The World Bank Report No: ISR11408 Implementation Status & Results Angola Municipal Health Service Strengthening (Revitalização) (P111840) Public Disclosure Copy Operation Name: Municipal Health Service Strengthening (Revitalização) Project Stage: Implementation Seq.No: 6 Status: ARCHIVED Archive Date: 29-Dec-2013 (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 10-Feb-2014 Last Archived ISR Date 27-Apr-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 Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Implementation Status Overview Although disbursements have started to pick up, going from 3.4% to 12%, the implementation is behind schedule as a result of the delay in effectiveness. During next calendar year, many critical activities will take place at provincial and municipal levels, namely the construction of maternities and houses for the critical staff. In addition, the training of health staff and communitiy health workers will accelerate. These activities are expected to impact positively on the rate of disbursements. Page 1 of 7 The World Bank Report No: ISR11408 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 7 The World Bank Report No: ISR11408 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 Direct project beneficiaries Number Value 0.00 762672.00 Date 30-Sep-2013 30-Jun-2013 31-Dec-2015 Comments The baseline has not yet been Next update in December 31, done. It is planned to take 2013 place in December/January 2014. Next mission this matter will be discussed with MOH Female beneficiaries Percentage Value 0.00 63.00 Sub Type Supplemental People with access to a basic package of Number Value health, nutrition, or reproductive health services Date 30-Jun-2013 (number) Comments Same as above Next update December 31, 2013 Pregnant women receiving antenatal care Number Value 86000.00 109000.00 during a visit to a health provider (number) Date 31-Dec-2009 30-Jun-2013 31-Dec-2015 Comments Same as above Next update in December 31, Public Disclosure Copy 2013 Children immunized (number) Number Value 34000.00 64000.00 Date 30-Jun-2012 30-Jun-2013 31-Dec-2015 Comments Same as above Next update in December 31, 2013 Children 0-1 year immunized with DPT vaccine Percentage Value 27.00 38.00 3rd dose (%) Date 30-Jun-2012 30-Jun-2013 31-Dec-2015 Comments Same as above Next update in December 31, 2013 Page 3 of 7 The World Bank Report No: ISR11408 Institutional deliveries (%) Percentage Value 40.00 60.00 Date 30-Jun-2012 30-Jun-2013 31-Dec-2015 Comments The baseline for the project Next update December 31, Public Disclosure Copy will have to be modified 2013 because the project just became effective on March 2, 2012. Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Municipalities with voucher pilot completed Number Value 0.00 2.00 Date 31-Dec-2013 30-Jun-2013 31-Dec-2015 Comments This assessment will be Next update in September 30, carried out after the pilot. The 2014 Pilot will be started during the second trimester of 2014. Mothers satisfied with transportation and direct Percentage Value 0.00 75.00 vouchers Date 31-Dec-2013 30-Jun-2013 31-Dec-2015 Comments This assessment will be Next update in September , carried out after the pilot. The 30, 2014 Pilot will be started during the second trimester of 2014. Women who deliver in a health facility that Number Value 0.00 redeem vouchers Date 30-Jun-2013 Comments This assessment will be Next update in September , carried out after the pilot. The 30, 2014 Pilot will be started during the second trimester of 2014. Women receiving vouchers Number Value 0.00 Date 30-Jun-2011 30-Jun-2013 Public Disclosure Copy Comments This is a pilot and progress Next update in September , will be assessed as part of the 30, 2014 pilot and will inform the decision to adjust and scale up the program. Municipalities that have implemented 80% of Number Value 0.00 18.00 municipal outreach plans Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31, 2013 Page 4 of 7 The World Bank Report No: ISR11408 Motorcycles purchased for outreach teams Number Value 0.00 146.00 Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31 Public Disclosure Copy 2013 Programmed communities receiving at least 3 Percentage Value 0.00 70.00 outreach visits per year Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in March 31, 2013 Ambulances and 4x4 station wagons Number Value 0.00 54.00 purchased Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 2013 Nurses trained in Integrated Management of Number Value 0.00 345.00 childhood Illnesses (IMCI) 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 Comments Next update in December 31, 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 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 Next update in September 30, 2013 Public Disclosure Copy Staff houses built Number Value 0.00 24.00 Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31, 2013 Provinces that have an investment plan Number Value 0.00 5.00 Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in June, 30 2013 Health personnel receiving training (number) Number Value 0.00 1680.00 Page 5 of 7 The World Bank Report No: ISR11408 Date 30-Jun-2011 30-Jun-2013 Comments Next update only in December 31, 2013 Public Disclosure Copy MHSS municipalities that have an annual Number Value 0.00 4.00 18.00 municipal plan Date 30-Jun-2011 30-Sep-2013 31-Dec-2015 Comments Health facilities receiving at least 2 supervision Percentage Value 0.00 70.00 visits per year using standardized checklists Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31, 2013 Delivery rooms in designated health centers Percentage Value 0.00 90.00 with necessary trained personnel, equipment, Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 supplies and medicines to provide 24-hour Comments Next update in December 31, emergency obstetrical and neonatal care 2013 Health facilities constructed, renovated, and/or Number Value 0.00 36.00 equipped (number) Date 30-Jun-2011 30-Jun-2013 31-Dec-2015 Comments Next update in December 31, 2013 Data on Financial Performance (as of 09-Dec-2013) 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 Public Disclosure Copy P111840 IDA-47490 Effective USD 70.80 70.80 0.00 9.13 62.39 13.00 P111840 TF-14221 Effective USD 2.11 2.11 0.00 0.00 2.11 0.00 Disbursement Graph Page 6 of 7 The World Bank Report No: ISR11408 Public Disclosure Copy Key Decisions Regarding Implementation Not Applicable Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 7 of 7