The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 13 | ARCHIVED on 21-Nov-2018 | ISR34549 | Implementing Agencies: Ministry of Women and Child Development, Republic of India Key Dates Key Project Dates Bank Approval Date: 06-Sep-2012 Effectiveness Date: 26-Nov-2012 Planned Mid Term Review Date: 30-Jun-2014 Actual Mid-Term Review Date: 02-Feb-2015 Original Closing Date: 31-Oct-2015 Revised Closing Date: 30-Aug-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To support the Government of India and participating states to (i) strengthen the Integrated Child Development Services (ICDS) policy framework, systems and capacities, and facilitate community engagement, to ensure greater focus on children under three years of age; and (ii) strengthen convergent actions for improved nutrition outcomes. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) To improve the coverage and quality of ICDS nutrition services to pregnant and lactating women and children under 3 years of age Components Table Name Component 1: ICDS Institutional and Systems Strengthening:(Cost $207.20 M) Component 2: Community Mobilization and Behavior Change Communication (BCC):(Cost $77.60 M) Component 4: Convergent Nutrition Action:(Cost $14.40 M) Component 5: Project Management, Monitoring & Evaluation:(Cost $18.40 M) Component 3: Performance Based Incentives:(Cost $82.40 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions 11/21/2018 Page 1 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) An implementation support mission for the POSHAN Abhiyaan (also known as National Nutrition Mission or Additional Financing (AF) of ICDS Systems Strengthening and Nutrition Improvement Project) was held from Oct 10-17, 2018. The Additional Financing was declared effective on June 11, 2018. The mission reviewed implementation progress and assessed it to be moderately satisfactory. Since the previous mission in May 2018, the MWCD has focused on orienting all States on the POSHAN Abhiyaan through a series of well- structured national and state level workshops highlighting the objectives and key components of the POSHAN Abhiyaan. It also led a massive awareness campaign through a month-long drive on nutrition during the month of September (the month was declared POSHAN Mah or nutrition month) with the objective of creating commitment on nutrition across line departments and generating awareness about the relevance of nutrition among the community. The campaign saw a high level of participation from officials and field functionaries of Ministries of Health and Family Welfare, Water and Sanitation, Education, Rural Development, and Agriculture among others, with each promoting key nutrition messages to their beneficiaries through their programmatic platforms. This convergent effort contributed to an estimated 254 million people being reached directly through the campaign. This extremely intensive effort to launch the program helped to generate a momentum and highlighted the urgency to roll out the POSHAN Abhiyaan and achieve its goals of reduction in under-nutrition. This intensified focus has had an unintended impact on delaying the start of core interventions across participating States and in finalizing relevant guidelines and protocols required to start new interventions under the AF, such as performance-based incentives, convergent nutrition actions and supportive supervision and monitoring. Delays in scale up in the original 8 project states and in initiating implementation in new States are primarily due to time taken in obtaining relevant cabinet and budget approvals for initiating POSHAN Abhiyaan interventions. Among the 11 Priority States identified under the AF, relevant cabinet and budget clearances are still pending in two States - Jharkhand and Odisha. Given these delays, the project has achieved only 3-disbursement linked indicators (DLIs) since the last mission and its progress towards achievement of its Project Development Objectives has been assessed as 'Moderately Satisfactory'. 11/21/2018 Page 2 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Moderate Moderate Macroeconomic -- Moderate Moderate Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Substantial Substantial Fiduciary -- Moderate Moderate Environment and Social -- Moderate Moderate Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Moderate Moderate Results PDO Indicators by Objectives / Outcomes To improve the coverage of ICDS nutrition services to PLW and children under 3 years IN00608351 ►Cumulative number of pregnant/lactating women (PLW) and children under 3 years in project districts reached by ICDS services (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56,000.00 -- 56,000.00 64,000.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 IN00608364 Cumulative number of (female) children under 3 years in project districts reached by ICDS services (Number (Thousand), Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 8,300.00 -- 8,300.00 8,700.00 11/21/2018 Page 3 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 IN00608352 ►Percentage of AWWs who meet at least 60% of their targeted number of home visits to pregnant/lactating women (PLW) and children under 3 years in the previous month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 -- 10.00 50.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Reporting against this indicator has not begun, therefore retaining the baseline figures. The ICDS-CAS Comments: application is being updated to be able to capture this indicator. To improve quality of ICDS nutrition services IN00608348 ►Percentage of children age 6-8 months receiving solid or semi-solid food and breastmilk (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 42.70 -- 42.70 55.00 Date 01-Jan-2018 -- 01-Jan-2018 30-Aug-2022 To be reported at mid-term Comments: IN00608349 ►Percentage of children 6-23 months of age who receive foods from 4 or more food groups (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.90 -- 19.90 30.00 Date 01-Jan-2018 -- 01-Jan-2018 30-Aug-2022 To be reported at mid-term Comments: IN00608350 ►Percentage of AWCs that deliver a minimum set of services at AWCs in the last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 29.30 -- 29.30 50.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Reporting against this indicator has not begun, therefore retaining the baseline figures. The ICDS-CAS Comments: application is being updated to be able to capture this indicator. Original project PDO indicator (no further reporting on these) IN00608341 ►Percentage of targeted AWCs reporting key nutrition and service delivery indicators using ICT systems every month for the last 3 mon ths (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 60.00 11/21/2018 Page 4 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 IN00608343 ►Percentage of project districts that have implemented the “incremental capacity building” system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 IN00608345 ►Number of project states in which “convergent nutrition action plans” have been developed by the district convergence committees in at least one district (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 6.