The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Health Sector Support Project (P160846) SOUTH ASIA | Bangladesh | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 4 | ARCHIVED on 17-Apr-2019 | ISR36212 | Implementing Agencies: Ministry of Health and Family Welfare, People's Republic of Bangladesh Key Dates Key Project Dates Bank Approval Date: 28-Jul-2017 Effectiveness Date: 02-Oct-2017 Planned Mid Term Review Date: 14-Feb-2020 Actual Mid-Term Review Date: -- Original Closing Date: 31-Dec-2022 Revised Closing Date: 31-Dec-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to strengthen the health, nutrition and population (HNP) sector's core management systems and delivery of essential HNP services with a focus on selected geographical areas. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1. Governance and Stewardship:(Cost $175.00 M) Component 2. Health, Nutrition and Population Systems Strengthening:(Cost $369.50 M) Component 3. Provision of Quality Health, Nutrition and Population Services:(Cost $555.50 M) Component 4. Develop Health, Nutrition and Population Services for the displaced Rohingya population in Cox's Bazar District:(Cost $50.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The project is on track to achieve its objectives. The project supports the Ministry of Health and Family Welfare (MOHFW)'s fourth health, nutrition and population sector program for 2017-2022. The project provides a platform for pooled co-financing of the government’s sector program based on the achievement of pre-defined results in the areas of governance and stewardship, health systems strengthening and delivery of quality HNP services particularly in the regions of Sylhet and Chittagong. A total disbursement of US$115 million has been made, thus far, following verification of 19 results. Along with support from the International Development Association (IDA), the project includes co-financing from the Global Financing Facility, Canada, the Netherlands, Sweden and the United Kingdom. 4/17/2019 Page 1 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) On June 29, 2018, the World Bank Group Board of Executive Directors approved additional financing of US$50 million on grant terms for supporting the government in planning, coordinating and managing health, nutrition and population services for the displaced Rohingya population in Cox's Bazar district. The legal agreement for this additional financing was signed on September 20, 2018 and it became effective on October 25, 2018. A new component (component 4) has been added to the project for these activities. On March 21, 2019, the MOHFW has signed agreements with four United Nations (UN) agencies to support implementation – the United Nations Children’s Fund (UNICEF), World Health Organization (WHO), United Nations Population Fund (UNFPA) and the International Organization for Migration (IOM). Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Sustainability Moderate Moderate Moderate Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Substantial Other -- High High Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Strengthen the health, nutrition and population (HNP) sector's core management systems IN00676584 ►Increase in the number of Community Clinics providing complete essential data on service delivery, including gender- disaggregated (DLI 8) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 7,000.00 Date 30-Jun-2017 19-Feb-2018 04-Mar-2019 31-Dec-2022 1,000 community clinics are reported to be providing complete essential data to DHIS2. This result needs Comments: to be verified by the IMED. IN00676671 ►Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target 4/17/2019 Page 2 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value 0.00 0.00 0.00 150.00 Date 30-Jun-2017 19-Feb-2018 04-Mar-2019 31-Dec-2022 2,900 midwife posts have been created and the midwives were posted in September 2018. Once they Comments: complete 6 months in the job, this DLR can be reported on. Strengthen delivery of essential HNP services with a focus on selected geographical areas IN00676585 ►Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 128,805.00 119,963.00 107,772.00 146,000.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 For FY17, 107,722 deliveries have been verified to be achieved. For FY18, the MOHFW has reported to Comments: have achieved 119,963 deliveries, which needs to be verified by IMED. IN00676672 ►Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 5.00 10.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 For FY17, achieved and verified for 5 district hospitals. For FY18, the MOHFW has reported achieving in 6 Comments: district hospitals, which needs to be verified by IMED. IN00676673 ►Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions (DLI 14) (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 35.