Implementation Status & Results Benin Second Multisectoral HIV/AIDS Control Project (P096056)

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1 Public Disclosure Authorized Public Disclosure Authorized losure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Benin Second Multisectoral HIV/AIDS Control Project (P096056) Operation Name: Second Multisectoral HIV/AIDS Control Project (P096056) Project Stage: Implementation Seq.No: 9 Status: ARCHIVED Last Modified : 06-Apr-2011 Country: Benin Approval FY: 2007 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Projet Multisectoriel de Lutte contre le VIH/SIDA Key s Board Approval 05-Apr-2007 Original Closing Planned Mid Term Review 18-Jan-2010 Last Archived ISR 03-Nov-2010 Effectiveness 09-Jan-2008 Revised Closing Actual Mid Term Review 18-Jan-2010 Project Development Objectives Project Development Objective (from Project Appraisal Document) The development objectives of the proposed project are derived from the country's strategic plan for fighting HIV/AIDS and its effects, and for preventing the further spread of HIV/AIDS by means of a multisectoral program approach. They are essentially similar to those under the predecessor project. Thus, complementing the activities financed by other sources, the purpose is to help Benin Government implement its new National Strategic Framework for boosting its national response to HIV/AIDS by contributing to increase and improve the coverage and utilization of prevention services, treatment and care for specific high-risk and vulnerable groups. More specifically, the project will contribute to: (a) strengthening access to and increasing utilization of prevention services for vulnerable groups (women, youth, etc.) and the high-risk groups such as the commercial sex workers and staffs of some key ministries; (b) improve access and utilization of treatment and care services for HIV/AIDS infected and affected persons, notably those living with HIV/AIDS (PLWHA), and orphans and vulnerable children (OVC); and (c) consolidate the coordination, management, and the monitoring and evaluation of the national response to HIV/AIDS for its sustainability. Has the Project Development Objective been changed since Board Approval of the Project? Yes Component(s) No Component Name Component Cost A. Social Mobilization and Prevention Services B. Access to Treatment, Care services C. Coordination, Management, and Monitoring and Evaluation 7.70 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Page 1 of 9

2 Implementation Status Overview The project has been restructured as requested by the government: the credit's proceeds have been reallocated; baseline and end-of-project targets values have been adjusted to take into account new available data and achievements as of the January 2010 mid-term review. The project is making good progress towards the achievement of its development objective in spite of the recurrent strikes of the health sector staff throughout the country to claim for better working conditions and financial reward. The setting up of the national HIV/AIDS monitoring and evaluation system is completed and now has to be made fully operationalas of February 11, 2011, the physical execution rate of the Project stands at nearly 80%, while 66% of the IDA Credit has been disbursed.. Results Project Development Objective Indicators Health personnel receiving training Dec-2009 Core Indicator Number *Project level result. Persons trained in HIV service delivery. Source :Ministry of Health and NAC Annual Reports 2009 *Project level result. Persons trained in HIV service delivery. Source: Ministry of Health and NAC Annual Reports Source: Ministry of Health and NAC Annual Reports Source: Ministry of Health and NAC Annual Reports Pregnant women living with HIV who received antiretrovirals to reduce the risk of MTCT Core Indicator Number Report Page 2 of 9

3 Persons aged 15 and older who received counseling and testing for HIV and received their test result Report *Project level result Cumulative number as of end December End-of-project target of far exceeded. Source: Health SectorAnnual Sex workers who report using a condom with their most recent client Custom Indicator Percentage measured by the Second Generation STI/AIDS Surveillance Survey which is undertaken biannually. This figure comes from the most recent survey, undertaken in This data was released in July Data for 2010 will be released in October Report Page 3 of 9

4 Young women and men aged who both correctly identify ways of preventing the sexual transmission of HIV and who reject misconce ption about HIV transmission in the last 12 months Custom Indicator Percentage measured by the Second Generation STI/AIDS Surveillance Survey which is undertaken biannually. This figure comes from the most recent survey, undertaken in This data was released in July AIDS Surveillance Survey *Program level result Data for 2010 will be available in October Percentage and number of people with advanced HIV infection reveiving antretroviral combination therapy Intermediate Results Indicators cannot be estimated Source:Health Sector Annual Country Report Page 4 of 9

5 Orphaned and vulnerable children aged 0-17 whose households received free basic external support in caring for the child 09-Jan Source: Grantee routine monitoring records and report Adults and children with HIV receiving antiretroviral combination therapy Core Indicator Number cannot be estimated cannot be estimated. These are the latest figures currently available. Source: Health Sector Report and UNGASS Country Source: Grantee routine monitoring records and report Report Page 5 of 9

6 Adults Sub- Core Indicator Number Breakdown cannot be estimated cannot be estimated. These are the latest figures currently available Children Sub- Core Indicator Number Breakdown 77 cannot be estimated. Source: Health Sector report Source: Health Sector Report and UNGASS Country cannot be estimated. These are the latest figures currently available. Source: Health Sector Report and UNGASS Country 200 Source: Health Sector Report and UNGASS Country Report Page 6 of 9

7 Condoms distributed 06-Nov End-of-project target exceeded by end December Source: Condoms distribution Reports by PSI and Grantees PLWHA receiving psychological support 06-Nov Source: Grantee routine monitoring records and reports Source: Condoms distribution Reports by PSI and Grantees Persons reached with community outreach and support and IBCC/BCC programs Source: Periodic reports from subbeneficiaries Source: Grantee routine monitoring records and reports Source: Periodic reports from subbeneficiaries Page 7 of 9

8 Subprojects financed targeting vulnerable populations, high-risk groups and geographic hot spots 06-Nov Source: Financial and program reports Implementing agencies submitting timely quarterly monitoring and financial reports to SP/CNLS in the last 12 months Custom Indicator Percentage Oct-2009 Source: Periodic reports from Grantees Source: Financial and program report Annual joint review and workplan exercises conducted 06-Nov Source: Joint Review Report and and NAC Annual Source: Periodic reports from Grantees HIV-infected pregnant women receiving a complete course of antiretrovirals to reduce the risk of MTCT Custom Indicator Percentage Source: Joint Review Report and and NAC Annual Report Source Health Sector Annual Report Page 8 of 9

9 Data on Financial Performance (as of 17-Feb-2011) Financial Agreement(s) Key s Project Loan No. Status Approval Signing Effectiveness Closing P IDA Effective 05-Apr May Jan-2008 Disbursements (in Millions) Project Loan No. Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P IDA Effective XDR Disbursement Graph Key Decisions Regarding Implementation Project implementation is progressing satisfactorily. The government plans to submit a request for reallocation of the IDA credit's proceeds and an extension of the closing date to complete critical activities in the field of care and treatment for HIV/AIDS affected persons. Restructuring History Level two Approved on 21-Dec-2010 Related Projects There are no related projects. Page 9 of 9