The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Ethiopia Health MDG Support Operation (P123531) AFRICA | Ethiopia | Health, Nutrition & Population Global Practice | Requesting Unit: AFCE3 | Responsible Unit: GHN07 IBRD/IDA | Program-for-Results | FY 2013 | Team Leader(s): Paul Jacob Robyn, Roman Tesfaye Seq No: 12 | ARCHIVED on 14-Jun-2018 | ISR32854 | Created by: Paul Jacob Robyn on 30-May-2018 | Modified by: Paul Jacob Robyn on 08-Jun-2018 Program Development Objectives Program Development Objective (from Program Appraisal Document) To improve the delivery and use of a comprehensive package of maternal and child health services. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Implementation Status and Key Decisions The SDG Health PforR Program comprises an original IDA credit equivalent to US$100 million and a grant from the Health Results Innovation Trust Fund of US$20 million. The additional financing, which became fully effective in November 2017, is comprised of an IDA credit of $150 million, a grant of US$60 million from the Global Financing Facility for Every Woman Every Child and a grant of US$20 million from the Power of Nutrition. Since effectiveness of the AF, an advance payment of US$43.9 million was disbursed (US$36.6 million from IDA, US$2.9 million from GFF and US$4.4 million from Power of Nutrition. DLI 14 (1)- Percent of Woredas with functional Community Based Health Insurance (CBHI) schemes has been met /prior result (US$6.8M);); achieved and verified result DLI 1a. Deliveries attended by Skilled Birth Provider(US$17.7 million). Activities to support national civil registration and vital statistics systems are ongoing with support to the operationalization of the Federal Vital Events Registration Agency (FVERA), as well as the National Nutrition Program II. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P123531 IDA-52090 Effective USD 100.00 100.00 0.00 68.06 27.19 71% P123531 IDA-60900 Effective USD 150.00 150.00 0.00 62.56 97.85 39% P123531 TF-14107 Effective USD 20.00 20.00 0.00 13.80 6.20 69% P123531 TF-A4689 Effective USD 20.00 20.00 0.00 2.88 17.13 14% P123531 TF-A4705 Effective USD 20.00 20.00 0.00 4.38 15.63 22% 6/14/2018 Page 1 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Program Action Plan Development of a Postnatal Care Directive/policy, Implementation of the directive/policy and Monitoring of the Action Description policy/directive. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments Commodity distribution process - Roll out of APTS and provide progress update to ensure existence of adequate Action Description monitoring mechanism of delivery to ultimate beneficiaries at the branch level Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments PFSA launches an open call for pre-qualifications bidders as per the Recipient's law at least once and introducing Action Description Framework Contracting Methods for common and repetitive procurement items. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments Ensure a system of recording fraud and corruption complaints at all levels including Woredas; Ensure the deployment Action Description of Ethics and Anticorruption Liaison Officer and experts at all levels (PFSA; PFSA regional Hubs; RHBs, offices). Responsibility Recurrent Frequency Due Date DLI# Status Client No 31-Dec-2018 Delayed Comments Action Description Automation of PFSA Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly Delayed 6/14/2018 Page 2 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Comments FPPA undertaking annual procurement audit and FMOH and Bank team to consult OFAG on the feasibility of Action Description undertaking financial and value for money audits for SDGPF. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly Delayed Comments Review and improve the SBD and agree with FPPA; and review current Bid Evaluation reporting methods and develop Action Description a template that keeps and records all relevant evaluation information Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments Action Description Improve tracking system of monitoring contracts with UN agencies and disclose award decisions to the public Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments Action Description Undertake assessment study and develop coding and categorization system of procurable items Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments Gender based violence strategy for the health sector is prepared and implemented and analytical in gender Action Description disaggregated HMIS data is conducted. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly Delayed Comments 6/14/2018 Page 3 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Conduct Training and regular implementation support of health workers at the facility level on cause of death as per Action Description national disease notification codes, registration of births and other VE registration requirements. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes Yearly In Progress Comments MoH Provides and Federal Ethics and Anti- corruption ( FEACC) verify and submit to the Bank quality and timely Action Description biannual report on Fraud and Corruption complaints and priority actions related to the program Responsibility Recurrent Frequency Due Date DLI# Status Client Yes CONTINUOUS In Progress Comments Ensure inclusiveness of Fraud and Corruption and complaint handling processes or priority actions in FMOH and Action Description Regional Health Bureaus joint forum discussions semiannually. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes CONTINUOUS In Progress Comments Availing appropriate temporary storage facilities for collection of hazardous wastes until final disposal, enforce Action Description compliance with MWM and Disposal Directive in HF constructed before issuance of the Directive Responsibility Recurrent Frequency Due Date DLI# Status Client Yes CONTINUOUS In Progress Comments Update relevant documents to incorporate environmental impact and risk criteria in site selection screening for all Action Description health facilities, strengthen the coordination and reporting mechanism on social and environmental safeguard in MOH. Responsibility Recurrent Frequency Due Date DLI# Status Both No 31-Dec-2018 In Progress Comments Action Description Documenting consultations and participatory nature of discussions where communal land is used for construction of 6/14/2018 Page 4 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) health centers and where applicable compensation for land and livelihood paid. Responsibility Recurrent Frequency Due Date DLI# Status Client Yes CONTINUOUS In Progress Comments Action Description Documenting outreach and specific actions focused on providing services to all vulnerable persons Responsibility Recurrent Frequency Due Date DLI# Status Client Yes CONTINUOUS In Progress Comments Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- High High Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Moderate Moderate Fiduciary -- Substantial Substantial Environment and Social -- High High Stakeholders -- High High Other -- -- -- Overall -- High High Results PDO Indicators by Objectives / Outcomes To Improve the delivery and use of comperhensive package of Maternal and Child Health (MCH) Services ►Deliveries attended by skilled birth providers for the bottom 3 performing regions(Afar,Oromia&Somal (Percentage, Custom) 6/14/2018 Page 5 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 -- 19.00 28.00 Date 31-Oct-2016 -- 31-Oct-2016 30-Jun-2021 ►Pregnant women receiving at least four antenatal care visits (Percentage, Custom) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 32.00 -- 32.00 38.00 Date 31-Oct-2016 -- 31-Oct-2016 30-Jun-2021 ►Percent of children 6-59 month receiving Vitamin A supplements (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.00 -- 45.00 53.00 Date 31-Oct-2016 -- 31-Oct-2016 30-Jun-2021 ►Deliveries attended by skilled birth providers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 26.00 26.00 40.00 Date 31-Mar-2016 22-Jun-2017 22-Jun-2017 30-Jun-2021 ►Children 12-23 months immunized with Pentavalent 3 vaccines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 65.70 65.70 65.70 76.70 Date 31-Dec-2012 31-Dec-2012 31-Dec-2012 30-Jun-2021 ►Pregnant women receiving at least one antenatal care visit (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 43.00 62.40 62.40 56.00 Date 29-Mar-2013 22-Jun-2017 22-Jun-2017 30-Jun-2018 ►Contraceptive prevalence rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/14/2018 Page 6 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Value 27.30 35.00 35.00 35.00 Date 30-Mar-2012 22-Jun-2017 22-Jun-2017 30-Jun-2018 ►Percent of Woredas in non emerging regions delivering vitamin A supplements to children (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 48.00 -- 48.00 80.00 Date 30-Dec-2016 -- 06-Jun-2018 30-Jun-2021 Intermediate Results Indicators by Results Areas Improve Delivery and use of a comperhensive package of maternal and child health serevices ►Introduction of Procurement Key Performance Indicators developed by Federal Public Procurement Agenc (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2017 -- 06-Jun-2018 30-Jun-2021 ►Automate the PFSA Core Business Fiduciary System using selected software in PFSA HQ and Addis Ababa (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2017 -- 06-Jun-2018 30-Jun-2021 ►PFSA submission of Backlog audit reports and timely quality audit reports thereafter (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N N Date 27-Jun-2017 -- 27-Jun-2017 30-Jun-2021 ►Percent of Children 0- 23 month participating in GMP (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 27.00 -- 27.00 51.00 Date 30-Dec-2016 -- 30-Dec-2016 30-Jun-2021 6/14/2018 Page 7 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►Percent of Woredas in emerging Regions transitioning from EOS to Community Health Days- CHD (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 30-Dec-2016 -- 30-Dec-2016 30-Jun-2021 ►Percent of PHC Facilities having all drug from the MOH list of drug available (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.00 -- 42.00 47.00 Date 30-Dec-2016 -- 30-Dec-2016 30-Jun-2021 ►Developed and Implement postnatal Care Service directive to improve the quality of Postnatal service (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2017 -- 27-Jun-2017 30-Jun-2021 ► Improve quality of adolescent services (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 30-Jun-2017 -- 30-Jun-2017 30-Jun-2021 ►Percent of Woreda with Functional Community Health Insurance Schemes (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 23.00 -- 23.00 53.00 Date 19-Jun-2017 -- 19-Jun-2017 30-Jun-2021 ►Undertake CBHI review every two Years (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2017 -- 27-Jun-2017 30-Jun-2021 6/14/2018 Page 8 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►Devise and implement a mechanism for documenting consultations (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2017 -- 27-Jun-2017 30-Jun-2021 ►Development and implementation of health sector community score card (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- N Y Date 27-Jun-2016 -- 06-Jun-2017 30-Jun-2020 ►Health Centers reporting HMIS data in time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 68.00 68.00 86.00 Date 30-Mar-2012 30-Jun-2014 30-Jun-2014 30-Jun-2021 ►Development and implementation of Annual Rapid Facility Assessment (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 30-Mar-2012 30-Jun-2016 30-Jun-2016 30-Jun-2018 ►Improved transparency of Pharmaceutical Fund and Supply Agency (PFSA) procurement process (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N Y Y Y Date 29-Mar-2013 30-Jun-2016 30-Jun-2016 30-Jun-2021 Disbursement Linked Indicators DLI_IND_TABLE ►DLI 1 Deliveries attended by skilled birth providers (Original- DLI 1) (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 10.00 26.00 26.00 18.00 6/14/2018 Page 9 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Date 31-Mar-2012 22-Jun-2017 22-Jun-2017 -- Comments ►DLI 2 Children 12-23 months immunized with Pentavalent 3 vaccine (original- DLI 2 ) (Intermediate Outcome, 11,730,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 59.60 65.70 65.70 75.70 Date 31-Dec-2012 31-Dec-2012 31-Dec-2012 -- Comments Update information is expected from the upcoming cluster survey by the end of 2018 ►DLI 3 Contraceptive prevalence rate (original- DLI 4) (Intermediate Outcome, 20,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 27.30 35.00 35.00 35.00 Date 31-Mar-2012 22-Jun-2017 22-Jun-2017 -- Comments ►DLI 4 Health centers reporting HMIS data in time (Original- DLI 5) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 50.00 68.00 68.00 80.00 Date 31-Mar-2012 30-Jun-2014 30-Jun-2014 -- HMIS Data Quality Assurance has been integrated with the 2nd round Service Availability and Readiness Assessment (SARA) that is being conducted by EPHI. The data collection is completed and the first draft Comments report is to be released soon. Disbursement (US$1.77M) of this DLI will be made upon the result achieved and verified by SARA. The ISR will be updated upon publication of the report. ►DLI 5 Development and implementation of Annual Rapid Facility Assessment (Original- DLI 7) (Process, 10,950,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N Y Y Y Date -- 15-Dec-2015 15-Dec-2015 -- Comments The 2013 target was met and total disbursements made under DLI 7a consist of SDR 1.3m and USD 2m and for DLI 7b, a total of SDR 1.6m was also disbursed. The SPA+ 2014 was finalized and served as the basis for 6/14/2018 Page 10 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) the result of this DLI. As a result, SDR 1.2 m was disbursed for SPA+ and action plan. SARA 2016 has also been finalized and action plan to address the weaknesses was developed and submitted to the Bank. A total of SDR1,449,275.00 was disbursed. For FY18, the target for this DLI is to undertake survey and disclose result with proposed actions. Data collection has been completed, and the final report is expected to be disclosed in July 2018. Disbursement (US$4.95M) will be made upon submission of the survey and action plan to address the identified weakness. The ISR will be updated upon the publication of the 2018 report. ►DLI 6 Transparency of PFSA procurement process (scaled - DLI 8c) (Process, 10.86, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N N N N Date 31-Mar-2013 30-Nov-2014 06-Jun-2018 -- The data collection is completed and the first draft report is to be released soon. Disbursement (US$1.77M) of this DLI will be made upon the result achieved and verified by SARA. The ISR will be updated upon Comments publication of the report. ►DLI 7 Deliveries attended by skilled birth providers (Scaled DLI- 1a) (Intermediate Outcome, 45,430,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 26.00 -- 