Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) National AIDS Control Support Project (P130299) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2013 | Seq No: 7 | ARCHIVED on 29-Jun-2016 | ISR23926 | Implementing Agencies: National AIDS Control Organisation, Department of AIDS Control Key Dates Key Project Dates Bank Approval Date:01-May-2013 Effectiveness Date:22-Jul-2013 Planned Mid Term Review Date:21-Mar-2016 Actual Mid-Term Review Date:16-May-2016 Original Closing Date:31-Dec-2017 Revised Closing Date:31-Dec-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to increase safe behaviors among high risk groups in order to contribute to the nationalgoal of reversal of the HIV epidemic by 2017. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Scaling Up Targeted Prevention Interventions:(Cost $220.00 M) Behavior Change Communications:(Cost $20.00 M) Institutional Strengthening:(Cost $15.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Moderately Satisfactory Overall Risk Rating  Moderate  Moderate 6/29/2016 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Implementation Status and Key Decisions The Joint Mid-term review (JMTR) mission was held during May 16-30, 2016. The overall performance of the project in last three years continues to be on track although project implementation was slowed down in the last year due to reduction in the government budget, which is now resolved) HIV estimates published on December 1, 2015 showed continued overall reduction in adult HIV prevalence from 0.34% in 2007, to 0.26% in 2015, a reduction of 24%. Similarly, the estimated annual new HIV infections (among all population) fell from 127,576 in 2007 to 86,309 in 2015, a reduction of 32% from baseline of 2007. The recent Integrated Bio Behavior Study (IBBS) conducted by NACO in 2015-2016 has shown significant improvement of condom usage among High risk groups (HRGs). Among Female sex workers, about 94% reported condom use with occasional client and 91% with regular client. Among Men having sex with male (MSM) groups, about 82% reported condom use with regular male partner, and 87% with paid male partner. Also, about 15% Injecting drug users have reported shared their needles/ syringes during last injection episode. The IBBS results showed that all the three PDO level indicators have surpassed the end of project targets. The implementation of Targeted Interventions (TIs) has significantly improved. The coverage of TIs was 89% for FSWs (above the target of 85% for 2015), 78% for MSM (above the target of 75% for 2015), and 80.6% for IDU (slightly below the target of 83% for 2015). Based on the semi-annual evaluation of NGOs implementing the TIs, 94%had a performance of Good or Very Good. Similarly, the implementation of the "Behavior Change Communications" has also shown very good progress. For example, contracting of media planning agency was completed and the contract for providing helpline services on HIV AIDS is under implementation since April 2016. The JMTR mission was part of a larger Mid-term Appraisal (MTA) of the National AIDS Control Program led by NACO and development partners, including the Bank, which will be completed by end of June 2016. Accordingly, the Bank team will join the discussion of the MTA in early June 2016 and will further discuss and finalize the MTR recommendations with NACO based on the final MTA recommendations to ensure consistency and complementarity across all the national program components. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Substantial  Substantial Environment and Social  --  Low  Low Stakeholders  --  Low  Low Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators 6/29/2016 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDPDOTBL  Female sex workers who report using a condom with their last client (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 -- 94.00 85.00 Date 01-Mar-2009 -- 31-Mar-2016 31-Mar-2017 PHINDPDOTBL  Men who have sex with men who report using a condom during sex with their last male partner (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 -- 87.00 65.00 Date 01-Mar-2009 -- 31-Mar-2016 31-Mar-2017 PHINDPDOTBL  Injecting drug users who do not share injecting equipment during the last injecting act (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 -- 85.00 65.00 Date 01-Mar-2009 -- 31-Mar-2016 31-Mar-2017 Overall Comments The IBBS results published by NACO have shown considerable improvement in behavior patterns among HRGs related to condom use and injecting drugs. Intermediate Results Indicators PHINDIRITBL  FSWs who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 80.00 76.29 89.00 90.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 6/29/2016 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  High Risk MSM who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 67.00 66.80 78.00 80.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  IDUs who have been reached by targeted interventions in the last year, by 2017. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 72.47 80.60 85.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  TIs that have validated high risk group size data in the last 12 months. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 70.50 70.50 75.00 Date 31-Mar-2012 30-Sep-2015 30-Sep-2015 31-Mar-2017 PHINDIRITBL  TIs will be graded according to the performance indicators of SIMS. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 88.17 95.00 75.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 6/29/2016 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  TIs reporting condom stock out, in the last quarter (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 -- 13.00 2.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  Planned prevention interventions for migrants implemented as per plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 89.08 82.00 90.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  Planned prevention interventions for truckers implemented as per plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 75.42 71.00 90.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  NGO contracted as per SACS annual plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 84.97 84.90 80.00 Date 31-Mar-2012 30-Sep-2015 30-Sep-2015 31-Mar-2017 6/29/2016 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) PHINDIRITBL  States updating, reporting and responding to dashboard indicators (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 97.35 96.00 90.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  FSW who have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 68.98 71.00 50.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  High Risk MSMs who have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.00 68.13 69.00 50.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 PHINDIRITBL  IDUs have been counseled and HIV tested in the last 12 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 69.29 70.00 50.00 Date 31-Mar-2012 30-Sep-2015 31-Mar-2016 31-Mar-2017 Overall Comments Nine out of sixteen intermediate outcome indicators were achieved, and the remaining are on track. There are 3 indicators related to State audits, IEC activity in high burden districts and stigma and discrimination among service providers where data have not been reported due to lack of information and were therefore dropped. 6/29/2016 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P130299 IDA-52360 Effective XDR 168.40 168.40 0.00 49.85 118.55 30% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P130299 IDA-52360 Effective 01-May-2013 18-Jun-2013 22-Jul-2013 31-Dec-2017 31-Dec-2017 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) 6/29/2016 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report National AIDS Control Support Project (P130299) There are no related projects. 6/29/2016 Page 8 of 8 Public Disclosure Copy