The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Program Towards Elimination of Tuberculosis (P167523) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | Requesting Unit: SACIN | Responsible Unit: HSAHN IBRD/IDA | Program-for-Results Financing | FY 2019 | Team Leader(s): Ronald Upenyu Mutasa Seq No: 2 | ARCHIVED on 23-Dec-2019 | ISR39832 | Created by: Tanusree Talukdar on 06-Dec-2019 | Modified by: Tanusree Talukdar on 20-Dec-2019 Program Development Objectives Program Development Objective (from Program Appraisal Document) To improve the coverage and quality of TB control interventions in the private and public sector in targeted states of India Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Implementation Status and Key Decisions The World Bank board approved the US$400 million operation in March 29, 2019. The task team is working closely with the MOHFW towards implementation of the operation. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P167523 IBRD-89260 Effective USD 400.00 400.00 0.00 1.00 399.00 0.3% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167523 IBRD-89260 Effective 29-Mar-2019 27-Jun-2019 20-Aug-2019 30-Jun-2024 30-Jun-2024 DLI Disbursement Achievement Disbursed amount in Disbursement % DLI ID DLI Type Description Coc DLI Amount Status Coc for DLI Loan: IBRD89260-001 12/23/2019 Page 1 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) DLI1 Rev Apprv National 1 Regular USD 16,000,000.00 Fully Achieved 0.00 Guidelines RNTCP DLI1.1No of Pvt Notf net 2 Regular USD 70,000,000.00 Not Achieved 0.00 off Public noti DLI1.2 Success rate of TB 3 Regular USD 70,000,000.00 Not Achieved 0.00 patients notif DLI1.3 Establ of TSU in 4 Regular USD 20,000,000.00 Not Achieved 0.00 CTD and STSU DLI2.0 Dev Nikshay Mod 5 Regular USD 10,000,000.00 Fully Achieved 0.00 Dir Bene Tr Schem DLI2.1 Distr Impl Digital 6 Regular USD 5,000,000.00 Not Achieved 0.00 Sign Appr proc DLI2.2.1 TB patients pub 7 Regular USD 23,000,000.00 Not Achieved 0.00 pro rece NPY DLI 2.2.2 TB patients Pvt 8 Regular USD 22,000,000.00 Not Achieved 0.00 notif pro NP DLI3.1 TB patients tested 9 Regular USD 70,000,000.00 Not Achieved 0.00 rifampicin suc DLI4 Nikshay Mech Dedup 10 Regular USD 14,000,000.00 Fully Achieved 0.00 and Recon DLI4.1.1 Multi yr RNTCP 11 Regular USD 10,000,000.00 Not Achieved 0.00 at CTD State Lev DLI4.1.2 Red of Staff 12 Regular USD 40,000,000.00 Not Achieved 0.00 gapfor CTD DLI4.2 Dev Impl Perf 13 Regular USD 29,000,000.00 Not Achieved 0.00 based mgmt mech Program Action Plan Annual surveillance system analysis published; including data quality by district, annual state/CTD surveillance Action Description system evaluation, and estimates for potential under-notification and duplication Source DLI# Responsibility Timing Timing Value Status Technical DLI Yes CTD Recurrent Yearly Not Yet Due Completion Annual Surveillance System Analysis Report Approved by the Bank Measurement Comments GOI and World Bank agree to a multi-year capacity building plan Action Description Capacity Building Plan executed annually Source DLI# Responsibility Timing Timing Value Status Technical CTD Recurrent Yearly Not Yet Due 12/23/2019 Page 2 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Completion Capacity Building Plan Approved by MOH&FW AS. Due Date: Sept 30, 2019 (initial plan); Yearly Execution Measurement Comments Central, State and District TB Forum strengthened to improve learning and accountability. Action Description Central, State and District TB forum strengthened per the TOR agreed to with the World Bank. Source DLI# Responsibility Timing Timing Value Status Technical States and CTD Recurrent Yearly Not Yet Due Government approval of the revised TORs for State and National TB For a. Completion Measurement Due Date: Dec 31, 2019 (CTD shares final TORs with the Bank for review and clearance); Annual Fora in Program States and at CTD by the following: June 30, 2020; 21; 22; 23; 24 Comments CTD Strengthens Data Collection and Monitoring of Tribal Population Transport Reimbursement. Action Description - Annual CTD report which capture coverage and trends in DBT for tribal populations Source DLI# Responsibility Timing Timing Value Status Technical CTD Recurrent Continuous Not Yet Due Data Collection and Monitoring Plan for Tribal Populations Completion Measurement Annual TB Report with data on DBT for Tribal Populations Comments Action Description Development and adoption of framework for TB and gender in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Other CTD Due Date 30-Jun-2019 Not Yet Due Completion Framework for TB Among Women Adopted by CTD for Program Management Purposes. Measurement Gender specific data for TB monitoring reported by CTD in annual reports. Comments Action Description The CTD formulates and adopts health and safety guidelines for staff/workers involved in the transport of sputum 12/23/2019 Page 3 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2019 Not Yet Due Completion Health and Safety Guidelines for Sputum Transportation Published on RNTCP website and disseminated to State TB Measurement Offices for implementation Comments Servicing Standard Operating Procedures of key lab equipment Action Description (BSC, AHU, centrifuge, autoclaves) [only where there is health and safety implications for workers] Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2019 Not Yet Due Completion Standard operating procedures for lab equipment published on RNCTP websites and disseminated to states Measurement Comments Action Description Process evaluation of the implementation and effect of DBT on adherence to TB treatment and success rate. Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2021 Not Yet Due Completion Process Evaluation Report. Due Dates: June 30, 2021; June 30, 2023 Measurement Comments Operating Procedures for Grievance Redressal developed and adopted by CTD in a manner and substance Action Description satisfactory to the Bank Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 31-Dec-2019 Not Yet Due Completion Approved Grievance Redressal Policy Measurement Comments Strengthen the capacity of Central Medical Services Society (CMSS) to manage the procurement and supply chain Action Description management for drugs and equipment in line with increased workload emanating from the Program. 12/23/2019 Page 4 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CMSS Due Date 30-Sep-2019 In Progress a) Filling the 5 vacant staff positions & maintain full staff strength thereafter; Completion (b) Expanding number of laboratories to conduct post destination quality assurance (presently 5 labs); & Measurement (c) enhancing CMSS/Supplier interface & overall proc. effic Comments Action Description Decentralize data entry on TB drug stock in the Nikshay Aushadhi software at TU level. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CTD Due Date 30-Sep-2019 Not Yet Due Completion Nikshay Aushadi data entry decentralized to TU levels in targeted states. Measurement Comments Action Description Ensure proper testing by empaneled independent Quality Assurance Lab and monitor the time taken by the labs Source DLI# Responsibility Timing Timing Value Status Technical CMSS and CTD Recurrent Yearly Not Yet Due Completion Drug quality testing report Measurement Comments Implementation of PFMS to monitor and track real time fund utilization, including preparation of expenditure reports Action Description from PFMS, in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems CTD and states Recurrent Yearly Not Yet Due Completion Expenditure reports produced from PFMS. Initial report due date: September 30, 2019; Yearly execution Measurement Comments Regular FM review by CTD of the state and district TB cells, pursuant to scope, protocols and standards agreed with Action Description the Bank. Source DLI# Responsibility Timing Timing Value Status 12/23/2019 Page 5 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Fiduciary Systems CTD and States Recurrent Semi-Annually Not Yet Due Completion FM review completed. Initial Review: September 30, 2019. Execution every 6 months Measurement Comments Action Description Scale-up RNTCP call center from 50 to 100 seats Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Jun-2019 Not Yet Due Completion Contract effective and staff in place for 100 seat call centers. Measurement Comments Updated supervision and monitoring guidelines to include integration of routine assessment and improvement of data Action Description completeness and quality in a manner and substance satisfactory to the Bank. Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 30-Dec-2019 Not Yet Due Completion Updated supervision and monitoring guidelines to include integration of routine assessment and improvement of data Measurement completeness and quality Comments Action Description Beneficiary Satisfaction Survey as the TOR agreed with the World Bank. Source DLI# Responsibility Timing Timing Value Status Other CTD Recurrent Semi-Annually Not Yet Due Completion Beneficiary Satisfaction Survey Report. First survey due dt. September 30, 2019 Measurement Comments Strengthen RNTCP Guidelines to include protocols/standard operating procedures for standardization in servicing Action Description and replacing/decommissioning key lab safety equipment Source DLI# Responsibility Timing Timing Value Status Technical CTD Due Date 31-Dec-2019 Not Yet Due 12/23/2019 Page 6 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Completion Standard operating procedures for lab equipment published on RNTCP website and disseminated to states. Measurement Comments Action Description Update the Tribal Action Plan in a manner and substance satisfactory to the Bank Source DLI# Responsibility Timing Timing Value Status Other CTD Due Date 31-Dec-2019 Not Yet Due Completion Updated Tribal Action Plan approved at CTD and disseminated to states. Measurement Comments Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Low Low Low Sector Strategies and Policies Low Low Low Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other Low Low Low Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To imp the coverage & quality of TB control intrv in the pvt & public sec in targt states of India IN00780985 ►PDO Indicator 1- DLI 1.1: Number of private notifications, net of any decrease in public notifications in targeted states (Annual) (Number, Custom) 12/23/2019 Page 7 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) End Target Value 263,549.00 0.00 0.00 800,000.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Allocated Amounts description: USD 130 per additional patient notified by private sector net of any decrease Comments in public notifications compared to the previous calendar year. IN00781006 ►PDO Indicator 2- DLI 2.2: Proportion of TB patients receiving financial support via Nikshay Poshan Yojana in targeted states (Annual, by category of DBT scheme) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 05-Feb-2019 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781007 PDO Indicator 2.1- DLI 2.2.1: Proportion of TB patients notified by public providers receiving 1st Nikshay Poshan Yojana payment in targeted states (Annual) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 11.00 0.00 0.00 70.