The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Strengthening Primary Health Care and Surveillance in Haiti (P167512) LATIN AMERICA AND CARIBBEAN | Haiti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 1 | ARCHIVED on 03-Sep-2019 | ISR37997 | Implementing Agencies: Ministère de la Santé Publique et de la Population, Republic of Haiti Key Dates Key Project Dates Bank Approval Date: 16-May-2019 Effectiveness Date: Planned Mid Term Review Date: 16-May-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO of the proposed Project is to: (i) increase utilization of primary health care services in selected geographical areas; and (ii) strengthen surveillance capacity especially for cholera. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Primary Health Care Service Delivery:(Cost $44.00 M) Strengthening Surveillance and Control for Infectious Diseases:(Cost $22.00 M) Supporting Project Management and Implementation Support:(Cost $4.00 M) Contingent Emergency Response Component Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Project was declared Effective on August 28, 2019. 9/3/2019 Page 1 of 6 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) 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 Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Sustainability Substantial -- Substantial Fiduciary High -- High Environment and Social Moderate -- Moderate Stakeholders Moderate -- Moderate Other Substantial -- Substantial Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Increase utilization of primary health care services in selected geographical areas IN00727161 ►Percentage of children aged between 12 and 23 months fully vaccinated in Project intervention areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.30 -- 45.30 51.00 Date 30-Jun-2018 -- 30-Jun-2018 31-Dec-2024 Number of children aged 12-23 months who received immunization for BCG, Polio, Rotavirus, DTC3 Comments: and/or Pentavalent and Measles appropriate for their age in Project interventions areas. IN00727163 ►Percentage of institutional deliveries in Project intervention areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 38.20 -- 38.20 44.00 Date 30-Jun-2018 -- 30-Jun-2018 31-Dec-2024 Comments: Number of institutional deliveries in Project intervention areas. Strengthen surveillance capacity especially for cholera IN00727162 9/3/2019 Page 2 of 6 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) ►Percentage of notifications of suspected cases of cholera for which laboratory results are available to the Health Departmental Directorates (DDSs) within 10 days of collection (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 -- 45.00 70.00 Date 24-Nov-2018 -- 01-Jun-2019 31-Dec-2024 Numerator: number of laboratory results for suspected cases of cholera that are available to the DDSs Comments: within 10 days after collection from patient. Denominator: Number of notifications of suspected cases of Cholera in all departments. Intermediate Results Indicators by Components Component 1: Strengthening Primary Health Care Service Delivery IN00727164 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 828,000.00 Date 01-Jun-2019 -- 01-Jun-2019 31-Dec-2024 IN00727167 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 -- 0.00 79,000.00 IN00727169 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 260,000.00 Date 01-Jun-2019 -- 01-Jun-2019 31-Dec-2024 IN00727170 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 500,000.00 Date 01-Jun-2019 -- 01-Jun-2019 31-Dec-2024 IN00727171 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 68,000.00 Date 01-Jun-2019 -- 01-Jun-2019 31-Dec-2024 IN00727172 ►Contracted service providers achieving the minimum quality score (Percentage, Custom) 9/3/2019 Page 3 of 6 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Baseline Actual (Previous) Actual (Current) End Target Value 71.00 -- 71.00 78.00 Date 30-Jun-2018 -- 30-Jun-2018 31-Dec-2024 Numerator: Number of contracted service providers in Project intervention areas having achieved at least 60 percent during the quality scorecard assessment undertaken by the external verification entity. The quality scorecard includes a number of indicators, for example: properly organized patient files, public Comments: posting of fees for services and source and uses of facility financing, cleanliness of facilities and management of medical waste and others. Denominator: Number of contracted service providers in Project intervention areas. IN00727173 ►Number of health facilities undergoing rehabilitation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 55.00 Date 30-Jun-2019 -- 01-Jun-2019 31-Dec-2024 Comments: Number of HFs rehabilitated by the Project. IN00727174 ►Contracted health providers supervised at least quarterly - maintained at 100 percent (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 -- 100.00 100.00 Date 30-Jun-2018 -- 30-Jun-2018 31-Dec-2024 Numerator: Number of contracted health providers that have received a supervisory visit by the Comments: departmental health authorities at least quarterly. Denominator: Number of contracted health providers. IN00727175 ►Citizen Engagement: percentage of facilities under RBF that developed an action plan(s) based on the results of community satisfaction surveys (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 01-Jun-2019 -- 01-Jun-2019 31-Dec-2024 Numerator: Number of HFs under the RBF Program that developed an action plan based on the results of Comments: community satisfaction surveys. Denominator: Number of HFs under RBF Program. Component 2: Strengthening Surveillance and Control for Infectious Diseases IN00727165 ►Percentage of suspected cases of diphtheria investigated and responded to within 48h after notification (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 72.00 -- 72.00 90.00 Date 30-Jun-2019 -- 30-Jun-2019 31-Dec-2024 Numerator : Number of suspected cases of diphtheria investigated and responded to within 48h after first Comments: notification (first point of notification: HF, CHW or any MSPP personnel/entity). Denominator : Number of suspected cases of diphtheria notified. IN00727166 9/3/2019 Page 4 of 6 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) ►Percentage of suspected cases of measles investigated within 48h after notification (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 77.00 -- 77.00 85.00 Date 28-Jun-2019 -- 28-Jun-2019 31-Dec-2024 Numerator : Number of suspected cases of measles investigated within 48h after notification (first point of Comments: notification: HF, CHW or any MSPP personnel/entity). Denominator : Number of suspected cases of measles notified. IN00727168 ►Percentage of notified maternal deaths investigated per year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 28-Jun-2019 -- 28-Jun-2019 31-Dec-2024 Numerator: Number of reports of maternal deaths investigated per year based (based on Investigation Comments: Form of DELR). Denominator: Number of notified maternal deaths. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P167512 IDA-D4670 USD 55.00 55.00 0.00 0.00 54.94 0% Effective Not P167512 TF-B0067 USD 15.00 15.00 0.00 0.00 15.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P167512 IDA-D4670 16-May-2019 05-Jun-2019 -- 31-Dec-2024 31-Dec-2024 Effective Not P167512 TF-B0067 16-May-2019 -- -- 31-Dec-2024 31-Dec-2024 Effective Cumulative Disbursements 9/3/2019 Page 5 of 6 The World Bank Implementation Status & Results Report Strengthening Primary Health Care and Surveillance in Haiti (P167512) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 9/3/2019 Page 6 of 6