The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) South Sudan Provision of Essential Health Services Project (P168926) AFRICA | South Sudan | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 1 | ARCHIVED on 11-May-2019 | ISR36777 | Implementing Agencies: International Committee of the Red Cross, International Committee of the Red Cross, UNICEF, UNICEF Key Dates Key Project Dates Bank Approval Date: 27-Feb-2019 Effectiveness Date: 11-Mar-2019 Planned Mid Term Review Date: 31-Mar-2020 Actual Mid-Term Review Date: -- Original Closing Date: 31-Dec-2021 Revised Closing Date: 31-Dec-2021 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to increase access to an essential package of health services in the Republic of South Sudan, with a particular focus on the former states of Upper Nile and Jonglei. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Delivery of Essential Health Services:(Cost $93.00 M) Monitoring, Evaluation and Learning:(Cost $4.00 M) Emergency Preparedness and Response:(Cost $3.00 M) Repayment of Project Preparation Advances:(Cost $5.40 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Moderately Satisfactory Overall Risk Rating -- High Implementation Status and Key Decisions The project was approved by the Board of Directors on February 27, 2019 and became effective for the IDA grant to UNICEF on March 11, 2019 and for the IDA grant to ICRC on March 19, 2019. Activities of both organizations to support health service delivery in areas targeted by the project have begun and been scaled-up rapidly in the two months since the project was approved. 5/11/2019 Page 1 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- High Macroeconomic High -- High Sector Strategies and Policies High -- High Technical Design of Project or Program High -- High Institutional Capacity for Implementation and Sustainability High -- High Fiduciary High -- High Environment and Social High -- High Stakeholders High -- High Other -- -- -- Overall High -- High Results PDO Indicators by Objectives / Outcomes Increase the utilization of an essential package of health services IN00694179 ►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 1,400,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 IN00694197 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 -- 0.00 800,000.00 IN00694199 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 IN00694200 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) 5/11/2019 Page 2 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 IN00694201 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 IN00694202 ►Number of curative consultations provided for under 5 children (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,000,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Total number of consultations provided to children less than 5 years of age Increase the quality of an essential package of health services IN00694180 ►Number of health facilities with essential medicines available (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Availability of 5 tracer drugs during supervision visits (oral paracetamol, oral amoxicillin, oral rehydration Comments: solution, oral artesunate-amodiaquine) IN00694196 ►Number of health facilities providing at least 75 percent of the essential package of health services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200.00 Date 01-Jan-2019 -- 07-May-2019 31-Jan-2021 Comments: Essential package of services is defined in Annex 6 of the PAD IN00694198 ►Proportion of disease outbreaks detected and responded to within 72 hours of confirmation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 -- 0.00 50.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 5/11/2019 Page 3 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Comments: Proportion of disease outbreaks detected and responded to within 72 hours of confirmation Intermediate Results Indicators by Components Delivery of a package of essential health services IN00694203 ►Number of children aged 6-59 months who received vitamin A supplementation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 250,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Number of children aged 6-59 months who received vitamin A supplementation IN00694205 ►Number of children less than 1 year who received measles vaccination (first dose) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Number of children less than 1 year who received measles vaccination (first dose) IN00694208 ►Number of pregnant women receiving ANC four visits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Number of pregnant women receiving ANC four visits IN00694210 ►Number of newborns receiving postnatal visit within two days of childbirth (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 17,000.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Number of newborns receiving postnatal visit within two days of childbirth IN00694211 ►Proportion of gender-based survivors presenting at health facilities provided with clinical management of rape services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 5/11/2019 Page 4 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Comments: Number of gender-based survivors provided with clinical management of rape services IN00694212 ►Number of health care workers trained in-service (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 400.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Number of health care workers trained in-service in topics such as safe motherhood, integrated Comments: management of childhood illnesses (IMNCI), effective vaccine management and immunization in practice, and malaria testing and treatment IN00694213 ►Number of community health workers trained to implement integrated community case management (iCCM) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Number of community health workers trained to implement integrated community case management Comments: (iCCM) Monitoring, Evaluation and Learning IN00694204 ►Proportion of functional health facilities submitting standardized HMIS monthly reports into the DHIS2 or HMIS equivalent system within one month of the reporting month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 -- 0.00 75.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Proportion of functional health facilities submitting standardized HMIS monthly reports into the DHIS2 or Comments: HMIS equivalent system within one month of the reporting month IN00694206 ►Proportion of health facilities with structured supervision visit within a month (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 -- 0.00 70.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Proportion of health facilities with structured supervision visit using a standardized Supervisory Comments: Tool/Checklist to assess and monitor quality of care within a month IN00694209 ►Number of monitoring reports submitted (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 6.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 5/11/2019 Page 5 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Number of monitoring reports (including both health facility and LQAS) submitted in areas where external monitoring will be conducted. The performance monitoring methodology and reports will include citizen engagement mechanisms such as exit interviews conducted during data verification visits. The Comments: questionnaires will be customized to capture key domains on satisfaction and perceived quality of care, in order to capture community feedback on service delivery. Results from the quarterly reports will be used to engage with citizens on key elements related to improving service delivery in targeted communities. Emergency Preparedness and Response IN00694207 ►Number of state-level Rapid Response Teams trained on investigation of alerts and immediate outbreak response (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 31-Dec-2018 -- 07-May-2019 31-Jan-2021 Number of state-level rapid response teams, in particular health and WASH personnel, on investigation of Comments: alerts and immediate outbreak response, as well as requirements for IPC associated with the preparation of disinfectants of different concentrations, excreta disposal and monitoring of water quality. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P168926 IDA-D4270 Effective USD 73.40 73.40 0.00 0.00 73.24 0% P168926 IDA-D4280 Effective USD 32.00 32.00 0.00 0.00 32.04 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P168926 IDA-D4270 Effective 27-Feb-2019 28-Feb-2019 11-Mar-2019 31-Dec-2021 31-Dec-2021 P168926 IDA-D4280 Effective 27-Feb-2019 01-Mar-2019 19-Mar-2019 31-Dec-2021 31-Dec-2021 Cumulative Disbursements 5/11/2019 Page 6 of 7 The World Bank Implementation Status & Results Report South Sudan Provision of Essential Health Services Project (P168926) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 5/11/2019 Page 7 of 7