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 For FY18, the MOHFW has compiled data manually as the MIS did not track registered infants and children aged under 2 years. The MIS has been updated since then and for FY19, the MOHFW will use Comments: the MIS data to report on this indicator. The MOHFW has reported to achieve 24% in FY18, which needs to be verified by IMED. IN00676674 ►Among the displaced Rohingya population in Cox's Bazar District, the number of children (ages 0-11 months) who have received three doses of Pentavalent immunization, disaggregated by gender (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 221.00 0.00 13,107.00 20,000.00 Date 22-May-2018 17-Sep-2018 04-Mar-2019 31-Dec-2021 For the period June to December 2018, 13,107 children were vaccinated, of which 6,590 were boys and Comments: 6,517 were girls. IN00676675 4/17/2019 Page 3 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) ►Among the displaced Rohingya population in Cox’s Bazar District, the number of births delivered in HNP facilities (annual) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5,427.00 0.00 10,384.00 10,000.00 Date 22-May-2018 17-Sep-2018 04-Mar-2019 31-Dec-2021 Intermediate Results Indicators by Components Component 2. Health, Nutrition and Population Systems Strengthening IN00676677 ►MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) (Yes/No, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. DLR 3.1 has been verified to be achieved and 3.2 has been reported to be achieved (and needs to be verified by IMED). The Ministry of Public Administration (MOPA) has approved the Comments: FMAU recruitment rules. Once the recruitment rules are approved by the Ministry of Finance, the FMAU can hire people and undertake internal audit. IN00676681 ►Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 15.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 An AMS scale-up plan has been approved. The MOHFW is reported to have rolled-out AMS in 4 district Comments: hospitals (1 in FY17 and 3 in FY18), which needs to be verified by IMED. IN00676684 ►Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. e-GP has been initiated in the MOHFW. Comments: IN00676687 ►MOPA approves CMSD restructuring proposal (DLI 6) (Yes/No, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 4/17/2019 Page 4 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) The MOPA has reviewed the CMSD restructuring proposal and raised a few queries. The MOHFW has Comments: responded to MOPA and is awaiting their approval. Component 3. Provision of Quality Health, Nutrition and Population Services IN00676678 ►Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 9) (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 35.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. The facility readiness criteria and assessment instrument have been developed as Comments: well as reporting and training guidelines. IN00676682 ►Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 months in Sylhet and Chittagong divisions (DLI 12) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 14.00 13.00 13.00 15.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 For FY17, at least 85% coverage was achieved in 13 districts. For FY18, the MOHFW has submitted Comments: report to IMED for verification. IN00676685 ►Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 13) (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 The MOHFW is reported to have achieved 1% in FY18. This will be verified by IMED. Comments: IN00676688 ►Increase in percentage of registered infants and children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 14) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 35.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2021 For FY18, data could not be reported as the MIS did not track registered infants and children aged under 2 years. The MOHFW has compiled data manually and reports to have achieve 24%. This will be verified Comments: by IMED. IN00676689 ►Orientation of teachers and peer girl students is completed in at least 30% of public secondary schools in each targeted district in Sylhet and Chittagong divisions (DLI 15) (Yes/No, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes 4/17/2019 Page 5 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. Revised teacher training manual has been approved. Comments: IN00676690 ►Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) (Yes/No, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. Comments: IN00676691 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,652,603.00 1,652,603.00 7,805,455.00 Date 31-Dec-2016 17-Sep-2018 17-Sep-2018 31-Dec-2021 IN00676692 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,079,073.00 1,079,073.00 5,029,254.00 IN00676693 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,147,060.00 1,147,060.00 5,608,505.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2021 IN00676694 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 562,865.00 562,865.00 3,314,070.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2021 IN00676695 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 128,960.00 128,960.00 385,580.