The World Bank Report No: ISR8548 Implementation Status & Results Swaziland Swaziland Health, HIV/AIDS and TB Project (P110156) Public Disclosure Copy Operation Name: Swaziland Health, HIV/AIDS and TB Project (P110156) Project Stage: Implementation Seq.No: 3 Status: ARCHIVED Archive Date: 26-Nov-2012 Country: Swaziland Approval FY: 2011 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Deputy Prime Minister's Office, Ministry of Health and Social Welfare Key Dates Board Approval Date 10-Mar-2011 Original Closing Date 31-May-2016 Planned Mid Term Review Date 01-Nov-2013 Last Archived ISR Date 30-May-2012 Effectiveness Date 09-May-2012 Revised Closing Date 31-May-2016 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objectives (PDOs) are: (i) to improve access to and quality of health services in Swaziland with a particular focus on primary health care, maternal health and TB, and (ii) to increase social safety net access for OVC. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Strengthening the Capacity of the HealthSector 3.90 Facility-level Support to Improve Access, Quality and Efficiency of Services 24.38 Strengthening of the Orphans and Vulnerable Children (OVC) Safety Net 6.71 Overall Ratings Previous Rating Current Rating Public Disclosure Copy Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Implementation Status Overview In the almost 6 months since effectiveness on May 9, 2012, the project has made considerable progress in implementing activities that will contribute to achievement of the PDOs. The 2012-13 Annual Work Plan totaling over $7 million for the first year of implementation was approved in June 2012. The project has disbursed a combined US$1.499 million from the IBRD loan and EU Grant to date. The project implementing teams have made significant progress towards achievement of the dated covenants and is expected to provide formal notification on achievement together with the first bi-annual progress report due in mid November. Page 1 of 5 The World Bank Report No: ISR8548 Locations Country First Administrative Division Location Planned Actual Swaziland Not Entered Sitobela Public Disclosure Copy Swaziland Not Entered Siteki Swaziland Not Entered Shiselweni District Swaziland Not Entered Mbabane Swaziland Not Entered Manzini District Swaziland Not Entered Manzini Swaziland Not Entered Lubombo District Swaziland Not Entered Hhohho District Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Health facilities that provide at least five public Percentage Value 56.30 56.30 80.00 health services Date 31-Dec-2010 08-Sep-2011 31-May-2016 Comments Source:SAM 2010 Births delivered by a skilled attendant at a Percentage Value 82.00 82.00 85.00 health facility Date 31-Dec-2010 08-Sep-2011 31-May-2016 Comments Source:MICS 2010 TB case notification rate Number Value 801.00 801.00 941.00 Date 31-Dec-2010 08-Sep-2011 31-May-2016 Comments Source: NTCP quarterly Note: This target is the Public Disclosure Copy report Ministry's own target for its program, as defined in the TB M&E Performance Framework 2011. OVC beneficiaries that receive cash transfers Percentage Value 0.00 0.00 75.00 regularly (as defined in the Implementation Date 01-Jan-2011 08-Sep-2011 Manual) Comments The OVC cash transfer pilot has not yet been established. The first phase of component Page 2 of 5 The World Bank Report No: ISR8548 3 will involve capacity building and system strengthening- this will involve the design of the pilot. The pilot will be Public Disclosure Copy gradually scaled-up in four constituencies (regions) in Swaziland. It is not expected that grants will be paid until year 3. Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target People Living with HIV who are screened for Percentage Value 55.00 55.00 80.00 TB Date 31-Dec-2010 08-Sep-2011 31-May-2016 Comments Source: HMIS, 2010 Targeted health facilities with TB infection Percentage Value 0.00 0.00 100.00 control measures in place Date 31-Dec-2010 08-Sep-2010 31-May-2016 Comments Targeted health facilities with health care waste Percentage Value 15.80 15.80 100.00 management facilities in place Date 31-Dec-2010 08-Sep-2011 31-May-2016 Comments The baseline is an estimate and will be finalized following determination of the target facilities. Source: HMIS, 2010 Clinics that have had at least 2 supervision Percentage Value 35.80 35.80 80.00 visits in the last 12 months Date 31-Dec-2010 08-Sep-2011 Comments Source: HMIS, 2010 Note: Baseline and associated targets will be finalized following Public Disclosure Copy determination of the target facilities. OVC directly supported through this cash Number Value 0.00 0.00 8000.00 transfer pilot Date 01-Jan-2011 08-Sep-2011 Comments Note: The baseline is zero because the OVC cash transfer pilot has not yet been established. The pilot will be gradually scaled-up in four constituencies (regions) in Page 3 of 5 The World Bank Report No: ISR8548 Swaziland. It is not expected that grants will be paid until year 3. Health facilities constructed, renovated, and/or Number Value 0.00 0.00 15.00 Public Disclosure Copy equipped (number) Date 01-Jan-2011 08-Sep-2011 Comments Note: The associated target and progress data only refer to the number of health facilities to be renovated and equipped. Results are cumulative. Quarterly progress reports produced by the Percentage Value 0.00 0.00 75.00 Management Information System, according to Date 01-Jan-2011 08-Sep-2011 agreed reporting standards Comments Note: The MIS system will be Note: The MIS system will be built under the project. It is built under the project. It is expected that this will be expected that this will be operational by year 2 of the operational by year 2 of the project- 2012. project- 2012. Health facilities that submit HMIS reports on Percentage Value 77.00 77.00 85.00 time Date 31-Dec-2010 08-Sep-2011 Comments Source: HMIS, 2010 Women who deliver at target health facilities Number Value 5247.00 5247.00 6500.00 Date 01-Jan-2011 08-Sep-2011 Comments Source: HMIS, 2011 Health centers that provide Basic EmONC Number Value 0.00 0.00 5.00 services Date 01-Jan-2011 08-Sep-2011 Comments Students who are trained under the newly Number Value 0.00 0.00 100.00 developed guidelines for mentorship & Date 01-Jan-2011 08-Sep-2011 preceptorship Public Disclosure Copy Comments Data on Financial Performance (as of 15-Aug-2012) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P110156 IBRD-80190 Effective 10-Mar-2011 14-Dec-2011 09-May-2012 31-May-2016 31-May-2016 P110156 TF-11740 Effective 04-Apr-2012 04-Apr-2012 09-May-2012 31-May-2016 31-May-2016 Disbursements (in Millions) Page 4 of 5 The World Bank Report No: ISR8548 Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P110156 IBRD-80190 Effective USD 20.00 20.00 0.00 0.79 19.21 4.00 P110156 TF-11740 Effective USD 8.79 8.55 0.00 0.71 7.84 8.00 Public Disclosure Copy Disbursement Graph Key Decisions Regarding Implementation N/A Restructuring History There has been no restructuring to date. Public Disclosure Copy Related Projects There are no related projects. Page 5 of 5