The World Bank Report No: ISR12363 Implementation Status & Results Africa IGAD Regional HIV/AIDS Partnership Program (IRAPP) Support Project (P104523) Public Disclosure Copy Operation Name: IGAD Regional HIV/AIDS Partnership Program (IRAPP) Project Stage: Implementation Seq.No: 10 Status: ARCHIVED Archive Date: 18-Nov-2013 Support Project (P104523) Country: Africa Approval FY: 2007 Product Line: Recipient Executed Activities Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 28-Jun-2007 Original Closing Date 31-Dec-2014 Planned Mid Term Review Date 31-Mar-2010 Last Archived ISR Date 24-Apr-2013 Effectiveness Date 07-Feb-2007 Revised Closing Date 31-Dec-2014 Actual Mid Term Review Date 20-Dec-2010 Project Development Objectives Project Development Objective (from Project Appraisal Document) A. Increase preventative action, and reduce misconception of cross border and mobile populations, refugees, IDPs, returnees and surrounding host communities concerning HIV/AIDS prevention, treatment and mitigation in selected sites in the IGAD member states; and B. Establish a common and sustainable regional approach to supporting these populations in the IGAD member states. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1: Support for Refugees, IDPs, Returnees, Surrounding Host Communities and Cross 15.67 Border and Mobile Populations Component 2: Cross Border Collaboration on Health Sector Response by Member Countries to HIV/ 2.14 AIDS Component 3: Project Management, Coordination, Capacity Building and Monitoring and Evaluation 4.40 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 Substantial Substantial Implementation Status Overview This ISR update is based on the findings of the implementation support mission held in August 2013 and the fiduciary (Procurement and Financial Management) mission of August Page 1 of 5 The World Bank Report No: ISR12363 and September 2013. The original funding through the ACGF Grant (US$14.5 million) is fully disbursed and closed on May 31, 2013. Public Disclosure Copy The project is currently funded through Additional Financing from a CIDA Grant (C$8million), which became effective on May 31, 2013. With the Additional Financing, the project is financing the same activities in a scaled up manner in existing and new target areas. Locations No Location data has been entered Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target VCT: Percentage of populations aged 15-49 in Text Value Uganda: 44.6% (M); 47.3% BSS survey completed. To be UG: 66.6% (M); 67.3%(F) the target areas who undergo HIV voluntary (F) updated when results are SS:34.1% (M); 42.8%(F) counselling and testing and know their results SS: 14.1% (M); 22.8%(F) released. NS:26.9% (M); 29.2% (F) in the last 12 months NS: 6.9% (M); 9.2% (F) Kenya: 24% (M); 27% (F) Kenya: 4%(M); 7%(F) Date 15-Dec-2009 30-Sep-2013 31-Dec-2014 Comments For all BSS data, please note For all BSS indicators a 20 Uganda: Refugees point increase is both the maximum change that can be South Sudan: Returnees expected to occur in two years and also the minimum North Sudan: Refugees change that the BSS sample framework is designed to Kenya: Refugees. detect Data collection took place over an extended period of Public Disclosure Copy time and 12/15/2009 was chosen as the mid-point PMTCT: Percentage of HIV-positive pregnant Text Value 0 90.8% 100% women in the target areas who are referred for Date 01-May-2009 30-Sep-2013 31-Dec-2014 antiretroviral treatment to reduce the risk of Comments mother-to-child transmission STIs: Number of clients receiving STI services Text Value 0 67,920 65,025 in the target areas Date 15-Dec-2009 30-Sep-2013 31-Dec-2014 Comments Target surpassed Page 2 of 5 The World Bank Report No: ISR12363 Percentage of population aged 15 to 49 in the Text Value UG: 29.7% (M); 19.9% (F) Awaiting the BSS finadings UG: 49.7% (M); 39.9% (F) target areas who both correctly identify three NS: 22.1%(M); 