The World Bank Report No: ISR9825

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 Date: 27-Apr-2013 (P111840)

Public Disclosure Authorized Country: Angola Approval FY: 2010 Product Line:IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Public Disclosure Copy Board Approval Date 08-Jun-2010 Original Closing Date 31-Dec-2015 Planned Mid Term Review Date 10-Feb-2014 Last Archived ISR Date 21-Aug-2012 Effectiveness Date 02-Mar-2012 Revised Closing Date 31-Dec-2015 Actual Mid Term Review Date

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 Public Disclosure Authorized

Component(s)

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

Public Disclosure Authorized 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 2012. 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 Public Disclosure Copy 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.

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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 Public Disclosure Copy

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 Public Disclosure Copy

Angola Provincia do Bengo Municipio Ambriz

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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 Public Disclosure Copy Direct project beneficiaries Number Value 0.00 762672.00 Date 30-Sep-2013 30-Jun-2013 31-Dec-2015 Comments 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 Value 0.00 63.00 Sub Type Supplemental People with access to a basic package of Number Value health, nutrition, or reproductive health services Date (number) Comments 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) Date 31-Dec-2009 31-Dec-2015 Comments Same as above Next update in June 30, 2013 Children immunized (number) Number Value 34000.00 64000.00 Date 30-Jun-2012 31-Dec-2015 Comments 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 (%) Date 30-Jun-2012 31-Dec-2015 Comments Same as above Next update in June, 30 2013 Institutional deliveries (%) Percentage Value 40.00 60.00 Date 30-Jun-2012 31-Dec-2015 Comments The baseline for the project will have to be modified Public Disclosure Copy because the project just

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became effective on March 2, 2012.

Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Municipalities with voucher pilot completed Number Value 0.00 2.00 Date 31-Dec-2013 31-Dec-2015 Comments This assessment will be Next update in December 31 , carried out after the pilot. 2013 Mothers satisfied with transportation and direct Percentage Value 0.00 75.00 vouchers Public Disclosure Copy Date 31-Dec-2013 31-Dec-2015 Comments This assessment will be Next update in December , carried out after the pilot 31, 2013 Women who deliver in a health facility that Number Value 0.00 redeem vouchers Date Comments Pilot test. Women receiving vouchers Number Value 0.00 Date 30-Jun-2011 Comments 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 Date 30-Jun-2011 31-Dec-2015 Comments Next update in December 31, 2012 Motorcycles purchased for outreach teams Number Value 0.00 146.00 Date 30-Jun-2011 31-Dec-2015 Comments next update in December 31 2012 Programmed communities receiving at least 3 Percentage Value 0.00 70.00 outreach visits per year Date 30-Jun-2011 31-Dec-2015 Comments Next update in March 31, 2012 Ambulances and 4x4 station wagons Number Value 0.00 54.00 Public Disclosure Copy purchased Date 30-Jun-2011 31-Dec-2015

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Comments Next update in December 2012 Nurses trained in Integrated Management of Number Value 0.00 345.00 childhood Illnesses (IMCI) Date 30-Jun-2011 31-Dec-2015 Comments Next update in December , 31 2012 Nurse midwives who received pre-service Number Value 0.00 75.00 training Date 30-Jun-2011 31-Dec-2015 Comments Next update in December 31, 2012

Public Disclosure Copy General nurses trained in Emergency Obstetric Number Value 0.00 180.00 and Neonatal Care (EmONC) Date 30-Jun-2011 31-Dec-2015 Comments next update in December 31, 2012 Community Health Workers (CHWs) trained Number Value 0.00 1080.00 Date 30-Jun-2011 31-Dec-2015 Comments Same as above Next update in September 30, 2012 Staff houses built Number Value 0.00 24.00 Date 30-Jun-2011 31-Dec-2015 Comments Next update in December 31, 2012 Provinces that have an investment plan Number Value 0.00 5.00 Date 30-Jun-2011 31-Dec-2015 Comments Next update in June, 30 2012 Health personnel receiving training (number) Number Value 0.00 1680.00 Date 30-Jun-2011 Comments Next update only in December 31, 2012 MHSS municipalities that have an annual Number Value 0.00 18.00 municipal plan Date 30-Jun-2011 31-Dec-2015 Comments Update expected by June, 30, 2012 Health facilities receiving at least 2 supervision Percentage Value 0.00 70.00 visits per year using standardized checklists Date 30-Jun-2011 31-Dec-2015 Public Disclosure Copy Comments Next update in June 30, 2012

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Delivery rooms in designated health centers Percentage Value 0.00 90.00 with necessary trained personnel, equipment, Date 30-Jun-2011 31-Dec-2015 supplies and medicines to provide 24-hour emergency obstetrical and neonatal care Comments Next update in December 31, 2012 Health facilities constructed, renovated, and/or Number Value 0.00 36.00 equipped (number) Date 30-Jun-2011 31-Dec-2015 Comments Next update in March31, 2013

Data on Financial Performance (as of 12-Mar-2013) Public Disclosure Copy Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P111840 IDA-47490 Effective 08-Jun-2010 08-Sep-2011 02-Mar-2012 31-Dec-2015 31-Dec-2015

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 Public Disclosure Copy

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Key Decisions Regarding Implementation Not Applicable

Restructuring History There has been no restructuring to date.

Related Projects There are no related projects. Public Disclosure Copy Public Disclosure Copy

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