The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) AFRICA | Guinea | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 9 | ARCHIVED on 29-Dec-2019 | ISR39132 | Implementing Agencies: The Republic of Guinea, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 20-May-2015 Effectiveness Date: 30-Dec-2015 Planned Mid Term Review Date: 18-Feb-2019 Actual Mid-Term Review Date: 18-Mar-2019 Original Closing Date: 30-Sep-2020 Revised Closing Date: 30-Sep-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the proposed project is to: Improve the utilization of maternal, child health and nutrition services at the primary level of care in target regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Commodities and trained human resources for MCHN services at primary level:(Cost $6.48 M) Component 2: Strengthen community-level demand for MCHN services:(Cost $2.32 M) Component 3: Strengthen government capacity to plan, implement, monitor and supervise activities:(Cost $6.20 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Project implementation continues to progress well. Key advances were made in the recruitment and deployment of primary and community level health workers, identification of - and support to - the indigent poor, the strengthening of local capacity to improve supervision, and the strengthening of data quality and evidence to monitor project impact. Advancements in these areas, including the upcoming scale up of medicines and supplies at the health center level, is continuing to improve the lives of women and children, in particularly those in remote areas, in the regions Faranah and Labe. 12/29/2019 Page 1 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial 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 Low Low Low Stakeholders Low Low Low Other High High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the utilization of maternal, child health and nutrition services at the primary level IN00789396 ►Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27,227.00 31,503.00 31,503.00 51,161.00 Date 30-Dec-2016 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789399 ►Percentage of Children (0-11months) Fully Vaccinated (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.00 66.00 66.00 65.00 Date 30-Dec-2016 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789402 ►Percentage of pregnant women receiving at least 4 Antenatal care visits from health provider (Percentage, Custom) 12/29/2019 Page 2 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Baseline Actual (Previous) Actual (Current) End Target Value 47.00 56.00 56.00 55.00 Date 30-Dec-2016 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789406 ►Number of children under 5 with confirmed malaria who received antimalarial treatment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50,610.00 66,569.00 66,569.00 73,800.00 Date 30-Dec-2016 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789409 ►Percentage of Children (0-1year) receiving Vitamin A supplementation every 6 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 60.00 Date 30-Dec-2016 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789411 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100,579.00 100,579.00 500,000.00 Date 30-Dec-2016 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789414 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.00 75.00 75.00 Intermediate Results Indicators by Components Component 1: Commodities and trained human resources for MCHN services at primary level IN00789280 ►percentage stock outs of tracer drugs in health center (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 47.00 47.00 10.00 Date 30-Dec-2016 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789400 ►Number of new health workers recruited and in service at health centers and posts (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 450.00 450.00 450.00 12/29/2019 Page 3 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Date 13-Aug-2015 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789401 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 207.00 207.00 450.00 Date 13-Aug-2015 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789405 ►Health Centers offering Integrated Management of Childhood illnesses (percent) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 30.00 30.00 80.00 Date 13-Aug-2015 31-Dec-2018 31-Dec-2018 30-Sep-2020 IN00789408 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 142,340.00 142,340.00 176,221.00 Date 07-May-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789413 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 84,742.00 84,742.00 73,899.00 Date 07-May-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789415 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 13,370.00 13,370.00 51,161.00 Date 07-May-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789416 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 44,228.00 44,228.00 51,161.00 Date 07-May-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789412 ►Children recovering from severe acute malnutrition (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10,000.00 12/29/2019 Page 4 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Date 05-Sep-2019 -- 05-Sep-2019 30-Sep-2020 IN00789417 Children recovering from severe acute malnutrition (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 8,441.00 -- 9,897.00 10,681.00 Component 2: Strengthen community-level demand for MCHN services IN00789279 ►Number of new indigents covered under exemption mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13,000.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789398 ►Percentage of indigents satisfied with exemption mechanisms (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789403 ►Number of newly trained community health workers engaged in health promotion and basic service delivery (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 530.00 530.00 530.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 Component 3: Strengthen government capacity to plan, implement, monitor and supervise activities IN00789397 ►Percent of community workers and health workers at health center that receive monthly supportive supervision (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 70.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789404 ►Standardized MNCH District training program developed and implemented (Y/N) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789407 ►Work Plan Budget execution Rate (percent) (Percentage, Custom) 12/29/2019 Page 5 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 83.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 IN00789410 ►Health facilities reporting health management data on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 99.00 99.00 100.00 Date 13-Aug-2015 21-Nov-2018 21-Nov-2018 30-Sep-2020 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P147758 IDA-56570 Effective USD 8.30 8.30 0.00 7.92 0.59 93% P147758 IDA-D0690 Effective USD 6.80 6.80 0.00 5.57 1.40 80% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147758 IDA-56570 Effective 20-May-2015 26-Jun-2015 30-Dec-2015 30-Sep-2020 30-Sep-2020 P147758 IDA-D0690 Effective 20-May-2015 26-Jun-2015 30-Dec-2015 30-Sep-2020 30-Sep-2020 Cumulative Disbursements 12/29/2019 Page 6 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Restructuring History Level 2 Approved on 19-Dec-2019 Related Project(s) There are no related projects. 12/29/2019 Page 7 of 7