The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Polio Eradication Support Project (P130865) AFRICA | Nigeria | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 14 | ARCHIVED on 07-Jun-2019 | ISR37156 | Implementing Agencies: Federal Republic of Nigeria, Federal Ministry of Finance, National Primary Health Care Development Agency Key Dates Key Project Dates Bank Approval Date: 12-Jul-2012 Effectiveness Date: 05-Jun-2013 Planned Mid Term Review Date: 12-Jun-2017 Actual Mid-Term Review Date: 12-May-2017 Original Closing Date: 31-Jul-2015 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the proposed Project is to assist, as part of a global polio eradication effort, the Government of Nigeria to achieve and sustain at least 80% coverage with OPV immunization in every state in the country 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) To assist the Recipient, as part of a global polio eradication effort, to achieve and sustain at least 80 percent coverage with oral polio vaccine immunization in every state in the Recipient’s territory, and improve national routine immunization coverage. Components Table Name Polio Eradication Support:(Cost $65.00 M) Routine Immunization Support:(Cost $175.00 M) Routine Immunization System Strengthening:(Cost $16.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions Nigeria has not recorded new cases of wild polio virus (WPV) since the last four cases recorded in Borno State in August 2016 in security- compromised areas whose population has been inaccessible because of the Boko Haram insurgency. It is now over 26 months since the last 6/7/2019 Page 1 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) incidence. Nigeria stands on the cusp of eradication. The success recorded so far can be attributed to strong leadership, political commitment and use of innovative approaches especially in the security compromised areas in polio high-risk states. The situation with routine immunization has also improved since the last ISR. The 2018 SMART survey results show an improvement in the national coverage for Pentavalent 3 from 48.85% to 57% nationwide; ranging from 26% in the Northwest geopolitical zone of the country to 84% in the Southeast zone. There is still a pressing need to boldly address the low routine immunization coverage found particularly in the very low coverage zones which is being address within the third additional financing, particularly with component 3 that will strengthen management of the immunization program especially in the 12 lagging states. The result is confirmed by the just released Nigeria Demographic and Health Survey (NDHS) 6/7/2019 Page 2 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 6/7/2019 Page 3 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 6/7/2019 Page 4 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 6/7/2019 Page 5 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) 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 -- Low Low Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- High High Fiduciary -- Substantial Substantial Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- -- Overall -- High High Results PDO Indicators by Objectives / Outcomes Achieve and sustain 80% coverage with oral polio vaccine immunization and improve RI nationwide IN00704681 ►Immunization coverage of OPV in the country (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 91.80 97.70 97.70 80.00 Date 15-Apr-2012 31-May-2018 31-May-2018 31-Dec-2020 IN00704682 ►Immunization coverage of OPV in each high risk state (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 89.00 97.70 97.70 80.00 Date 31-Dec-2012 31-May-2018 31-May-2018 31-Dec-2020 IN00704683 ►Number of LGAs with Pentavalent 3 coverage among children under 12 months <25% in the 12 lagging states (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 71.00 71.00 1.00 24.00 6/7/2019 Page 6 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Date 18-Dec-2017 18-Dec-2017 29-Mar-2019 31-Dec-2020 IN00704684 Number of LGAs with Pentavalent 3 coverage among children under 12 months <50% in the 12 lagging states (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 123.00 123.00 33.00 41.00 IN00704685 ►Children immunized (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 56,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00704686 Children immunized under 12 months - pentavalent 3 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 36,194,824.00 36,194,824.00 30,465,493.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00704687 ►Pentavalent 3 coverage rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52.00 57.00 57.00 52.00 Date 05-May-2014 14-Nov-2018 14-Nov-2018 31-Dec-2018 IN00704688 ►Pentavalent 3 coverage among children under 12 months in 12 lagging states (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 23.25 40.00 40.00 33.00 Date 18-Dec-2017 14-Nov-2018 14-Nov-2018 31-Dec-2020 Intermediate Results Indicators by Components Polio Eradication Support IN00704690 ►Percentage of campaigns where vaccines are available on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 6/7/2019 Page 7 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Routine Immunization Support IN00704691 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 56,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00704694 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56,369,274.00 56,369,274.00 60,561,446.00 Date 09-Jul-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 Routine Immunization System Strengthening IN00704689 ►Percentage of teams with viable vaccine according to the Vaccine Vial Monitor (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 97.00 100.00 100.00 98.00 Date 15-Apr-2012 31-Oct-2018 31-Oct-2018 31-Dec-2020 IN00704692 ►Percentage of health facilities in the project area with functioning management committees having community representation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Date 23-May-2015 23-May-2016 23-May-2016 31-Dec-2018 IN00704693 ►Number of LQAS conducted in 12 lagging states (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 5.00 Date 31-Jan-2018 31-Jan-2018 31-Jan-2018 31-Dec-2020 IN00704695 ►Number of shipments of vaccines and consumables shipped to Lagos and Kano (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 40.00 Date 31-Jan-2018 31-Jan-2018 31-Jan-2018 31-Dec-2020 6/7/2019 Page 8 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P130865 IDA-51330 Closed USD 95.00 94.94 0.06 93.93 0.00 100% P130865 IDA-56180 Closed USD 200.00 200.00 0.00 195.32 3.76 98% P130865 IDA-58530 Closed USD 125.00 125.00 0.00 119.76 0.01 100% P130865 IDA-62890 Effective USD 150.00 150.00 0.00 76.28 68.05 53% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P130865 IDA-51330 Closed 12-Jul-2012 16-Apr-2013 05-Jun-2013 31-Jul-2015 31-Jul-2015 P130865 IDA-56180 Closed 10-Apr-2015 22-May-2015 29-May-2015 31-Jul-2017 31-Jul-2017 P130865 IDA-58530 Closed 07-Jun-2016 07-Aug-2016 20-Dec-2016 31-Dec-2018 31-Dec-2018 P130865 IDA-62890 Effective 27-Jun-2018 23-Oct-2018 04-Dec-2018 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 6/7/2019 Page 9 of 10 The World Bank Implementation Status & Results Report Polio Eradication Support Project (P130865) Restructuring History Level 2 Approved on 27-Mar-2019 Related Project(s) P154660-NG-Polio Eradication Support - Additional Financing ,P158557-Additional Financing NG-Polio Eradication Support Project ,P165247- Nigeria Polio Eradication Support Project Additional Financing 6/7/2019 Page 10 of 10