Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Maternal and Child Health and Nutrition Services Support Project (P143843) AFRICA | Togo | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 8 | ARCHIVED on 27-Dec-2017 | ISR30884 | Implementing Agencies: Republic of Togo, Ministry of Health Key Dates Key Project Dates Bank Approval Date:19-Feb-2014 Effectiveness Date:23-Feb-2015 Planned Mid Term Review Date:15-Mar-2017 Actual Mid-Term Review Date:15-Mar-2017 Original Closing Date:31-Oct-2018 Revised Closing Date:31-Oct-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) To increase utilization of selected maternal and child health and nutrition services for pregnant women and children. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improved utilization of malaria and nutrition services:(Cost $10.00 M) Strengthening Health Monitoring and Evaluation Systems; Project Management:(Cost $4.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Unsatisfactory Overall Risk Rating  Substantial  Substantial Implementation Status and Key Decisions Since the Mid-term review in March 2017 progress has been made on a number of fronts including the support provided for strengthening the national 12/27/2017 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) health information system and implementation of DHIS2. This has helped to improve the Government’s ability to monitor and manage its maternal and child health, and nutrition programs. Overall, the pace of implementation of the project has been slow given the age of the project in part due to the delays in starting implementation. 12/27/2017 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) 12/27/2017 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) 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  --  Moderate  Moderate Technical Design of Project or Program  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Proportion of pregnant women who slept under a LLIN the previous night (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/27/2017 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Value 0.00 40.00 27.10 75.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 Comments This indicator declined because there was no intense distribution of bednets because of the government's national LLIN distribution campaign with Global Fund support. PHINDPDOTBL  Percentage of pregnant women attending antenatal care who received at least 2 doses of Sulfadoxine/pyrimethamine for Intermittent Preventive Treatment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 54.40 43.60 56.00 56.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 PHINDPDOTBL  Percentage of suspected malaria cases tested by community health workers using an RDT (Percentage, Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89.00 92.00 60.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 PHINDPDOTBL  Percentage of pregnant women attending ANC who received 90 Iron Folic Acid (IFA) tablets in the project supported regions (Centrale& Plateaux) (Percentage Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 77.56 45.92 45.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 Comments This indicator has declined due to stock-outs of IFA. 12/27/2017 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) PHINDPDOTBL  Proportion of infants 0-5 months (less than 180 days) of age who were exclusively breastfed (Plateaux and Central regions) (Percentage Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 58.00 58.00 58.00 65.00 Date 31-Oct-2013 31-Mar-2017 31-Mar-2017 31-Oct-2018 Overall Comments The results framework will likely be revised through a restructuring to include proxy indicators that are not dependent on the availability of survey data for reporting and would still enable assessment of progress in achieving the PDO. Intermediate Results Indicators PHINDIRITBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 193,596.00 144,897.00 230,000.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 PHINDIRITBL  Percentage of confirmed malaria cases treated with ACT by a Communinity Health Worker (Perccentage Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9.50 96.00 96.00 25.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 12/27/2017 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) PHINDIRITBL  Long-lasting insecticide-treated malaria nets purchased and/or distributed (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 125,180.00 237,089.00 600,000.00 Date 31-Oct-2013 31-Mar-2017 31-Mar-2017 30-Jun-2018 PHINDIRITBL  Percentage of household with children under age of two which was visited by CHW to support feeding practices in the project supported regions (Centrale and Plateaux) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.29 70.24 60.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 PHINDIRITBL  Percentage of health facilities submitting standardized HMIS monthly reports within one month of the reporting month (Percentage Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89.00 91.00 38.00 Date 31-Oct-2013 31-Mar-2017 30-Sep-2017 30-Jun-2018 PHINDIRITBL  Percentage of districts where at least 25% of the received of HMIS reports were verified (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 50.00 Date 31-Oct-2013 31-Mar-2017 31-Mar-2017 30-Jun-2018 Overall Comments 12/27/2017 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P143843 IDA-H9110 Effective USD 14.00 14.00 0.00 9.04 3.62 65% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P143843 IDA-H9110 Effective 19-Feb-2014 06-May-2014 23-Feb-2015 31-Oct-2018 31-Oct-2018 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) 12/27/2017 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Maternal and Child Health and Nutrition Services Support Project (P143843) There are no related projects. 12/27/2017 Page 9 of 9 Public Disclosure Copy