Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Health Service Delivery & System Support Project (P153064) AFRICA | Sierra Leone | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 3 | ARCHIVED on 12-Oct-2017 | ISR29126 | Implementing Agencies: Ministry of Finance and Economic Development, Ministry of Health and Sanitation Key Dates Key Project Dates Bank Approval Date:23-Jun-2016 Effectiveness Date:02-Nov-2016 Planned Mid Term Review Date:29-Jun-2018 Actual Mid-Term Review Date:-- Original Closing Date:30-Sep-2019 Revised Closing Date:30-Sep-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) of the Health Service Delivery and System Support Project is to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured)PHRPDODEL The project development objective (PDO) of the Health Service Delivery and System Support Project is to (a) increase the utilization and improve the quality of essential maternal and child health services; and (b) in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Components Name Health Service Delivery:(Cost $11.10 M) Health System Support:(Cost $4.40 M) Contingency Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory 10/12/2017 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Overall Risk Rating  Substantial  Substantial Implementation Status and Key Decisions The Government has fulfilled all project effectiveness conditions and the project became effective on November 2, 2016. The project was successfully launched during January 9-23, 2017 mission. Ministry of Health and Sanitation has demonstrated a strong ownership over the Project. The Project Designated Account has been opened and Disbursement under Project has started. The first year work plan has been finalized. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Moderate  Moderate  Moderate Macroeconomic  Substantial  Substantial  Substantial Sector Strategies and Policies  Moderate  Moderate  Substantial Technical Design of Project or Program  Substantial  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  Substantial  Substantial  Substantial Fiduciary  Substantial  Substantial  Substantial Environment and Social  Moderate  Moderate  Moderate Stakeholders  Moderate  Moderate  Moderate Other  --  --  -- Overall  Substantial  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Percentage of pregnant women attended 4 or more times by any health personnel (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 78.90 97.20 90.90 91.00 Date 31-Dec-2013 23-Mar-2017 30-Jun-2017 30-Sep-2019 10/12/2017 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) PHINDPDOTBL  percentage of maternal deaths reviewed, among suspected maternal deaths (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 69.00 60.00 PHINDPDOTBL  Percentage of births attended by skilled health personnel (doctors, midwives, nurses and MCH Assistants) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 72.40 89.20 57.70 83.00 Date 31-Dec-2013 20-Jan-2017 30-Jun-2017 30-Sep-2019 PHINDPDOTBL  percentage of CHWs rated as good performer by their communities (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 70.00 PHINDPDOTBL  Percentage of pregnant women receiving Tetanus Toxoid (TT) 2 or more times (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 89.30 91.00 100.00 96.00 Date 31-Dec-2013 20-Jan-2017 30-Jun-2017 30-Sep-2019 PHINDPDOTBL  percentage of routine HMIS reporting units submitting complete reports according to national guidelines (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 -- 98.50 80.00 10/12/2017 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) PHINDPDOTBL  percentage of routine HMIS reporting units submitting timely reports according to national guidelines (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 -- 91.10 80.00 PHINDPDOTBL  Percentage of children (0-11 months) fully vaccinated (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 86.50 -- 66.30 93.00 Date 31-Dec-2013 -- 30-Jun-2017 30-Sep-2019 PHINDPDOTBL  Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6,190,280.00 -- 7,092,113.00 6,756,831.00 Date 31-Dec-2013 -- 30-Jun-2017 30-Sep-2019 PHINDPDOTBL  percentage of hard to reach communities with at least one active CHW present (Percentage, Custom Supplement) 10/12/2017 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Baseline Actual (Previous) Actual (Current) End Target Value 37.00 -- 37.00 45.00 PHINDPDOTBL  percentage of households safely storing adn handling drinking water (inspected) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 4.50 -- 4.50 10.00 PHINDPDOTBL  number of outpatient visits per 10,000 population (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 5,709.00 -- 1,533.00 6,000.00 Overall Comments The definition of the different indicators needs to be standardized. This issue will be dealt with in the next ISR. Intermediate Results Indicators PHINDIRITBL  Percentage of hard-to-reach communities with at least one active CHW present (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 37.00 37.00 37.00 90.00 Date 31-Oct-2015 27-Jan-2017 27-Jan-2017 30-Sep-2019 10/12/2017 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) PHINDIRITBL  Percentage of households safely storing & handling drinking water (inspected population) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.30 -- 4.30 30.00 Date 31-Dec-2013 -- 27-Jan-2017 30-Sep-2019 PHINDIRITBL  Number of outpatient visits per 10,000 population (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5,709.00 5,031.00 5,031.00 6,950.00 Date 31-Dec-2013 27-Jan-2017 27-Jan-2017 30-Sep-2019 PHINDIRITBL  Percentage of CHWs rated as "good performer" by their community (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 31-Dec-2013 -- 27-Jan-2017 31-Dec-2019 PHINDIRITBL  Student Intakes: Clinical Specialization (including Surgery, Pediatrics, Internal Medicine, Obstetrics and Gynecology, Family Medicine (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 -- 3.00 14.00 Date 31-Dec-2013 -- 27-Jan-2017 30-Sep-2019 10/12/2017 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) PHINDIRITBL  Student Intakes: Midwives (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 120.00 120.00 120.00 PHINDIRITBL  Percentage of routine/HMIS reporting units submitting timely and complete reports according to national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 75.00 93.80 93.80 95.00 Date 31-Dec-2015 27-Jan-2017 27-Jan-2017 30-Sep-2019 PHINDIRITBL  Percentage of maternal deaths reviewed among suspected maternal deaths (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 94.00 94.00 90.00 Date 31-Dec-2013 27-Jan-2017 27-Jan-2017 30-Sep-2019 PHINDIRITBL  Percentage of SLA applications approved (or recommended for resubmission) within 6 weeks from the date of submission (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 100.00 100.00 Date 31-Dec-2013 -- 27-Jan-2017 30-Sep-2019 Overall Comments 10/12/2017 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P153064 IDA-58460 Effective USD 10.00 10.00 0.00 0.50 9.46 5% P153064 TF-A2598 Effective USD 5.50 5.50 0.00 0.50 5.00 9% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P153064 IDA-58460 Effective 23-Jun-2016 04-Aug-2016 02-Nov-2016 30-Sep-2019 30-Sep-2019 P153064 TF-A2598 Effective 23-Jun-2016 04-Aug-2016 02-Nov-2016 30-Sep-2019 30-Sep-2019 Cumulative Disbursements Restructuring History There has been no restructuring to date. 10/12/2017 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Service Delivery & System Support Project (P153064) Related Project(s) There are no related projects. 10/12/2017 Page 9 of 9 Public Disclosure Copy