Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Peru PERU Participatory intervention model to improve child nutrition (P120888) Operation Name: PERU Participatory intervention model to improve child Project Stage: Implementation Seq.No: 2 Status: ARCHIVED Archive Date: 07-Dec-2012 nutrition (P120888) Country: Peru Approval FY: 2010 Product Line: Recipient Executed Activities Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Technical Assistance Loan Implementing Agency(ies): Key Dates Board Approval Date 11-Mar-2010 Original Closing Date 22-Oct-2014 Planned Mid Term Review Date Last Archived ISR Date 06-Feb-2012 Effectiveness Date 29-Nov-2010 Revised Closing Date 22-Oct-2014 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The objective of the project is to improve the nutritional and development status of children under five by a participatory intervention to raise awareness, improve local management skills and promote behavioral changes of household, community and district actorsin very poor districts in the highland and jungle (Selva) regions of Peru. Such project will strengthen the National CRECER Strategy (National Strategy to reduce chronic under-nutrition by nine points by 2011 through the articulation of all sectors and social programs) through the Local Coordination Committee (CCL), i.e., the official coordinating body for articulating sectoral activities at the district level including identification of population needs and mobilization of resources. Has the Project Development Objective been changed since Board Approval of the Project? losure Authorized Public Disclosure Authorized Yes Component(s) No Component Name Component Cost Participatory Education and Communication Strategy leading to a local culture of child care and 0.71 nutrition Participatory process monitoring and management toolkit for informed decision making 0.81 Management, Monitoring and Evaluation 0.25 Project Administration 0.13 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Page 1 of 5
Implementation Status Overview In January 2012 the project started its implementation stage after completing a first stage of planning and formalization of institutional arrangements in 2011. During the first stage the implementing agency Fondo de Las Americas (FONDAM) achieved the following: (i) established basic institutional procedures to ensure close coordination with the Ministry of Economy and Finance (MEF) and strengthen complementarities with the Juntos Results for Nutrition project; (ii) set up a Project Coordinating Committee (PCC) including representatives from MEF, Ministry of Health, the Juntos Conditional Cash Transfer program, the Mesa de Concertación de Lucha contra la Pobreza (MCLP), the Presidential Cabinet, the Ministry of Development and Social Inclusion (MIDIS, created in October 2011) and FONDAM itself.; (iii) set up a network of mayors of the 20 districts of implementation; and (iv) carried out competitive processes to select firms and individual consultants to implement project activities. The PCC met three times in 2011 and three times in 2012. Since the beginning of 2012, progress has been made in: (i) initial assessments on available health services and current nutrition and care practices in the 20 prioritized districts; (ii) validation of family counseling tools using an inter-cultural approach in two regions of project implementation (Huánuco and Amazonas); (iii) design tools for community-based monitoring of growth and development of children under 1 year; (iv) definition of causal chain to achieve expected project results and identification of relevant indicators and sources; (v) design of sample framework for baseline and monitoring and definition of criteria to prioritize 200 communities for community agents intervention; (vi) design of the baseline survey and definition of the National Institute of Statistics (INEI) as the firm to carry out the survey; and (vii) design of social monitoring mechanism and its validation in two regions of implementation (Huánuco and Amazonas). In October 2011, the country created a new Ministry of Development and Social Inclusion (MIDIS), in charge of leading the social policy agenda, including nutrition, and in charge of the Conditional Cash Transfer program Juntos. The project management held meetings with MIDIS representatives and included their appointed representative as a member of the Project Coordinating Committee. The project is also coordinating closely with the Quality direction of MIDIS for the implementation of the mobile technology pilot initially to be executed with Juntos. Locations Country First Administrative Division Location Planned Actual Peru Departamento de Huanuco Departamento de Huanuco Peru Departamento de Cajamarca Departamento de Cajamarca Peru Departamento de Amazonas Departamento de Amazonas Results Project Development Objective Indicators Page 2 of 5
Indicator Name Core Unit of Measure Baseline Current End Target Nutrition Outcome: Chronic undernutrition in Percentage Value 36.00 children under 5 declined by an average of 2 percentage points per year in districts where Comments the project intervenes. Projections for the 20 districts of implementation, based on available administrative data. Error is estimated at 10%. Data for a revised baseline will be gathered through surveys conducted by the National Statistical Institute (INEI) beginning in the last quarter of 2012. Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Health services utilization: 80% of the children Percentage Value 63.00 under 2 in targeted districts assists to regular growth monitoring andpromotion controls Comments (CRED). Projections for the 20 districts of implementation, based on available administrative data. Error is estimated at 10%. Data for a revised baseline will be gathered through surveys conducted by the National Statistical Institute (INEI) beginning in the last quarter of 2012. Health conditions: 20% of children under five in Percentage Value 25.00 targeted districts currently suffer from diarrhea or acute respiratoryinfections Comments Diarrhea - Projections for the 20 districts of implementation, based on available administrative data. Error is estimated at 10%. Data for a revised baseline will be gathered through surveys conducted by the National Statistical Institute (INEI) beginning in the last quarter of 2012. Page 3 of 5
Health Conditions: 20% of children under five in targeted districts currently suffer from acute respiratory infections Data on Financial Performance (as of 08-Nov-2012) Financial Agreement(s) Key Dates Percentage Sub Type Supplemental Value 18.00 Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P120888 TF-96419 Effective 22-Oct-2010 22-Oct-2010 29-Nov-2010 22-Oct-2014 22-Oct-2014 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P120888 TF-96419 Effective USD 1.90 1.90 0.00 1.00 0.90 52.00 Disbursement Graph Key Decisions Regarding Implementation The team will be coordinating with MIDIS (Quality Directorate) during the next few months to jointly implement a mobile technology pilot. Restructuring History There has been no restructuring to date. Page 4 of 5
Related Projects There are no related projects. Page 5 of 5