The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Ethiopia Health MDG Support Operation (P123531) AFRICA | Ethiopia | Health, Nutrition & Population Global Practice | Requesting Unit: AFCE3 | Responsible Unit: GHN07 IBRD/IDA | Program-for-Results Financing | FY 2013 | Team Leader(s): Paul Jacob Robyn, Roman Tesfaye Seq No: 15 | ARCHIVED on 28-Jun-2019 | ISR37928 | Created by: Amy Champion on 27-Jun-2019 | Modified by: Paul Jacob Robyn on 28-Jun-2019 Program Development Objectives Program Development Objective (from Program Appraisal Document) To improve the delivery and use of a comprehensive package of maternal and child health services. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Implementation Status and Key Decisions This ISR is being filed for administrative purposes for inclusion of Corporate Results Indicators. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P123531 IDA-52090 Effective USD 100.00 100.00 0.00 75.95 18.29 81% P123531 IDA-60900 Effective USD 150.00 150.00 0.00 79.56 76.76 51% P123531 TF-14107 Effective USD 20.00 20.00 0.00 13.80 6.20 69% P123531 TF-A4689 Effective USD 20.00 20.00 0.00 12.90 7.10 64% P123531 TF-A4705 Effective USD 20.00 20.00 0.00 13.71 6.29 69% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P123531 IDA-52090 Effective 28-Feb-2013 29-Mar-2013 17-Jun-2013 30-Jun-2018 31-Jul-2021 P123531 IDA-60900 Effective 09-May-2017 18-May-2017 27-Jun-2017 30-Jun-2021 30-Jun-2021 6/28/2019 Page 1 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) P123531 TF-14107 Effective 29-Mar-2013 29-Mar-2013 29-Mar-2013 30-Jun-2018 31-Jul-2021 P123531 TF-A4689 Effective 18-May-2017 18-May-2017 13-Nov-2017 30-Jun-2021 30-Jun-2021 P123531 TF-A4705 Effective 18-May-2017 18-May-2017 13-Nov-2017 30-Jun-2021 30-Jun-2021 Program Action Plan Action Description Development of a Postnatal Care Directive/policy Source DLI# Responsibility Timing Timing Value Status Technical Client Due Date 31-Dec-2018 Completed Completion Developed Postnatal Care Directive. Measurement Comments Postnatal care directive developed on August 5, 2017 and verified by implementing partners. Commodity distribution process - Roll out of APTS and provide progress update to ensure existence of adequate Action Description monitoring mechanism of delivery to ultimate beneficiaries at the branch level Source DLI# Responsibility Timing Timing Value Status Technical Client Recurrent Yearly In Progress Completion Rolled out APTS Measurement All RHBs have enacted Auditable Pharmaceutical Tracking System (APTS) proclamation. Except Somali, Afar and Comments Gambela, all Regional Health Bureaus have implemented the system. PFSA launches an open call for pre-qualifications bidders as per the Recipient's law at least once and introducing Action Description Framework Contracting Methods for common and repetitive procurement items. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Yearly In Progress Completion Launched an open call prequalification and introduced framework contract methods. Measurement Procurement by framework contract method is introduced to procure two years consumption (2010 & 2011 EC) for Comments identified items. Advertisement was made but progress on the action taken per the advertisement was not reported. Ensure a system of recording fraud and corruption complaints at all levels including Woredas; Ensure the deployment Action Description of Ethics and Anticorruption Liaison Officer and experts at all levels (PFSA; PFSA regional Hubs; RHBs, offices). Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Due Date 31-Dec-2018 Delayed 6/28/2019 Page 2 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Completion Recorded complaints and deployed ethics and anticorruption liaison officers. Measurement Currently the agency has assigned 6 anticorruption liaison officers by clustering its branches into six. However, per Comments the agreed PAP they need to assign a liaison officers for each hub. Action Description Automation of PFSA Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Yearly Delayed Completion Automated fiduciary system at PFSA Measurement ERP document and an action plan for the implementation of ERP has been prepared, however, the procurement Comments process has not yet been initiated due to lack of resources. FPPA undertaking annual procurement audit and FMOH and Bank team to consult OFAG on the feasibility of Action Description undertaking financial and value for money audits for SDGPF. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Yearly Delayed Completion Report on feasibility of undertaking financial and value for Money audits for SDGPF by FPPA Measurement Comments Value for money audit is still under discussion with MOH. Review and improve the SBD and agree with FPPA; and review current Bid Evaluation reporting methods and Action Description develop a template that keeps and records all relevant evaluation information Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems PSA Recurrent Yearly In Progress Completion Improved Standard Bidding Document Measurement PSA reported to have started using health sector SBD prepared by FPPA. Improvements should be made on the use Comments of Data Sheet and Special Conditions of Contract. PSA did not report on Evaluation Templates. Action Description Improve tracking system of monitoring contracts with UN agencies and disclose award decisions to the public Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Yearly Delayed 6/28/2019 Page 3 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Completion Disclosed award decisions of UN Agencies based on the developed tracking system Measurement Though the tracking system was in place during the previous missions, MOH could not provide the improved tacking Comments system/ list of all contracts with UN agencies indicating their contract value and current contractual status Action Description Undertake assessment study and develop coding and categorization system of procurable items Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Yearly In Progress Completion Developed and implemented the coding and categorization system of procurable items Measurement Action met and a booklet shared and this is expected to address the PSA current practice of applying item by item Comments evaluation. Application of the classification and codes for procurement and its impact need to be monitored. Gender based violence strategy for the health sector is prepared and implemented and analytical in gender Action Description disaggregated HMIS data is conducted. Source DLI# Responsibility Timing Timing Value Status Technical Client Recurrent Yearly Delayed Completion Developed health Gender Based Violence strategy and Disclosed gender analysis from HMIS. Measurement Comments GBV Strategy is being developed. Conduct Training and regular implementation support of health workers at the facility level on cause of death as per Action Description national disease notification codes, registration of births and other VE registration requirements. Source DLI# Responsibility Timing Timing Value Status Technical Client Recurrent Yearly In Progress Completion Provided training for health workers on CRVS. Measurement Comments Training on CRVS is being provided to the Health frontline workers. MoH Provides and Federal Ethics and Anti- corruption ( FEACC) verify and submit to the Bank quality and timely Action Description biannual report on Fraud and Corruption complaints and priority actions related to the program Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems MOH and FEACC Recurrent Semi-Annually Delayed 6/28/2019 Page 4 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Completion Biannual report on fraud and corruption complaints verified and submitted by Federal Ethics and Anti Corruption Measurement Commission. The Federal Ethics and Anti Corruption Commission has submitted the report on April 18 which was supposed to be Comments submitted in December 2018. Ensure inclusiveness of Fraud and Corruption and complaint handling processes or priority actions in FMOH and Action Description Regional Health Bureaus joint forum discussions semiannually. Source DLI# Responsibility Timing Timing Value Status Fiduciary Systems Client Recurrent Continuous In Progress Completion Fraud and corruption and compliant handling process discussed at joint FMOH- RHB meeting Measurement Discussion was held in the previous joint MOH-RHB meeting. however, there is a need to consider this issue as one Comments of the agenda items to be discussed regularly. Availing appropriate temporary storage facilities for collection of hazardous wastes until final disposal, enforce Action Description compliance with MWM and Disposal Directive in HF constructed before issuance of the Directive Source DLI# Responsibility Timing Timing Value Status Environmental and Social MOH Recurrent Continuous In Progress Systems Completion Availed temporary storage facilities for collection of Hazardous medical wastes. Measurement Temporary storage facilities for collection of hazardous wastes are provided in most health facilities. However, final Comments disposal in many health facilities is a challenge. However, this will be resolved when the 6 central incinerators are operational. Update relevant documents to incorporate