The World Bank Report No: ISR15437 Implementation Status & Results Brazil Integrated Health and Water Management Project (SWAP) (P095171) Public Disclosure Copy Operation Name: Integrated Health and Water Management Project (SWAP) Project Stage: Implementation Seq.No: 8 Status: ARCHIVED Archive Date: 19-Jul-2014 (P095171) Country: Brazil Approval FY: 2011 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 02-Nov-2010 Original Closing Date 31-Dec-2015 Planned Mid Term Review Date 27-Jun-2013 Last Archived ISR Date 08-Jan-2014 Effectiveness Date 30-Aug-2012 Revised Closing Date 31-Dec-2015 Actual Mid Term Review Date 31-Aug-2014 Project Development Objectives Project Development Objective (from Project Appraisal Document) In the context of the State Government#s Strategic Plan for 2008-2011, and its key purpose (higher objective) of reducing the State#s IMR, the project objectives are: (i) the reduction of post-neonatal morbidity and mortality due to diarrhea in children of less than one year of age in the State of Bahia; and (ii) the reduction of neonatal mortality (children less than 28 days) in 45 selected reference hospitals of the Bahia's State. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Contribute to Reducing the Infant Mortality Rate (neonatal and post-neonatal) in the State of Bahia 48.58 Technical Assistance for the Institutional Modernization of Health, Water, and Planning Sectors 8.50 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview The Project was approved by the Board on November 2, 2010; the Loan Agreement was signed on July 18, 2012, and became effective on August 30, 2012. Locations Page 1 of 6 The World Bank Report No: ISR15437 Country First Administrative Division Location Planned Actual Brazil Not Entered Estado da Bahia Public Disclosure Copy Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of annually investigated Percentage Value 0.00 50.00 50.00 hospitalizations of children under five, due to Date 02-Nov-2010 20-May-2014 31-Dec-2015 intestinal infectious diseases, in 25 hospitals. Comments Indicator to be measured once a year. Next update May 2015. Number of people served by simplified water Number Value 32295.00 66788.00 72295.00 supply systems, and basic sanitation in at Date 02-Nov-2010 20-May-2014 31-Dec-2015 least 10 selected municipalities prioritized by Comments Indicator to be measured the project every six months. Number of the 25 hospitals that have achieved Number Value 0.00 6.00 15.00 at least 80% of the Barema indicators Date 02-Nov-2010 20-May-2014 31-Dec-2015 Comments Preliminar results show small progress. Final data expected to be available by August 2014. Percentage of the overall Barema indicators Percentage Value 40.00 77.10 80.00 improved in all 25 reference hospitals. Date 02-Nov-2010 20-May-2014 31-Dec-2015 Comments Indicator to be measured once a year. Next update May 2015. Intermediate Results Indicators Public Disclosure Copy Indicator Name Core Unit of Measure Baseline Current End Target Number of simplified water supply system Number Value 99.00 137.00 299.00 constructed and operating in at least 10 Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 selected municipalities. Comments Baseline was fully updated, Progress has been slow. based on final selection of Bidding process is under way, municipalities. better results are expected for CY15. Page 2 of 6 The World Bank Report No: ISR15437 Improved community water points constructed Number Value 161.00 162.00 361.00 or rehabilitated under the project Date 31-Dec-2009 11-Jun-2014 31-Dec-2015 Comments This core indicator is based Progress has been slow. Final Public Disclosure Copy on indicator #1 in Component data for the period is 1a. expected to be available in November 2014. Control Processing System updated and Number Value 0.00 0.00 1.00 integrated into the other TCE systems Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments Changes in policy. Indicator to be discussed during in the upcoming MTR. River Basin Committees created and Number Value 0.00 1.00 3.00 operational Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments No progress since ISR. Number of strategic agendas in the health Number Value 0.00 3.00 4.00 sector that prioritize maternal and child health. Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments Indicator to be measured once per year. Next update expected in March 2015. Efficiency increased in 25 hospitals based on Number Value 59432.00 59882.00 65000.00 the overall number of deliveries Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments 2 hospitals have been replaced. Indicator to be discussed during the upcoming MTR. Population coverage by family health teams in Percentage Value 53.20 65.72 68.00 the state of Bahia Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments Updated data will be available in May 2015. Public Disclosure Copy Study consolidating information of operation Number Value 0.00 0.00 2.00 and maintenance of rural systems. Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments No progress. Indicator to be discussed during the upcoming MTR. Communication strategy Action Plan Number Value 0.00 0.00 3.00 elaborated and under implementation Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Page 3 of 6 The World Bank Report No: ISR15437 Comments No progress. Indicator to be discussed during the upcoming MTR. Public Disclosure Copy Number of public officials certified in Number Value 0.00 0.00 100.00 management by results in the three Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 secretariats involved. Comments Plan will be reviewed and courses are expected to start in 2014 CY. Annual increase of coverage rate of Percentage Value 57.00 80.31 70.00 vaccination against human rotavirus. Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments End Target surpassed. Increase in target to be discussed during upcoming MTR. CERB Geographic Information System Unit Number Value 0.00 0.00 1.00 established and operational and Bahia state Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 map of infectious intestinal diseases Comments Map expected to be prevalence and water systems updated. presented during the upcoming MTR. Number of Community Voluntary Agents Number Value 43.00 0.00 772.00 Trained and operational Date 02-Nov-2010 11-Jun-2014 Comments INEMA's new policies eliminate training of Community Agents. Indicator to be discussed during upcoming MTR. Studies for restructuring of Riverine Riparian Number Value 0.00 0.00 2.00 Forests Program elaborated and under Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 implementation Comments No progress. Indicator to be discussed during upcoming Public Disclosure Copy MTR. Percentage of neonatal deaths occurring in the Percentage Value 0.00 50.00 80.00 selected maternity hospitals investigated, Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 analyzed and discussed Comments End target to be discussed during the mid-term evaluation. Page 4 of 6 The World Bank Report No: ISR15437 Number of River Basin Plans prepared and Number Value 0.00 1.00 8.00 approved by River Basin Committee bodies Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 and ratified by CONERH including studies for Comments No progress since last ISR. classifying water. Public Disclosure Copy Indicator to be discussed during upcoming MTR. State Water Resources Plan Reviewed Number Value 0.00 0.00 1.00 Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments No progress. Indicator to be discussed during upcoming MTR. Number of rural sanitary pilot modules built in Number Value 19.00 1217.00 1019.00 at least 10 selected municipalities Date 02-Nov-2010 11-Jun-2014 31-Dec-2015 Comments Updated data will be available in November 2014. Data on Financial Performance (as of 01-Mar-2014) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P095171 IBRD-79510 Effective 02-Nov-2010 18-Jul-2012 30-Aug-2012 31-Dec-2015 31-Dec-2015 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P095171 IBRD-79510 Effective USD 60.00 60.00 0.00 11.15 48.85 19.00 Disbursement Graph Public Disclosure Copy Page 5 of 6 The World Bank Report No: ISR15437 Public Disclosure Copy Key Decisions Regarding Implementation A mid-term review will be held in August 2014. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 6 of 6