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The World Bank for OFFICIAL USE ONLY Document of The World Bank FOR OFFICIAL USE ONLY Public Disclosure Authorized Report No: ICR00005046 IMPLEMENTATION COMPLETION AND RESULTS REPORT Cr. 5337-BJ ON A CREDIT Public Disclosure Authorized IN THE AMOUNT OF SDR 18.3 MILLION (US$28 MILLION EQUIVALENT) TO THE Republic of Benin FOR THE Public Disclosure Authorized Benin Multisectoral Food Health Nutrition Project April 22, 2020 Health, Nutrition & Population Global Practice Africa Region Public Disclosure Authorized CURRENCY EQUIVALENTS Exchange Rate Effective Oct 31, 2019 Currency Unit = Euro Euro 1 = US$1.11522 CFA Franc 1 = US$ 0.00170 US$1 = SDR 0.72549 FISCAL YEAR January 1 – December 31 Regional Vice President: Hafez M. H. Ghanem Country Director: Coralie Gevers Regional Director: Dena Ringold Practice Manager: Gaston Sorgho Task Team Leader(s): Menno Mulder-Sibanda ICR Main Contributor: Helle M. Alvesson ABBREVIATIONS AND ACRONYMS ANCB Association Nationale des Communes du Bénin (National Association of Benin Communes) C4D Communication for Development CAN Conseil de l’Alimentation et de la Nutrition (Food and Nutrition Council) CAS Country Assistance Strategy CCC Cadre Communal de Concertation (Municipal Coordination Committee) CDP Commune Development Plans CGN Core Group of Nutrition CMAM Community Management of Acute Malnutrition CNP Community Nutrition Project CPF Country Partnership Framework CPS Country Partnership Strategy EBF Exclusive Breastfeeding GAN Groupe d’Assistance pour la Nutrition (Nutrition Care Group) GPRS Growth and Poverty Reduction Strategy IDF Institutional Development Fund IEG International Evaluation Group LQAS Lot Quality Assurance Sampling MFHNP Multisectoral Food Health Nutrition Project MICS Multiple Indicator Cluster Survey NLTA Non-Lending Technical Assistance OPCS Operations Policy and Country Services ORT Oral Rehydration Therapy PDO Project Development Objectives PNAR Programme National de Nutrition Axé sur les Résultats (Results-Based National Food and Nutrition Program) PRS Poverty Reduction Strategy PSDAN Plan Stratégique de Développement de l’Alimentation et de la Nutrition (Food and Nutrition Strategic Plan) SBCC Social and Behavior Change Communication SOP Series of Projects SP-CAN The Permanent Secretariat of the Food and Nutrition Council SUN Scaling-Up Nutrition TOC Theory of Change VAS Vitamin A Supplement TABLE OF CONTENTS DATA SHEET .......................................................................................................................... 1 I. PROJECT CONTEXT AND DEVELOPMENT OBJECTIVES ....................................................... 5 A. CONTEXT AT APPRAISAL .........................................................................................................5 B. SIGNIFICANT CHANGES DURING IMPLEMENTATION (IF APPLICABLE) .......................................9 II. OUTCOME .................................................................................................................... 11 A. RELEVANCE OF PDOs ............................................................................................................ 11 B. ACHIEVEMENT OF PDOs (EFFICACY) ...................................................................................... 12 C. EFFICIENCY ........................................................................................................................... 24 D. JUSTIFICATION OF OVERALL OUTCOME RATING .................................................................... 26 E. OTHER OUTCOMES AND IMPACTS (IF ANY) ............................................................................ 27 III. KEY FACTORS THAT AFFECTED IMPLEMENTATION AND OUTCOME ................................ 30 A. KEY FACTORS DURING PREPARATION ................................................................................... 30 B. KEY FACTORS DURING IMPLEMENTATION ............................................................................. 31 IV. BANK PERFORMANCE, COMPLIANCE ISSUES, AND RISK TO DEVELOPMENT OUTCOME .. 34 A. QUALITY OF MONITORING AND EVALUATION (M&E) ............................................................ 34 B. ENVIRONMENTAL, SOCIAL, AND FIDUCIARY COMPLIANCE ..................................................... 35 C. BANK PERFORMANCE ........................................................................................................... 36 D. RISK TO DEVELOPMENT OUTCOME ....................................................................................... 38 V. LESSONS AND RECOMMENDATIONS ............................................................................. 39 ANNEX 1. RESULTS FRAMEWORK AND KEY OUTPUTS ........................................................... 42 ANNEX 2. BANK LENDING AND IMPLEMENTATION SUPPORT/SUPERVISION ......................... 