The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Lao PDR Health Governance and Nutrition Development Project (P151425) EAST ASIA AND PACIFIC | Lao People's Democratic Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 9 | ARCHIVED on 20-Dec-2019 | ISR38377 | Implementing Agencies: Lao People's Democratic Republic, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 23-Jun-2015 Effectiveness Date: 12-Oct-2015 Planned Mid Term Review Date: 19-Nov-2018 Actual Mid-Term Review Date: 13-Nov-2018 Original Closing Date: 31-Dec-2020 Revised Closing Date: 31-Dec-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. 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) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR, and to provide immediate and effective response in case of an Eligible Crisis or Emergency. Components Table Name Component 1: Health Sector Governance Reform:(Cost $2.00 M) Component 2: Service Delivery:(Cost $30.40 M) Component 3: Nutrition Social and Behavior Change Communication:(Cost $5.20 M) Component 4: Project Management, Monitoring and Evaluation:(Cost $3.80 M) Component 5: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions 12/20/2019 Page 1 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) The project is progressing well towards achievement of the Project Development Objectives. Most of the PDO level and intermediate outcome level indicators are on track to achieving their end targets by end December 2020. Disbursement is well on track, with the current disbursement at approximately 84% of total project amount and is expected to further increase to 88% by the end of 2019. Integration of different vertical program data into DHIS2, training and roll out of data entry using event capture at provincial/district hospitals/health center levels are all on track. Data collection for the Village Health Information System (Family Folder) is expected to be completed by end December 2019 and results available by late January 2020. Final round of disbursement-linked indicators (DLIs) Year 4 was completed by end June 2019 and claimed achievements have already been verified by the Independent Verification Agency. In October 2019 World Bank authorized payment equivalent to approximately 82% of target achievement. While there has been overall good progress on achieving the DLI targets, it is worth noting that performance on growth monitoring of children and integrated outreach has substantially exceeded expectations, while there has been less than expected supply of family planning and nutrition (zinc and Vitamin A) commodities leading to stock outs in many provinces. Independent verification confirms that the quality of reporting in DHIS2 has significantly improved. Implementation of nutrition SBCC at village level has made good progress. Phase 3 training of Village Facilitators (VFs) is ongoing and is expected to be completed in all four northern provinces by end November 2019. Refresher training of Phase 1 and 2 VFs are expected to be completed by the end of 2019. The project continues to be in compliance with all legal requirements; the issue of outstanding audit has been resolved. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program High High High Institutional Capacity for Implementation and Sustainability High High High Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes 12/20/2019 Page 2 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Increase coverage of reproducitve, maternal and child health and nutrition services in target areas IN00738625 ►Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 60,281.00 74,246.00 80,434.00 84,393.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) is for Y4 (June 2018- May 2019) covering a period of 12 months implementation from 14 Target Provinces. Not yet achieved but with the current progress is likely to be achieved by end December 2020. This is PDO indicator which is also among the 10 National Assembly indicators and also contributes to NA indicator on reducing maternal Comments: mortality. End targets is a 40% increase over baseline. Data source: DHIS2. IN00738646 ►Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 56,292.00 75,434.00 82,128.00 78,809.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014- May 2015). Most recent data is for Y4 (June 2018- May 2019) covering a period of 12 months implementation from 14 Target Provinces. End target is a 40 % increase over baseline. Achieved end target. Comments: Data source: DHIS2. IN00738647 ►Number of children 6-11 months who received first dose of Vitamin A (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 123,389.00 117,965.00 115,547.00 140,000.00 Date 30-Sep-2017 31-Dec-2018 31-Oct-2019 31-Dec-2020 Baseline is newly added from the September 2017 restructuring and captures CY 2016 (12 months) nationwide (18 provinces) as reported by DHIS2. Actual (current) covers the calendar year 2019 Comments: (Jan - end October). This is not a DLI. This indicator is off track even with possibility of increase in the next 2 months. IN00738648 ►Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 186,556.00 199,399.00 186,556.00 223,867.00 Date 30-Sep-2017 30-Apr-2019 31-May-2019 31-Dec-2020 This indicator was restructured with new baseline from "new women aged 15-49 years using long term family planning methods" to "continued users of long term family planning methods" established for May Comments: 2017 to align with DLI implementation year. This is a cumulative number for all current continued users of: injectable, implants, IUDs and sterilization. Contributes to NA indicator on reducing maternal mortality. 