Nigeria - Program to Support Saving One Million Lives (P146583)

Transcription

1 Public Disclosure Authorized AFRICA Nigeria Health, Nutrition & Population Global Practice Requesting Unit: AFCW2 Responsible Unit: GHN07 IBRD/IDA Program-for-Results FY 2015 Team Leader(s): Benjamin P. Loevinsohn Seq No: 6 ARCHIVED on 31-Oct-2018 ISR33967 Created by: Benjamin P. Loevinsohn on 05-Sep-2018 Modified by: Kodaganallur G. Sundar on 22-Oct Public Disclosure Authorized Program Development Objectives Program Development Objective (from Program Appraisal Document) The objective of the Program is to increase the utilization and quality of high impact reproductive, child health and nutrition interventions. Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Public Disclosure Authorized Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Implementation Status and Key Decisions This is an interim ISR as the task team is on mission and will have additional information in the next 2 weeks. The preliminary report of SMART household survey will be available in 2-3 weeks and an initial draft has been furnished to the SOML Program Management Unit (PMU). The Government and the team agreed to carry out the mid-term review of the Saving One Million Lives program for results (SOML PforR) by December Program support units have been successfully recruited and are providing technical assistance in each state. The 2018 national health facility survey has been delayed but data collection should begin by December Data on Financial Performance Disbursements (by loan) Public Disclosure Authorized Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P IDA Effective USD % Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P IDA Effective 23-Apr May May Dec Dec-2019 Program Action Plan Prepare standardized template for financial reporting and pilot and roll-out at facilities 10/31/2018 Page 1 of 9

2 Client No 28-Nov-2016 Completed Publish annual consolidated PHC expenditure report for the state based on 3 economic classifications: compensation; goods & services; investments. Client Yes YEARLY DLI 5: Increase of transparency in management and budgeting of primary health care - DLI 5 (ii) Number of States that have produced and published a consolidated budget execution report In Progress Assessments of DLI 5 are being undertaken by the IVA. Annual federal level budget execution report prepared at the economic (object) classification level for PHC subfunction (SOML-focused) Client Yes YEARLY DLI 5: Increase of transparency in management and budgeting of primary health care - DLI 5 (iii) FGON publishes a consolidated budget execution report In Progress Assessments of DLI 5 are being undertaken by the IVA. PMU in the FMOH has at least 1 financial management staff that focus on SOML management, monitoring, and reporting Client Yes MONTHLY Completed An accountant is assigned but is not working in the PMU full-time. 10/31/2018 Page 2 of 9

3 Internal audit units in FMOH assign internal auditors for ex-poste systemic and risk-based audits of the Program and report quarterly to permanent secretary, FMOH after capacity strengthening in risk-based internal audits. Client Yes QUARTERLY In Progress Procurement plans for SOML related activities to be prepared by FMOH and approved by Minister or permanent secretary, FMOH Client Yes YEARLY In Progress Structure of FMOH and budget release issues make this very challenging. Capacity building on procurement procedures and contract management conducted annually In accordance with 2007 Procurement Act an independent procurement audit will be conducted on random sample of at least 5% of transactions under the SOML program. Fraud and corruption complaints redress - Formal policy and procedural guidance prepared and approved as applicable to the program Strengthen capacity of ACTU network to deliver on mandate assign full time staff with mandate and resources and build on the risk assessment at the level of primary health centers led by the ICPC. 10/31/2018 Page 3 of 9

4 Undertake an expenditure tracking survey, focusing on financial and commodity flows that are critical to SOML results Client No 28-May-2016 Completed Establish communication strategy for stakeholder engagement Client No 28-May-2016 Completed Capacity building for FMOH staff and other health workers on health care waste management and equity issues. Carry out annual assessment of progress on environmental and social issues. Timely transfer of Financing proceeds to States through government processes for results achieved by the states under DLIs 1, 2, 3, and 5 10/31/2018 Page 4 of 9

