The World Bank Report No: ISR12689 Implementation Status & Results Malawi Malawi Nutrition and HIV/AIDS Project (P125237) Public Disclosure Copy Operation Name: Malawi Nutrition and HIV/AIDS Project (P125237) Project Stage: Implementation Seq.No: 4 Status: ARCHIVED Archive Date: 31-Dec-2013 Country: Malawi Approval FY: 2012 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 27-Mar-2012 Original Closing Date 31-Aug-2017 Planned Mid Term Review Date Last Archived ISR Date 18-Jun-2013 Effectiveness Date 17-Oct-2012 Revised Closing Date 31-Aug-2017 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to increase access to, and utilization of, selected services known to contribute to the reduction of child stunting, maternal and child anemia, and the prevention of HIV and AIDS in children and sexually active adults. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component A - Support for Nutritional Improvement (IDA: US$32 million; CIDA TF: US$13.1 million) 45.10 Component B - Support for the National HIV/AIDS Strategic Plan (2011-2016) (US $50 million) 48.00 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Public Disclosure Copy Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview The Nutrition, HIV and AIDS Project (NHAP) was approved by the Board on March 27, 2012, and became effective on October 17, 2012. The project was officially launched on February 28, 2013 by H.E. President Doctor Joyce Banda. The implementing agencies (Department of Nutrition, HIV and AIDS and the National AIDS Commission) are making progress in initiating and conducting activities in line with the procurement and implementation action plans, and US$11.5 million has disbursed to date. Locations No Location data has been entered Page 1 of 6 The World Bank Report No: ISR12689 Results Project Development Objective Indicators Public Disclosure Copy Indicator Name Core Unit of Measure Baseline Current End Target Children under two receiving a monthly Percentage Value 0.00 0.00 33.00 minimum package of community nutrition Date 30-Sep-2010 01-Nov-2013 31-Aug-2017 services in the Component A intervention Comments Baseline survey being districts conducted. Children 6–23 months of age who receive Percentage Value 29.00 29.00 40.00 minimum diet diversity in the Component A Date 31-Dec-2011 intervention districts Comments Pregnant women attending ANC in first Percentage Value 12.00 12.00 20.00 trimester in the Component A intervention Date 31-Dec-2011 01-Nov-2013 31-Aug-2017 districts Comments People with access to a basic package of Number Value 0.00 0.00 186615.00 health, nutrition, or reproductive health services Date 31-Dec-2011 01-Nov-2013 31-Aug-2017 (number) Comments Baseline survey being conducted Neonatal and post neonatal males circumcised Number Value 10000.00 4544100.00 636900.00 Date 31-Dec-2011 31-Dec-2012 31-Aug-2017 Comments PN: Target of 25000 largely N- 136,900 exceeded due to PEPFAR PN- 500,000 program expansion Infants born to HIV positive women enrolled in Percentage Value 25.00 27.00 50.00 PMTCT services in the target districts who Date 31-Dec-2011 01-Sep-2013 31-Aug-2017 receive a DNA PCR test for HIV within Comments Program reports; facility twomonths of birth registers. Target 30% for year 1 Public Disclosure Copy Men and women aged between 15-49 who Percentage Value 51.90 75.00 have had more than one sexual partner in the Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 last 12 months, reporting the use of a condom Comments 27.3% Source: DHS or equivalent 40% in their last sexual intercourse Women population based survey Women 24.6% 35% Men Men Intermediate Results Indicators Page 2 of 6 The World Bank Report No: ISR12689 Indicator Name Core Unit of Measure Baseline Current End Target Direct project beneficiaries Number Value 0.00 0.00 1088470.00 Date 31-Dec-2011 01-Sep-2013 31-Aug-2017 Public Disclosure Copy Comments Estimates to be produced in advance of the mid-year review. Female beneficiaries Percentage Value 0.00 0.00 26.00 Sub Type Supplemental Group village adopting the community nutrition Number Value 0.00 0.00 538.00 program in the intervention districts Date 31-Dec-2011 01-Nov-2013 31-Aug-2017 Comments Baseline survey being conducted