12/20/2019 Page 3 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Actual (current) value is for DLI Y4 (June 2018- May 2019) covering a period of 12 months implementation from 14 Target Provinces. End target is a 20% increase over baseline, this indicator has not been achieved and continued support to DFD is required to achieve this PDO indicator. IN00738649 ►Direct project beneficiaries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 216,532.00 990,474.00 990,474.00 1,400,000.00 Date 31-May-2017 30-Apr-2019 30-Apr-2019 31-Dec-2020 This indicator is cumulative with baseline after September 2017 Additional Financing (AF)/restructuring, and includes data for: (1) assisted deliveries; (2) number of women aged 15-49 years who are continued users of long term family planning methods; (3) children 9-11 months receiving measles and rubella vaccination in Target Provinces; and (4) number of children under 2 years old who have 4 growth Comments: monitoring and promotion sessions in the year. Most recent data is cumulative covering the period June 2015- April 2019 from 14 Target Provinces. IN00738650 Female beneficiaries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.00 75.00 80.00 Intermediate Results Indicators by Components Component 1: Health Sector Governance Reform IN00738651 ►Number of new born children provided with birth notification in target provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 92,617.00 59,994.00 59,994.00 131,020.00 Date 31-Dec-2017 31-Dec-2018 31-Dec-2018 31-Dec-2020 Baseline value has been updated in the April 2018 mission to cover CY 2017 (12 months) based on DHIS2. End target is 40% increase over baseline. The baseline value is currently being verified as it Comments: seems too high. Actual value is from Jan - October 2019 (10 months) from 14 Target Provinces. Data source: DHIS2. IN00738654 ►Number of health centers directly entering DHIS2 data (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 202.00 202.00 200.00 Date 30-Sep-2017 31-May-2019 31-May-2019 31-Dec-2020 This is a new DLI introduced in the September 2017 Additional Financing/restructuring. Data is based on National Project Coordination Office (NPCO) report for implementation May 2017 - May 2019 Comments: (cumulative). Breakdown of actual (current) value of 202 HCs: (Luanprabang: 80; Oudomxay: 43, Salavanh: 71, Xaysomboun: 1, and Huaphan: 7). Currently surpassed target for 2020. 12/20/2019 Page 4 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) IN00738657 ►Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 54.10 95.00 96.00 90.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 Baseline data covers the DLI Y0 period (June 2014-May 2015). Actual (current) value is DLI Y4 (June 2018- May 2019) covering a period of 12 months with timeliness 93%, completeness 99%. Currently surpassed target for 2020. Comments: Data source: DHIS2. Component 2: Service Delivery IN00738652 ►Number of immunization target districts that have increased their coverage of IPV (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 44.00 46.00 45.00 Date 30-Sep-2017 30-Apr-2019 31-May-2019 31-Dec-2020 Actual (current) value is the most recent data from DHIS2 for DLI Y4 (June 2018- May 2019) for 12 months implementation for 50 target districts. On track with 46 out of 50 target districts having increased Comments: IPV coverage by 8% target. Source: DHIS2 IN00738655 ►Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 453,350.00 493,203.00 536,526.00 544,020 Date 31-May-2017 30-Apr-2019 31-May-2019 31-Dec-2020 Actual (current) value is DLI Y4 (June 2018- May 2019) covering a period of 12 months for 14 Target Provinces.This indicator has been achieved its end target is a 20% increase over baseline. (ANC - 391,826, delivery -65,585, PNC-79,115) Data source: DHIS2. Comments: IN00738658 ►Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 74.00 95.00 80.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 12/20/2019 Page 5 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Actual (current) value is DLI Y4 (June 2018- May 2019) covering a period of 12 months. Average of two rounds combined is 95%, end target achieved. Comments: Data source: DHIS2. IN00738660 ►Number of villages in Zones 2 and 3 in which complete Integrated Outreach Sessions are conducted at least three times during the year (DLI P5). (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,129.00 1,381.00 800.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 Actual value is DLI Y4 (June 2018- May 2019) covering a period of 12 months implementation for all 14 project target provinces. This indicator has become a fully scalable indicator and target achieved by a large margin. Comments: Data source: DHIS2. IN00738662 ►Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26.00 32.00 40.00 Date 30-Sep-2017 30-Apr-2019 31-May-2019 31-Dec-2020 This is a new indicator (DLI P8) added during the September 2017 AF/ restructuring. Actual value is the most recent data from DHIS2 for DLI Y4 (June 2018- May 2019) for 12 months implementation for 50 target districts. 