The World Bank Report No: ISR13160 Implementation Status & Results Brazil Integrated Health and Water Management Project (SWAP) (P095171) Public Disclosure Copy Operation Name: Integrated Health and Water Management Project (SWAP) Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 08-Jan-2014 (P095171) Country: Brazil Approval FY: 2011 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 02-Nov-2010 Original Closing Date 31-Dec-2015 Planned Mid Term Review Date 27-Jun-2012 Last Archived ISR Date 09-Jul-2013 Effectiveness Date 30-Aug-2012 Revised Closing Date 31-Dec-2015 Actual Mid Term Review Date 31-Aug-2014 Project Development Objectives Project Development Objective (from Project Appraisal Document) In the context of the State Government#s Strategic Plan for 2008-2011, and its key purpose (higher objective) of reducing the State#s IMR, the project objectives are: (i) the reduction of post-neonatal morbidity and mortality due to diarrhea in children of less than one year of age in the State of Bahia; and (ii) the reduction of neonatal mortality (children less than 28 days) in 45 selected reference hospitals of the Bahia's State. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Contribute to Reducing the Infant Mortality Rate (neonatal and post-neonatal) in the State of Bahia 48.58 Technical Assistance for the Institutional Modernization of Health, Water, and Planning Sectors 8.50 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Implementation Status Overview The Project was approved by the Board on November 2, 2010; the Loan Agreement was signed on July 18, 2012; and the loan became effective on August 30, 2012. Locations Page 1 of 6 The World Bank Report No: ISR13160 Country First Administrative Division Location Planned Actual Brazil Not Entered Estado da Bahia Public Disclosure Copy Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of annually investigated Percentage Value 0.00 50.00 50.00 hospitalizations of children under five, due to Date 02-Nov-2010 30-Jun-2013 31-Dec-2015 intestinal infectious diseases, in 25 hospitals. Comments This is an Annual investigation. Last report was received on June 2013, and a new report is expected to be received by May 2013. Number of people served by simplified water Number Value 32295.00 55477.00 72295.00 supply systems, and basic sanitation in at Date 02-Nov-2010 30-Jun-2013 31-Dec-2015 least 10 selected municipalities prioritized by Comments Latest available data. the project Indicator is slowly progressing due to time required for the implementation process. Number of the 25 hospitals that have achieved Number Value 0.00 3.00 15.00 at least 80% of the Barema indicators Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments Updated data will be available by February 2014. Percentage of the overall Barema indicators Percentage Value 40.00 65.00 80.00 improved in all 25 reference hospitals. Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments This is an Annual investigation. Last report was received on June 2013. A Public Disclosure Copy new report is expected for May 2014. Intermediate Results Indicators Page 2 of 6 The World Bank Report No: ISR13160 Indicator Name Core Unit of Measure Baseline Current End Target Number of simplified water supply system Number Value 99.00 135.00 299.00 constructed and operating in at least 10 Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Public Disclosure Copy selected municipalities. Comments Baseline was fully updated, Final numbers were adjusted based on final selection of based on new selected municipalities. municipalities. Changes in progress were made based on investments made on new municipalities. Improved community water points constructed Number Value 161.00 161.00 361.00 or rehabilitated under the project Date 31-Dec-2009 11-Dec-2013 31-Dec-2015 Comments This core indicator is based Updated data will be available on indicator #1 in Component by February 2014. 1a. Control Processing System updated and Number Value 0.00 0.00 1.00 integrated into the other TCE systems Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Terms of Reference were approved by the Bank. System is under design. River Basin Committees created and Number Value 0.00 1.00 3.00 operational Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Plans and formal requirements have been initiated. Number of strategic agendas in the health Number Value 0.00 2.00 4.00 sector that prioritize maternal and child health. Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments This indicator could be reported only once per year. New status will be available on March 2014. Public Disclosure Copy Efficiency increased in 25 hospitals based on Number Value 59432.00 75248.00 65000.00 the overall number of deliveries Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments End of Project's target Indicator has been achieved. Population coverage by family health teams in Percentage Value 53.20 62.84 68.00 the state of Bahia Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Updated data will be available by March 2014. Page 3 of 6 The World Bank Report No: ISR13160 Study consolidating information of operation Number Value 0.00 0.00 2.00 and maintenance of rural systems. Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments No progress on this indicator. Public Disclosure Copy Study continue under discussion. Communication strategy Action Plan Number Value 0.00 0.00 3.00 elaborated and under implementation Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Plan is under elaboration Number of public officials certified in Number Value 0.00 0.00 100.00 management by results in the three Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 secretariats involved. Comments In process. Plan is ready, and courses will be defined by December 2013 Annual increase of coverage rate of Percentage Value 57.00 77.75 70.00 vaccination against human rotavirus. Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Final Project's Target was achieved and surpassed. CERB Geographic Information System Unit Number Value 0.00 0.00 1.00 established and operational and Bahia state Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 map of infectious intestinal diseases Comments Final map was not yet prevalence and water systems updated. elaborated. Number of Community Voluntary Agents Number Value 43.00 0.00 772.00 Trained and operational Date 02-Nov-2010 11-Dec-2013 Comments INEMA's new policies eliminate training to Community Agents. However, the health and water sectors continue discussing a possibility to train Health Public Disclosure Copy Agents with sanitary content beginning 2014. Final agreements are not yet closed. Studies for restructuring of Riverine Riparian Number Value 0.00 0.00 2.00 Forests Program elaborated and under Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 implementation Comments TOR's are under discussion. Page 4 of 6 The World Bank Report No: ISR13160 Percentage of neonatal deaths occurring in the Percentage Value 0.00 43.25 80.00 selected maternity hospitals investigated, Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 analyzed and discussed Comments Continue progress on this Public Disclosure Copy indicator. Number of River Basin Plans prepared and Number Value 0.00 1.00 8.00 approved by River Basin Committee bodies Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 and ratified by CONERH including studies for Comments Updated data will be available classifying water. on February 2014 State Water Resources Plan Reviewed Number Value 0.00 0.00 1.00 Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Plan continues under discussion. Number of rural sanitary pilot modules built in Number Value 19.00 1217.00 1019.00 at least 10 selected municipalities Date 02-Nov-2010 11-Dec-2013 31-Dec-2015 Comments Updated data will be available on February 2014 Data on Financial Performance (as of 28-Aug-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P095171 IBRD-79510 Effective 02-Nov-2010 18-Jul-2012 30-Aug-2012 31-Dec-2015 31-Dec-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P095171 IBRD-79510 Effective USD 60.00 60.00 0.00 11.15 48.85 19.00 Disbursement Graph Public Disclosure Copy Page 5 of 6 The World Bank Report No: ISR13160 Public Disclosure Copy Key Decisions Regarding Implementation After 15 months of Project's effectiveness, 18.5% of total loan proceeds have been disbursed. A recently released report on diarrhea in Bahia between 2010 to 2012 shows a 35% reduction in diarrhea's mortality in children under one year of age, and a 43% reduction in diarrhea's hospitalization among children 0 to 5 years old in 25 selected Bahia hospitals. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6