2.5% (F) due to be released. NS: 42.1% (M); 22.5% (F) ways of preventing the sexual transm.of HIV SS: 41.1%(M); 58.9% (F) SS: 61.1% (M); 78.9% (F) and who reject major misconceptions about Kenya: 30% (M); 16% (F) Kenya: 50% (M); 36% (F) Public Disclosure Copy HIV transm. Date 15-Dec-2009 30-Sep-2013 31-Dec-2014 Comments (i) Adoption of a common strategy that includes Text Value No common strategy. No Already Achieved All IGAD member countries IRAPP target population; and (ii) harmonized harmonized protocols and adopted a common CBMP protocols and referral systems referral systems. strategy, harmonized protocols and referral systems. Date 01-May-2009 31-Oct-2012 31-Oct-2012 Comments Adopted during the annual joint review meting in Oct 2012. Condom use at last sex with a non-regular Text Value UG: 46.7% (M); 31.6% (F) Awaiting BSS findings due to Uganda: 66.7% (M); 51.6% partner among men and women 15-49 in target NS: 2.3% (M); 0% (F) be released. (F) areas SS: 2.5%(M); 0.3% (F) NS: 22.3% (M); 20%(F) Kenya: 43% (M); 27% (F) SS:22.5% (M);20.3 % (F) Kenya: 63%(M); 47%(F) Date 15-Dec-2009 30-Sep-2013 31-Dec-2014 Comments For females in Sudan in general, the target is unlikely to be achieved because of the hesitance to report non- regular sexual partnerships due to cultural and religious reasons. Condom use at last sex with a transactional Text Value Uganda: 44.6% (M); 47.3% Awaiting BSS findings Uganda: 64.6% (M); 67.3% partner among men and women 15-49 in target (F) (F) areas SS: 14.1% (M); 22.8%(F) SS: 34.1% (M); 42.8%(F) NS: 6.9% (M); 9.2% (F) NS: 26.9% (M); 29.2% (F) Public Disclosure Copy Kenya: 4%(M); 7%(F) Kenya: 24%(M); 27%(F) Date 15-Dec-2009 30-Sep-2013 31-Dec-2014 Comments Intermediate Results Indicators Page 3 of 5 The World Bank Report No: ISR12363 Indicator Name Core Unit of Measure Baseline Current End Target Number of functioning VCT sites in targeted Text Value 0 74 80 areas Date 01-May-2009 30-Sep-2013 31-Dec-2014 Public Disclosure Copy Comments Revised during AF Number of health facilities providing STI Text Value 0 71 80 services in the targeted areas Date 01-May-2009 30-Sep-2013 31-Dec-2014 Comments Target revised during AF Number of condoms distributed in target areas Text Value 0 8,702,113 7,697,484 by IRAPP Date 01-May-2009 30-Jun-2013 31-Dec-2014 Comments Target surpassed Target revised during AF Number of PLWHA associations supported by Text Value 0 42 47 IRAPP in the target areas Date 01-May-2009 30-Sep-2013 31-Dec-2014 Comments Target revised during AF Development of regional strategy for improved Text Value No strategy Already achieved Regional strategy developed HIV/AIDS/STI prevention, treatment and care Date 01-May-2009 31-Oct-2012 31-Oct-2012 services directed to cross-border and mobile Comments Already achieved populations, refugees and IDP. Number of harmonised protocols developed by Text Value 0 7 7 topics Date 01-May-2009 30-Mar-2012 29-Jun-2012 Comments This target had already been reached by June 2010. Data on Financial Performance (as of 11-Oct-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P104523 TF-14306 Effective 31-May-2013 31-May-2013 31-May-2013 31-Dec-2014 31-Dec-2014 Public Disclosure Copy P104523 TF-57980 Closed 07-Feb-2007 07-Feb-2007 07-Feb-2007 31-May-2007 31-Aug-2007 P104523 TF-90523 Closed 28-Jun-2007 28-Jun-2007 28-Jun-2007 31-Dec-2011 31-May-2013 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P104523 TF-14306 Effective USD 7.62 7.62 0.00 1.40 6.22 18.00 P104523 TF-57980 Closed USD 0.49 0.26 0.24 0.26 0.00 100.00 P104523 TF-90523 Closed USD 14.51 14.51 0.00 14.51 0.00 100.00 Page 4 of 5 The World Bank Report No: ISR12363 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation Not applicable Restructuring History Level two Approved on 31-Oct-2012, Level two Approved on 27-Dec-2012, Level two Approved on 29-Mar-2013 Related Projects P132179-IGAD Regional HIV/AIDS Partnership Program Public Disclosure Copy Page 5 of 5