26.00 40.00 Date -- -- 22-Jun-2017 -- Result was fully achieved and exceeded by 8 percentage points for which disbursement was made for and Comments under the AF this DLI is scaled for further results from baseline 26% to 40%. ►DLI 8 Deliveries attended by skilled birth providers for the bottom 3 performing regions -Afar, Oromia & Somali- (New DLI- 1b) (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 19.00 -- 19.00 28.00 Date -- -- 31-Oct-2016 -- Comments ►DLI 9 Pregnant women receiving at least four antenatal care visits (New DLI -3a) (Intermediate Outcome, 20,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A 6/14/2018 Page 11 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Value 32.00 -- 32.00 38.00 Date -- -- 31-Oct-2016 -- Comments Updated information is expected from next round of a Mini-DHS for the FY2018 target. ►DLI 10 Contraceptive prevalence rate for rural women only (New DLI -4a) (Intermediate Outcome, 17,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 32.00 -- 32.00 38.00 Date -- -- 31-Oct-2016 -- Comments ►DLI 11 Introduction of Procurement Key Performance Indicators developed by Federal Public Procurement Agency at PFSA (New DLI- 9(1)) (Process, 2,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- N Y Date -- -- 06-Jun-2018 -- Per the MOH’s implementation support mission report, the KPI is developed and included in HCMIS KPI Comments dashboard. Disbursement will be made upon the verification report of independent consultant in FY2018. ►DLI 12 Automate the PFSA Core Business Fiduciary System using selected software in PFSA HQ and Addis Ababa City (New_ DLI- 9(2) ) (Process, 7,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- N Y Date -- -- 06-Jun-2018 -- The target for this DLI signing a contract with vendor for automation of core business fiduciary system software Comments installation has been delayed. ►DLI 13 PFSA submission of Backlog audit reports and timely quality audit reports thereafter (New - DLI 9(3) ) (Process, 6,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- Y Y Date -- -- 06-Jun-2018 -- 6/14/2018 Page 12 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) The target for this DLI 9(3) was to submit audit reports backlog from EFY2005 and 2006 by December 2017 is Comments not met. Thought the EFY 2005 audit was submitted on December 31, 2017, disbursement for the first year(US$2M) will not be made as the target is not fully achieved. ►DLI 14 Percent of children 6-59 months receiving Vitamin A supplements (New- DLI -10a) (Intermediate Outcome, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 45.00 -- 45.00 53.00 Date -- -- 31-Oct-2016 -- Comments ►DLI 15 Percent of Wordas in non-emerging Regions delivering Vitamin A Supplements to children through routine system – Health Facilities (New- DLI-10b) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 48.00 -- 48.00 80.00 Date -- -- 30-Dec-2016 -- Per the MOH’s implementation support mission report, the target for this DLI 10(b) is fully achieved. Hence disbursement (US$4M) will be made in FY18 once result is verified by joint review mission with nutrition Comments partners. ISR will be updated upon the verification of the result by the technical partners. ►DLI 16 Percent of Pregnant women taking Iron Folic Acid (IFA) tablets (New- DLI- 11) (Intermediate Outcome, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 17.00 -- 17.00 25.00 Date -- -- 31-Oct-2016 -- Updated information is expected from next round of a Mini-DHS for the FY2018 target. According to the MOH mission report, two round of IFA procurements has been secured from the SDG pool Comments fund. In addition, the IFA 90+ supplementation is included in the revised HMIS indicator. Training is provided, recording and reporting formats has been printed and distributed to regions and down to facilities. ►DLI 17 Percent of Children 0- 23 month participating in GMP (New DLI-12a) (Process, 15,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 27.00 -- 27.00 51.00 6/14/2018 Page 13 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Date -- -- 30-Dec-2016 -- According to the HMIS report, the result for this DLI 12(a) has exceeded the FY17 target by 6 percentage points. Disbursement (US$10M) will be made in FY18 once result is verified by joint review mission with technical partners. Comments The actual result will be update in the next ISR upon the outcome of the joint review mission. ►DLI 18 Percent of Woredas in emerging Regions transitioning from EOS to Community Health Days- CHD (NewDLI- 12b) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 0.00 -- 0.00 50.00 Date -- -- 30-Dec-2016 -- According to the HMIS report, the result for this DLI12(b) has exceeded the target (10 percentage point increase) by 9 percentage points which is 168 (19%) woredas transitioned from EoS to CHD from baseline 0. Disbursement (US$3M) will be made in FY18 once result is verified by joint review mission with technical Comments partners. Result will be update in