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The World Bank Report No: ISR4877

Implementation Status & Results Municipal Health Service Strengthening (Revitalizao) (P111840)

Operation Name: Municipal Health Service Strengthening (Revitalizao) Project Stage: Implementation Seq.No: 2 Status: ARCHIVED Archive Date: (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 29-Mar-2011 Effectiveness Date 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 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 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 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 2012 to undertake a detailed implementation planning, and discuss project Public Disclosure Copy activities, including monitoring and evaluation, and fiduciary arrangements with provincial and municipal health officials.

Page 1 of 7 Public Disclosure Authorized The World Bank Report No: ISR4877

Locations Country First Administrative Division Location Planned Actual Angola Provincia da Lunda Norte Provincia da Lunda Norte

Angola Provincia da Lunda Norte Municipio

Angola Provincia da Lunda Norte Municipio

Angola Provincia da Lunda Norte Municipio

Angola Provincia do Provincia do Moxico

Angola Provincia do Moxico Municipio Luau Public Disclosure Copy

Angola Provincia do Moxico Municipio

Angola Provincia do Uige Provincia do Uige

Angola Provincia do Uige Municipio Uige

Angola Provincia do Uige Municipio

Angola Provincia do Uige Municipio

Angola Provincia do Uige Muniipio

Angola Provincia de Provincia de Malanje

Angola Provincia de Malanje Municipio Malanje

Angola Provincia do Bengo Municipio Icoloe Bengo

Angola Provincia do Bengo Municipio

Angola Provincia da Lunda Norte Municipio Cuango

Angola Provincia do Bengo Caxito

Angola Provincia de Malanje Municipio

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

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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

Results

Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Public Disclosure Copy Institutional deliveries (%) Percentage Value 41.00 60.00

Date 31-Dec-2009 31-Dec-2015 Comments Probably makes sense to use Next update in June, 30, 2012 2011 data as baseline as the project implementation has not yet started. Children 0-1 year immunized with DPT vaccine Percentage Value 27.00 38.00 3rd dose (%) Date 31-Dec-2009 31-Dec-2015 Comments Next update in June, 30 2012 Children immunized Number Value 34000.00 64000.00

Date 31-Dec-2009 31-Dec-2015 Comments Next update in June 30, 2012 Pregnant women receiving antenatal care Number Value 86000.00 109000.00 during a visit to a health provider Date 31-Dec-2009 31-Dec-2015 Comments Next update in June 30, 2012 People with access to a basic package of Number Value health, nutrition, or population services Date Comments Next update in June 2012 Direct project beneficiaries Number Value 0.00 762672.00

Date 31-Dec-2015 Comments Next update in June 30, 2012 Public Disclosure Copy Female beneficiaries Percentage Value 63.00

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Indicator Name Core Unit of Measure Baseline Current End Target Sub Type Date Supplemental Comments

Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Health facilities constructed, renovated, and/or Number Value 0.00 36.00 equipped Date 31-Dec-2009 31-Dec-2015 Comments Next update in March31,

Public Disclosure Copy 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 Date 31-Dec-2009 31-Dec-2015 emergency obstetrical and neonatal care Comments Next update in December 31, 2012 Health facilities receiving at least 2 supervision Percentage Value 0.00 70.00 visits per year using standardized checklists Date 31-Dec-2009 31-Dec-2015 Comments Next update in June 30, 2012 MHSS municipalities that have an annual Number Value 0.00 18.00 municipal plan Date 31-Dec-2015 Comments Update expected by June, 30, 2012 Health personnel receiving training Number Value 0.00 1680.00

Date Comments Next update only in December 31, 2012 Provinces that have an investment plan Number Value 0.00 5.00

Date 31-Dec-2009 31-Dec-2015 Comments Next update in June, 30 2012 Staff houses built Number Value 0.00 24.00

Date 31-Dec-2009 31-Dec-2015 Comments Next update in December 31, Public Disclosure Copy 2012

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Indicator Name Core Unit of Measure Baseline Current End Target Community Health Workers (CHWs) trained Number Value 0.00 1080.00

Date 31-Dec-2009 31-Dec-2015 Comments Next update in September 30, 2012 General nurses trained in Emergency Obstetric Number Value 0.00 180.00 and Neonatal Care (EmONC) Date 31-Dec-2009 31-Dec-2015 Comments next update in December 31, 2012

Public Disclosure Copy Nurse midwives who received pre-service Number Value 0.00 75.00 training Date 31-Dec-2009 31-Dec-2015 Comments Next update in December 31, 2012 Nurses trained in Integrated Management of Number Value 0.00 345.00 childhood Illnesses (IMCI) Date 31-Dec-2009 31-Dec-2015 Comments Next update in December , 31 2012 Ambulances and 4x4 station wagons Number Value 0.00 54.00 purchased Date 31-Dec-2009 31-Dec-2015 Comments Next update in December 2012 Programmed communities receiving at least 3 Percentage Value 0.00 70.00 outreach visits per year Date 31-Dec-2009 31-Dec-2015 Comments Next update in March 31, 2012 Motorcycles purchased for outreach teams Number Value 0.00 146.00

Date 31-Dec-2009 31-Dec-2015 Comments next update in December 31 2012 Municipalities that have implemented 80% of Number Value 0.00 18.00 municipal outreach plans Date 31-Dec-2009 31-Dec-2015 Comments Public Disclosure Copy Next update in December 31, 2012

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Women receiving vouchers Number Value 0.00

Date 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. Women who deliver in a health facility that Number Value 0.00 redeem vouchers Date Comments Pilot test. Public Disclosure Copy Mothers satisfied with transportation and direct Percentage Value 0.00 75.00 vouchers Date 31-Dec-2015 Comments Next update in December , 31, 2013 Municipalities with voucher pilot completed Number Value 0.00 2.00

Date 31-Dec-2009 31-Dec-2015 Comments Next update in December 31 , 2013

Data on Financial Performance (as of 20-Oct-2011)

Financial Agreement(s) Key Dates Project Loan No. Status Approval Date Signing Date Effectiveness Date Closing Date 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 Public Disclosure Copy

Page 6 of 7 The World Bank Report No: ISR4877 Public Disclosure Copy

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

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