The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Health Services Reinforcement Project (P164696) AFRICA | Burkina Faso | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 1 | ARCHIVED on 19-Oct-2018 | ISR33877 | Implementing Agencies: Burkina Faso, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 06-Jul-2018 Effectiveness Date: -- Planned Mid Term Review Date: 11-Jan-2021 Actual Mid-Term Review Date: -- Original Closing Date: 30-Jun-2023 Revised Closing Date: 30-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase the quality and utilization of health services with a particular focus on maternal, child and adolescent health, nutrition and disease surveillance Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Health System Capacity:(Cost $40.00 M) Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH+N):(Cost $45.00 M) Reinforcing Health Security and Supporting Institutional Strengthening:(Cost $15.00 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Moderately Satisfactory Overall Implementation Progress (IP) -- Moderately Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The World Bank’s Board of Executive Directors approved the Health Services Reinforcement Project (HRSP) on July 6th, 2018. As the project is not yet effective, it is too early to report on progress. With support from the Global Financing Facility (GFF), the Government has committed to developing an Investment Case to operationalize the priorities of the sectoral dialogue framework (SDF) to implement and monitor the five-year National Economic and Social Development Plan (PNDES).To this end, five groups are working respectively on: “prioritization of reproductive, maternal, neonatal, child and adolescent health and nutrition interventions”, “bottlenecks analysis”, “high impact cross-cutting interventions identification”, “mobilization and safeguards of the financial 10/19/2018 Page 1 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) resources for the investment case” and “architecture and scope of the document”. The Investment Case will increase the likelihood of meeting the PDO through prioritization and bottleneck analyses. Two integrated missions to prepare an additional financing were held during the last three months. The Power of Nutrition MDTF ($10 million over the same period of the project 2018-2023) aims to reinforce the project sub component 2.2 by providing strategic and technical support on investing in nutrition and the early years. Discussions with the Government counterparts focused on scaling up a package of high impact nutrition interventions for improving nutrition outcomes in the critical first 1,000 days. An agreed investment case for this package of nutrition interventions has been drafted. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial -- Substantial Macroeconomic Moderate -- Moderate Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Sustainability Substantial -- Substantial Fiduciary Substantial -- Substantial Environment and Social Moderate -- Moderate Stakeholders Low -- Low Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Increase the quality and utilization of health services IN00632225 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5,000,000.00 Date 01-Aug-2018 -- 31-Aug-2018 31-Jul-2023 IN00632272 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 10/19/2018 Page 2 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Value 0.00 -- 0.00 3,000,000.00 Date 01-Aug-2018 -- 31-Aug-2018 31-Jul-2023 IN00632273 ►Average score of the quality of care checklist (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 01-Aug-2018 -- 31-Aug-2018 31-Jul-2023 Improved disease surveillance IN00632271 ►Multi-hazard national public health emergency preparedness and response plan is implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 -- 1.00 4.00 Date 27-Apr-2018 -- 31-Aug-2018 30-Jun-2023 Overall Comments PDO This ISR serves to update on progress towards effectiveness. Later ISRs will update on progress on the results Intermediate Results Indicators by Components Strengthening Health System Capacity IN00632274 ►Facilities receiving strategic purchasing quality payments on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75.00 Date 01-Aug-2018 -- 31-Aug-2018 31-Jul-2023 IN00632277 ►Number of districts applying ths strategic purchasing approach as a purchasing mechanism for PHC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 -- 0.00 50.00 Date 27-Apr-2018 -- 31-Aug-2018 30-Jun-2023 IN00632280 ►National HeaIth Insurance Fund operationalization index (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 10/19/2018 Page 3 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Value 0.00 -- 0.00 3.00 Date 21-May-2018 -- 31-Aug-2018 30-Jun-2023 Strengthening Delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition IN00632275 ►Number of community health workers receiving training on community-level IYCF and IMPC (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5,000.00 Date 27-Apr-2018 -- 31-Aug-2018 30-Jun-2023 IN00632278 ►Number of women using modern contraceptives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,650,000.00 Date 10-May-2018 -- 31-Aug-2018 31-Jul-2023 IN00632281 ►Percent of newborns receiving birth certificates (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 -- 81.00 90.00 Date 10-May-2018 -- 31-Aug-2018 31-Jul-2023 IN00632282 ►Number of children immunized (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 750,000.00 Date 10-May-2018 -- 31-Aug-2018 31-Jul-2023 IN00632283 ►Proportion of women delivering in facilities in the strategic purchasing program receiving post-partum family planning (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 21-May-2018 -- 31-Aug-2018 30-Jun-2023 IN00632284 ►Proportion of adolescent girls delivering in facilities in the strategic purchasing program receiving post-partum family planning (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 21-May-2018 -- 31-Aug-2018 30-Jun-2023 IN00632285 10/19/2018 Page 4 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) ►Average exit interviews scores of RMNCAH+N services in facilities in the strategic purchasing program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 Date 21-May-2018 -- 31-Aug-2018 30-Jun-2023 Reinforcing Health Security and Supporting Institutional Strengthening IN00632276 ►Interoperable, interconnected, electronic real-time reporting system (national capacity score) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 -- 2.00 4.00 Date 27-Apr-2018 -- 31-Aug-2018 30-Jun-2023 IN00632279 ►Mechanism is established for the coordination of relevant sectors for implementation of IHR (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 -- 2.00 4.00 Date 27-Apr-2018 -- 31-Aug-2018 30-Jun-2023 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P164696 IDA-D3540 USD 80.00 80.00 0.00 0.00 78.43 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P164696 IDA-D3540 06-Jul-2018 -- -- 30-Jun-2023 30-Jun-2023 Effective Cumulative Disbursements 10/19/2018 Page 5 of 6 The World Bank Implementation Status & Results Report Health Services Reinforcement Project (P164696) Restructuring History There has been no restructuring to date. Related Project(s) P168823-Health Services Reinforcement Project AF 10/19/2018 Page 6 of 6