The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Guinea Health Service and Capacity Strengthening Project (P163140) AFRICA | Guinea | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 4 | ARCHIVED on 19-Dec-2019 | ISR39148 | Implementing Agencies: Ministry of Public health and Hygiene, Ministry of Finance Key Dates Key Project Dates Bank Approval Date: 25-Apr-2018 Effectiveness Date: 24-Dec-2018 Planned Mid Term Review Date: 11-Jan-2021 Actual Mid-Term Review Date: Original Closing Date: 27-Jun-2023 Revised Closing Date: 27-Jun-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) Improve the utilization of reproductive, maternal, neonatal and child health services in target regions Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthen supply of basic RMNCH services in target regions:(Cost $17.00 M) Strengthen the demand for basic RMNCH services in target regions:(Cost $13.00 M) Strengthen health financing capacity of the MOH to guide sector reform and long-term transformation:(Cost $22.00 M) Strengthen project management, implementation, and donor coordination capacity:(Cost $3.00 M) Overall Ratings Name 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 and Key Decisions The project was approved by the World Bank Board of Executive Directors on 25 April 2018 and Financing Agreements between the Government of Guinea and The World Bank Group were signed on 27 June 2018. Effectiveness was declared on 24 December 2018. The project team is taking adjustment measures to speed up implementation and disbursement. 12/19/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Substantial Substantial Substantial Fiduciary Substantial Substantial Substantial Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the utilization of reproductive, maternal, neonatal and child health services in target regi IN00761968 ►Number of deliveries assisted by trained health personnel (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 66,544.00 66,544.00 66,544.00 94,320.00 Date 01-Dec-2017 30-Nov-2018 30-Nov-2018 01-Apr-2023 IN00761969 ►Number of pregnant women who received 4 antenetal care visits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 77,951.00 77,951.00 77,951.00 141,479.00 Date 01-Dec-2017 30-Nov-2018 30-Nov-2018 01-Apr-2023 IN00761970 ►Number of children (0-11 months) fully vaccinated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/19/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Value 94,640.00 94,640.00 94,640.00 136,239.00 Date 01-Dec-2017 30-Nov-2018 30-Nov-2018 01-Apr-2023 IN00762001 ►Number of children (0-1 years) receiving vitamin A supplementation every 6 months (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 11,407.00 11,407.00 11,407.00 70,740.00 Date 01-Dec-2017 30-Nov-2018 30-Nov-2018 01-Apr-2023 IN00762002 ►Number of women who have received modern contraception (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 52,812.00 52,812.00 52,812.00 1,117,899.00 Date 01-Dec-2017 30-Nov-2018 30-Nov-2018 01-Apr-2023 Intermediate Results Indicators by Components Strengthen supply of basic RMNCH services in target regions IN00762003 ►Proportion of health centers with access to water (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 71.00 71.00 71.00 90.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762007 ►Proportion of health centers with more than 30 percent of stock-outs of tracer drugs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 25.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762010 ►Proportion of health centers offering integrated management of childhood illnesses (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762013 ►Number of health facility health workers trained in RMNCH competencies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/19/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Value 0.00 0.00 0.00 400.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762016 ►Proportion of health centers who benefited from at least one supportive supervision per timester (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 Strengthen the demand for basic RMNCH services in target regions IN00762006 ►Number of women and children who utilized health centers for RMNCH services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 458,412.00 458,412.00 458,412.00 733,596.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762008 ►Number of new indigents covered under exemption mechanisms (identified and provided with card) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 150,000.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762012 ►Satisfaction of users with basic RMNCH services provided (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 60.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762014 ►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 0.00 301,992.00 Date 04-Apr-2018 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762017 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 136,239.00 Date 04-Apr-2018 21-Nov-2018 21-Nov-2018 03-Apr-2023 IN00762018 12/19/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) 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 0.00 70,740.00 Date 04-Apr-2018 21-Nov-2018 21-Nov-2018 03-Apr-2023 IN00762019 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 94,320.00 Date 04-Apr-2018 21-Nov-2018 21-Nov-2018 01-Apr-2024 Strengthen project management, implementation, and donor coordination capacity IN00762004 ►Proportion of health centers transmitting health data on time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 Strengthen health financing capacity of the MOH to guide sector reform and long-term transformation IN00762005 ►Number of health centers under results-based financing mechanisms receiving due payments for their results on time (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 46.00 Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762009 Number of RBF Contracts Signed between the purchasing Agency and identified RBF facilities (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 46.00 IN00762011 ►Health Financing Strategy Produced (incorporating evidence from PER and NHA) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Dec-2017 21-Nov-2018 21-Nov-2018 01-Apr-2023 IN00762015 NHA and PER produced (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 12/19/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Value No No No Yes Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P163140 IDA-62300 Effective USD 22.50 22.50 0.00 0.76 20.67 3.6% P163140 IDA-D3040 Effective USD 22.50 22.50 0.00 0.76 20.67 3.6% P163140 TF-A7042 Effective USD 10.00 10.00 0.00 0.70 9.30 7% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P163140 IDA-62300 Effective 25-Apr-2018 27-Jun-2018 24-Dec-2018 27-Jun-2023 27-Jun-2023 P163140 IDA-D3040 Effective 25-Apr-2018 27-Jun-2018 24-Dec-2018 27-Jun-2023 27-Jun-2023 P163140 TF-A7042 Effective 25-Apr-2018 27-Jun-2018 24-Dec-2018 31-Dec-2021 31-Dec-2021 Cumulative Disbursements 12/19/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Guinea Health Service and Capacity Strengthening Project (P163140) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/19/2019 Page 7 of 7