Apr-2014 31-Dec-2015 Comments Next update in March, 2015 Health personnel receiving training (number) Number Value 0.00 0.00 1680.00 Date 30-Jun-2011 30-Apr-2014 Comments In general training activities are delayed. Some training activities will commence during third quarter of calendar year 2014. The numbers enrolled and graduated will be updated in March 2015. Community Health Workers (CHWs) trained Number Value 0.00 1080.00 Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Same as above Training delayed. Next update Public Disclosure Copy in September 30, 2013. General nurses trained in Emergency Obstetric Number Value 0.00 180.00 and Neonatal Care (EmONC) Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31, 2013 Nurse midwives who received pre-service Number Value 0.00 75.00 training Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Page 5 of 8 The World Bank Report No: ISR14797 Comments Next update in December 31, 2013 Nurses trained in Integrated Management of Number Value 0.00 69.00 345.00 Public Disclosure Copy childhood Illnesses (IMCI) Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments Ambulances and 4x4 station wagons Number Value 0.00 53.00 54.00 purchased Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments Target met already. Programmed communities receiving at least 3 Percentage Value 0.00 693.00 70.00 outreach visits per year Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments This indicators may be revised. The above number represent the number of outreach visits done. Motorcycles purchased for outreach teams Number Value 0.00 184.00 146.00 Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments The number of motorcycles purchased is well above the number predicted. This contributed to increase the number of outreach activities. The target has been met. A revision will be done at MTR Municipalities that have implemented 80% of Number Value 0.00 18.00 municipal outreach plans Date 30-Jun-2009 31-Dec-2013 31-Dec-2015 Comments This indicator is likely to be This indicator is likely to be dropped dropped. A decision will be take during the MTR Women receiving vouchers Number Value 0.00 0.00 Public Disclosure Copy Date 30-Jun-2011 31-Dec-2013 Comments The voucher scheme has not yet started. Women who deliver in a health facility that Number Value 0.00 0.00 redeem vouchers Date 30-Apr-2014 Comments The voucher scheme has not yet started. Mothers satisfied with transportation and direct Percentage Value 0.00 0.00 75.00 vouchers Date 30-Jun-2009 30-Apr-2014 31-Dec-2015 Page 6 of 8 The World Bank Report No: ISR14797 Comments The voucher scheme has not yet started. Municipalities with voucher pilot completed Number Value 0.00 0.00 2.00 Public Disclosure Copy Date 30-Jun-2009 30-Apr-2014 31-Dec-2015 Comments The voucher scheme has not yet started. Data on Financial Performance (as of 20-May-2014) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P111840 IDA-47490 Effective 08-Jun-2010 08-Sep-2011 02-Mar-2012 31-Dec-2015 31-Dec-2015 P111840 TF-14221 Effective 23-Oct-2013 23-Oct-2013 23-Oct-2013 31-Dec-2015 31-Dec-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P111840 IDA-47490 Effective USD 70.80 70.80 0.00 12.80 59.28 18.00 P111840 TF-14221 Effective USD 2.11 2.11 0.00 0.94 1.16 45.00 Disbursement Graph Public Disclosure Copy Page 7 of 8 The World Bank Report No: ISR14797 Key Decisions Regarding Implementation Not Applicable Public Disclosure Copy Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 8 of 8