The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) AFRICA | Burundi | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 27-Dec-2019 | ISR38881 | Implementing Agencies: Ministry of Public Health and Fight against AIDS, Republic of Burundi Key Dates Key Project Dates Bank Approval Date: 05-Sep-2019 Effectiveness Date: -- Planned Mid Term Review Date: 04-Apr-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Jun-2024 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) Increase the coverage of community based nutrition interventions among women of reproductive age and children under two and to increase utilization of family planning services in targeted areas Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Community interventions to increase coverage of nutrition services and utilization of family planning services:(Cost $23.70 M) Strengthening institutions, leadership and monitoring:(Cost $6.30 M) Contingency Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Moderately Satisfactory Overall Implementation Progress (IP) -- Moderately Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Nkuriza project was approved by the World Bank Board on September 5, 2019 and the financing agreement was signed on September 19, 2019. The conditions of effectiveness are in progress. According to the Ministry of Health (MSPLS), they will be finalized very soon.It is expected to complete by December 30, 2019 as the team is fully committed to this deadline with the full collaboration of the counterpart team The project effectiveness deadline date of December 18, 2019 was extended by two months.to February 29, 2020. 12/27/2019 Page 1 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- High Macroeconomic High -- High Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Sustainability Substantial -- Substantial Fiduciary Substantial -- Substantial Environment and Social Moderate -- Moderate Stakeholders Substantial -- Substantial Other High -- High Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Increase the coverage of community based nutrition interventions among women and children IN00753651 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,000,000.00 Date 27-Nov-2018 -- 26-Nov-2019 30-Jun-2023 IN00753654 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,000,000.00 Date 27-Nov-2018 -- 26-Nov-2019 30-Jun-2023 IN00753655 ►Children 0-23 months receiving essential community-based nutrition and early stimulation services in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/27/2019 Page 2 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Value 0.00 -- 0.00 30.00 Date 16-Nov-2018 -- 26-Nov-2019 30-Jun-2023 Children benefiting from essential community-based nutrition and early stimulation services/targeted Comments: population of children in project areas *100 IN00753656 ►Children 0-23 months showing adequate weight gain in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 55.00 Date 16-Nov-2018 -- 26-Nov-2019 30-Jun-2023 Comments: % children 0-23 showing adequate weight gain in project areas/weighed children*100 Increase utilization of family planning services IN00753652 ►Women using modern contraceptive methods in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.90 -- 19.90 29.90 Date 21-Aug-2018 -- 26-Nov-2019 30-Jun-2023 Comments: Women using modern contraceptive method/ 80% women of reproductive age in project areas * 100 IN00753653 ►Couple-Years Protection (CYP) in targeted areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 531,695.00 -- 531,695.00 1,102,522.00 Date 31-Dec-2017 -- 26-Nov-2019 30-Jun-2023 Estimated protection provided by family planning services during a one year period, based upon the volume of all contraceptives sold or distributed free of charge to clients during that period. CYP is Comments: calculated by multiplying the quantity of each method distributed to clients by a conversion factor, which yields an estimate of the duration of contraceptive protection provided per unit of that method Intermediate Results Indicators by Components Community interventions to increase coverage of nutrition services and utilization of FP IN00753657 ►Community steering committees meeting quarterly and providing inputs into the project's quarterly reports, including on quality of and satisfaction with community nutrition interventions (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 133.00 Date 27-Sep-2018 -- 26-Nov-2019 30-Jun-2023 12/27/2019 Page 3 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Comments: Number of local steering committees meetings organised in collines of project areas IN00753659 ►Mothers participating in behavior change activities (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 607,454.00 Date 21-Aug-2018 -- 26-Nov-2019 30-Jun-2023 Number of mothers benefiting from behavior change activities; cumulative Comments: IN00753661 ►Targeted households with targeted groups (children under two, pregnant and lactating women, adolescent girls) benefiting from nutrition sensitive community initiatives (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 35,886.00 Date 21-Aug-2018 -- 26-Nov-2019 30-Jun-2023 Comments: Cumulative number of Households/ targeted households in project areas IN00753662 ►Pregnant women benefiting from iron and folic acid supplementation (cumulative) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,738,047.00 Date 16-Nov-2018 -- 26-Nov-2019 30-Jun-2023 Comments: Number of Pregnant women receiving supplementation in project areas IN00753663 ►Community Health workers trained to deliver Sayana Press (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 Date 16-Nov-2018 -- 26-Nov-2019 30-Jun-2023 Comments: Trained CHW/targeted CHW in project areas *100 Strengthening institutions, leadership and monitoring IN00753658 ►Faith-based health facilities staff trained on family planning methods and referrals in in targeted areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 21-Aug-2018 -- 26-Nov-2019 30-Jun-2023 Comments: Staff trained (at least 1 per facility)/Targeted staff in project provinces*100 IN00753660 12/27/2019 Page 4 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) ►Number of people trained in Masters level training (1 year) (nutrition, reproductive health, and environmental public health) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 9.00 Date 16-Nov-2018 -- 26-Nov-2019 30-Jun-2023 Number of students registered to a masters level training in nutrition, reproductive health or environmental Comments: health Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P165253 IDA-D5140 USD 30.00 30.00 0.00 0.00 29.72 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P165253 IDA-D5140 05-Sep-2019 19-Sep-2019 -- 30-Jun-2024 30-Jun-2024 Effective Cumulative Disbursements 12/27/2019 Page 5 of 6 The World Bank Implementation Status & Results Report Investing in Early Years and Fertility in Burundi (NKURIZA) (P165253) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/27/2019 Page 6 of 6