environmental impact and risk criteria in site selection screening for all Action Description health facilities, strengthen the coordination and reporting mechanism on social and environmental safeguard in MOH. Source DLI# Responsibility Timing Timing Value Status Environmental and Social Both Due Date 31-Dec-2018 In Progress Systems Completion Developed a document/checklist to incorporate environmental impact and risk criteria in the site selection template Measurement for constructing health facilities. Checklist for health facility site assessment shared and update written on health facilities infrastructure from 2014- Comments 2018. Follow on site visits will also be conducted to understand more the situation on the ground. Documenting consultations and participatory nature of discussions where communal land is used for construction of Action Description health centers and where applicable compensation for land and livelihood paid. 6/28/2019 Page 5 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Source DLI# Responsibility Timing Timing Value Status Environmental and Social Client Recurrent Continuous In Progress Systems Completion Report on documenting consultations using the developed checklist. Measurement Comments Checklist has been developed and implementation report is expected in the upcoming mission. Action Description Documenting outreach and specific actions focused on providing services to all vulnerable persons Source DLI# Responsibility Timing Timing Value Status Technical Client Recurrent Continuous In Progress Completion Report on actions taken on vulnerable group Measurement MoH Women and Children Affairs Directorate has been conducting different activities to create accessible health services for persons with disability: developed Health Sector Disability Mainstreaming manual, provided training on Comments vulnerability etc. Action Description Development and Implementation of the postnatal care directive/policy. Source DLI# Responsibility Timing Timing Value Status Technical FMOH Due Date 31-Dec-2020 Not Yet Due Completion Implementation report Measurement Comments The Postnatal Care Directive guideline is developed. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High High Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Moderate Moderate 6/28/2019 Page 6 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Fiduciary -- Substantial Substantial Environment and Social -- High High Stakeholders -- High High Other -- -- -- Overall -- High High Results PDO Indicators by Objectives / Outcomes To Improve the delivery and use of comperhensive package of Maternal and Child Health (MCH) Services IN00724903 ►Deliveries attended by skilled birth providers for the bottom 3 performing regions(Afar,Oromia&Somal (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 19.00 19.00 28.00 Date 31-Oct-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. IN00724904 ►Pregnant women receiving at least four antenatal care visits (Percentage, Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 32.00 32.00 38.00 Date 31-Oct-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. IN00724905 ►Percent of children 6-59 month receiving Vitamin A supplements (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 45.00 45.00 53.00 Date 31-Oct-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. IN00724956 ►Deliveries attended by skilled birth providers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 26.00 26.00 40.00 6/28/2019 Page 7 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Date 30-Mar-2012 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2011 Ethiopia Demographic Health Survey (EDHS) Report and previous data from 2016 Comments EDHS. Update to be provided by 2019 Mini-DHS. IN00724957 ►Children 12-23 months immunized with Pentavalent 3 vaccines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.70 65.70 65.70 76.70 Date 31-Dec-2012 24-Apr-2019 24-Apr-2019 30-Jun-2021 Source: 2012 EPI Coverage (Cluster) Survey Report. Decision is expected to be made by MOH on which Comments survey to use for the verification. IN00724958 ►Contraceptive prevalence rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.30 35.00 35.00 35.00 Date 30-Mar-2012 24-Apr-2019 24-Apr-2019 30-Jun-2018 Baseline data from 2011 Ethiopia Demographic Health Survey (EDHS) Report and previous data from 2016 Comments EDHS . Update to be provided by 2019 Mini-DHS. IN00724959 ►Percent of Woredas in non emerging regions delivering vitamin A supplements to children (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 48.00 69.00 69.00 80.00 Date 30-Dec-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Data