Backyard gardens established in the Number Value 0.00 0.00 30000.00 intervention districts Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments Children 0-59 mo from households with ITNs Percentage Value 59.00 59.00 69.00 who slept under ITNs last night in the Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 intervention districts Comments Children 0-59 mo who had diarrhea and were Percentage Value 22.00 22.00 38.00 given increased fluids in the intervention Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 districts Comments Mothers attending monthly group education in Percentage Value 0.00 0.00 75.00 the intervention areas Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments Pregnant women receiving antenatal care Number Value 0.00 0.00 65000.00 during a visit to a health provider (number) Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Public Disclosure Copy Comments District Councils reporting on key nutrition Number Value 0.00 0.00 13.00 indicators to DNHA on a quarterly basis Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments National Nutrition Policy and Strategic Plan Yes/No Value No No Yes (2007-2012) reviewed and updated Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments Page 3 of 6 The World Bank Report No: ISR12689 Persons seeking MC services tested for HIV on Percentage Value 50.00 50.00 85.00 site Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments Based on BLM indicators Public Disclosure Copy Fixed and mobile service units providing Number Value 0.00 105.00 34.00 minimum packages for MC Date 31-Dec-2011 01-Sep-2013 31-Aug-2017 Comments 0 fixed sites; NAC/MOH report that there 28 fixed sites; 0 mobile units are 105 fixed sites providing 6 mobile units VMMC, the indicator does not define facility types (district level, tertiary hospital, health post), thus needs revision. Mobile service units also need to be strictly defined. Will be addressed through level 2 restructuring. Fixed sites offering MC services reporting no Percentage Value 0.00 90.00 stock-outs of one week or more of MC kits Date 01-Sep-2013 31-Aug-2017 during the reporting period. Comments N/A Similarly, this needs to be redefined to align with the above, and will be addressed through level 2 restructuring. : Women attending ANC who are tested for HIV Percentage Value 74.00 77.00 85.00 Date 31-Dec-2011 30-Jun-2013 31-Aug-2017 Comments Indicator needs revision - these are collected every quarter but the results framework asks yearly data HIV positive pregnant women who receive ARV Number Value 32000.00 32000.00 40000.00 to reduce the risk of mother to child Date 01-Sep-2013 31-Aug-2017 transmission Comments Annual Number 73% of pregnant women are Annual Number Public Disclosure Copy on ARV. # Will be supplied by NAC in consultation with MOH PMTCT sites in target districts offering Percentage Value 40.00 40.00 80.00 minimum EID package to exposed infants Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 Comments MOH/NAC records: reporting delayed IDA financed activities not yet implemented. Page 4 of 6 The World Bank Report No: ISR12689 Sexually active respondents who had sex with Percentage Value 10.20 10.20 5.90 a non-regular partner within the previous 12 Date 31-Dec-2011 01-Sep-2012 31-Aug-2017 months (by gender) Comments Female 1% Source: DHS or equivalent Female 0.4% Public Disclosure Copy population based survey. Male 9.2% Male 5.5% Data on Financial Performance (as of 05-Dec-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P125237 IDA-50680 Effective 27-Mar-2012 17-Jul-2012 17-Oct-2012 31-Aug-2017 31-Aug-2017 P125237 IDA-H7610 Effective 27-Mar-2012 17-Jul-2012 17-Oct-2012 31-Aug-2017 31-Aug-2017 P125237 TF-12631 Effective 10-Sep-2012 10-Sep-2012 17-Oct-2012 31-Dec-2015 31-Dec-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P125237 IDA-50680 Effective USD 32.00 32.00 0.00 1.36 30.38 4.00 P125237 IDA-H7610 Effective USD 48.00 48.00 0.00 9.56 37.89 20.00 P125237 TF-12631 Effective USD 12.35 12.35 0.00 0.58 11.77 5.00 Disbursement Graph Public Disclosure Copy Page 5 of 6 The World Bank Report No: ISR12689 Key Decisions Regarding Implementation N/A Public Disclosure Copy Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6