Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Angola Municipal Health Service Strengthening (Revitalizao) (P111840) Operation Name: Municipal Health Service Strengthening (Revitalizao) Project Stage: Implementation Seq.No: 2 Status: ARCHIVED Archive : (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 31-Dec-2015 Planned Mid Term Review 10-Feb-2014 Last Archived ISR 29-Mar-2011 Effectiveness Revised Closing 31-Dec-2015 Actual Mid Term Review Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objective of the project is to improve the population 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 Financing Agreement of the project was signed on September 8, 2011. The project will become effective by December 7, 2011. The Ministry of Health is getting prepared to start up implementation sometime early next year. A launching workshop will take place during first quarter of to undertake a detailed implementation planning, and discuss project activities, including monitoring and evaluation, and fiduciary arrangements with provincial and municipal health officials. 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 Institutional deliveries (%) Percentage Value 41.00 60.00 Children 0-1 year immunized with DPT vaccine 3rd dose (%) Probably makes sense to use 2011 data as baseline as the project implementation has not yet started. Next update in June, 30, Percentage Value 27.00 38.00 Next update in June, 30 Children immunized Number Value 34000.00 64000.00 Next update in June 30, Pregnant women receiving antenatal care during a visit to a health provider Number Value 86000.00 109000.00 Next update in June 30, People with access to a basic package of health, nutrition, or population services Number Value Next update in June Direct project beneficiaries Number Value 0.00 762672.00 Next update in June 30, Female beneficiaries Percentage Value 63.00 31-Dec-2015 Page 3 of 7
Intermediate Results Indicators Sub Type Supplemental Health facilities constructed, renovated, and/or Number Value 0.00 36.00 equipped Next update in March31, 2013 Delivery rooms in designated health centers Percentage Value 0.00 90.00 with necessary trained personnel, equipment, supplies and medicines to provide 24-hour emergency obstetrical and neonatal care Next update in December 31, Health facilities receiving at least 2 supervision Percentage Value 0.00 70.00 visits per year using standardized checklists MHSS municipalities that have an annual municipal plan Next update in June 30, Number Value 0.00 18.00 31-Dec-2015 Update expected by June, 30, Health personnel receiving training Number Value 0.00 1680.00 Next update only in December 31, Provinces that have an investment plan Number Value 0.00 5.00 Next update in June, 30 Staff houses built Number Value 0.00 24.00 Next update in December 31, Page 4 of 7
Community Health Workers (CHWs) trained Number Value 0.00 1080.00 General nurses trained in Emergency Obstetric and Neonatal Care (EmONC) Nurse midwives who received pre-service training Nurses trained in Integrated Management of childhood Illnesses (IMCI) Ambulances and 4x4 station wagons purchased Programmed communities receiving at least 3 outreach visits per year Next update in September 30, Number Value 0.00 180.00 next update in December 31, Number Value 0.00 75.00 Next update in December 31, Number Value 0.00 345.00 Next update in December, 31 Number Value 0.00 54.00 Next update in December Percentage Value 0.00 70.00 Next update in March 31, Motorcycles purchased for outreach teams Number Value 0.00 146.00 Municipalities that have implemented 80% of municipal outreach plans next update in December 31 Number Value 0.00 18.00 Next update in December 31, Page 5 of 7
Women receiving vouchers Number Value 0.00 Women who deliver in a health facility that redeem vouchers Mothers satisfied with transportation and direct vouchers 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. Number Value 0.00 Pilot test. Percentage Value 0.00 75.00 Next update in December, 31, 2013 Municipalities with voucher pilot completed Number Value 0.00 2.00 31-Dec-2015 Next update in December 31, 2013 Data on Financial Performance (as of 20-Oct-2011) Financial Agreement(s) Key s Project Loan No. Status Approval Signing Effectiveness Closing P111840 IDA-47490 Not Effective 08-Jun-2010 08-Sep-2011 31-Dec-2015 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P111840 IDA-47490 Not Effective XDR 46.70 46.70 0.00 0.00 46.70 0.00 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