The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) AFRICA | Guinea | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 7 | ARCHIVED on 20-Dec-2018 | ISR35116 | Implementing Agencies: The Republic of Guinea, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 20-May-2015 Effectiveness Date: 30-Dec-2015 Planned Mid Term Review Date: 18-Feb-2019 Actual Mid-Term Review Date: -- Original Closing Date: 30-Sep-2020 Revised Closing Date: 30-Sep-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the proposed project is to: Improve the utilization of maternal, child health and nutrition services at the primary level of care in target regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Commodities and trained human resources for MCHN services at primary level:(Cost $6.00 M) Component 2: Strengthen community-level demand for MCHN services:(Cost $4.00 M) Component 3: Strengthen government capacity to plan, implement, monitor and supervise activities:(Cost $5.00 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 Project implementation continues to progress well. Key advances were made in the recruitment and deployment of primary and community level health workers, identification of - and support to - the indigent poor, the strengthening of local capacity to improve supervision, and the strengthening of data quality and evidence to monitor project impact. Advancements in these areas, including the upcoming scale up of medicines and supplies at the health center level, is continuing to improve the lives of women and children, in particularly those in remote areas, in the regions Faranah and Labe. 12/20/2018 Page 1 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Substantial Substantial 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 Low Low Low Stakeholders Low Low Low Other High High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the utilization of maternal, child health and nutrition services at the primary level IN00592547 ►Births (deliveries) attended by skilled health personnel (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27,227.00 29,250.00 44,282.00 51,161.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592548 ►Percentage of Children (0-11months) Fully Vaccinated (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 57.00 55.00 66.00 65.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592549 ►Percentage of pregnant women receiving at least 4 Antenatal care visits from health provider (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/20/2018 Page 2 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Value 47.00 49.00 55.00 55.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592550 ►Number of children under 5 with confirmed malaria who received antimalarial treatment (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50,610.00 61,740.00 83,712.00 73,800.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592551 ►Percentage of Children (0-1year) receiving Vitamin A supplementation every 6 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 15.00 60.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592552 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 336,455.00 349,988.00 930,456.00 Date 30-Dec-2016 30-Jun-2017 21-Nov-2018 30-Sep-2020 IN00592561 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.00 75.00 75.00 Intermediate Results Indicators by Components Component 1: Commodities and trained human resources for MCHN services at primary level IN00592483 ►percentage stock outs of tracer drugs in health center (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 41.00 46.00 47.00 10.00 Date 30-Dec-2016 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592484 ►Number of new health workers recruited and in service at health centers and posts (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 207.00 207.00 450.00 12/20/2018 Page 3 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592485 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 718.00 925.00 1,350.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592546 ►Health Centers offering Integrated Management of Childhood illnesses (percent) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 30.00 80.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00651453 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 142,340.00 176,221.00 Date 07-May-2015 -- 21-Nov-2018 30-Sep-2020 IN00651454 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 84,742.00 73,899.00 Date 07-May-2015 -- 21-Nov-2018 30-Sep-2020 IN00651455 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 13,370.00 51,161.00 Date 07-May-2015 -- 21-Nov-2018 30-Sep-2020 IN00651471 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 44,228.00 51,161.00 Date 07-May-2015 -- 21-Nov-2018 30-Sep-2020 Component 2: Strengthen community-level demand for MCHN services IN00592553 ►Number of new indigents covered under exemption mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/20/2018 Page 4 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Value 0.00 0.00 0.00 50,000.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592554 ►Percentage of indigents satisfied with exemption mechanisms (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592555 ►Number of newly trained community health workers engaged in health promotion and basic service delivery (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 530.00 530.00 530.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 Component 3: Strengthen government capacity to plan, implement, monitor and supervise activities IN00592556 ►Percent of health facilities and posts assessed monthly (by district team) meeting minimum checklist score (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 50.00 70.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592557 ►Percent of community workers and health workers at health center that receive monthly supportive supervision (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.00 35.00 70.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592558 ►Standardized MNCH District training program developed and implemented (Y/N) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592559 ►Work Plan Budget execution Rate (percent) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 36.00 60.00 83.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 IN00592560 12/20/2018 Page 5 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) ►Health facilities reporting health management data on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 99.00 99.00 100.00 Date 13-Aug-2015 29-Dec-2017 21-Nov-2018 30-Sep-2020 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P147758 IDA-56570 Effective USD 8.30 8.30 0.00 4.78 3.74 56% P147758 IDA-D0690 Effective USD 6.80 6.80 0.00 3.54 3.44 51% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147758 IDA-56570 Effective 20-May-2015 26-Jun-2015 30-Dec-2015 30-Sep-2020 30-Sep-2020 P147758 IDA-D0690 Effective 20-May-2015 26-Jun-2015 30-Dec-2015 30-Sep-2020 30-Sep-2020 Cumulative Disbursements 12/20/2018 Page 6 of 7 The World Bank Implementation Status & Results Report GN PRIMARY HEALTH SERVICES IMPROVEMENT PROJECT (P147758) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/20/2018 Page 7 of 7