Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) South Sudan Health Rapid Results Project (P127187) AFRICA | South Sudan | Health, Nutrition & Population Global Practice | Special Financing | Investment Project Financing | FY 2012 | Seq No: 12 | ARCHIVED on 29-Jun-2018 | ISR32776 | Implementing Agencies: Ministry of Finance and Economic Planning, Ministry of Health Key Dates Key Project Dates Bank Approval Date:13-Apr-2012 Effectiveness Date:02-Aug-2012 Planned Mid Term Review Date:15-Jun-2015 Actual Mid-Term Review Date:15-Jun-2015 Original Closing Date:31-Oct-2014 Revised Closing Date:30-Sep-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Objectives of the Project are: (i) to improve the delivery of High Impact Primary Health Care Services in Upper Nile andJonglei states; and (ii) to strengthen the coordination, monitoring and evaluation capacities of the Ministry of Health. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Name Component 1: Delivery of high impact Primary Health Care services in Jonglei and Upper Nile State:(Cost $23.00 M) Component 2: Capacity development of MOH at the national level:(Cost $5.00 M) Component 3:Pharmaceutical Commodities:(Cost $15.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Unsatisfactory 6/29/2018 Public Disclosure Copy Page 1 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) Overall Risk Rating  High  High Implementation Status and Key Decisions Following the delays in initiating service delivery, all the outcomes that were envisage at the time of contract signing were delayed. To achieve the desired result, the CSDO was given a no-cost extension to June 30th, 2018 to provide more time for the client to delivered agreed upon activities. The environment in which the project is being implemented has deteriorated and becoming increasing challenging to operate in. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  High  High Macroeconomic  --  High  High Sector Strategies and Policies  --  High  High Technical Design of Project or Program  --  High  High Institutional Capacity for Implementation and Sustainability  --  High  High Fiduciary  --  High  High Environment and Social  --  High  High Stakeholders  --  High  High Other  --  --  High Overall  --  High  High Results Project Development Objective Indicators PHINDPDOTBL  Number of children under 12 months immunized against DPT3 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 16,986.00 95,980.00 107,745.00 90,000.00 Date 15-Jun-2011 05-Dec-2017 31-Mar-2018 30-Sep-2018 6/29/2018 Public Disclosure Copy Page 2 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) PHINDPDOTBL  Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 21,180.00 147,732.00 180,788.00 150,000.00 Date 15-Jun-2011 05-Dec-2017 30-Mar-2018 30-Sep-2018 PHINDPDOTBL  Percentage of functional health facilities submitting standardized HMIS monthly reports within one month of the reporting month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 62.00 51.16 73.00 75.00 Date 06-Apr-2012 05-Dec-2017 30-Mar-2018 30-Sep-2018 PHINDPDOTBL  Outpatient visits per capita per year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.10 0.21 0.35 0.50 Date 06-Apr-2012 05-Dec-2017 30-Mar-2018 30-Sep-2018 PHINDPDOTBL  Percentage of direct beneficieries of which female (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 51.00 53.00 53.00 50.00 Date 02-Apr-2012 05-Dec-2017 31-Mar-2018 30-Sep-2018 Overall Comments 6/29/2018 Public Disclosure Copy Page 3 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) Intermediate Results Indicators PHINDIRITBL  Children 6-59 months receiving a dose of vitamine A (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18,074.00 518,579.00 524,617.00 515,000.00 Date 15-Jun-2011 05-Dec-2017 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Number of children who received measles vaccination 59 months of age (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97,857.00 156,489.00 161,316.00 150,000.00 Date 15-Jun-2011 05-Dec-2017 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13,827.00 14,742.00 16,551.00 12,000.00 Date 15-Jun-2011 05-Dec-2017 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Long-lasting insecticide-treated malaria nets purchased and/or distributed (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 126,451.00 2,542,796.00 2,542,796.00 2,600,000.00 Date 06-Apr-2012 23-Dec-2016 23-Dec-2016 31-Mar-2018 Comments Data has not been collected on this indicator since December 2016 6/29/2018 Public Disclosure Copy Page 4 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) PHINDIRITBL  Percentage of health facilities having essential drugs at the time of supervisory visit (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 27.90 43.80 80.00 Date 06-Apr-2012 05-Dec-2017 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Percentage of health facilities with structured supervision visit (using QSC) within a month before a verification visit (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 25.00 47.10 55.00 Date 06-Apr-2012 05-Dec-2017 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Percentage of children aged 0-59 months living under a LLIN the night before survey. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 34.20 26.80 26.80 40.00 Date 01-Jan-2013 23-Dec-2016 23-Dec-2016 30-Sep-2018 Comments Data has not been collected on this indicator since December 2016 PHINDIRITBL  Percentage of skilled health centres with at least two skilled health workers. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 70.00 81.00 60.00 Date 01-Jan-2013 05-Dec-2017 31-Mar-2018 30-Sep-2018 6/29/2018 Public Disclosure Copy Page 5 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) PHINDIRITBL  Percenatage of health facilities with Boma/village health committees established and meeting at least twice every quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 11.20 40.00 Date 27-Jun-2016 23-Dec-2016 31-Mar-2018 30-Sep-2018 PHINDIRITBL  Percentage of established Boma/village health committees that feel their feedback related to health committees has been responded to by CHDs and IPs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 27-Jun-2016 05-Dec-2016 05-Dec-2016 30-Sep-2018 Comments Data has not been collected on this indicator since December 2016 PHINDIRITBL  Reresentatives in comunity based decision making and management structures that are women (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 27-Jun-2016 23-Dec-2016 23-Dec-2016 30-Sep-2018 Overall Comments Data has not been collected on this indicator since December 2016 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed 6/29/2018 Public Disclosure Copy Page 6 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) P127187 IDA-54010 Closed USD 10.00 10.00 0.00 9.24 0.01 100% P127187 IDA-D1250 Effective USD 40.00 40.00 0.00 21.63 18.56 54% P127187 IDA-H9210 Closed USD 25.00 25.00 0.00 23.70 0.01 100% P127187 TF-12272 Closed USD 28.00 28.00 0.00 27.96 0.04 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P127187 IDA-54010 Closed 13-Mar-2014 09-May-2014 09-Sep-2014 31-Oct-2015 31-Mar-2018 P127187 IDA-D1250 Effective 27-Jun-2016 02-Feb-2017 23-Mar-2017 30-Sep-2017 30-Sep-2018 P127187 IDA-H9210 Closed 13-Mar-2014 09-May-2014 09-Sep-2014 31-Oct-2015 31-Mar-2018 P127187 TF-12272 Closed 20-Apr-2012 20-Apr-2012 02-Aug-2012 31-Oct-2014 30-Sep-2017 Cumulative Disbursements Restructuring History Level 2 Approved on 22-Jun-2015 ,Level 2 Approved on 30-Jan-2017 ,Level 2 Approved on 07-Apr-2017 ,Level 2 Approved on 28-Mar-2018 6/29/2018 Public Disclosure Copy Page 7 of 8 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) Related Project(s) P146413-South Sudan Health Rapid Results AF ,P156917-South Sudan Health Rapid Results Project AF 6/29/2018 Public Disclosure Copy Page 8 of 8