The World Bank Report No: ISR14450 Implementation Status & Results India Accelerating Universal Access to Early and Effective Tuberculosis Care (P148604) Public Disclosure Copy Operation Name: Accelerating Universal Access to Early and Effective Project Stage: Implementation Seq.No: 1 Status: ARCHIVED Archive Date: 04-Aug-2014 Tuberculosis Care (P148604) Country: India Approval FY: 2014 Product Line: IBRD/IDA Region: SOUTH ASIA Lending Instrument: Investment Project Financing Implementing Agency(ies): Ministry of Health and Family Welfare Key Dates Board Approval Date 08-Apr-2014 Original Closing Date 31-Mar-2017 Planned Mid Term Review Date 31-Mar-2015 Last Archived ISR Date Effectiveness Date 26-Jun-2014 Revised Closing Date 31-Mar-2017 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) To support the aims of India's National Strategic Plan for Tuberculosis Control to expand the provision and utilization of quality diagnosis and treatment services for people suffering from tuberculosis. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost 1. New strategies to reach more tuberculosis patients with earlier and more effective care in the public 46.00 and private sectors 2. Scale-up and improve diagnosis and treatment of drug-resistant tuberculosis 218.00 3. Expand public tuberculosis services integrated with the primary health care system 268.00 Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Satisfactory Overall Risk Rating Moderate Implementation Status Overview On April 8, 2014, an IDA credit of US$ 100 million was approved by the World Bank Board of Executive Directors for “Accelerating Universal Access to Early and Effective Tuberculosis Care” in support of India’s National Strategic Plan for Tuberculosis (TB) Control. After recent national elections, the financing agreement was signed on May 30, 2014, and the credit became effective on June 26, 2014. This is the third in a series of projects supporting India's Revised National TB Control Program (RNTCP) since 1998. The World Page 1 of 7 The World Bank Report No: ISR14450 Bank's policy and implementation dialogue with India's TB program have continued since closure of the previous project in September 2012, with a focus on multi-drug resistant TB (MDR-TB) and engagement with private sector health care providers. Public Disclosure Copy Locations Country First Administrative Division Location Planned Actual India Bengal State of West Bengal ✔ India Uttar Pradesh State of Uttar Pradesh ✔ India Tripura State of Tripura ✔ India Tamil Nadu State of Tamil Nadu ✔ India Sikkim State of Sikkim ✔ India Rajasthan State of Rajasthan ✔ India Punjab State of Punjab ✔ India Pondicherry Union Territory of Puducherry ✔ India Orissa State of Odisha ✔ India Nagaland State of Nagaland ✔ India Mizoram State of Mizoram ✔ India Meghalaya State of Meghalaya ✔ India Manipur State of Manipur ✔ India Maharashtra State of Maharashtra ✔ India Madhya Pradesh State of Madhya Pradesh ✔ India Laccadives Union Territory of Lakshadweep ✔ Public Disclosure Copy India Kerala State of Kerala ✔ India Karnataka State of Karnataka ✔ India Kashmir State of Jammu and Kashmir ✔ India Himachal Pradesh State of Himachal Pradesh ✔ India Haryana State of Haryana ✔ India Gujarat State of Gujarat ✔ Page 2 of 7 The World Bank Report No: ISR14450 Country First Administrative Division Location Planned Actual India Daman and Diu Union Territory of Daman and Diu ✔ Public Disclosure Copy India Goa State of Goa ✔ India NCT National Capital Territory of Delhi ✔ India Dadra and Nagar Haveli Union Territory of Dadra and Nagar Haveli ✔ India Chandigarh Union Territory of Chandigarh ✔ India Bihar State of Bihar ✔ India Assam State of Assam ✔ India Arunachal Pradesh State of Arunachal Pradesh ✔ India Andhra Pradesh State of Andhra Pradesh ✔ India Andaman and Nicobar Islands Union Territory of Andaman and Nicobar ✔ Islands India Chhattisgarh State of Chhattisgarh ✔ India Jharkhand State of Jharkhand ✔ India Uttarakhand State of Uttarakhand ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Direct project beneficiaries Number Value 0.00 345332.00 3100000.00 Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 Comments Public Disclosure Copy Annual number of TB cases This figure is for Jan-Mar TB cases notified to RNTCP, notified to RNTCP in 2012 2014. (Annual number of TB cumulative since January 1, was 1.45 million cases notified to RNTCP in 2014 2013: 1,416,014) Female beneficiaries Percentage Value 33.00 33.00 37.00 Sub Type Supplemental Page 3 of 7 The World Bank Report No: ISR14450 People receiving tuberculosis treatment in Number Value 0.00 345332.00 3100000.00 accordance with the WHO-recommended Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 “Directly Observed Treatment Comments Annual number of TB cases This figure is for Jan-Mar TB cases notified to RNTCP, Strategy” (DOTS) (number) Public Disclosure Copy notified to RNTCP in 2012 2014. (Annual number of TB cumulative since January 1, was 1.45 million cases notified to RNTCP in 2014 2013: 1,416,014) of which female Number Value 0.00 113960.00 1120000.00 Sub Type Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 Breakdown Comments This figure is for Jan-Mar cumulative since January 1, 2014. 