The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) Towards Zero Stunting in Djibouti (P164164) MIDDLE EAST AND NORTH AFRICA | Djibouti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 3 | ARCHIVED on 03-Dec-2019 | ISR38928 | Implementing Agencies: Ministry of Health, Ministry of Economy and Finance Key Dates Key Project Dates Bank Approval Date: 09-Jul-2018 Effectiveness Date: 26-Feb-2019 Planned Mid Term Review Date: 27-Jan-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2023 Revised Closing Date: 31-Dec-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to reduce stunting among children under five in Djibouti. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name High-impact Health and Nutrition Services to Reduce Stunting:(Cost $11.60 M) Strengthening Multi-sectoral Interventions for Stunting Reduction:(Cost $3.30 M) Strengthening Coordination, Project Management and Monitoring and Evaluation:(Cost $4.40 M) Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO ►Satisfactory ►Moderately Satisfactory Overall Implementation Progress (IP) ►Moderately Satisfactory ►Moderately Satisfactory Overall Risk Rating ►Substantial ►Substantial Implementation Status and Key Decisions 12/3/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) This project was approved by the Bank's Executive Board on July 9, 2018, and the legal agreement was signed on July 26, 2018. The project was declared effective on February 26, 2019. The start-up of the project implementation has been delayed, but with the creation of the National Nutrition and Food Coordination Authority, implementation is expected to begin shortly. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance ►Substantial ►Substantial ►Substantial Macroeconomic ►Moderate ►Moderate ►Moderate Sector Strategies and Policies ►Moderate ►Moderate ►Moderate Technical Design of Project or Program ►Moderate ►Moderate ►Moderate Institutional Capacity for Implementation and Sustainability ►Substantial ►Substantial ►Substantial Fiduciary ►High ►High ►High Environment and Social ►Moderate ►Moderate ►Moderate Stakeholders ►Moderate ►Moderate ►Moderate Other ►Substantial ►Substantial ►Substantial Overall ►Substantial ►Substantial ►Substantial Results PDO Indicators by Objectives / Outcomes To reduce stunting among children under five. IN00755146 ►Percentage of infants 0-5 months exclusively breastfed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 12.40 12.40 0.00 36.00 Date 31-Dec-2012 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755147 ►Percentage of children 6-23 months consuming a minimum acceptable diet/diverse diet (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 12/3/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) Date 30-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755148 ►Women who attended at least four antenatal care visits during their most recent pregnancy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 23.00 23.00 0.00 50.00 Date 31-Dec-2012 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755149 ►Percentage of children 6-59 months who are stunted (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.70 29.70 0.00 24.00 Date 31-Dec-2013 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755150 ►Women referred by CHWs and registered at the health facility within 4 months of pregnancy (DLI 1A) (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755151 ►Women referred by CHWs, who completed at least 3 antenatal visits at the health facility (DLI 1B) (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755152 ►Women referred by CHWs, who completed at least 2 postnatal visits at the health facility (DLI 1C) (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4,000.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 Overall Comments PDO Project implementation has not started, neither has data collection. Once the Monitoring &Evaluation focal point in the OCNNA is nominated and data collection starts, the data will be entered in the ISR. Intermediate Results Indicators by Components 12/3/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) High-impact Health and Nutrition Services to Reduce Stunting IN00755153 ►Percentage of children fully immunized before their first birthday (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 67.98 67.98 0.00 80.00 Date 31-Dec-2016 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755156 ►Percentage of 15-19 year-old girls supplemented with iron and folic acid (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755159 ►Percentage of pregnant and lactating women counselled on infant and young child feeding (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755160 ►Percentage of children 6-23 months having received micronutrient powder supplement (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 32.00 0.00 80.00 Date 31-Dec-2016 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755161 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 150,000.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755162 ►Peoplewho have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100,000.00 IN00755163 ►Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target 12/3/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) Value 0.00 0.00 0.00 150,000.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 Strengthening Multi-sectoral Interventions for Stunting Reduction IN00755154 ►A multi-sectoral nutrition coordinating mechanism that meets at least twice a year (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755157 ►Households that have a handwashing facility with soap (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 Strengthening Coordination, Project Management and Monitoring and Evaluation IN00755155 ►Beneficiaries that feel services provided satisfy their needs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 IN00755158 ►Percentage of health facilities that have annual disaggregated data using DHIS2 (DLI 2) (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0% 0% 0% 80% Date 31-Mar-2018 27-Sep-2018 30-Sep-2019 31-Dec-2023 Disbursement Linked Indicators IN00755164 ►DLI 1 Women referred by CHWs and registered at the health facility within 4 months of pregnancy (DLI 1A) (Text, Outcome, 800,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- 12/3/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) Date -- 27-Sep-2018 30-Sep-2019 -- IN00755165 ►DLI 2 Women referred by CHWs, who completed at least 3 antenatal visits at the health facility (DLI 1B) (Text, Outcome, 325,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 27-Sep-2018 30-Sep-2019 -- IN00755166 ►DLI 3 Women referred by CHWs, who completed at least 2 postnatal visits at the health facility (DLI 1C) (Text, Outcome, 325,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0.00 0.00 0.00 -- Date -- 27-Sep-2018 30-Sep-2019 -- IN00755167 ►DLI 4 Percentage of health facilities that have annual disaggregated data using DHIS2 (DLI 2) (Text, Intermediate Outcome, 500,000.00, 0.03%) Baseline Actual (Previous) Actual (Current) Year 5 Value 0% 0% 0% -- Date -- -- 30-Sep-2019 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164164 IDA-62900 Effective USD 15.00 15.00 0.00 0.00 14.68 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164164 IDA-62900 Effective 09-Jul-2018 26-Jul-2018 26-Feb-2019 31-Dec-2023 31-Dec-2023 Cumulative Disbursements 12/3/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Towards Zero Stunting in Djibouti (P164164) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/3/2019 Page 7 of 7