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 Intermediate Results Indicators by Components Component 1: ICDS Institutional and Systems Strengthening IN00608344 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 388,541.00 388,541.00 280,000.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. IN00608354 ►Percentage of AWWs in project districts who have completed all online ILA modules (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Online modules (e-ILA) yet to be rolled out Comments: IN00608356 ►Percentage of Block Resource Groups (BRGs) and sectors that conducted at least four monthly learning and review meetings on ILA themes in the last six months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Roll out of IL started in the new scaled up districts and states only from June 2018. Therefore progress Comments: against this indicator will only be available from the next quarter. 11/21/2018 Page 5 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) IN00608355 ►Percentage of targeted AWCs reporting using ICDS-CAS systems every month for the last six months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 -- 8.20 60.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 IN00608357 ►ICDS Personnel recieved training on ICDS-CAS (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60,000.00 -- 92,328.00 560,000.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 This includes 90,886 Anganwadi Workers and 1442 ICDS Supervisors. This includes data from AP, Bihar, Comments: Chhattisgarh, MP and Rajasthan. IN00608361 ►Number of states with strengthened grievance redress system (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Protocols for strengthened grievance redress system not yet developed Comments: IN00608342 ►Percentage of project districts with district resource groups trained to implement the incremental capacity building system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 62.00 100.00 100.00 95.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. IN00608347 ►Percentage of targeted AWWs trained on the ICT based management, monitoring and communication system (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 76.94 76.94 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. Component 2: Community Mobilization and Behavior Change Communication (BCC) IN00608358 11/21/2018 Page 6 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) ►Percentage of AWCs in project districts that have implemented at least 4 CBEs focusing on agreed MIYCN themes in the last 6 months (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 -- 48.60 65.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 IN00608359 ►Percentage of CBEs implemented in project districts in the last 6 months that focus on community influencers (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 15.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Reporting on this indicator is not of good quality and hence has not been included. This will be improved Comments: and reported on from the next quarter. IN00608360 ►Number of project states where at least one mid-media campaign was deployed in the past year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Media plans yet to be developed by states Comments: IN00608346 ►Percentage of Anganwadi Centers (AWCs) in project districts implementing monthly community-based processes focused on nutrition andhealth counselling (at least 5 events in the past 6 months) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 61.67 61.67 80.00 Date 31-Dec-2015 30-Apr-2018 30-Apr-2018 29-Jun-2018 This indicator is linked to the original project and project districts. No further reporting will take place Comments: against this indicator. Component 3: Performance Based Incentives IN00608353 ►Percentage of AWWs provided with ICDS-CAS training, who – in the last six months – received their monthly performance incentive at least 4 times (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Incentive guidelines were issued in September 2018. Data on this indicator will this only become Comments: available by April-May 2019. Component 4: Convergent Nutrition Action 11/21/2018 Page 7 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) IN00608362 ►Percentage of project districts that operationalised convergent nutrition action plans among those that developed them in the past year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Guidelines on convergent nutrition actions yet to be issued. Comments: Component 5: Project Management, Monitoring & Evaluation IN00608363 ►Percentage of ICDS supervisors who complete at least 60% of mandated supervision visits to AWCs in the last month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 01-Jan-2018 -- 30-Sep-2018 30-Aug-2022 Supervision guidelines yet to be issued Comments: IN00647942 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 29,791,521.00 64,000,000.00 Date 01-Oct-2016 -- 30-Sep-2018 30-Aug-2022 The actual value reported against this indicator reflects data from the original 8 project States, which is carried over from the original project. Data from the new States is not reported due to issues in data Comments: quality. Systems are being strengthening to support better reporting against this CRI indicator. IN00647943 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 29,791,521.00 64,000,000.00 Date 01-Oct-2016 -- 30-Sep-2018 30-Aug-2022 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P121731 IBRD-88390 Effective USD 200.00 200.00 0.00 9.41 190.59 4.7% 11/21/2018 Page 8 of 9 The World Bank Implementation Status & Results Report India: ICDS Systems Strengthening & Nutrition Improvement Program (ISSNIP) (P121731) P121731 IDA-51500 Effective USD 106.00 106.00 0.00 83.33 9.11 90% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P121731 IBRD-88390 Effective 30-Mar-2018 07-May-2018 11-Jun-2018 30-Aug-2022 30-Aug-2022 P121731 IDA-51500 Effective 06-Sep-2012 05-Nov-2012 26-Nov-2012 31-Oct-2015 30-Aug-2022 Cumulative Disbursements Restructuring History Level Approved on 15-Apr-2013 ,Level 2 Approved on 21-Oct-2013 ,Level 2 Approved on 08-Sep-2015 ,Level 2 Approved on 30-Mar-2017 ,Level 2 Approved on 21-Jul-2017 Related Project(s) P165493-National Nutrition Mission (also known as ICDS Systems Strengthening and Nutrition Improvement Project: Additional Financing 11/21/2018 Page 9 of 9