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 IN00781008 PDO Indicator 2.2- DLI 2.2.2: Proportion of TB patients notified by private providers receiving 1st Nikshay Poshan Yojana payment in targeted states (Annual) (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 IN00781009 ►PDO Indicator 3- DLI 3.1: Proportion of notified TB patients tested for Rifampicin susceptibility in targeted states (Annual) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 0.00 0.00 60.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781010 ►PDO Indicator 4-DLI 1.2: Treatment success rate of TB patients notified by private providers in targeted states (Annual, patients notified in prior calendar year) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9.00 0.00 0.00 70.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments 12/23/2019 Page 8 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Intermediate Results Indicators by Results Areas Intermediate Results Area 1: Scaling up Private Provider Engagement IN00781011 ►Intermediate Results Indicator 1: Proportion of privately notified Pulmonary TB patients that have microbiological confirmation in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 45.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781015 ►Intermediate Results Indicator 2-DLI 1.3: Establishment of TSUs in CTD and targeted states to support activities related to private sector, DBT, PFMS, and multi sectoral engagement as per agreed TOR (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No TSUs - - N/A Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781019 ►Intermediate Results Indicator 3: Proportion of Blocks with molecular diagnostic services operational in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 0.00 0.00 30.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781023 ►Intermediate Results Indicator 4: GOI annual expenditure on strategic purchasing under NGO/Private Provider budget head in targeted states (million INR per year) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 197.00 0.00 0.00 760.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments Amount (INR) mentioned in million. Intermediate Results Area 2: Rolling-out TB Patient Management and Support Interventions IN00781013 ►Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (a) Aadhaar (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 68.00 0.00 0.00 85.00 12/23/2019 Page 9 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments Two sets of targets have been defined under Indicator 5. This target is for (a) Aadhaar. IN00781017 ►Intermediate Results Indicator 5: Percentage of beneficiaries out of total notified TB Patients seeded in Nikshay within 3 months of notification. (b) Verified bank account (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33.00 0.00 0.00 70.00 Date 30-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments Two sets of targets have been defined under Indicator 5. This target is for (b) Verified Bank Account IN00781021 ►Intermediate Results Indicator 6: Gender responsive framework for RNTCP developed by CTD & approved by MOH&FW (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Framework developed Value N/A - - & approved Date 01-Nov-2018 15-May-2019 15-May-2019 31-Dec-2019 Comments IN00781024 ►IRI 7: Proportion of TB patients notified by private providers for whom at least one DBT incentive payment was made to their private providers. (Reported data for TB patients disaggregated by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781026 ►Intermediate Results Indicator 8: Proportion of beneficiaries receiving financial support (2nd payments of Nikshay Poshan Yojana) through DBT in targeted states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 56.00 Date 30-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781028 ►Intermediate Result Indicator 9: Treatment success rate of female TB patients notified in targeted states in the private sector (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 30-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments 12/23/2019 Page 10 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Intermediate Results Area 3: Strengthening Detection, Treatment and Monitoring of Drug-Resistant TB IN00781012 ►Intermediate Results Indicator 10: Proportion of DRTB centers in the targeted states with the action plan for AIC (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.00 0.00 0.00 70.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781016 ►Intermediate Results Indicator 11: Proportion of notified rifampicin-resistant TB cases with second-line drug-susceptibility testing results documented within 3 months of DR-TB treatment initiation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 0.00 0.00 65.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781020 ►Intermediate Results Indicator 12: Treatment success rate among MDR/RR-TB patients (treatment cohort) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 46.00 0.00 0.00 65.