the next ISR upon the outcome of the joint review mission. ►DLI 19 Percent of PHC Facilities having all drug from the MOH list of drug available(New- DLI DLI-13(1)) (Process, 7,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 42.00 -- 42.00 47.00 Date -- -- 30-Sep-2016 -- Comments ►DLI 20 Developed and Implement postnatal Care Service directive to improve the quality of Postnatal services (New- DLI- 13(2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- Y Y Date -- -- 06-Jun-2018 -- The target for DLI 13(1) for 2017 is to develop Postnatal Care Directive by December 31st, 2017. The Postnatal Care Directive guideline is developed and submitted. Disbursement (UD$1M) will be made once the Comments achieved result is reviewed and verified by the technical partners. 6/14/2018 Page 14 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►DLI 21 Improve quality of adolescent services (New- DLI 13(3)) (Process, 6,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- N Y Date -- -- 06-Sep-2017 -- The strategy is endorsed by the government in October 2017 and submitted to the Bank. Disbursement Comments (UD$1M) will be made once the dissemination process is verified by the technical partners. ►DLI 22 Percent of Woreda with Functional Community Health Insurance Schemes (New- DLI-14 (1)) (Process, 19,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 0.00 -- 23.00 53.00 Date -- -- 19-Jun-2017 -- The target for FY17 establishing a baseline of functional community based health insurance schemes was met and US$9.50 was disbursed. The target for FY18- 20 percentage points increase from the baseline of 205 Comments functional CBHI is exceeded by 46 percentage points which is 271 functional Woredas. Disbursement (UD$ 7.5 M) will be made once the achieved result is verified by the technical partners. ►DLI 23 Undertake CBHI review every two Years (New- 14- (2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value Y -- Y Y Date -- -- 31-Dec-2017 -- The target for FY17 reviewing the implementation of CBHI schemes is met. Disbursement (UD$ 3 M) will be Comments made once the achieved result is verified by the technical partners. ►DLI 24 Devise and implement a mechanism for documenting consultations when communal Private land is used for construction of health facilities (New- DLI-15(1)) (Process, 4,500,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- N Y Date -- -- 06-Jun-2018 -- According to the MOH’s mission report, a mechanism for a systematically documenting the consultations when the communal/private land is used for construction of health facilities. Hence, disbursement will be made once Comments the document is submitted and verified by the technical partners. ISR will be updated upon the verification report of technical partners. 6/14/2018 Page 15 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) ►DLI 25 Development and implementation of health sector community score card(New- DLI- 15(2)) (Process, 5,000,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- N Y Date -- -- 06-Jun-2018 -- Comments ►DLI 26 Children 12-23 months immunized with Pentavalent 3 vaccine (Scaled- DLI- 2c) (Intermediate Outcome, 8,130,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 65.70 -- 65.70 75.70 Date -- -- 31-Dec-2012 -- Comments ►DLI 27 Health Centers reporting HMIS data in time (restructured -DLI- 5a) (Process, 7,770,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value 68.00 -- 68.00 86.00 Date -- -- 06-Jun-2018 -- Comments ►DLI 28 Development and implementation of Annual Rapid Facility Assessment (restructured-DLI- 7c) (Process, 10,950,000.00, 0%) Baseline Actual (Previous) Actual (Current) N/A Value N -- Y Y Date -- -- 19-Jun-2017 -- The 2013 target was met and total disbursements made under DLI 7a consist of SDR 1.3m and USD 2m and Comments for DLI 7b, a total of SDR 1.6m was also disbursed. The SPA+ 2014 was finalized and served as the basis for the result of this DLI. As a result, SDR 1.2 m was disbursed for SPA+ and action plan. ►DLI 29 Development and implementation of Balanced Score Card Approach to assess performance and related institutional incentives (Original- DLI- 6) (Process, 20,200,000.00, 0%) 6/14/2018 Page 16 of 17 The World Bank Implementation Status & Results Report Ethiopia Health MDG Support Operation (P123531) Baseline Actual (Previous) Actual (Current) N/A Value Y -- Y Y Date -- -- 01-Oct-2014 -- DLI dropped: No disbursement against results for this DLI and the disbursements made to date have been advances (6a: SDR 325k, US$250k; 6b: SDR 1.95m, US$500k). Progress was delayed due to the Government decision to change the roll out modality for the BSC; the Bank and Government have agreed to Comments drop the DLI as part of restructuring and AF and replace it with a new DLI on service quality. Accordingly, DLI 13, Percent of Primary Health Care facilities having all drugs from the MOH list of essential drugs, has been added to improve the quality of health care services. 6/14/2018 Page 17 of 17