Implementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957)

Transcription

1 Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957) Operation Name: Mali - Multi-sectoral HIV/AIDS Project (P082957) Project Stage: Implementation Seq.No: 13 Status: ARCHIVED Last Modified : 09-Mar-2011 Country: Mali Approval FY: 2004 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Executive Secretariat of the High National Council on HIV/AIDS Key s Board Approval 17-Jun-2004 Original Closing 31-Jul-2009 Planned Mid Term Review 01-May-2007 Last Archived ISR 27-Apr-2010 Effectiveness Revised Closing 31-Jul-2011 Actual Mid Term Review 01-Feb-2009 Project Development Objectives Project Development Objective (from Project Appraisal Document) The revised project objective is to contribute to the recipient#s multisectoral efforts to control the spread of the HIV/AIDS epidemic by improving access to prevention, treatment and care particularly for the most-at-risk-population (MARP) and those infected with or affected by HIV/AIDS. This objective will be achieved by: (a) strengthening the Recipient#s national response to the HIV/AIDS epidemic by improving its evidence base, coordination, implementation, and monitoring and evaluation capacity; (b) raising the level of awareness on HIV/AIDS through the implementation of a comprehensive sensitization plan targeting MARP in particular; (c) providing access to testing and counseling facilities; and (d) providing access to treatment, care and psychosocial support to persons infected with or affected by HIV/AIDS. Has the Project Development Objective been changed since Board Approval of the Project? losure Authorized Public Disclosure Authorized Yes No Component(s) Component Name Component Cost SUPPORT TO THE PUBLIC SECTOR RESPONSE 9.00 SUPPORT TO THE RESPONSE OF THE PRIVATE SECTOR 4.70 SUPPORT TO THE RESPONSE OF THE CIVIL SOCIETY 5.40 PROJECT COORDINATION, MONITORING AND EVALUATION 6.40 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Medium-L Implementation Status Overview Page 1 of 5

2 Overall, the project is progressing towards its development objectives in terms of awareness raising; access to counseling and testing; and access to treatment, care and psychosocial support to persons infected with or affected by HIV/AIDS. Results Project Development Objective Indicators At least orphans attend school regularly by July ,299 At least 9,000 PLWA medically eligible for treatment (CD4 count less than 200) are under ARV treatment by July , (number of patients under 9,000 health monitoring supported by the MAP. This monitoring is a condition to access to ARV) (23963: total number of patients supported by the program, including other development partners) by the program (not only MAP). The MAP is providing ARV through private pharmacies which is a major innovation Persons aged 15 and older received counseling and testing (VCT) for HIV and received their test results (new indicator) 67,382 55,000 Page 2 of 5

3 15000 commercial sex workers and other MARP receiving services from subprojects Jun-2009 Intermediate Results Indicators 60% of HIV+ pregnant women assisted for prenatal care received ARV prophylaxis (PTME) by end of project 60% 67% by the program (not only the MAP) 60% 257 reference centers (circles & communes) and CSCOM offer testing and counseling by end of project reference centers (circles & communes) and CSCOM structures have means to dispose of medical waste by the end of the project na Page 3 of 5

4 At least 100 enterprises and business associations have implemented HIV/AIDS action plan by the end of the project Number of private centers offering VCT services increased from 15 to Dec patients with access to treatment monitoring services by private laboratory (new indicator) Jun-2009 under the original project 7000 At least 25 sub-projects implemented among commercial sex workers and/or high risk groups (truck drivers, ambulatory vendors, military/ police, etc) annually Data on Financial Performance (as of 29-Dec-2010) Financial Agreement(s) Key s Project Loan No. Status Approval Signing Effectiveness Closing P IDA Effective 19-May May Jul Jul-2011 P IDA-H0990 Effective 17-Jun Jun Jul-2011 Page 4 of 5

5 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P IDA Effective XDR P IDA-H0990 Effective XDR Disbursement Graph Key Decisions Regarding Implementation Implementation of the MAP-supported action plan of the Ministry of Health should be accelerated, with support from additional technical assistance, to strengthen the capacity of the public sector to provide HIV/AIDS health services especially in the regions. This is important to ensure that the project will meet its development objectives. Restructuring History Board Approved on 19-May-2009 Related Projects P ML-HIV/AIDS MAP Additional Financing Page 5 of 5