The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) Emergency Primary Healthcare Restoration Project (P152646) MIDDLE EAST AND NORTH AFRICA | Lebanon | Health, Nutrition & Population Global Practice | Recipient Executed Activities | Investment Project Financing | FY 2015 | Seq No: 10 | ARCHIVED on 08-Jan-2020 | ISR40209 | Implementing Agencies: Ministry of Finance, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 19-Mar-2015 Effectiveness Date: 22-Jul-2015 Planned Mid Term Review Date: 08-Jan-2018 Actual Mid-Term Review Date: 05-Feb-2018 Original Closing Date: 30-Dec-2018 Revised Closing Date: 31-Dec-2019 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the project is to restore access to essential healthcare services for poor Lebanese affected by the influx of Syrian refugees. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Provision of Essential Health Care Services:(Cost $9.04 M) Readiness and Capacity building of Primary Health Care Centers:(Cost $3.17 M) Project Outreach, Management and Monitoring:(Cost $1.68 M) Contingency:(Cost $1.11 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Since project effectiveness in July 22, 2015, the Ministry of Public Health (MoPH) worked towards achieving project objectives to restore access to essential healthcare services for poor Lebanese affected by the influx of Syrian refugees. Currently, the project disbursement rate is at 91%. While the project closing date is on December 31, 2019, the World Bank is working closely with the MoPH to complete all the project closing steps and to prepare for the Implementation Completion and Results Report to assess the project performance and document the lessons learned. 1/8/2020 Page 1 of 6 The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic Moderate Moderate High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial High Environment and Social Low Low Low Stakeholders Low Low Low Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Restore access to essentail healtcare services to poor Lebanese IN00791539 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 131,409.00 140,299.00 150,000.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791540 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.00 58.00 50.00 IN00791671 ►Utilization of services: Nunber of visits per person per year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.50 1.20 0.60 1.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791672 1/8/2020 Page 2 of 6 The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) ►User Satisfaction (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 96.00 97.00 80.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791673 ►Eligible beneficiaries who received essential healthcare services (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 113,243.00 131,720.00 100,000.00 Date 19-Mar-2015 10-Jun-2019 20-Dec-2019 31-Dec-2019 Intermediate Results Indicators by Components Provision of Essential Health Care Services IN00791674 ►Pregnant women receiving at least one antenatal care visit (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,011.00 1,508.00 450.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791677 ►Women aged 40 years and above screened for breast cancer (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 52.00 70.00 40.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791681 ►Target population 40 years and above who were screened for Diabetes Mellitus (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 90.00 97.00 90.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791682 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,565.00 6,369.00 4,000.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 1/8/2020 Page 3 of 6 The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) The indicator measures the sum of the number of children immunized, the number of women and children who have received basic nutrition services, and the number of deliveries attended by skilled health Comments: personnel, through operations supported by the World Bank. In the case of this project, only the indicator “children immunized” is captured. IN00791684 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,565.00 6,369.00 4,000.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 Readiness and Capacity building of Primary Health Care Centers IN00791675 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,229.00 1,280.00 400.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791678 ►Health facilities contracted (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.00 75.00 75.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 Project Outreach, Management and Monitoring IN00791676 ►Timely transfer of contract payments to contracted health facilities (Months, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 2.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791679 ►Grievances registered related to delivery of project benefits addressed within three days (%) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.00 72.00 90.00 Date 07-Oct-2014 10-Jun-2019 20-Dec-2019 31-Dec-2019 IN00791680 Grievances related to delivery of project benefits that are addressed-(number) (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 4,197.00 5,761.00 250.00 1/8/2020 Page 4 of 6 The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P152646 TF-18845 -- USD 15.00 15.00 0.00 13.67 1.33 91% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P152646 TF-18845 -- 19-Mar-2015 22-Jul-2015 22-Jul-2015 30-Dec-2018 31-Dec-2019 Cumulative Disbursements Restructuring History Level 2 Approved on 03-Dec-2018 Related Project(s) 1/8/2020 Page 5 of 6 The World Bank Implementation Status & Results Report Emergency Primary Healthcare Restoration Project (P152646) There are no related projects. 1/8/2020 Page 6 of 6