The World Bank Report No: ISR15735 Implementation Status & Results Samoa SAMOA HEALTH SECTOR MANAGEMENT PROGRAM SUPPORT PROJECT (P086313) Public Disclosure Copy Operation Name: SAMOA HEALTH SECTOR MANAGEMENT PROGRAM Project Stage: Implementation Seq.No: 12 Status: ARCHIVED Archive Date: 17-Aug-2014 SUPPORT PROJECT (P086313) Country: Samoa Approval FY: 2008 Product Line: IBRD/IDA Region: EAST ASIA AND PACIFIC Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 19-Jun-2008 Original Closing Date 31-Dec-2013 Planned Mid Term Review Date 06-Apr-2011 Last Archived ISR Date 21-Jan-2014 Effectiveness Date 21-Oct-2008 Revised Closing Date 18-Dec-2015 Actual Mid Term Review Date 14-Dec-2011 Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the Project is to improve the Recipient's effectiveness in managing and implementing the Program based on the use of results from sector performance monitoring. The Program's aim in the medium-term (FY2009-2013) is to improve accesst to, and utilization of effective, efficient and quality health services to improve the health status of the Samoan population. Health SWAP development objectives: To improve the effectiveness of the Government of Samoa in managing and implementing the HSP, based on the use of results from sector performance monitoring Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Health Promotion and Prevention 4.58 Enhancement of Quality Health Care Service Delivery 15.42 Strengthening Policy, Monitoring and Regulatory Oversight of the Health System 4.10 Public Disclosure Copy Overall Ratings 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 Moderate Implementation Status Overview Following the approval of an extension of the closing date for the project to December 18, 2015 the launch of the infrastructure component is ongoing (pharmaceutical warehouse and Page 1 of 5 The World Bank Report No: ISR15735 associated key equipment, a Primary Health Care Center, Orthotics and Prosthetics Workshop, and renovations and extensions of MT2 hospital, Savaii). In addition, equipment for the Rheumatic Heart Disease program will also be delivered to Samoa in July 2014, ensuring this important program is able to implement successfully. Public Disclosure Copy Locations Country First Administrative Division Location Planned Actual Samoa Not Entered Independent State of Samoa Samoa Not Entered Savai'i Samoa Tuamasaga Apia Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target % of health sector budgets and disbursements Text Value SWAP will introduce a > 90% 90% conform to policy objectives and HSP priority mechanism for better aligning areas. resources with priorities. Date 31-Mar-2008 30-Jun-2014 18-Dec-2015 Comments This indicator refers to the proportion of budget expenditure on public health, primary care, hospital services and administration Share of annual outpatient visits by poorest Text Value The 2009 survey does not Not yet available. HIES quintile of population have specific data for this scheduled for completion indicator. 2015. Date 31-Dec-2008 30-Jun-2014 18-Dec-2015 Comments Public Disclosure Copy Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target MTEF and related procurement plan updated Text Value Work program and Done MTEF regularly updated. and adjusted based on recommendations from procurement plan completed sector reviews for Year 1 of program implementation Date 25-Sep-2008 30-Jun-2014 18-Dec-2015 Comments Page 2 of 5 The World Bank Report No: ISR15735 Percentage of SWAp program funds released Text Value None. Yes. 100% funds released SWAp according to agreed schedule. Inability to measure stock <10% of baseline. Number of reported drug stock-outs by facility outs at this time due to system weaknesses. Public Disclosure Copy Date 25-Sep-2008 30-Jun-2014 18-Dec-2015 Comments There was no data for stock- Stock management will be out. improved with the construction of the Pharmaceutical warehouse and stock management systems. Health expenditures as a percentage of Text Value 15% 15% > 15% government expenditures increases Stakeholder participation Stakeholders' participation in program planning active. and implementation reviews improves Date 25-Sep-2008 30-Jun-2014 18-Dec-2015 Comments Stakeholders' participation in Example is questioning the programme planning: none validity of a health promotion foundation given scarcity of resources via stakeholders. Planning of health service is enhanced through Text Value No disaggregated data by Surveys disaggregated use of disaggregated data by age, sex, and age, sex and domicile used in (STEPS 2013 ex). domicile program planning at present. Date 25-Sep-2008 30-Jun-2014 18-Dec-2015 Comments Surveys and other data beginning to be used in policy discussions. MOH Financial Audits are submitted on timie Text Value No DHS available at baseline See below. Yes. and action plan agreed on for resolving Date 25-Sep-2008 30-Jun-2014 18-Dec-2015 outstanding issues. Comments DHS Report completed and DHS and other statisticalreports completed within stated timeframe and made public officially launched in August 2010. The DHS is carried out Public Disclosure Copy every 5 years. Next one due CY 2014/15. Health personnel receiving training (number) Number Value 1995.00 0.00 Date 30-Jun-2014 18-Dec-2015 Comments Data from budget reports. Health facilities constructed, renovated, and/or Number Value 0.00 10.00 0.00 equipped (number) Date 31-May-2008 30-Jun-2014 18-Dec-2015 Comments 1 Nurses Bldg; 1 Nurses Hostel; 3 dental units in Page 3 of 5 The World Bank Report No: ISR15735 primary schools; Medical equipment; Environmental health protection equipment; 2 Healthcare waste truck; Public Disclosure Copy equipment for mobile clinic. Children immunized (number) Number Value 25108.00 40357.00 0.00 Date 31-May-2008 30-Jun-2014 18-Dec-2015 Comments Data received from UNICEF Data provided from MOH for converting percentages and 2012 (EPI - NHS). using denominator from Stats Office. Data collection was done by percentages. Pregnant women receiving antenatal care Number Value 0.00 4460.00 0.00 during a visit to a health provider (number) Date 31-May-2008 30-Jun-2014 18-Dec-2015 Comments Data collection is not done by No updates. numbers but by percentages. Data on Financial Performance (as of 17-Dec-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P086313 IDA-44320 Effective 19-Jun-2008 23-Jul-2008 21-Oct-2008 31-Dec-2013 18-Dec-2015 P086313 IDA-47210 Effective 04-May-2010 20-May-2010 26-Jul-2010 31-Dec-2013 18-Dec-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P086313 IDA-44320 Effective XDR 1.90 1.90 0.00 1.90 0.00 100.00 P086313 IDA-47210 Effective XDR 2.00 2.00 0.00 1.32 0.68 66.00 Public Disclosure Copy Disbursement Graph Page 4 of 5 The World Bank Report No: ISR15735 Public Disclosure Copy Key Decisions Regarding Implementation Supervision of progress of works will be carried during the next mission planned for November 2014. Restructuring History Level 2 CD Decision on 02-Dec-2013 Related Projects P120832-ADD'L Financing - SAMOA HEALTH SECTOR MANAGEMENT PROGRAM SUPPORT PROJECT Public Disclosure Copy Page 5 of 5