2014 - 467,284 females amongst a total of 1,416,014 persons received WHO recommended DOTS treatment in 2013 - Of 345,332 persons receiving recommended DOTS treatment in Q1 (Jan- Mar 2014), 113,960 were female. TB patients receiving care in the private sector Number Value 40000.00 10826.00 100000.00 notified to the government Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Comments Annual 2012 This figure is for Jan-Mar Annual 2014. (Annual data for 2013: 38,596) of which female Number Value 13200.00 3572.00 37000.00 Sub Type Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Breakdown Comments Annual 2012 This figure is for Jan-Mar Annual 2014. (Annual data for 2013: 12,736) Drug-resistant TB patients who have initiated Number Value 25000.00 5716.00 40000.00 treatment Public Disclosure Copy Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Comments Annual 2012 This figure is for Jan-Mar Annual 2014. (Annual data for 2013: 20,763) of which female Number Value 6000.00 1294.00 11000.00 Sub Type Date 31-Dec-2012 31-Dec-2013 31-Mar-2016 Breakdown Comments Annual 2012 This figure is for Jan-Mar Annual 2014. (Annual data for 2013: 5,190) Page 4 of 7 The World Bank Report No: ISR14450 TB suspects and patients who have received Number Value 130244.00 46338.00 175000.00 drug-sensitivity testing (DST) Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Comments Annual 2012 This figure is for Jan-Mar Annual Public Disclosure Copy 2014. (Annual data for 2013: 181,021) Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Public-private interface agencies (PPIA) Number Value 0.00 0.00 4.00 contracted Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 Comments Cumulative since January 1, 2014 Intensified case-finding programs implemented Number Value 0.00 0.00 14.00 among high-risk populations in urban areas Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 Comments Cumulative since January 1, 2014 TB Units using information system for case Number Value 0.00 0.00 5900.00 notification and patient monitoring Date 01-Jan-2014 31-Mar-2014 31-Mar-2016 Comments Cumulative since January 1, 2014 TB service providers receiving payments Percentage Value 0.00 0.00 5.00 through electronic transfer Date 31-Dec-2013 31-Mar-2014 31-Mar-2016 Comments Annual Annual Districts with drug susceptibility testing (DST) Number Value 70.00 163.00 370.00 capacity located in the district Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Comments Baseline number of districts Cumulative number of districts by project end Analysis of socio-economic profile of drug- Yes/No Value No No Yes Public Disclosure Copy sensitive and drug-resistant TB patients Date 31-Dec-2013 31-Mar-2014 31-Mar-2016 completed Comments Drug-resistant TB patients who have Percentage Value 48.00 48.00 56.00 completed treatment Date 31-Dec-2012 31-Dec-2013 31-Mar-2016 Comments Annual 2012 Annual 2013 Annual Block-level health administrations with TB Units Number Value 2700.00 3413.00 5900.00 integrated Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Page 5 of 7 The World Bank Report No: ISR14450 Comments Baseline number of TB Units Cumulative number of block level health administrators integrated with TB units by project end Public Disclosure Copy Months between start of financial year and Number Value 5.00 5.00 3.00 release to the states of funds for TB program Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 implementation (average) Comments Annual 2012 Annual Pediatric TB cases initiated on treatment in the Number Value 81000.00 13620.00 90000.00 public sector Date 31-Dec-2012 31-Mar-2014 31-Mar-2016 Comments Annual 2012 This figure is for Jan-Mar Annual 2014. (Annual Data for 2013: 63,919) Data on Financial Performance (as of 15-Jul-2014) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P148604 IDA-53760 Effective 08-Apr-2014 30-May-2014 26-Jun-2014 31-Mar-2017 31-Mar-2017 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P148604 IDA-53760 Effective XDR 65.00 65.00 0.00 0.00 65.00 0.00 Disbursement Graph Public Disclosure Copy Page 6 of 7 The World Bank Report No: ISR14450 Public Disclosure Copy Key Decisions Regarding Implementation No decisions for disclosure Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 7 of 7