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments Intermediate Results Area 4: Strengthening RNTCP Institutional Capacity and Information Systems IN00781014 ►13: Annual surveillance system analysis published; including data quality by district, annual state/CTD surveillance system evaluation, and estimates for potential under-notification and duplication (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Annual analysis Value N/A - - published Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781018 ►Intermediate Results Indicator 14: Number of targeted states replacing paper TB registers with e-TB Nikshay adopted real- time monitoring of notification and quality of care in at least 50% ofdistricts (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781022 12/23/2019 Page 11 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) ►Intermediate Results Indicator 15-DLI 4.2: Development and implementation of a performance-based management mechanism between the center and the targeted states (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Implementation in 8 Value N/A - - States Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781025 ►Intermediate Results Indicator 16: Number of targeted states adopted and transitioned from paper-based to electronic SOE generated from PFMS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 9.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Comments IN00781027 ►17: No. of Annual TB Forum at state & national level conducted to: (i) promote citizen engagement; (ii)foster learning within & between states; (iii)to provide a multisectoral platform for TB control (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 01-Nov-2018 15-May-2019 15-May-2019 30-Jun-2024 Intermediate Results Indicator 17: Number of Annual TB Forum at state and national level conducted to: (i) Comments promote citizen engagement; (ii) foster learning within and between states; and (iii) to provide a multi sectoral platform for TB control Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 1.0 Revision and approval of National Guidelines for partnerships under RNTCP (Prior Result) (Output, 16,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 National Guideline for Value Partnership 2014 in - - -- existence. Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 2 1.1 Number of private notifications, net of any decrease in public notifications in Program States (Annual) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 263,549.00 0.00 0.00 800,000.00 Date -- 15-May-2019 15-May-2019 -- 12/23/2019 Page 12 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Comments ►DLI 3 1.2: Treatment success rate of TB patients notified by private providers in targeted states (annual, patients notified in prior calendar year) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 9.00 0.00 0.00 70.00 Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 4 1.3 Establishment of a TSU in CTD & STSUs in Program States to support activities related to pvt. sector, DBT, public financial management system, and multi-sectorial engagement as per agreed TOR (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value No TSU/STSU in place - - -- Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 5 2.0 Development of Nikshay modules for all four direct benefit transfer schemes (Nikshay Poshan Yojana, Tribal TB Patients Scheme, Pvt. Providers Scheme and Treatment Supporters Scheme)(Prior Results) (Process, 10,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Only Nikshay Poshan Value Yojana existing in Nikshay - - -- (Sept 2018) Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 6 2.1 Proportion of districts implementing digital signature certificate-based approval process for direct benefit transfer payment in Program States (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 7 2.2.1 Proportion of TB patients notified by public providers receiving the 1st Nikshay Poshan Yojana payment in Program States (Annual) (Output, 23,000,000.00, 0%) 12/23/2019 Page 13 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Baseline Actual (Previous) Actual (Current) Year 5 Value 11.00 0.00 0.00 70.00 Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 8 2.2.2 Proportion of TB patients notified by private providers receiving the 1st Nikshay Poshan Yojana payment in Program States (Annual) (Output, 22,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 60.00 Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 9 3.1 Proportion of notified TB patients tested for rifampicin susceptibility in Program States (Annual) (Output, 70,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 30.00 0.00 0.00 60.00 Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 10 4.0Nikshay mechanisms devp for (i)deduplication (of patients&providers) & recol of diff provider types;(ii)reconcl of DBT payments through NIKSHAY vs pub financial mgt portal for NPY (Prior Result) (Process, 14,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Only manual mechanism Value for deduplication of patients - - -- and providers in existence Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 11 4.1.1 Development and approval of a multi-year RNTCP Human Resource Plan at CTD and state levels covering the Program States (Process, 10,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 No human resource plan in Value - - -- existence Date -- 15-May-2019 15-May-2019 -- 12/23/2019 Page 14 of 15 The World Bank Implementation Status & Results Report Program Towards Elimination of Tuberculosis (P167523) Comments ►DLI 12 4.1.2 Reduction of the staffing gap identified by the RNTCP Human Resource Plan for CTD and the Program States (Process, 40,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 70.00 Date -- 15-May-2019 15-May-2019 -- Comments ►DLI 13 4.2 Development and implementation of a performance-based management mechanism between the CTD and the Program States (Process, 29,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) Year 5 No performance-based Value - - -- mechanism in existence Date -- 15-May-2019 15-May-2019 -- Comments 12/23/2019 Page 15 of 15