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2021 Component 1. Governance and Stewardship IN00676676 ►Annual GRS performance report for previous CY is published (DLI 1) (Yes/No, Custom, DLI) 4/17/2019 Page 6 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 This is not yet due. An assessment of the current GRS has been completed and a report prepared, which Comments: will guide the process of upgrading the GRS. IN00676680 ►Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 30-Jun-2017 17-Sep-2018 04-Mar-2019 31-Dec-2022 The MOHFW has reported to have achieved 197% increase in expenditure in FY18. This will be verified Comments: by IMED. Component 4: Develop HNP Services for the displaced Rohingya population in Cox's Bazar District IN00676679 ►The number of HNP facilities providing an appropriate mix of family planning methods to the displaced Rohingya population in Cox's Bazar District (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 0.00 79.00 15.00 Date 22-May-2018 17-Sep-2018 04-Mar-2019 31-Dec-2021 IN00676683 ►Among the displaced Rohingya population in Cox’s Bazar District, the number of pregnant women and lactating mothers reached with social and behavior change interventions on infant and young child feed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32,000.00 0.00 88,001.00 67,000.00 Date 22-May-2018 17-Sep-2018 04-Mar-2019 31-Dec-2021 IN00676686 ►Among the displaced Rohingya population Cox’s Bazar District, the number of women and girls who have received through women-friendly services information on sexual and reproductive health and rights (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 90,311.00 0.00 259,762.00 138,000.00 Date 22-May-2018 17-Sep-2018 04-Mar-2019 31-Dec-2021 Disbursement Linked Indicators IN00676696 ►DLI 1 Citizen feedback system is strengthened (Text, Outcome, 25,000,000.00, 20.00%) Baseline Actual (Previous) Actual (Current) FY2022 4/17/2019 Page 7 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) A grievance redress system DLR 1.1 in progress: Value DLR 1.1 achieved -- (GRS) exists assessment ongoing Date -- 17-Sep-2018 04-Mar-2019 -- DLI 1.1 Assessment of current GRS is completed (Yes/No, Process, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 1.2 GRS guidelines are approved (Yes/No, Output, 5,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 1.3 Annual GRS performance report for previous CY is published (DLI 1) (Yes/No, Intermediate Outcome, 15,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No 0.00 No -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676700 ►DLI 2 Budget planning and allocation are improved (Percentage, Output, 56,000,000.00, 46.43%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 2.1 Operational plans (OPs) approved including activities and budgets for achievement of DLIs (Number, Output, 26,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 13.00 13.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 2.2 Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) (Percentage, Intermediate Outcome, 30,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- 4/17/2019 Page 8 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) IN00676703 ►DLI 3 Financial management system is strengthened (Text, Outcome, 51,000,000.00, 5.88%) Baseline Actual (Previous) Actual (Current) FY2022 FMAU has drafted Value DLR 3.1 achieved DLR 3.1 achieved -- recruitment rules Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.1 MOHFW submits FMAU recruitment rules to MOPA (Yes/No, Process, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.2 MOPA endorses FMAU recruitment rules (Yes/No, Process, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.3 MOF concurs to FMAU recruitment rules (Yes/No, Process, 10,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.4 MOPA approves FMAU recruitment rules (Yes/No, Process, 5,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.5 At least 50% of required FMAU staff are recruited (Yes/No, Output, 10,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 3.6 MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) (Yes/No, Intermediate Outcome, 20,000,000.00, 0.00%) 4/17/2019 Page 9 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676710 ►DLI 4 Asset management systems is improved (Text, Outcome, 18,200,000.00, 25.82%) Baseline Actual (Previous) Actual (Current) FY2022 Assessment of AMS Value AMS piloted DLR 4.1 achieved AMS rolledout ongoing Date -- 17-Sep-2018 04-Mar-2019 -- DLI 4.1 Assessment and plan are approved for AMS scale-up (Yes/No, Output, 4,700,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 4.2 Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) (Number, Intermediate Outcome, 13,500,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 1.00 1.00 1.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676713 ►DLI 5 Procurement process is improved using information technology (Text, Process, 19,800,000.00, 25.25%) Baseline Actual (Previous) Actual (Current) FY2022 e-GP not initiated in DLR 5.1 achieved: eGP DLR 5.1 achieved: eGP Value -- MOHFW initiated initiated Date -- 17-Sep-2018 04-Mar-2019 -- DLI 5.1 e-GP is initiated for procurement by MOHFW (Yes/No, Process, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 5.2 Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) (Percentage, Intermediate Outcome, 14,800,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- 4/17/2019 Page 10 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 17-Sep-2018 04-Mar-2019 -- IN00676716 ►DLI 6 Institutional capacity is developed for procurement and supply management (Text, Outcome, 16,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 MOPA reviewed CMSD MOPA reviewed CMSD restructuring proposal restructuring proposal and CMSD restructuring Value and has raised a few has raised a few queries. -- proposal finalized