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The World Bank Report No: ISR7976

Implementation Status & Results Lesotho HIV and AIDS Technical Assistance Project (P107375)

Operation Name: Lesotho HIV and AIDS Technical Assistance Project Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 17-Oct-2012 (P107375)

Public Disclosure Authorized Country: Lesotho Approval FY: 2010 Product Line:IBRD/IDA Region: AFRICA Lending Instrument: Technical Assistance Loan Implementing Agency(ies): Ministry of Health and Social Welfare, Ministry of Local Government and Chieftainship Key Dates Public Disclosure Copy Board Approval Date 27-Aug-2009 Original Closing Date 31-Jan-2015 Planned Mid Term Review Date 18-Feb-2013 Last Archived ISR Date 18-Apr-2012 Effectiveness Date 14-Jan-2010 Revised Closing Date 31-Jan-2015 Actual Mid Term Review Date

Project Development Objectives Project Development Objective (from Project Appraisal Document) The project aims at building capacity of government agencies and civil society organizations at both the national and local level to address the identified key gaps in implementing the National HIV and AIDS Strategic Plan in an effort to contain and reverse the epidemic. Has the Project Development Objective been changed since Board Approval of the Project?

Public Disclosure Authorized Yes No

Component(s)

Component Name Component Cost Component 1: Improved institutional capacity of NGOs/CSOs to implement HIV programs 1.70 Component 2: Scaling up the Health Sector Response 1.78 Component 3: Supporting a Decentralized local response 1.22

Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Public Disclosure Authorized Overall Risk Rating

Implementation Status Overview The Lesotho HIV and AIDS Technical Assistance project (HTAP) continues to be recognized as an important contribution to the national response to the epidemic in Lesotho. The

Public Disclosure Copy project became effective in January 2010 and has disbursed 46 percent (US $2.3 million of US$5 million) to date. Since the completion of a level II restructuring in December 2011, the project now focuses on high-priority capacity gaps such as building NGO capacity to address the HIV epidemic, strengthening the supply chain to improve availability of HIV commodities, and supporting district and community councils to mainstream HIV activities.

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Locations Country First Administrative Division Location Planned Actual Lesotho Thaba-Tseka Thaba-Tseka District

Lesotho Mohale's Hoek District Mohale's Hoek District

Lesotho Maseru District

Lesotho Mafeteng District

Lesotho Leribe

Lesotho Berea Public Disclosure Copy

Results

Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percent of Global Fund quarterly grant Percentage Value 0.00 50.00 75.00 performance ratings that meets or exceeds an Date 31-Dec-2009 15-Mar-2012 31-Jan-2015 adequate expectation Comments Source: GF Grant This is a new indicator performance report. Q3 and introduced through the level II Q4 ratings not yet received restructuring. from GF. WB and LCN are following up in order to update this indicator. Consolidated 3 year rolling condom forecast Yes/No Value No No Yes and procurement plan in place Date 31-Dec-2009 13-Dec-2011 31-Jan-2015 Comments This activity is included in the This is a new indicator 2012-2013 AWP and TORs introduced through the level II are currently under review by restructuring. the Bank for technical input. Number of council approved projects that Number Value 0.00 64.00 192.00 include an HIV component Date 31-Dec-2009 13-Dec-2011 31-Jan-2015 Comments Source: District council report This is a new indicator to national level, MOLGC introduced through the level II restructuring.

Intermediate Results Indicators Public Disclosure Copy

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Indicator Name Core Unit of Measure Baseline Current End Target Percentage of Auxilliary Social Workers trained Percentage Value 0.00 100.00 100.00 in identification, referral and follow up of OVC Date 31-Dec-2009 02-Jul-2012 31-Jan-2015 Comments Source: NHRT records, This indicator was maintained MOHSW. through the restructuring process. Percent of reports submitted within 5 working Percentage Value 0.00 75.00 75.00 days of the due date to the WB and GFATM by Date 31-Dec-2009 15-Mar-2012 31-Jan-2015 the three implementing partners (LCN, MOGLC and MOHSW) Comments Source: Reports provided by This is a new indicator the implementing partners introduced through the level II

Public Disclosure Copy (LCN, MOLGC and MOHSW) restructuring. Percent of NGOs trained in program Percentage Value 0.00 0.00 80.00 management skills Date 31-Dec-2009 15-Mar-2012 31-Jan-2015 Comments Source: LCN training records. This is a new indicator This activity has not yet taken introduced through the level II place and is linked to a long restructuring. term TA that was given NO in March 2012. Trainings will take place later in 2012 through 2013. Percent of outstanding issues identified during Percentage Value 0.00 100.00 90.00 supervision mission addressed within the Date 31-Dec-2009 28-Sep-2012 31-Jan-2015 allocated time Comments All actions from the June This is a new indicator 2012 mission have been introduced through the level II addressed. restructuring. An updated national Health Law drafted for Yes/No Value No Yes Yes approval Date 31-Dec-2009 28-Sep-2012 31-Jan-2015 Comments Draft laws and respective Source: MOHSW report regulations shared with the This is a new indicator World Bank. A Cabinet Memo introduced through the level II to introduce the draft laws is restructuring. currently under an internal approval process within the MOH. Policy guidelines on adoption of orphans Yes/No Value No Yes Yes drafted Date 31-Dec-2009 28-Sep-2012 31-Jan-2015 Comments Source: MOHSW report

Public Disclosure Copy This is a new indicator

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introduced through the level II restructuring. Guidelines for conducting ethical research Yes/No Value No Yes Yes drafted Date 31-Dec-2009 09-Mar-2012 31-Jan-2015 Comments Source: MOHSW report This is a new indicator introduced through the level II restructuring. Draft module on identification and referral of Yes/No Value No Yes Yes OVCs included in the Social Worker Training Date 31-Dec-2009 02-Dec-2011 31-Jan-2015 Program Comments Source: Institute Training This is a new indicator Public Disclosure Copy Program, MOHSW introduced through the level II restructuring. Number of HIV Essential Service Package Number Value 556.00 877.00 700.00 (ESP) interventions implemented Date 31-May-2009 02-Dec-2011 31-Jan-2015 Comments This is a new indicator introduced through the level II restructuring. HIV ESP includes interventions that support prevention through change in sexual behavior, PMTCT, access to HIV testing services, support to orphans and vulnerable children and support for persons who are HIV positive. This indicator is a result of the work completed by the CCSPs hired under the project to support ESP implementation. Percent of Project Committee meetings held Percentage Value 0.00 100.00 100.00 with 100% attendance Date 31-Dec-2009 15-Mar-2012 31-Jan-2015 Comments This is a new indicator introduced through the level II restructuring.

Data on Financial Performance (as of 16-Feb-2012)

Financial Agreement(s) Key Dates Public Disclosure Copy Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P107375 IDA-H5020 Effective 27-Aug-2009 21-Oct-2009 14-Jan-2010 31-Jan-2015 31-Jan-2015

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Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P107375 IDA-H5020 Effective XDR 3.30 3.30 0.00 1.53 1.77 46.00

Disbursement Graph Public Disclosure Copy

Key Decisions Regarding Implementation N/A

Restructuring History Level two Approved on 22-Dec-2011

Related Projects There are no related projects. Public Disclosure Copy

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