source: Nutrition Data Verification Joint Review Mission, December 2018. Comments IN00724960 ►Contraceptive Prevalence Rate ( for Rural women only) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 32.00 32.00 38.00 Date 31-Oct-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. IN00724961 ►Percent of pregnant women taking Iron Folic Fcid (IFA) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.10 42.10 42.10 54.10 Date 31-Oct-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 6/28/2019 Page 8 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. Intermediate Results Indicators by Results Areas Improve Delivery and use of a comperhensive package of maternal and child health services IN00724962 ►Introduction of Procurement Key Performance Indicators developed by Federal Public Procurement Agenc (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Comments IN00724963 ►Automate the PFSA Core Business Fiduciary System using selected software in PFSA HQ and Addis Ababa (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Comments IN00724964 ►PFSA submission of Backlog audit reports and timely quality audit reports thereafter (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Audit Services Corporation Report , December 31, 2018 Comments IN00724965 ►Percent of Children 0- 23 month participating in GMP (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.00 44.00 44.00 51.00 Date 30-Dec-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Nutrition Data Verification Joint Review Report December, 2018 Comments IN00724966 ►Percent of Woredas in emerging Regions transitioning from EOS to Community Health Days- CHD (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26.00 26.00 50.00 6/28/2019 Page 9 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Date 30-Dec-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Nutrition Data Verification Joint Review Mission Report, December 2018 Comments IN00724967 ►Percent of PHC Facilities having all drug from the MOH list of drug available (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.00 48.00 48.00 47.00 Date 30-Dec-2016 24-Apr-2019 24-Apr-2019 30-Jun-2021 Services availability and Readiness Assessment ( SARA) report, May 2018 Comments IN00724968 ►Developed and Implement postnatal Care Service directive to improve the quality of Postnatal service (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Postnatal Care service directives is developed on August 5, 2017 Comments IN00724969 ►Improve quality of adolescent services (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Adolescent and Youth Health National (AYH) Strategy endorsed on July 16, 2017 Comments IN00724970 ►Percent of Woreda with Functional Community Health Insurance Schemes (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 23.00 23.00 23.00 53.00 Date 19-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Ethiopia Health Insurance Joint Review Mission Report, December 2017 Comments IN00724971 ►Undertake CBHI review every two Years (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Source: A brief report on the establishment of a baseline of Woredas with functional CBHI schemes, June Comments 2017 IN00724972 6/28/2019 Page 10 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►Devise and implement a mechanism for documenting consultations (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Jun-2017 24-Apr-2019 24-Apr-2019 30-Jun-2021 Checklist/devised mechanism was submitted for documenting the consultations when the communal/private land is used for construction of health facilities by MOH, December 2018. However,the checklist/ the Comments devised mechanism is yet to be verified. IN00724973 ►Development and implementation of health sector community score card (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 27-Jun-2016 24-Apr-2019 24-Apr-2019 30-Jun-2020 Community Score Card pilot has been developed and is being implemented but the MOH has not yet Comments submitted any documentation as evidence for achieving the result. IN00724974 ►Health Centers reporting HMIS data in time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 84.00 84.00 86.00 Date 30-Mar-2012 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2012 HMIS Data Quality Assessment (DQA) Report, previous data from 2014 HMIS Comments DQA and current data from 2018 SARA report. IN00724975 ►Development and implementation of Annual Rapid Facility Assessment (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Mar-2012 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline data from 2012 Services Availability and Readiness Assessment (SARA) report, previous data Comments from 2016 