The World Bank Report No: ISR14258 Implementation Status & Results Niger HIV/AIDS Support Project 2 (P116167) Public Disclosure Copy Operation Name: HIV/AIDS Support Project 2 (P116167) Project Stage: Implementation Seq.No: 6 Status: ARCHIVED Archive Date: 17-May-2014 Country: Niger Approval FY: 2011 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 26-Apr-2011 Original Closing Date 30-Jun-2016 Planned Mid Term Review Date 30-Jun-2014 Last Archived ISR Date 23-Dec-2013 Effectiveness Date 09-Sep-2011 Revised Closing Date 30-Jun-2016 Actual Mid Term Review Date 17-Mar-2014 Project Development Objectives Project Development Objective (from Project Appraisal Document) The development Objective of the project is to increase access to HV/AIDS/STI related services by high-risk groups. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost 1. Strengthening health service delivery for HIV/AIDS/STI 10.00 2. Prevention of HIV/AIDS/STI among high-risk groups 7.00 3. Management, monitoring and evaluation 3.00 Overall Ratings Previous Rating Current Rating Moderately Satisfactory Moderately Satisfactory Public Disclosure Copy Progress towards achievement of PDO Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview This mission support coincided with the mid-term review (MTR) period for the project. The MTR noted that overall progress in implementing the project components has been improved substantially. As of December 31, 2013, progress was made on a number of Project Development Objectives (PDO) indicators as well as intermediate indicators: At PDO level, several indicators (Sex worker using a condom at their most recent sexual encounter with an actual value as of November 2013 at 94.8% compared to an end of project target of 90%, and Number of Page 1 of 6 The World Bank Report No: ISR14258 persons (adults and children) put on antiretroviral therapy (ARVs) with an actual value at 12,516 and an end of project target at 9,300) have achieved and/or surpassed the end of project targets. Locations Public Disclosure Copy Country First Administrative Division Location Planned Actual Niger Not Entered Departement de Zinder Niger Not Entered Departement de Tahoua Niger Not Entered Departement de Maradi Niger Not Entered Departement de Dosso Niger Not Entered Departement de Tillaberi Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Sex worker using a condom at their most Percentage Value 84.66 94.80 90.00 recent sexual encounter Date 31-Dec-2008 27-Mar-2014 30-Jun-2016 Comments Source 2011 IBBS Survey. This value has not changed since the 2013 IBBSS is still under preparation. Number of persons (adults and children) put on Number Value 7445.00 10147.00 9300.00 ARVs Date 31-Dec-2009 30-Sep-2013 30-Jun-2016 Comments Source: CISLS Reports. This number has been revised to less than last mission after CISLS cleared their data on double counting. Public Disclosure Copy Number of pregnant women receiving ARVs for Number Value 1603.00 1301.00 2800.00 PMTCT Date 31-Dec-2009 27-Mar-2014 30-Jun-2016 Comments This indicators measure the Source: ULSS Reports. number of pregnant women This represents a positive put on ARVs for PMTCT development for the PMTCT purposes on a yearly basis. program. Therefore, this is not a cumulative indicator. Intermediate Results Indicators Page 2 of 6 The World Bank Report No: ISR14258 Indicator Name Core Unit of Measure Baseline Current End Target Health personnel receiving training (number) Number Value 0.00 5393.00 7500.00 Date 27-Mar-2014 30-Jun-2016 Public Disclosure Copy Comments Training program for 2500 Source: ULSS Reports. staff per year in each of: (1). training activities continued as HIV-related care; (2) Supply planned under this project. chain management; (3) Biosafety ARV treatment centers with ARV products Number Value 5.00 0.00 stocked out in at any time during the past 12 Date 31-Dec-2009 27-Mar-2014 months. Comments 5 out of 12 ART treatment sites offering high quality Number Value 12.00 44.00 17.00 services Date 31-Dec-2009 27-Mar-2014 30-Jun-2016 Comments Source: CISLS Reports. No new ARV treatment site added since last mission. Health facilities