32 target districts out of 50 target districts have achieved an Comments: increase of 8% coverage of Penta 3 and MR for DLI Y4. Data Source: DHIS2 IN00738663 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 961,335.00 1,057,468.00 1,200,000.00 Date 31-Oct-2018 30-Apr-2019 31-May-2019 31-Dec-2020 As per definition of CRI, this indicator's baseline is 0, cumulative from the beginning of project until the latest information available. This Corporate Results Indicator (CRI) reflects the three indicators that are supported/tracked under the project: (i) number of women who deliver with a skilled birth attendant at home or at a health facility; (ii) number of children immunized (MR); and (iii) number of children 6-11 months who received first dose of Comments: Vitamin A. Most recent data is cumulative from June 2015-April 2019 (47 months) implementation from 14 Target Provinces. Data source: DHIS2. IN00738664 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 721,000.00 740,227.00 960,000.00 IN00738665 Number of children immunized (Number, Corporate Breakdown) 12/20/2019 Page 6 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 294,684.00 324,152.00 400,000.00 Date 31-Oct-2018 30-Apr-2019 31-May-2019 31-Dec-2020 IN00738666 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 201,005.00 221,105.00 400,000.00 Date 31-Oct-2018 30-Apr-2019 31-May-2019 31-Dec-2020 IN00738667 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 297,088.00 326,796.00 400,000.00 Date 31-Oct-2018 30-Apr-2019 31-May-2019 31-Dec-2020 Component 3: Nutrition and Social and Behavioral Change Communication IN00738653 ►Children age 0-6 months in target high priority nutrition districts exclusively breastfed. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 56.20 56.20 56.20 60.00 Date 29-Sep-2017 30-Sep-2018 30-Sep-2018 31-Dec-2020 Based on preliminary results from the Baseline KAP survey; no updated data available. This indicator can only be collected from the KAP survey so baseline number continues until the next follow-on survey where Comments: results will be available before the end of project. IN00738656 ►Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,762.00 1,762.00 800.00 Date 01-Oct-2015 31-May-2019 31-May-2019 31-Dec-2020 The target number was reduced to 800 villages during the September 2017 restructuring. Current results include female village facilitators training in SBCC activities for Phase 1, 2 and Phase 3 villages as per NPCO report. Largely surpassed the end target. Comments: IN00738659 ►Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Custom, DLI) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 83,040.00 89,158.00 40,000.00 Date 01-Oct-2015 30-Apr-2019 31-May-2019 31-Dec-2020 12/20/2019 Page 7 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Definition of this indicator was modified during the September 2017 restructuring from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth plotted in the child's growth chart (for Year 0-2); to "Number of children under 2 years in the Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Y3 and 4), Comments: Actual (current) value is DLI Y4 (June 2018- May 2019) covering a period of 12 months implementation from all 14 project target provinces. Data source: DHIS2 IN00738661 ►Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 01-Oct-2015 31-May-2019 31-May-2019 31-Dec-2020 Actual value is based on National Coordination Project Office (NPCO) report during the mission for 14 Comments: target provinces. Achieved the end target of 100 ODF villages by end project. Disbursement Linked Indicators IN00738668 ►DLI 1 Percentage of data reports from the Target Provinces provided on time and fully completed in accordance with the National Guidelines for DHIS2 Implementation (Percentage, Process, 588,000.00, 97.88%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 54.10 95.00 96.00 -- Date -- 30-Apr-2019 31-May-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00738669 ►DLI 2 Number of Target Provinces which have two quarters’ stock of Essential Family Planning and Nutrition Commodities in the provinces or regional stores (DLI C2) (Number, Output, 4,994,000.00, 88.46%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 8.00 8.00 12.00 Date -- 31-May-2018 28-Jun-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00738670 ►DLI 3 Number of Target Provinces in which the number of health centers without a community midwife as reported in DHIS2 has been reduced (DLI C3) (Number, Output, 1,000,000.00, 78.40%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 9.00 12.00 12.00 12/20/2019 Page 8 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Date -- 31-May-2018 31-May-2019 -- Comments: Values of financing and actual disbursed are in USD. IN00738671 ►DLI 4 Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Outcome, 2,114,000.00, 92.75%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 453,350.00 493,203.00 536,526.00 -- Date -- 30-Apr-2019 31-May-2019 -- Values of financing and actual disbursed are in USD and disbursement includes up to Y2. End target is Comments: average of 14 provinces that have increased 20% over baseline. IN00738672 ►DLI 5 Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Number, Outcome, 2,912,000.00, 93.29%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 60,281.00 74,246.00 