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: 13 | ARCHIVED on 11-Dec-2018 | ISR33934 | 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 pdoTable 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 Table 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) Unsatisfactory Moderately Unsatisfactory Overall Risk Rating High High Implementation Status and Key Decisions Following the delays in initiating service delivery, all the outcomes that were envisaged at the time of contract signing were delayed. To achieve the desired result, the Coordinating and Service Delivery Organization (CSDO) was given a no-cost extension to June 30th, 2018 to provide more time for the client to deliver agreed upon activities. The project transitioned to UNICEF as CSDO at the end of IMA contract on June 30, 2018. UNICEF's contract is through December 2018. The environment in which the project is being implemented has deteriorated and remains challenging to operate in. 12/11/2018 Page 1 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) 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 PDO Indicators by Objectives / Outcomes To improve the delivery of High Impact Primary Health Care IN00652987 ►Number of children under 12 months immunized against DPT3 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 16,986.00 -- 116,961.00 90,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00652980 ►Pregnant women receiving antenatal care during a visit to a health provider (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 21,180.00 -- 192,402.00 150,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00653001 12/11/2018 Page 2 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) ►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 -- 73.00 75.00 Date 06-Apr-2012 -- 30-Sep-2018 30-Mar-2019 IN00653002 ►Outpatient visits per capita per year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.10 -- 0.35 0.50 Date 06-Apr-2012 -- 30-Sep-2018 30-Mar-2019 IN00652988 ►Percentage of direct beneficieries of which female (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 51.00 -- 53.00 50.00 Date 02-Apr-2011 -- 30-Sep-2018 30-Mar-2019 Overall Comments PDO The project development objectives (PDOs) are twofold: (i) to improve delivery of high impact PHC services in Upper Nile and Jonglei states; (ii) to strengthen coordination and monitoring and evaluation (M&E) capacities of the MOH. Intermediate Results Indicators by Components Component 1: Delivery of high impact Primary Health Care services in Jonglei and Upper Nile State IN00604144 ►Number of children who received measles vaccination 59 months of age (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97,857.00 161,316.00 161,316.00 150,000.00 Date 15-Jun-2011 31-Mar-2018 30-Sep-2018 30-Mar-2019 IN00604149 ►Children 6-59 months receiving a dose of vitamine A (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18,074.00 524,617.00 538,796.00 515,000.00 12/11/2018 Page 3 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) Date 15-Jun-2011 31-Mar-2018 30-Sep-2018 30-Sep-2018 IN00604142 ►Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13,827.00 16,551.00 18,995.00 12,000.00 Date 15-Jun-2011 31-Mar-2018 30-Sep-2018 30-Mar-2019 IN00604145 ►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 Data has not been collected on this indicator since December 2016 Comments: IN00650373 ►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 -- 43.00 80.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00604151 ►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 Data has not been collected on this indicator since December 2016 Comments: IN00604152 ►Percentage of skilled health centres with at least two skilled health workers. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 81.00 81.00 60.00 Date 01-Jan-2013 31-Mar-2018 31-Mar-2018 30-Mar-2019 IN00649608 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 129,758.00 -- 729,431.00 677,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00649609 12/11/2018 Page 4 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 35,007.00 -- 278,734.00 162,000.00 IN00649610 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 97,857.00 -- 171,640.00 150,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00649666 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 129,758.00 -- 729,431.00 677,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00649667 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 13,827.00 -- 18,995.00 12,000.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 Component 2: Capacity development of MOH at the national level IN00650372 ►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 -- 73.00 75.00 Date 15-Jun-2011 -- 30-Sep-2018 30-Mar-2019 IN00604154 ►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-Mar-2019 Data has not been collected on this indicator since December 2016 Comments: IN00604153 ►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 11.20 11.20 40.00 12/11/2018 Page 5 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) Date 27-Jun-2016 31-Mar-2018 31-Mar-2018 30-Mar-2019 IN00604147 ►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 47.10 47.10 55.00 Date 06-Apr-2012 31-Mar-2018 31-Mar-2018 30-Mar-2019 Component 3:Pharmaceutical Commodities IN00604146 ►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 43.80 43.80 80.00 Date 06-Apr-2012 31-Mar-2018 30-Sep-2018 30-Mar-2019 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed 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 30.07 9.88 75% P127187 IDA-H9210 Closed USD 25.00 24.99 0.01 23.70 0.00 100% 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-Apr-2019 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 12/11/2018 Page 6 of 7 Public Disclosure Copy The World Bank Implementation Status & Results Report South Sudan Health Rapid Results Project (P127187) 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 ,Level 2 Approved on 20-Jul-2018 Related Project(s) P146413-South Sudan Health Rapid Results AF ,P156917-South Sudan Health Rapid Results Project AF 12/11/2018 Page 7 of 7