SARA report and current data from 2018 SARA report. IN00724976 ►Improved transparency of Pharmaceutical Fund and Supply Agency (PFSA) procurement process (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 29-Mar-2013 24-Apr-2019 24-Apr-2019 30-Jun-2021 Baseline and previous data from the independent procurement consultant verification report 2013 and 2016 Comments respectively. Annual verification report is expected from independent consultant in 2019. IN00725066 6/28/2019 Page 11 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 57,763,902.00 88,943,602.00 Date 31-Dec-2012 -- 10-Jun-2019 30-Jun-2021 Comments IN00725067 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 0.00 -- 29,284,990.00 45,091,862.00 IN00725068 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 1,887,467.00 2,203,481.00 Date 31-Dec-2012 -- 01-Jun-2019 30-Jun-2021 IN00725069 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 52,376,812.00 85,500,000.00 Date 31-Dec-2012 -- 01-Jun-2019 30-Jun-2021 IN00725070 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 806,078.00 1,240,121.00 Date 31-Dec-2012 -- 01-Jun-2019 30-Jun-2021 Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Deliveries attended by skilled birth providers (Scaled DLI- 1a) (Intermediate Outcome, 45,430,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 10.00 26.00 26.00 40.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2011 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. 6/28/2019 Page 12 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►DLI 2 Deliveries attended by skilled birth providers for the bottom 3 performing regions -Afar, Oromia & Somali- (New DLI- 1b) (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 19.00 19.00 19.00 28.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. ►DLI 3 Children 12-23 months immunized with Pentavalent 3 vaccine (Scaled- DLI- 2c) (Intermediate Outcome, 8,130,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 65.70 65.70 65.70 75.70 Date -- 24-Apr-2019 24-Apr-2019 -- Source: 2012 Cluster survey. Results have not been updated by EDHS as MOH does not agree with using Comments different methodologies to measure ►DLI 4 Pregnant women receiving at least four antenatal care visits (New DLI -3a) (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 32.00 32.00 32.00 38.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. ►DLI 5 Contraceptive prevalence rate for rural women only (New DLI -4a) (Intermediate Outcome, 17,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 32.00 32.00 32.00 38.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. ►DLI 6 Health Centers reporting HMIS data in time (restructured -DLI- 5a) (Process, 7,770,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A 6/28/2019 Page 13 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Value 68.00 84.00 84.00 86.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2012 HMIS Data Quality Assessment (DQA) Report, previous data from 2014 HMIS DQA Comments and current data from 2018 SARA report. ►DLI 7 Development and implementation of Annual Rapid Facility Assessment (restructured-DLI- 7c) (Process, 10,950,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No Yes Yes Yes Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2012 Services Availability and Readiness Assessment (SARA) report, previous data from Comments 2014 SPA+/SARA report and data for the current from 2018 SARA report. ►DLI 8 Transparency of PFSA procurement process (scaled - DLI 8c) (Process, 10.86, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No No No No Date 31-Mar-2013 24-Apr-2019 24-Apr-2019 -- Data source: Independent verification report, June 2016. MOH missed the disbursement for 2018 as the Comments verification report was not submitted timely. ►DLI 9 Introduction of Procurement Key Performance Indicators developed by Federal Public Procurement Agency at PFSA (New DLI- 9(1)) (Process, 2,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No No No Yes Date -- 24-Apr-2019 24-Apr-2019 -- Per the MOH’s implementation support mission report, the KPI is developed and included in HCMIS KPI Comments dashboard. Verification report of independent consultant has yet to be submitted. ►DLI 10 Automate the PFSA Core Business Fiduciary System using selected software in PFSA HQ and Addis Ababa City (New_ DLI- 9(2) ) (Process, 7,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No No No Yes Date -- 24-Apr-2019 24-Apr-2019 -- Comments The target for this DLI signing a contract with vendor for automation of core business fiduciary system software installation has been delayed. Contract has been prepared but yet to be signed. 