The World Bank Report No: ISR11057 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: 6 Status: ARCHIVED Archive Date: 09-Jul-2013 (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 14-Nov-2012 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: ISR11057 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 31-May-2013 31-Dec-2015 intestinal infectious diseases, in 25 hospitals. Comments SESAB performed the second investigation of enteric infectious diseases in children from the 25 most affected hospitals. Number of people served by simplified water Number Value 32295.00 44661.00 72295.00 supply systems, and basic sanitation in at Date 02-Nov-2010 31-May-2013 31-Dec-2015 least 10 selected municipalities prioritized by Comments CERB continue making the project serious efforts to move the indicator. First disbursement is supporting planned activities. 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 There is initial evidence that three hospitals have achieved the barema indicator. A full report will be elaborated until November 2013. Percentage of the overall Barema indicators Percentage Value 40.00 65.00 80.00 Public Disclosure Copy improved in all 25 reference hospitals. Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments The current percentage is showing the rigorous follow up and State’s commitment with this indicator. Intermediate Results Indicators Page 2 of 6 The World Bank Report No: ISR11057 Indicator Name Core Unit of Measure Baseline Current End Target Number of simplified water supply system Number Value 161.00 191.00 299.00 constructed and operating in at least 10 Date 02-Nov-2010 31-May-2013 31-Dec-2015 Public Disclosure Copy selected municipalities. Comments The mission discussed new selected municipalities, based on the epidemiological study presented in October 2012. Changes will be confirmed before the next mission. Improved community water points constructed Number Value 161.00 161.00 361.00 or rehabilitated under the project Date 31-Dec-2009 31-May-2013 31-Dec-2015 Comments This core indicator is based There are advances on on indicator #1 in Component planning and other 1a. operational activities to initiate constructions in the selected areas and municipalities. Control Processing System updated and Number Value 0.00 0.00 1.00 integrated into the other TCE systems Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments No advances on this indicator. Terms of Reference are under discussion River Basin Committees created and Number Value 0.00 1.00 3.00 operational Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments One River Committee has been created. 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 31-May-2013 31-Dec-2015 Comments In two consecutive years, the maternal and child health agenda has been prioritized. 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 31-May-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 31-May-2013 31-Dec-2015 Page 3 of 6 The World Bank Report No: ISR11057 Comments The state increased the priority of expanding family health teams and its coverage. Public Disclosure Copy Study consolidating information of operation Number Value 0.00 0.00 2.00 and maintenance of rural systems. Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments No progress. Study is under discussion. Changes in public policy in the sector may affect the indicator Communication strategy Action Plan Number Value 0.00 0.00 3.00 elaborated and under implementation Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments Plan is being elaborated Number of public officials certified in Number Value 0.00 0.00 100.00 management by results in the three Date 02-Nov-2010 31-May-2013 31-Dec-2015 secretariats involved. Comments Advances for planning specific training are important, but identified 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 31-May-2013 31-Dec-2015 Comments Advances are relevant.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 31-May-2013 31-Dec-2015 map of infectious intestinal diseases Comments A first map was elaborated, prevalence and water systems updated. and will be revised due to a recent epidemiological study that modify situation. Public Disclosure Copy Number of Community Voluntary Agents Number Value 43.00 0.00 772.00 Trained and operational Date 02-Nov-2010 31-May-2013 Comments INEMA's new policies eliminate training to Community Agents. However, the health and water sectors are discussing possibility to train Health Agents with sanitary content since 2014. Page 4 of 6 The World Bank Report No: ISR11057 Studies for restructuring of Riverine Riparian Number Value 0.00 0.00 2.00 Forests Program elaborated and under Date 02-Nov-2010 31-May-2013 31-Dec-2015 implementation Comments TOR's for studies are under Public Disclosure Copy discussion. Percentage of neonatal deaths occurring in the Percentage Value 0.00 38.00 80.00 selected maternity hospitals investigated, Date 02-Nov-2010 31-May-2013 31-Dec-2015 analyzed and discussed Comments Initial advances are relevant, and are following best scenario planned schedule. 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 31-May-2013 31-Dec-2015 and ratified by CONERH including studies for Comments One was accepted by the classifying water. mission, the one in Paraguacu. State Water Resources Plan Reviewed Number Value 0.00 0.00 1.00 Date 02-Nov-2010 31-May-2013 31-Dec-2015 Comments Plan is being discussing internally. 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 31-May-2013 31-Dec-2015 Comments Supervision team is discussing potential new numbers of this indicator. However, currently the indicator is improving. Data on Financial Performance (as of 05-Feb-2013) Financial Agreement(s) Key Dates Public Disclosure Copy 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 Page 5 of 6 The World Bank Report No: ISR11057 Public Disclosure Copy Key Decisions Regarding Implementation After 9 months of Project's effectiveness, 18.5% of total loan proceeds have been disbursed. Most Project Development Objective (PDO) and intermediate indicators (PDIs) are showing progress – two indicators related to improvements in the efficiency, quality and productivity in 25 selected hospitals are close to achieve end of Project targets. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6