5 Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Substantial Substantial Macroeconomic -- Substantial Substantial Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Substantial Substantial Institutional Capacity for Implementation and Sustainability -- Substantial Substantial Fiduciary -- Substantial Substantial Environment and Social -- Moderate Moderate Stakeholders -- Moderate Moderate Other Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Combined coverage of six key SOML services; (a) vaccination coverage among young children (Penta3); IN Combined coverage of six key SOML services; (a) vaccination coverage among young children (Penta3); (b) contraceptive prevalence rate (modern methods); (c) Vitamin A supplementation among children 6 m (Percentage, Custom) Value Date 31-May Dec Dec Dec-2019 IN Quality of care index at health center level (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2019 Intermediate Results Indicators by Results Areas 10/31/2018 Page 5 of 9

6 IN IN Improved Management of Primary Health Care IN Number of States with performance management systems in place (Number, Custom) Value Date 31-Jan Dec Dec Dec-2019 IN States in which SPHCDA or equivalent have managerial authority over PHC staff (Number, Custom) Value Date 31-Jan Dec Dec Dec-2019 Improve quality of care and ability to deliver key SOML Interventions IN Impact evaluation of Results based disbursements for MNCH weeks (Yes/No, Custom) Value No No No Yes Date 31-May Dec Dec Dec-2019 IN People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Value 9,456, ,688, ,688, ,667, Date 15-Dec Dec Dec Dec-2019 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Value 9,456, ,688, ,688, ,667, Number of children immunized (Number, Corporate Breakdown) 10/31/2018 Page 6 of 9

7 IN IN Value 3,343, ,317, ,317, ,944, Date 15-Dec Dec Dec Dec-2019 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Value 2,871, ,871, ,871, ,158, Date 15-Dec Dec Dec Dec-2019 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Value 3,241, ,499, ,499, ,565, Date 15-Dec Dec Dec Dec-2019 Disbursement Linked Indicators DLI_IND_TABLE DLI DLI 1: Increase of utilization of High Impact Reproductive, Child Health and Nutrition Interventions - DLI 1.1 States produce plans for achieving reductions in maternal, perinatal and under-5 mortalit (Process, 57,000,000.00, 0%) Value Date 29-May Mar Mar DLI DLI 1: Increase of utilization of High Impact Reproductive, Child Health and Nutrition Interventions - DLI 1.2 Improvements on 6 key health indicators (Intermediate Outcome, 232,000,000.00, 0%) Value Date 30-Nov Dec Dec DLI DLI 1: Increase of utilization of High Impact Reproductive, Child Health and Nutrition Interventions - DLI 1.3 Lagging States strengthen their MNCH weeks as part of an impact evaluation (Output, 16,000,000.00, 0%) Value /31/2018 Page 7 of 9

8 DLI DLI 2: Increase of quality of High Impact Reproductive, Child Health and Nutrition Interventions (Intermediate Outcome, 54,000,000.00, 0%) Value Date 30-Dec Dec Dec DLI DLI 3: Improvement of monitoring and evaluation systems and data utilization - DLI 3.1 Improving M&E Systems (Process, 35,000,000.00, 0%) Value Yes Yes Yes Yes Date 31-May Dec Dec DLI DLI 3: Improvement of monitoring and evaluation systems and data utilization - DLI 3.2 Improving Data Utilization (Process, 27,000,000.00, 0%) Value No Yes Yes Yes DLI DLI 3: Improvement of monitoring and evaluation systems and data utilization - DLI 3.3 Implementing Performance Management in States (Process, 18,000,000.00, 0%) Value ,000, DLI DLI 4: Establishment and operation of the Innovation Fund designed to support private sector innovations aimed at increasing utilization and quality of maternal and child health interventions (Output, 20,000,000.00, 0%) 10/31/2018 Page 8 of 9

9 Value No No No Yes DLI DLI 5: Increase of transparency in management and budgeting of primary health care - DLI 5 (i) Number of States that have transferred health staff to entity responsible for PHC (Process, 18,500,000.00, 0%) Value DLI DLI 5: Increase of transparency in management and budgeting of primary health care - DLI 5 (ii) Number of States that have produced and published a consolidated budget execution report (Process, 20,500,000.00, 0%) Value ,500, DLI DLI 5: Increase of transparency in management and budgeting of primary health care - DLI 5 (iii) FGON publishes a consolidated budget execution report (Process, 2,000,000.00, 0%) Value No No No Yes 10/31/2018 Page 9 of 9