The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Mali - Accelerating Progress Towards Universal Health Coverage (P165534) AFRICA | Mali | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 2 | ARCHIVED on 05-Dec-2019 | ISR39233 | Implementing Agencies: Ministère de la Santé, Republic of Mali Key Dates Key Project Dates Bank Approval Date: 19-Mar-2019 Effectiveness Date: -- Planned Mid Term Review Date: 06-Dec-2021 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 objective of the project is to improve the utilization and quality of reproductive, maternal, neonatal, child, adolescent health and nutrition services, especially among the poorest households, in targeted areas. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Health Service Delivery through Performance Based Financing:(Cost $67.40 M) Strengthening Community Health Activities:(Cost $13.00 M) Strengthening Stewardship for Improved Health System Performance:(Cost $9.00 M) Contingent Emergency Response (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO ►Satisfactory ►Satisfactory Overall Implementation Progress (IP) ►Satisfactory ►Moderately Satisfactory Overall Risk Rating ►Substantial ►Substantial Implementation Status and Key Decisions 12/5/2019 Page 1 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Project Preparation Advance (PPA): The PPA Letter Agreement with Mali was signed on August 1, 2018 for an amount of US$2 million to finance the project preparation activities. It covers procurement of goods and equipment for most activities and includes the establishment of the PIU, as well as preparation of the PIM. The original PPA Refinancing Date was February 15, 2019. It was extended a first time to September 30, 2019. To comply with effectiveness conditions in order to declare effectiveness shortly, the Refinancing Date of the PPA has been extended, for the second time, to December 28, 2019, which will coincide with the Project Effectiveness Deadline. To date, the total amount spent on the PPA is US$518,000. By the end of December, the undisbursed amount will be returned to the IDA resources which will cover the activities initially planned. STOCKTAKING: The project has reported 0 Occupational Health and Safety (OHS) incidents since its start on March 19, 2019. RECENT EVENTS: During this ISR reporting period, the Task Team checked with all PIUs and relevant contractors and consultants if any OHS incidents occurred. The mission found no new incidents occurred. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance ►High ►High ►High 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 ►Substantial ►Substantial ►Substantial Fiduciary ►Substantial ►Substantial ►Substantial Environment and Social ►Moderate ►Moderate ►Moderate Stakeholders ►Moderate ►Moderate ►Moderate Other ►High ►High ►High Overall ►Substantial ►Substantial ►Substantial Results PDO Indicators by Objectives / Outcomes Increased utilization of maternal, child, neonatal, and adolescent services IN00764485 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target 12/5/2019 Page 2 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Value 0.00 0.00 0.00 3,300,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 IN00764538 ►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 0.00 710,000.00 IN00764539 ►Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 IN00764540 ►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 0.00 1,400,000.00 Date 01-Dec-2012 30-Apr-2019 31-Oct-2019 31-Dec-2023 IN00764541 ►Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 225,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 IN00764542 ►Percentage of girls, aged 15-19, who are currently using any method of contraception. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.80 5.80 5.80 20.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of girls, aged 15-19 who are currently using any method of contraception. Improve the quality of health services in targeted areas. IN00764484 ►Percentage of pregnant women receiving at least 4 antenatal care visits from health provider (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 13.30 13.30 13.30 25.00 12/5/2019 Page 3 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of pregnant women receiving at least 4 antenatal care visits from health provider in 14 targeted health districts. IN00764537 ►Average score of the quality of care checklist (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Dec-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Average of the quarterly quality score (%) of all the PBF facilities. Increased utilization of essential health services among the poorest households. IN00764536 ►Number of RAMED beneficiary households receiving free care for essential health services. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 30,000.00 30,000.00 30,000.00 60,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Number of RAMED beneficiary households receiving free care for essential health services in the targeted health districts. Intermediate Results Indicators by Components Strengthening Health Service Delivery through Performance Based Financing at Facility Level IN00764543 ►Health facilities receiving PBF grants on time. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of targeted health facilities receiving PBF grants on time. IN00764546 ►Percentage of new curative consultations per capita/year. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.20 0.20 0.20 0.40 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: New curative consultations per capita/year. IN00764549 12/5/2019 Page 4 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) ►Percentage of facilities with 100% tracer drugs available in targeted health facilities on the day of the visit. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of facilities with 100% tracer drugs available in targeted health facilities on the day of the visit. IN00764552 ►Percentage of health facilities benefiting from quarterly technical supervision visits by district health services (ECD). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 80.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of health facilities benefiting from quarterly technical supervision visits by district health services (ECD). IN00764555 ►Number of CHWs benefiting from dedicated supervision. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Number of CHWs benefiting from dedicated supervision. IN00764556 ►Percentage of beneficiaries satisfied with quality of services provided in health facilities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Beneficiaries satisfied with quality of services provided in health facilities (%). Numerator: number of health facility users Comments: (over past 12 months) satisfied with the quality of services provided in health facility Denominator: number of health facility users (over past 12 months) Strengthening Community Health Activities IN00764544 ►Number of households receiving proactive CHW visits. (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 750.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Number of households receiving proactive CHW visits. IN00764547 12/5/2019 Page 5 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) ►Percentage of children under 5 with confirmed malaria who received antimalarial treatment within 24 hours of symptom onset. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Percentage of children under 5 with confirmed malaria who received antimalarial treatment within 24 hours of symptom Comments: onset. IN00764550 ►Number of Couple-Year Protections (CYP) reached through project interventions. (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,000.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 A couple year of protection (CYP) measures the estimated protection provided by family planning services during a one- year period, based upon the volume of all contraceptives sold or distributed to beneficiaries during that period. CYP is Comments: calculated by multiplying the quantity of each method distributed to clients by a standard conversion factor (which estimates the duration of contraceptive protection provided per unit of that method) to yield an estimate of the duration of protection provided by that method. CYP for each method is then summed for all methods to obtain a total CYP figure. IN00764553 ►Percentage of children aged 6-59 months screened by community health workers for acute malnutrition. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 90.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of children aged 6-59 months screened by community health workers for acute malnutrition. Institutional strengthening for improved stewardship and health system performance IN00764545 ►Completion rate of health facilities DHIS2 reports. (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 50.00 50.00 90.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Completion rate of health facilities DHIS2 reports in targeted districts. Numerator: number of health facilities under PBF Comments: contract reporting complete DHIS2 reports in targeted districts. Denominator: total number of health facilities under PBF contract in targeted districts. IN00764548 ►Percentage of maternal and child deaths with determined cause of death (CoD). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 12/5/2019 Page 6 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Percentage of maternal and child deaths with determined cause of death (CoD). Numerator: Number of maternal and child Comments: deaths with cause of death (CoD). Denominator: Total number of maternal and child deaths reported. IN00764551 ►Number of private health facilities assessed for accreditation by MoH. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 250.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Number of private health facilities assessed for accreditation by MoH. IN00764554 ►Percentage of health facilities producing annual micro-plans validated by district health services (ECD). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 95.00 Date 31-Oct-2018 30-Apr-2019 31-Oct-2019 07-Dec-2023 Comments: Percentage of health facilities producing annual micro-plans validated by district health services (ECD) in targeted districts. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P165534 IDA-D4420 USD 50.00 50.00 0.00 0.00 48.85 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P165534 IDA-D4420 19-Mar-2019 31-May-2019 -- 31-Dec-2023 31-Dec-2023 Effective Cumulative Disbursements 12/5/2019 Page 7 of 8 The World Bank Implementation Status & Results Report Mali - Accelerating Progress Towards Universal Health Coverage (P165534) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/5/2019 Page 8 of 8