queries. The MOHFW is The MOHFW is preparing preparing their response. their response. Date -- 17-Sep-2018 04-Mar-2019 -- DLI 6.1 MOPA approves CMSD restructuring proposal (DLI 6) (Yes/No, Process, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 6.2 MOF concurs to CMSD restructuring proposal (Yes/No, Process, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 6.3 MOPA approves CMSD restructuring proposal (Yes/No, Process, 10,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676720 ►DLI 7 Availability of midwives for maternal care is increased (Text, Outcome, 45,500,000.00, 43.96%) Baseline Actual (Previous) Actual (Current) FY2022 MOHFW initiated process Value to create positions for DLR 7.1 achieved DLR 7.1 achieved -- midwives Date -- 17-Sep-2018 04-Mar-2019 -- DLI 7.1 At least 2,500 midwife posts are created by MOHFW and recruitment of midwives is underway (Yes/No, Process, 20,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- 4/17/2019 Page 11 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 17-Sep-2018 04-Mar-2019 -- DLI 7.2 Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) (Number, Outcome, 25,500,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676723 ►DLI 8 Information system is strengthened, including gender-disaggregated data (Number (Thousand), Intermediate Outcome, 20,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 7.00 Date -- 17-Sep-2018 04-Mar-2019 -- DLI 8.1 Increase in the number of Community Clinics providing complete essential data on service delivery, including gender-disaggregated (DLI 8) (Number, Intermediate Outcome, 20,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676725 ►DLI 9 Post-partum family planning services are improved (Text, Outcome, 32,725,000.00, 24.45%) Baseline Actual (Previous) Actual (Current) FY2022 PPFP services need DLRs 9.1 and 9.2 Value DLR 9.1 achieved -- improvement achieved Date -- 17-Sep-2018 04-Mar-2019 -- DLI 9.1 Facility readiness criteria and assessment instrument for PPFP services are approved (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 9.2 Reporting and training guidelines for PPFP services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- 4/17/2019 Page 12 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) DLI 9.3 Assessment and action plan are completed for expansion of PPFP services in targeted health facilities in Sylhet and Chittagong divisions (Yes/No, Output, 5,205,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 9.4 Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 9) (Percentage, Intermediate Outcome, 19,520,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676730 ►DLI 10 Utilization of maternal health care services is increased (Number (Thousand), Outcome, 20,575,000.00, 12.15%) Baseline Actual (Previous) Actual (Current) FY2022 Value 128,805.00 119,963.00 107,772.00 146,000.00 Date -- 17-Sep-2018 04-Mar-2019 -- DLI 10.1 Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) (Number, Outcome, 20,575,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 128,805.00 119,963.00 107,772.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676732 ►DLI 11 Emergency obstetric care services are improved (Text, Outcome, 39,200,000.00, 28.57%) Baseline Actual (Previous) Actual (Current) FY2022 CEmONC services need to DLRs 11.1, 11.2 and 11.3 Value DLR 11.1 achieved -- be improved (for FY18) achieved Date -- 17-Sep-2018 04-Mar-2019 -- DLI 11.1 Facility assessment instrument for CEmONC is approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 11.2 Assessment and action plans are approved for development of CEmONC services in targeted district hospitals in Sylhet and Chittagong divisions (Yes/No, Output, 4,700,000.00, 100.00%) 4/17/2019 Page 13 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value No No Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 11.3 Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number, Intermediate Outcome, 31,500,000.00, 11.11%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 5.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676736 ►DLI 12 Immunization coverage and equity is enhanced (Text, Outcome, 50,000,000.00, 23.00%) Baseline Actual (Previous) Actual (Current) FY2022 DLR 12.1 achieved. For DLR 12.1 achieved. For Immunization coverage Value DLR 12.2, achievement DLR 12.2, achievement -- needs to be improved was 13 districts in FY17 was 13 districts in FY17 Date -- 17-Sep-2018 04-Mar-2019 -- DLI 12.1 Immunization microplans for CY2017 are approved for each district in Sylhet and Chittagong divisions (Yes/No, Output, 5,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 12.2 Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 months in Sylhet and Chittagong divisions (DLI 12) (Number, Outcome, 45,000,000.00, 14.44%) Baseline Actual (Previous) Actual (Current) FY2022 Value 14.00 13.00 13.