The World Bank Implementation Status & Results Report eGabon (P132824) eGabon (P132824) AFRICA | Gabon | Digital Development Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 6 | ARCHIVED on 05-Oct-2019 | ISR38365 | Implementing Agencies: Gabonese Republic, National Commission for Public Infras. Works and Promotion of Small-Scale Enterprises (CN-TIPPEE) Key Dates Key Project Dates Bank Approval Date: 03-Jun-2016 Effectiveness Date: 19-Apr-2017 Planned Mid Term Review Date: 15-Jan-2019 Actual Mid-Term Review Date: 07-Dec-2018 Original Closing Date: 05-Jan-2022 Revised Closing Date: 05-Jan-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to: (i) improve the timeliness and availability of information to support the delivery and management of public health services; and (ii) to foster the development and roll-out of eHealth applications and services, and Information and Communication Technology (ICT) services more generally. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening the National Health Information System:(Cost $40.08 M) Component 2: Advancing the Digital Innovation Ecosystem Development:(Cost $11.00 M) Component 3: Project Management, coordination, monitoring and evaluation of the Project:(Cost $4.78 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO ►Moderately Satisfactory ►Moderately Satisfactory Overall Implementation Progress (IP) ►Moderately Satisfactory ►Moderately Satisfactory Overall Risk Rating ►Substantial ►Substantial Implementation Status and Key Decisions This Sequence #6 reflects the findings of the implementation support mission conducted between May 27 to 31, 2019 in Gabon, as well as previous and subsequent interactions with the project teams. 10/5/2019 Page 1 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) For Component 1 (Health system), the project has engaged the main activities to prepare the delivery of the health information system, namely the development of bidding documents for the health system, as well as and the interoperability framework for said system. This should allow for the beginning of the implementation of the health system inQ1 2020 (calendar year). Several other key activities essential to support the health system operations are ongoing, such as the preparation of the new legal and regulatory framework, as well as the planning of the pilot phase (connectivity, equipment, messaging, etc.) and the instruction of operational procedure documents. The activities of Component 2 (digital ecosystem) are taking off. Trainings are regularly provided to enterprises and start-ups by the incubator’s team. The first cohort of 16 digital start-ups is accompanied by the incubator since January 2019. The next activity will be the opening of the Port-Gentil and Franceville sites. The project team will be conducting a second national hackathon in the second half of 2019, which will be used to establish contacts with the digital ecosystems in these cities and to further test the viability of these two sites. Finally, the business plan competition is scheduled to start in the coming months. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance ►Moderate ►Moderate ►Moderate Macroeconomic ►Moderate ►Moderate ►Moderate Sector Strategies and Policies ►Moderate ►Moderate ►Moderate Technical Design of Project or Program ►Substantial ►Substantial ►Substantial Institutional Capacity for Implementation and Sustainability ►Moderate ►Moderate ►Moderate Fiduciary ►Moderate ►Substantial ►Substantial Environment and Social ►Moderate ►Low ►Low Stakeholders ►Substantial ►Substantial ►Substantial Other -- -- -- Overall ►Substantial ►Substantial ►Substantial Results PDO Indicators by Objectives / Outcomes Improve the timeliness and availability of Health information IN00738242 ►Prescriptions transmitted electronically (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 31-Dec-2016 31-Dec-2018 30-Jun-2019 31-Dec-2021 Comments: End target expected to be achieved (once the system is in place). 10/5/2019 Page 2 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) IN00738244 ►Healthworkers reporting that they regularly use and update the patients’ electronic medical record during clinical consultations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN00738286 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 450.00 1,180.00 1,820,000.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Currently includes beneficiaries from Component 1 Comments: (trained agents - 678) and Component 2 (people trained by the incubator - 502; participants to app competition - 205). IN00738288 ►Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 55.00 0.00 50.00 55.00 Foster the development and roll-out of digital services IN00738243 ►Start-up projects incubated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 16.00 50.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved progressively. The trend will accelerate as the incubator in Libreville matures and the Comments: two secondary sites open. IN00738245 ►percent of start-up projects in eHealth (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 IN00738287 ►Increase in the level of satisfaction by ICT sector actors regarding government’s promotion of the digital economy (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 10/5/2019 Page 3 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved - data to be collected through a survey. Comments: Intermediate Results Indicators by Components Component 1: Strengthening the National Health Information System IN00738289 ►Health workers level of satisfaction regarding the effectiveness of NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 80.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 This corresponds to the satisfaction regarding the current system and not the system to be put in place through the project. Comments: End target expected to be achieved (once the system is in place). IN00738291 ►Service providers (CNAM-GS and others) level of satisfaction regarding the effectiveness of the NHIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN00738293 ►Patient perception of the quality of electronically supported public health services (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 66.00 66.00 75.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 30-Jun-2021 This corresponds to the satisfaction regarding the current system and not the system to be put in place through the project. Comments: End target expected to be achieved (once the system is in place). IN00738296 ►Patient women perception of the quality of electronically supported public health services (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 IN00738297 ►Health professionals and managers having achieved a sufficient level of knowledge regarding the use of the NHIS (Number, Custom) 10/5/2019 Page 4 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: IN00738299 ►Health women professionals and managers having achieved a sufficient level of knowledge regarding the use of the NHIS (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 IN00738301 ►Information technology managers and technicians trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 90.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved progressively. Comments: IN00738303 ►Health care providers and administrators at the national level trained with improved skills and ability to use the NHIS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 126.00 400.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 Training is partial and doesn't concern the NHIS at this point. Comments: IN00738305 ►Completion of business process re-engineering and change management activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 20.00 90.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved (once the system is in place). Comments: Component 2: Advancing the Digital Innovation Ecosystem Development IN00738290 ►Number of participants in application competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 50.00 205.00 500.00 10/5/2019 Page 5 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved - the next competitions will be nationwide with more participants. Comments: IN00738292 ►% of women in Number of participants in application competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 20.00 40.00 IN00738294 ►% of youth in Number of participants in application competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 60.00 IN00738295 ►Number of participants in business plan competitions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 31-Dec-2015 31-Dec-2018 30-Jun-2019 31-Dec-2021 End target expected to be achieved - first competition scheduled for Q4 2019 (calendar year). Comments: IN00738298 ►% of women in Number of participants in business plan competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 IN00738300 ►% of youth in Number of participants in business plan competitions (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 IN00738302 ►Number of participants in training courses offered by the incubators (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 221.00 502.00 750.00 Date 31-Dec-2015 31-Dec-2018 31-Dec-2018 31-Dec-2021 End target expected to be achieved. Comments: IN00738304 ►% of women in Number of participants in training courses offered by the incubators (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 64.00 67.00 50.00 IN00738306 10/5/2019 Page 6 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) ►% of youth in Number of participants in training courses offered by the incubators (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 7.00 80.00 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P132824 IBRD-86240 Effective USD 56.00 56.00 0.00 14.82 41.58 26% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P132824 IBRD-86240 Effective 03-Jun-2016 21-Jul-2016 19-Apr-2017 05-Jan-2022 05-Jan-2022 Cumulative Disbursements 10/5/2019 Page 7 of 8 The World Bank Implementation Status & Results Report eGabon (P132824) Restructuring History There has been no restructuring to date. Related Project(s) P164035-eGabon Additional Financing 10/5/2019 Page 8 of 8