55 ANNEX 3. PROJECT COST BY COMPONENT ........................................................................... 57 ANNEX 4. EFFICIENCY ANALYSIS ........................................................................................... 58 Economic and Human development 2010-2018 ......................................................................... 58 Estimating beneficiaries of the project ...................................................................................... 59 Documented benefits on Stunting pre and ‘post’ Project period by the DHS ............................... 61 Estimating benefits from increased lifetime earnings from reduced stunting .............................. 62 ANNEX 5. BORROWER, CO-FINANCIER AND OTHER PARTNER/STAKEHOLDER COMMENTS ... 63 ANNEX 6. SUPPORTING DOCUMENTS .................................................................................. 65 The World Bank Benin Multisectoral Food Health Nutrition Project (P143652) DATA SHEET BASIC INFORMATION Product Information Project ID Project Name P143652 Benin Multisectoral Food Health Nutrition Project Country Financing Instrument Benin Investment Project Financing Original EA Category Revised EA Category Not Required (C) Not Required (C) Organizations Borrower Implementing Agency Secretariat Permanent du Conseil de l'Alimentation et de Republic of Benin la Nutrition Project Development Objective (PDO) Original PDO The development objective of the new project is to increase the coverage and utilization of community-based child growth andnutrition interventions in selected areas in the Recipient’s territory. Page 1 of 70 The World Bank Benin Multisectoral Food Health Nutrition Project (P143652) FINANCING Original Amount (US$) Revised Amount (US$) Actual Disbursed (US$) World Bank Financing 28,000,000 27,975,090 25,819,715 IDA-53370 Total 28,000,000 27,975,090 25,819,715 Non-World Bank Financing 0 0 0 Borrower/Recipient 0 0 0 Total 0 0 0 Total Project Cost 28,000,000 27,975,090 25,819,715 KEY DATES Approval Effectiveness MTR Review Original Closing Actual Closing 19-Dec-2013 08-Apr-2014 16-Dec-2016 31-Jul-2019 31-Jul-2019 RESTRUCTURING AND/OR ADDITIONAL FINANCING Date(s) Amount Disbursed (US$M) Key Revisions 29-Oct-2017 10.58 Change in Disbursements Arrangements 12-Jun-2018 24.06 Change in Results Framework 20-Feb-2019 24.06 Reallocation between Disbursement Categories KEY RATINGS Outcome Bank Performance M&E Quality Highly Satisfactory Highly Satisfactory Substantial RATINGS OF PROJECT PERFORMANCE IN ISRs Actual No. Date ISR Archived DO Rating IP Rating Disbursements (US$M) 01 29-May-2014 Satisfactory Satisfactory 0 Page 2 of 70 The World Bank Benin Multisectoral Food Health Nutrition Project (P143652) 02 25-Nov-2014 Satisfactory Moderately Satisfactory 2.07 03 18-May-2015 Satisfactory Moderately Satisfactory 2.16 04 30-Nov-2015 Moderately Satisfactory Moderately Unsatisfactory 2.66 05 19-May-2016 Moderately Satisfactory Moderately Satisfactory 3.06 06 11-Nov-2016 Satisfactory Moderately Satisfactory 4.44 07 12-May-2017 Satisfactory Satisfactory 7.40 08 02-Nov-2017 Satisfactory Satisfactory 10.58 09 04-May-2018 Satisfactory Satisfactory 15.62 10 19-Nov-2018 Satisfactory Satisfactory 24.06 SECTORS AND THEMES Sectors Major Sector/Sector (%) Public Administration 9 Other Public Administration 9 Health 46 Health 46 Social Protection 45 Social Protection 45 Themes Major Theme/ Theme (Level 2)/ Theme (Level 3) (%) Private Sector Development 100 Jobs 100 Page 3 of 70 The World Bank Benin Multisectoral Food Health Nutrition Project (P143652) Human Development and Gender 100 Health Systems and Policies 50 Child Health 50 Nutrition and Food Security 50 Nutrition 25 Food Security 25 ADM STAFF Role At Approval At ICR Regional Vice President: Makhtar Diop Hafez M. H. Ghanem Country Director: Madani M. Tall Coralie Gevers Director: Ritva S. Reinikka Dena Ringold Practice Manager: Trina S. Haque Gaston Sorgho Task Team Leader(s): Menno Mulder-Sibanda Menno Mulder-Sibanda ICR Contributing Author: Helle M. Alvesson Page 4 of 70 The World Bank Benin Multisectoral Food Health Nutrition Project (P143652) I. PROJECT CONTEXT AND DEVELOPMENT OBJECTIVES A. CONTEXT AT APPRAISAL Context The countdown of the Millennium Development Goals (MDG) was ongoing during appraisal. Maternal mortality was high at 350 per 100,000 live births in 2011, even though it had decreased from 397 per 100,000 in 2006 (Demographic Health Survey; DHS 2006). Under-five mortality rates were also dropping from 160 per 1000 live births in 2001 (DHS) to 115 in 2014 (Multiple Indicator Cluster Survey; MICS). Despite these gains the MDG goal 4 and 5 were not expected to be met. With a population of 9.6 million in 2011, a low capita income of US$738 (2011) and ranking of 167th out of 187
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