80,434.00 -- Date -- 30-Apr-2019 31-May-2019 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target reflects 40% increase over baseline. IN00738673 ►DLI 6 Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Number, Outcome, 2,912,000.00, 94.80%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 56,292.00 75,434.00 82,128.00 -- Date -- 30-Apr-2019 31-May-2019 -- On track for 30% target increase over Baseline. Values of financing and actual disbursed are in USD and Comments: disbursement includes up to Y2. End target is 40% over baseline. IN00738674 ►DLI 7 Number of women aged 15-49 years who are continued users of long term methods of family planning (DLI P3). (Number, Outcome, 2,912,000.00, 71.51%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 186,556.00 199,399.00 186,556.00 -- Date -- 30-Apr-2019 31-May-2019 -- Definition of indicator changed from " Number of new women aged 15-49 years adopting long-term methods of Comments: family planning (up to Y2), during the Additional Financing/Restructuring. Actuals off target with 93% of target met for Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00738675 ►DLI 8 Number of children under 2 years in target provinces who have at least 4 growth mointoring and promotion sessions in the year and their growth plotted in two specified growth charts (DLI P4). (Number, Intermediate Outcome, 2,445,332.00, 57.67%) 12/20/2019 Page 9 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 83,040.00 89,158.00 -- Date -- 30-Apr-2019 31-May-2019 -- Definition of indicator changed from "Number of children under 5 years in the Target Provinces who are weighed and measured at least 4 times in the year and their growth is plotted in the child’s growth chart (for Comments: Year 0-2); Number of children under 2 years in the Target Provinces who have 4 growth monitoring and promotion sessions in the year and their growth is plotted in two specified growth charts (for Years 3-4). On track for target Y3. Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00738676 ►DLI 9 Number of villages in Zones 2 and 3 in which Integrated Outreach Sessions are conducted at least three times during the Year and reported in DHIS2 (DLI P5) (Number, Intermediate Outcome, 3,600,000.00, 80.21%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 1,242.00 1,381.00 800.00 Date -- 31-May-2018 31-May-2019 -- Definition of indicator changed during September 2017 AF/restructuring from % increase to scalable (actually counting the number of villages where target was achieved). The status of target achievement for this DLI is Comments: currently being validated so current value is tentative based on NPCO reporting and is subject to change upon final validation. But largely on track for Y3 target.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00738677 ►DLI 10 Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist monitored every six months of the Year (DLI P6). (Percentage, Output, 2,900,000.00, 86.10%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 74.00 95.00 -- Date -- 30-Apr-2019 31-May-2019 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00738678 ►DLI 11 Percentage increase in Target Province non-salary health recurrent expenditure allocated to the districts (DLI P7) (Text, Intermediate Outcome, 2,158,000.00, 54.85%) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 16% increase over Each target province Data under validation Value 16 percent Target Province baseline Baseline Date -- 31-May-2018 31-May-2018 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. IN00738679 ►DLI 12 Number of immunization target districts which have increased their coverage of Pentavalent 3 (DPT-HebB-Hib) and Measles and Rubella (MR) immunization (DLI P8) (Number, Intermediate Outcome, 2,000,000.00, 76.00%) 12/20/2019 Page 10 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) (Year 4) June 1, Baseline Actual (Previous) Actual (Current) 2018-May 31, 2019 Value 0.00 26.00 32.00 -- Date -- 30-Apr-2019 31-May-2019 -- The status of target achievement for this DLI is currently being validated so current value is tentative based on Comments: NPCO reporting and is subject to change upon final validation.Values of financing and actual disbursed are in USD and disbursement includes up to Y2. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P151425 IDA-56760 Effective USD 13.20 13.20 0.00 11.85 1.41 89% P151425 IDA-61450 Effective USD 10.00 10.00 0.00 5.36 4.58 54% P151425 IDA-D0730 Effective USD 13.20 13.20 0.00 12.88 0.04 100% P151425 TF-A5620 Effective USD 4.00 4.00 0.00 3.45 0.55 86% P151425 TF-A6106 Effective USD 1.00 1.00 0.00 0.71 0.29 71% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P151425 IDA-56760 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 IDA-61450 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 P151425 IDA-D0730 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 TF-A5620 Effective 06-Nov-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 P151425 TF-A6106 Effective 27-Sep-2017 06-Nov-2017 26-Dec-2017 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 12/20/2019 Page 11 of 12 The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Restructuring History Level 2 Approved on 14-Aug-2015 Related Project(s) P163949-Additional Financing to Lao PDR Health Governance and Nutrition Development Project 12/20/2019 Page 12 of 12