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676739 ►DLI 13 Maternal nutrition services are expanded (Text, Outcome, 28,000,000.00, 21.43%) Baseline Actual (Previous) Actual (Current) FY2022 Maternal nutrition services DLRs 13.1 and 13.2 Value DLR 13.1 achieved -- need to be improved achieved Date -- 17-Sep-2018 04-Mar-2019 -- DLI 13.1 Technical standards for maternalnutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 4/17/2019 Page 14 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 13.2 Reporting and quality assessment guidelines for maternal nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 13.3 Assessment is completed of maternal nutrition service quality in Sylhet and Chittagong divisions (Yes/No, Output, 7,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 13.4 Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 13) (Percentage, Outcome, 15,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676744 ►DLI 14 Infant and child nutrition services are expanded (Text, Outcome, 28,000,000.00, 21.43%) Baseline Actual (Previous) Actual (Current) FY2022 Infant and child nutrition DLRs 14.1 and 14.2 Value DLR 14.1 achieved -- services need improvement achieved Date -- 17-Sep-2018 04-Mar-2019 -- DLI 14.1 Technical standards for infant and child nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 14.2 Reporting and quality assessment guidelines for infant and child nutrition services are approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No Yes -- 4/17/2019 Page 15 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Date -- 17-Sep-2018 04-Mar-2019 -- DLI 14.3 Assessment is completed of infant and child nutrition service quality in Sylhet and Chittagong divisions (Yes/No, Output, 7,150,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 14.4 Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions (DLI 14) (Percentage, Outcome, 14,850,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value 0.00 0.00 0.00 -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676749 ►DLI 15 School-based adolescent HNP program is developed and implemented (Text, Outcome, 25,000,000.00, 12.00%) Baseline Actual (Previous) Actual (Current) FY2022 School-based adolescent Value HNP program needs to be DLR 15.1 achieved DLR 15.1 achieved -- developed Date -- 17-Sep-2018 04-Mar-2019 -- DLI 15.1 Revised teacher training manual is approved (Yes/No, Output, 3,000,000.00, 100.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No Yes Yes -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 15.2 Assessment of current school-based services in Sylhet and Chittagong divisions is jointly completed with the education sector (Yes/No, Output, 5,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 15.3 Training-of-trainers is completed for school-based adolescent HNP program in Sylhet and Chittagong divisions (Yes/No, Output, 7,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- 4/17/2019 Page 16 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) DLI 15.4 Orientation of teachers and peer girl students is completed in at least 30% of public secondary schools in each targeted district in Sylhet and Chittagong divisions (DLI 15) (Yes/No, Intermediate Outcome, 10,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- IN00676754 ►DLI 16 Emerging challenges are addressed (Text, Outcome, 25,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Emerging challenges like Urban health Urban health coordination urban health and non- Value coordination committee committee set-up and an -- communicable diseases set-up action plan drafted need to be addressed Date -- 17-Sep-2018 04-Mar-2019 -- DLI 16.1 Urban Health Coordination Committee meets and agrees on actions to improve coordination on urban health (Yes/No, Process, 5,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 16.2 Guidelines for screening, referral and treatment of hypertension are approved (Yes/No, Output, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 16.3 Plan and technical materials are approved for implementation of hypertension diagnosis and referral services (Yes/No, Output, 3,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 16.4 Hypertension diagnosis and referral services are implemented at the primary level in at least 2 upazilas (Yes/No, Intermediate Outcome, 11,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- DLI 16.5 Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) (Yes/No, Intermediate Outcome, 3,000,000.00, 0.00%) 4/17/2019 Page 17 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Baseline Actual (Previous) Actual (Current) FY2022 Value No No No -- Date -- 17-Sep-2018 04-Mar-2019 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P160846 IDA-61270 Effective USD 500.00 500.00 0.00 114.56 388.98 23% P160846 IDA-63020 Effective USD 8.33 8.33 0.00 0.00 8.21 0% P160846 IDA-D3610 Effective USD 41.67 41.67 0.00 0.00 40.93 0% P160846 TF-A4355 Effective USD 15.00 15.00 0.00 4.42 10.58 29% P160846 TF-A6941 Effective USD 26.84 26.84 0.00 0.00 26.84 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P160846 IDA-61270 Effective 28-Jul-2017 28-Aug-2017 02-Oct-2017 31-Dec-2022 31-Dec-2022 P160846 IDA-63020 Effective 28-Jun-2018 20-Sep-2018 25-Oct-2018 31-Dec-2022 31-Dec-2022 P160846 IDA-D3610 Effective 28-Jun-2018 20-Sep-2018 25-Oct-2018 31-Dec-2022 31-Dec-2022 P160846 TF-A4355 Effective 28-Jul-2017 28-Aug-2017 02-Oct-2017 31-Dec-2021 31-Dec-2021 P160846 TF-A6941 Effective 05-Nov-2018 05-Nov-2018 05-Nov-2018 31-Dec-2022 31-Dec-2022 Cumulative Disbursements 4/17/2019 Page 18 of 19 The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Restructuring History Level 2 Approved on 13-Oct-2018 Related Project(s) P167672-Additional Financing for Health Sector Support Project 4/17/2019 Page 19 of 19