offering PMTCT services Number Value 245.00 749.00 493.00 Date 31-Dec-2010 27-Mar-2014 30-Jun-2016 Comments Source: ULSSD Reports. New PMTCT center have been added since last mission. Sex workers screened for sexually transmitted Number Value 0.00 11191.00 4000.00 diseases Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments Source: CISLS. With NGOs hired, the activity is picking up satisfactorily. TB patients test for HIV Percentage Value 0.00 49.06 80.00 Date 20-May-2011 27-Mar-2014 30-Jun-2016 Public Disclosure Copy Comments Source : ULSS Report. This indicator is has not been updated since last mission. Health facilities offering high quality HIV Number Value 270.00 762.00 546.00 counseling and testing and referral services Date 31-Dec-2010 30-Sep-2013 30-Jun-2016 Comments Source: ULSS Report. Two new VCT centers have been added since last mission. Page 3 of 6 The World Bank Report No: ISR14258 RBF pilot design validated by Government of Text Value No Yes Yes Niger/MOH/CISLS Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments Source: ULSS Reports. Public Disclosure Copy Design completed. RBF contracts signed with health centers Text Value No No Yes Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments Source: ULSS Reports. The pilot phase has not yet started in the one District. Pilot health districts with RBF results fully Number Value 0.00 0.00 40.00 verified by independent third party Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments At least 10 Health district will Source: ULSS Reports. Cumulative value at the end be targeted each year. Activity has not yet started. of the project PLWHA, sex workers and their clients trained Number Value 0.00 770.00 2000.00 as peer educators for HIV prevention Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments Source: CISLS Reports. This number takes into consideration only peer educators trained for sex workers, thus a decrease since last mission. Peer educators providing peer education for Number Value 0.00 669.00 2000.00 HIV prevention to high-risk groups Date 20-May-2011 21-Nov-2013 30-Jun-2016 Comments Source: CISLS Reports. People in high-risk groups and PLWHA Number Value 0.00 14205.00 30000.00 receiving peer education Date 20-May-2011 30-Sep-2013 30-Jun-2016 Comments Source: CISLS Reports. This number has been adjusted from the figure at Public Disclosure Copy last mission to exclude double counting. People in high-risk groups correctly identifying Percentage Value 10.00 32.90 70.00 ways to prevent HIV and correctly reject Date 20-May-2011 27-Mar-2014 30-Jun-2016 misconceptions [UNGASS] Comments 10% for sex workers. Source: 2011 IBBS. The value of this indicator has not changed since the 2013 IBBSSdata are not yet available (data collection has not started yet). Page 4 of 6 The World Bank Report No: ISR14258 OVC receiving care and Support Percentage Value 0.00 80.00 Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments Source: CISLS Reports. Public Disclosure Copy 996 represents the number of OVC identified by NGOs and referred to Government social protection services. Difficult the estimate the % and will be dropped. Direct project beneficiaries Number Value 0.00 18468.00 45000.00 Date 20-May-2011 27-Mar-2014 30-Jun-2016 Comments This figure has been adjusted The target number is 45,000 to exclude double counting in direct people reach by the from last mission. project, of which 65% have to be female. Female beneficiaries Percentage Value 0.00 49.00 65.00 Sub Type Supplemental Data on Financial Performance (as of 16-Aug-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P116167 IDA-49190 Effective 26-Apr-2011 12-May-2011 09-Sep-2011 30-Jun-2016 30-Jun-2016 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P116167 IDA-49190 Effective XDR 12.80 12.80 0.00 5.28 7.52 41.00 Public Disclosure Copy Disbursement Graph Page 5 of 6 The World Bank Report No: ISR14258 Public Disclosure Copy Key Decisions Regarding Implementation The World Bank and the Government of Niger have agreed that this information as well as the Aide Memoire should be made public. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6