6/28/2019 Page 14 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►DLI 11 PFSA submission of Backlog audit reports and timely quality audit reports thereafter (New - DLI 9(3) ) (Process, 6,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No Yes Yes Yes Date -- 24-Apr-2019 24-Apr-2019 -- Data Source: Audit Services Corporation Report, December 31, 2018 Comments ►DLI 12 Percent of children 6-59 months receiving Vitamin A supplements (New- DLI -10a) (Intermediate Outcome, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 45.00 45.00 45.00 53.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. ►DLI 13 Percent of Wordas in non-emerging Regions delivering Vitamin A Supplements to children through routine system – Health Facilities (New- DLI-10b) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 48.00 69.00 69.00 80.00 Date -- 24-Apr-2019 24-Apr-2019 -- Data source: Nutrition Data Verification Joint Review Mission, December 2018. Comments ►DLI 14 Percent of Pregnant women taking Iron Folic Acid (IFA) tablets (New- DLI- 11) (Intermediate Outcome, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 17.00 42.10 42.10 25.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2016 Ethiopia Demographic Health Survey (EDHS) Report. Update to be provided by Comments 2019 Mini-DHS. ►DLI 15 Percent of Children 0- 23 month participating in GMP (New DLI-12a) (Process, 15,000,000.00, 0%) 6/28/2019 Page 15 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Baseline Actual (Previous) Actual (Current) N/A Value 27.00 33.00 33.00 51.00 Date -- 24-Apr-2019 24-Apr-2019 -- Data source: Nutrition Data Verification Joint Review Mission, December 2018. Comments ►DLI 16 Percent of Woredas in emerging Regions transitioning from EOS to Community Health Days- CHD (NewDLI- 12b) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 0.00 26.00 26.00 50.00 Date -- 24-Apr-2019 24-Apr-2019 -- Data source: Nutrition Data Verification Joint Review Mission, December 2018. Comments ►DLI 17 Percent of PHC Facilities having all drug from the MOH list of drug available(New- DLI DLI-13(1)) (Process, 7,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 42.00 45.00 45.00 47.00 Date -- 24-Apr-2019 24-Apr-2019 -- Baseline data from 2018 Services Availability and Readiness Assessment (SARA) report. Result will be Comments verified by SARA 2020. ►DLI 18 Developed and Implement postnatal Care Service directive to improve the quality of Postnatal services (New- DLI- 13(2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No Yes Yes Yes Date -- 24-Apr-2019 24-Apr-2019 -- Source: Postnatal care directive developed on August 5, 2017 and verified by Partners. Comments ►DLI 19 Improve quality of adolescent services (New- DLI 13(3)) (Process, 6,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No Yes Yes Yes Date -- 24-Apr-2019 24-Apr-2019 -- Source: Adolescent and Youth Health National Strategy endorsed on July 16, 2017 and verified by Partners. Comments 6/28/2019 Page 16 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►DLI 20 Percent of Woreda with Functional Community Health Insurance Schemes (New- DLI-14 (1)) (Process, 19,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 20.50 27.10 27.10 50.50 Date -- 24-Apr-2019 24-Apr-2019 -- The target for FY18 was a 20 percentage points increase from the baseline of 205 functional CBHI (out of 1,000 woredas). The 2018 results report 271 woredas with functional CBHI. This is a 7 percentage point Comments increase from baseline. Source: ►DLI 21 Undertake CBHI review every two Years (New- 14- (2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value Yes Yes Yes Yes Date -- 24-Apr-2019 24-Apr-2019 -- EHIA: EHIA joint review mission report, December 2017 and verified by implementing partners. Comments ►DLI 22 Devise and implement a mechanism for documenting consultations when communal Private land is used for construction of health facilities (New- DLI-15(1)) (Process, 4,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No No No Yes Date -- 24-Apr-2019 24-Apr-2019 -- Checklist/devised mechanism was submitted for documenting the consultations when the communal/private land is used for construction of health facilities by MOH, December 2018. However, the checklist/devised Comments mechanism is yet to be verified. ►DLI 23 Development and implementation of health sector community score card(New- DLI- 15(2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value No No No Yes Date -- 24-Apr-2019 24-Apr-2019 -- Community Score Card pilot has been developed and is being implemented by the MOH has not submitted Comments any documentation as evidence for achieving the result. 6/28/2019 Page 17 of 17