The World Bank Report No: ISR5020

Implementation Status & Results Haiti Cholera Emergency Response Project (P120110)

Operation Name: Cholera Emergency Response Project (P120110) Project Stage: Implementation Seq.No: 3 Status: ARCHIVED Archive Date: 09-Aug-2011 Country: Haiti Approval FY: 2011

Public Disclosure Authorized Product Line:IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Emergency Recovery Loan Implementing Agency(ies): Fonds d’Assistance Economique et Social (FAES) Key Dates Board Approval Date 18-Jan-2011 Original Closing Date 30-Jun-2013 Planned Mid Term Review Date Last Archived ISR Date 09-Aug-2011 Public Disclosure Copy Effectiveness Date 07-Feb-2011 Revised Closing Date 30-Jun-2013 Actual Mid Term Review Date

Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed Project's development objective is to contribute to the Government of Haiti's response to the cholera outbreak and strengthen institutional capacity to respond to disease outbreaks effectively. Has the Project Development Objective been changed since Board Approval of the Project?

Yes No Public Disclosure Authorized Component(s)

Component Name Component Cost Component 1: Support to the Government's Response to Cholera at the Decentralized Level 11.00 Component 2: Emergency Response Capacity Building 4.00

Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Moderately Satisfactory Overall Risk Rating High Public Disclosure Authorized Implementation Status Overview The Haiti Cholera Emergency Response Project was approved by the Board on January 18, 2011, signed on January 20, 2011 and made effective on February 7, 2011. Implementation progress was initially slow, but progress has been made since the last ISR, namely the roll out of community mobilization and prevention activities by the three NGOs (PIH, World Vision, and Save the Children) in Artibonite, Centre, Ouest, and Sud-est departments. However, public sector activities (i.e. the implementation of the departmental cholera plans) continues to suffer from delays and will only be launched by end March 2012. Public Disclosure Copy

Locations

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No Location data has been entered

Results

Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of population in project intervention Percentage Value areas who know the cholera early warning Date 30-Sep-2011 09-Mar-2012 30-Jun-2013 symptoms and prevention steps Comments Identification of Symptoms Final survey for these first 4 Identification of Symptoms Artibonite – 81% departments to be undertaken Artibonite – 85% Centre – 86% in October 2012; Final Centre – 91% Public Disclosure Copy Ouest – 80% surveys for the remaining Ouest – 85% Sud-Est – 88% departments will take place in Sud-Est – 90% Total – 82% December 2012. Total – 87%

Knowledge of Prevention Knowledge of Prevention Steps Steps Artibonite – 7% Artibonite – 12% Centre – 13% Centre – 18% Ouest – 17% Ouest – 21% Sud-Est – 26% Sud-Est – 29% Total – 15% Total – 20% Percentage of population in project intervention Percentage Value areas with access to improved water sources Date 30-Sep-2011 09-Mar-2012 30-Jun-2013 Comments Artibonite - 29.9% Final survey for these first 4 Artibonite - 29.9% Centre - 27.4% departments to be undertaken Centre - 27.4% Ouest – 44.1% in October 2012; Final Ouest – 44.1% Sud-Est – 37.3% surveys for the remaining Sud-Est – 37.3% Total – 38.3% departments will take place in Total – 38.3% December 2012. Note: "Improved water source" is a technical term ofthe Joint Monitoring Program for Water and Sanitation of WHO/UNICEF, and a Bank "standard indicator" for water sanitation. Here, “improved water source” means that it is

Public Disclosure Copy “improved relative to untreated, unprotected

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sources,” not that the project has facilitated improvement of water sources. To this end, the project is, in effect, sustaining access to clean water. Increased institutional capacity as measured by Number Value 0.00 3.00 4.00 achievement of at least four out of five of Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Component 2 indicators on an annual basis Comments N/A Three indicators achieved Four out of five indicators (departmental cholera achieved management plans developed for at least five departments, Public Disclosure Copy quarterly project progress reports submitted, quarterly IFRs submitted) and two on track to being achieved this year (number of personnel and community workers trained, establishment and functioning of one national and five regional cholera and emergency response units).

Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of communities that have received Number Value 0.00 1300.00 2214.00 targeted health education and/or prevention Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 activities Comments "Localities" is being used in the place of communities, given the Haitian context. Number of health centers and posts, treatment Number Value 0.00 174.00 347.00 and chlorination centers and units, and oral Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 rehydration posts supported with supplies Comments Number of people receiving water treatment Number Value 0.00 130200.00 178400.00 products and soap Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Comments 0 Artibonite – 29,000 Artibonite – 28,800 Centre – 79,600 Centre – 114,800 Ouest – 8,200 Ouest – 10,800 Sud – 0 Sud – TBD Public Disclosure Copy Sud-Est – 13,400 Sud-Est – 24,000 Nippes- 0 Nippes- TBD

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Grand Anse – 0 Grand Anse – TBD Total – 130,200 Total – 178,400 Number of personnel and community workers Number Value 0.00 2907.00 2963.00 trained (by type of training) Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Comments By department Artibonite – 713 Artibonite – 1023 Centre – 1857 Centre – 1024 Ouest – 116 Ouest – 34 Sud – 0 Sud – 92 Sud-Est – 221 Sud-Est – 298 Nippes- 0 Nippes- 29 Grand Anse – 0 Grand Anse – 463 Total – 2907 Total – 2963 Public Disclosure Copy Departmental Cholera Management Plan Number Value 0.00 6.00 5.00 developed (by MSPP and DINEPA) for at least Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 five departments Comments N/A Indicator achieved and 5 surpassed. Establishment and functioning of one national Number Value 0.00 3.00 6.00 and five regional Cholera and Emergency Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Response Units Comments Government has decided to A national cholera focal point recruit cholera coordinators in is in place and 2 departmental the departments rather than cholera focal points have create new units. Thus, this been recruited for Sud and indicator reflects the number Sud-est; recruitment of other of coordinators in place. focal points is ongoing. Quarterly project progress reports submitted to Number Value 0.00 0.00 Cholera Coordination Committee and to Bank Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Comments N/A Aide Memoires for each Reports submitted mission have been circulated to FAES, MSPP, DINEPA and submitted internally (WB). In addition, quarterly progress reports have been submitted to FAES, MSPP, and the Bank. Good quality quarterly IFRs are submitted to Number Value the Bank in a timely manner Date 04-Feb-2011 09-Mar-2012 30-Jun-2013 Comments N/A Second IFR submitted on IFRs submitted time. Public Disclosure Copy Data on Financial Performance (as of 22-Feb-2012)

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Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date P120110 IDA-H6390 Effective 18-Jan-2011 20-Jan-2011 07-Feb-2011 30-Jun-2013

Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P120110 IDA-H6390 Effective XDR 9.90 9.90 0.00 4.22 5.68 43.00

Disbursement Graph Public Disclosure Copy

Key Decisions Regarding Implementation N/A

Restructuring History There has been no restructuring to date.

Related Projects There are no related projects. Public Disclosure Copy

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