Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Angola Municipal Health Service Strengthening (Revitalização) (P111840) Operation Name: Municipal Health Service Strengthening (Revitalização) Project Stage: Implementation Seq.No: 5 Status: ARCHIVED Archive : 27-Apr-2013 (P111840) Country: Angola Approval FY: 2010 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key s Board Approval 08-Jun-2010 Original Closing Planned Mid Term Review 10-Feb-2014 Last Archived ISR 21-Aug- Effectiveness 02-Mar- Revised Closing Actual Mid Term Review Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the project is to improve the populatio s access to and quality of maternal and child health care services. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) losure Authorized Public Disclosure Authorized Component Name Component Cost I - Improvement of Health Service Delivery 56.30 II- Voucher Scheme Pilot 0.80 III- Project Management and Monitoring and Evaluation 18.20 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Implementation Status Overview The implementation of the project has a life of 8-9 months from the date of the first disbursement in June. The staffing of the project management unit - the Central Coordinating Unit (CCU) is largely completed but there were delays in recruiting the public health specialist and the training specialist who were unable to obtain a working visa for Angola. This caused delays in the implementation of key project components. Recently a new locally recruited training specialist started working and soon a locally recruited public health specialist will be on board. For this reason, the implementation of all project components is lagging behind. Page 1 of 7
Locations Country First Administrative Division Location Planned Actual Angola Provincia da Lunda Norte Provincia da Lunda Norte Angola Provincia da Lunda Norte Municipio Lucapa Angola Provincia da Lunda Norte Municipio Chitato Angola Provincia da Lunda Norte Municipio Cambulo Angola Provincia do Moxico Provincia do Moxico Angola Provincia do Moxico Municipio Luau Angola Provincia do Moxico Municipio Camanongue Angola Provincia do Uige Provincia do Uige Angola Provincia do Uige Municipio Uige Angola Provincia do Uige Municipio Sanza Pombo Angola Provincia do Uige Municipio Negage Angola Provincia do Uige Muniipio Maquela do Zombo Angola Provincia de Malanje Provincia de Malanje Angola Provincia de Malanje Municipio Malanje Angola Provincia do Bengo Municipio Icoloe Bengo Angola Provincia do Bengo Municipio Dande Angola Provincia da Lunda Norte Municipio Cuango Angola Provincia do Bengo Caxito Angola Provincia de Malanje Municipio Calandula Angola Provincia de Malanje Municipio Cacuso Angola Provincia de Malanje Caculama Angola Provincia de Malanje Caculama Angola Provincia do Bengo Provincia do Bengo Angola Provincia do Bengo Municipio Ambriz Page 2 of 7
Country First Administrative Division Location Planned Actual Angola Provincia do Moxico Luena Angola Not Entered Republic of Angola Angola Provincia da Lunda Norte Nzagi Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Direct project beneficiaries Number Value 0.00 762672.00 30-Sep-2013 30-Jun-2013 The baseline has not yet been Next update in June 30, 2013 done. It is planned to take place in September, 2013. Female beneficiaries Percentage Sub Type Supplemental Value 0.00 63.00 People with access to a basic package of Number Value health, nutrition, or reproductive health services (number) Same as above Next update in June 2013 Pregnant women receiving antenatal care Number Value 86000.00 109000.00 during a visit to a health provider (number) 31-Dec-2009 Same as above Next update in June 30, 2013 Children immunized (number) Number Value 34000.00 64000.00 30-Jun- Same as above Next update in June 30, 2013 Children 0-1 year immunized with DPT vaccine Percentage Value 27.00 38.00 3rd dose (%) 30-Jun- Same as above Next update in June, 30 2013 Institutional deliveries (%) Percentage Value 40.00 60.00 30-Jun- The baseline for the project will have to be modified because the project just Page 3 of 7
became effective on March 2,. Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Municipalities with voucher pilot completed Number Value 0.00 2.00 31-Dec-2013 This assessment will be carried out after the pilot. Next update in December 31, 2013 Mothers satisfied with transportation and direct Percentage Value 0.00 75.00 vouchers 31-Dec-2013 Women who deliver in a health facility that redeem vouchers This assessment will be carried out after the pilot Number Value 0.00 Pilot test. Next update in December, 31, 2013 Women receiving vouchers Number Value 0.00 30-Jun-2011 This is a pilot and progress will be assessed as part of the pilot and will inform the decision to adjust and scale up the program. Municipalities that have implemented 80% of Number Value 0.00 18.00 municipal outreach plans Motorcycles purchased for outreach teams Number Value 0.00 146.00 next update in December 31 Programmed communities receiving at least 3 Percentage Value 0.00 70.00 outreach visits per year Next update in March 31, Ambulances and 4x4 station wagons Number Value 0.00 54.00 purchased Page 4 of 7
Nurses trained in Integrated Management of childhood Illnesses (IMCI) Nurse midwives who received pre-service training General nurses trained in Emergency Obstetric and Neonatal Care (EmONC) Next update in December Number Value 0.00 345.00 Next update in December, 31 Number Value 0.00 75.00 Number Value 0.00 180.00 next update in December 31, Community Health Workers (CHWs) trained Number Value 0.00 1080.00 Same as above Next update in September 30, Staff houses built Number Value 0.00 24.00 Provinces that have an investment plan Number Value 0.00 5.00 Next update in June, 30 Health personnel receiving training (number) Number Value 0.00 1680.00 Next update only in December 31, MHSS municipalities that have an annual Number Value 0.00 18.00 municipal plan Update expected by June, 30, Health facilities receiving at least 2 supervision Percentage Value 0.00 70.00 visits per year using standardized checklists Next update in June 30, Page 5 of 7
Delivery rooms in designated health centers with necessary trained personnel, equipment, supplies and medicines to provide 24-hour emergency obstetrical and neonatal care Health facilities constructed, renovated, and/or equipped (number) Data on Financial Performance (as of 12-Mar-2013) Financial Agreement(s) Key s Percentage Value 0.00 90.00 Number Value 0.00 36.00 Next update in March31, 2013 Project Ln/Cr/Tf Status Approval Signing Effectiveness Original Closing Revised Closing P111840 IDA-47490 Effective 08-Jun-2010 08-Sep-2011 02-Mar- Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P111840 IDA-47490 Effective XDR 46.70 46.70 0.00 2.27 44.43 5.00 Disbursement Graph Page 6 of 7
Key Decisions Regarding Implementation Not Applicable Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 7 of 7