The World Bank Report No: ISR13161 Implementation Status & Results Argentina Prevention and Management of Influenza Type Illness and Strengthening of Argentina's Epidemiological System Project (P117377) Public Disclosure Copy Operation Name: Prevention and Management of Influenza Type Illness and Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 30-Dec-2013 Strengthening of Argentina's Epidemiological System Project (P117377) Country: Argentina Approval FY: 2010 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Emergency Recovery Loan Implementing Agency(ies): Key Dates Board Approval Date 23-Feb-2010 Original Closing Date 31-Mar-2012 Planned Mid Term Review Date 21-Nov-2011 Last Archived ISR Date 09-Jul-2013 Effectiveness Date 14-Apr-2010 Revised Closing Date 31-Dec-2013 Actual Mid Term Review Date 21-Nov-2011 Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the Project is to strengthen the capacity of the Borrower’s epidemiological health surveillance system to: (a) prevent, monitor and evaluate influenza activity and (b) control epidemic waves of A/H1N1 influenza. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Strengthening of the capacity of the Argentine Epidemiological health system for surveillance and 10.20 influenza case-finding Strengthening of the response capacity of the health system. (i) to reduce the communicability 217.20 through vaccination and (ii) to impro ve treatment of those affected by the flu Project Management and Monitoring, and Technical Audit of Components 1 and 2 1.60 Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Implementation Status Overview The Project has produced strategic and operational contributions on the monitoring and control of the A/H1N1 epidemic in Argentina, transforming the crisis into an opportunity and Page 1 of 5 The World Bank Report No: ISR13161 contributing significantly to improvements in public health using a results-based financing approach. The Project has met its development objective as measured by one Project Development Objective (PDO) indicator – direct project beneficiaries, for which end of Project results surpassed the expected target by 55%. In addition, eleven out of fourteen intermediate results indicators were also achieved, and in many cases surpassed as evidenced in the Public Disclosure Copy Project results table. For instance, the national coverage of the A/H1N1 vaccine included into the annual National Calendar of the Expanded Program of Immunizations (EPI) for 2013 was 91% of the targeted population at risk, surpassing the Project target of 90%. This accounts for the highest coverage rate of the eligible population in the Latin America Region for the winter season. Also remarkable are the implementation of 37 Provincial Health Situations Room and the strengthening of the surveillance systems that will contribute to improve Argentina's responsiveness to future health emergencies. All project activities were finalized, and 100% of loan funds have been disbursed and will be documented before April 2014. Locations No Location data has been entered Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Direct project beneficiaries Number Value 0.00 13389008.00 8640000.00 Date 20-Jan-2010 14-Nov-2013 31-Dec-2013 Comments Number of direct beneficiaries Corresponds to 155% of the Number of direct beneficiaries targeted population Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target 1. Health Situation Rooms Certified Number Value 0.00 36.00 38.00 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments The value is related to the third certification. 36 out of 37 implemented rooms got the Public Disclosure Copy certification. 2. Health Situation Rooms - Level II Accredited Number Value 0.00 28.00 16.00 Date 09-Mar-2012 14-Nov-2013 31-Dec-2013 Comments The value is related to the third certification. 28 out of 36 certified rooms achieved more than 80% points, surpassing the target. Page 2 of 5 The World Bank Report No: ISR13161 2. Operational Modules of Social Percentage Value 1.00 90.00 90.00 Communication (MOCS) implemented Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 (excluding indigenous people) Comments 379 of 455 (84%) MOCS have Public Disclosure Copy been certified 3. Operational Modules of Social Percentage Value 1.00 90.00 90.00 Communication (MOCS) for indigenous people Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 implemented Comments 36 MOCs of 45 (80%) for indigenous people have been certified 4. Dose of A/H1N1 vaccine applied Percentage Value 1.00 100.00 90.00 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments Indicator achieved and target Goal achieved surpassed for 2010 - 2011 vaccination campaign. 5. Dose of Pneumococcal vaccine applied Percentage Value 1.00 99.30 85.00 Date 26-Jan-2010 31-Dec-2012 31-Dec-2013 Comments Percentage Indicator achieved and target Goal achieved surpassed or 2010 - 2011 vaccination campaign. 7. Dose of A/H1N1 included in National Percentage Value 0.00 91.00 80.00 Calendar applied Date 09-Mar-2012 14-Nov-2013 31-Dec-2013 Comments Values for A/H1N1 vaccination included in National Calendar Year 2013. 8. Dose of Pneumococcalvaccines included in Percentage Value 52.00 86.00 80.00 National Calendar applied Date 09-Mar-2012 14-Nov-2013 31-Dec-2013 Comments Final values for Pneumococcal vaccine included in National Calendar Public Disclosure Copy Year 2012 9. Outpatient treatment provided Percentage Value 0.00 99.00 90.00 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments 10. Inpatient treatment provided in Number Value 0.00 0.00 10000.00 hospitalization Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments Output deactivated due to pandemic control Page 3 of 5 The World Bank Report No: ISR13161 11. Inpatient treatment provided in Percentage Value 27284.00 40936.00 30000.00 hospitalization due to Acute Respiratory Date 31-Dec-2010 14-Nov-2013 31-Dec-2013 Infections Comments Correspond to Public Disclosure Copy Epidemiological Week 52 (2012) 12. Inpatient treatment provided in ICU Number Value 0.00 0.00 1000.00 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments Output deactivated due to pandemic control and sanitary emergency. 9. Influenza diagnostic laboratory test carried Number Value 0.00 52909.00 54000.00 out in 2010 and 2011 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments 10. Independent technical audits performed Number Value 0.00 8.00 8.00 Date 26-Jan-2010 14-Nov-2013 31-Dec-2013 Comments Data on Financial Performance (as of 19-Nov-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P117377 IBRD-78430 Effective 23-Feb-2010 30-Mar-2010 14-Apr-2010 31-Mar-2012 31-Dec-2013 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P117377 IBRD-78430 Effective USD 229.00 141.00 88.00 141.00 0.00 100.00 Disbursement Graph Public Disclosure Copy Page 4 of 5 The World Bank Report No: ISR13161 Public Disclosure Copy Key Decisions Regarding Implementation After the Project's third restructuring approved on February 25, 2013 to extend its closing date by nine months, the Project achieved the proposed goals and finalized planned activities. Restructuring History Level two Approved on 12-May-2011, Level two Approved on 19-Mar-2012, Level two Approved on 01-Mar-2013 Related Projects There are no related projects. Public Disclosure Copy Page 5 of 5