Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Health Sector Support Project (P160846) SOUTH ASIA | Bangladesh | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 1 | APPROVED | ISR29366 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:28-Jul-2017 Effectiveness Date:-- Planned Mid Term Review Date:14-Feb-2020 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2022 Revised Closing Date:31-Dec-2022 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to strengthen the health, nutrition and population (HNP) sector's core management systems and delivery of essential HNP services with a focus on selected geographical areas. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1. Governance and Stewardship:(Cost $175.00 M) Component 2. Health, Nutrition and Population Systems Strengthening:(Cost $369.50 M) Component 3. Provision of Quality Health, Nutrition and Population Services:(Cost $555.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  --  Satisfactory Overall Implementation Progress (IP)  --  Satisfactory Overall Risk Rating  --  Substantial Implementation Status and Key Decisions 8/31/2017 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) The project was approved by the Board of Executive Directors of the World Bank Group on July 28, 2017. The project supports the Ministry of Health and Family Welfare (MOHFW)'s fourth health, nutrition and population sector program, approved by the Executive Committee of the National Economic Council (ECNEC) chaired by the Honorable Prime Minister in March 2017. The Project will provide financing to support the Program implementation based on the achievement of pre-defined results in the areas of governance and stewardship, health systems strengthening and delivery of quality HNP services particularly in the regions of Sylhet and Chittagong. Project effectiveness is expected by October 2017. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Substantial  --  Substantial Macroeconomic  Moderate  --  Moderate Sector Strategies and Policies  Moderate  --  Moderate Technical Design of Project or Program  Moderate  --  Moderate Institutional Capacity for Implementation and Sustainability  Moderate  --  Moderate Fiduciary  High  --  High Environment and Social  Moderate  --  Moderate Stakeholders  Substantial  --  Substantial Other  --  --  -- Overall  Substantial  --  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Increase in the number of Community Clinics providing complete essential data on service delivery, including gender- disaggregated (DLI 8) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 7,000.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDPDOTBL  Increase in the number of Upazila Health Complexes with at least 2 accredited diploma midwives (DLI 7) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 8/31/2017 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Value 0.00 -- -- 150.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDPDOTBL  Increase in the number of normal deliveries in public health facilities in Sylhet and Chittagong divisions (DLI 10) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 128,805.00 -- -- 146,000.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDPDOTBL  Increase in the number of District Hospitals with improved capacity to provide comprehensive emergency obstetric and neonatal care (CEmONC) services in Sylhet and Chittagong divisions (DLI 11) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 10.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDPDOTBL  Increase in the percentage of registered children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions (DLI 14) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 35.00 Date 30-Jun-2017 -- -- 31-Dec-2022 Overall Comments Intermediate Results Indicators 8/31/2017 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PHINDIRITBL  Annual GRS performance report for previous CY is published (DLI 1) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- -- Y Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Increase in percentage from FY16 baseline in repair and maintenance expenditure at the levels of Upazila and below (DLI 2) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 100.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  MOHFW FMAU completes internal audit for the previous fiscal year (DLI 3) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- -- Y Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Increase in the number of district-level referral facilities in which AMS is implemented (DLI 4) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 -- -- 15.00 Date 30-Jun-2017 -- -- 31-Dec-2022 8/31/2017 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PHINDIRITBL  Increase in percentage of NCTs using e-GP issued by MOHFW (DLI 5) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 75.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  MOPA approves CMSD restructuring proposal (DLI 6) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- -- Y Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Increase in percentage of targeted public health facilities meeting readiness criteria for delivery of PPFP services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 9) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 35.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Increase in the number of districts reaching at least 85% coverage of measles-rubella vaccination among children aged 0-12 months in Sylhet and Chittagong divisions (DLI 12) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 14.00 -- -- 15.00 Date 30-Jun-2017 -- -- 31-Dec-2022 8/31/2017 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PHINDIRITBL  Increase in the percentage of registered pregnant women receiving specified maternal nutrition services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 13) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 25.00 Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Increase in percentage of registered infants and children aged under 2 years receiving specified nutrition services in Sylhet and Chittagong divisions, reported for the previous CY (DLI 14) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 35.00 Date 30-Jun-2017 -- -- 31-Dec-2021 PHINDIRITBL  Orientation of teachers and peer girl students is completed in at least 30% of public secondary schools in each targeted district in Sylhet and Chittagong divisions (DLI 15) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- -- Y Date 30-Jun-2017 -- -- 31-Dec-2022 PHINDIRITBL  Assessment is completed of hypertension diagnosis and referral services at the primary level in at least 2 Upazilas (DLI 16) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N -- -- Y Date 30-Jun-2017 -- -- 31-Dec-2022 8/31/2017 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PHINDIRITBL  People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 5,777,000.00 Date 31-Dec-2016 -- -- 31-Dec-2021 PHINDIRITBL  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 -- -- 3,242,000.00 PHINDIRITBL  Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 4,720,000.00 Date 30-Jun-2017 -- -- 31-Dec-2021 PHINDIRITBL  Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 234,000.00 Date 30-Jun-2017 -- -- 31-Dec-2021 8/31/2017 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) PHINDIRITBL  Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 823,000.00 Date 30-Jun-2017 -- -- 31-Dec-2021 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P160846 IDA-61270 USD 500.00 500.00 0.00 0.00 507.68 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P160846 IDA-61270 28-Jul-2017 -- -- 31-Dec-2022 31-Dec-2022 Effective Cumulative Disbursements 8/31/2017 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health Sector Support Project (P160846) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 8/31/2017 Page 9 of 9 Public Disclosure Copy