Implementation Status & Results Burkina Faso Reproductive Health Project in Burkina Faso (P119917)

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1 losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Burkina Faso Reproductive Health Project in Burkina Faso (P119917) Operation Name: Reproductive Health Project in Burkina Faso (P119917) Project Stage: Implementation Seq.No: 4 Status: ARCHIVED Archive : 28-Dec-2013 Country: Burkina Faso Approval FY: 2012 Product Line: IBRD/IDA Region: AFRICA Lending Instrument: Sector Investment and Maintenance Loan Implementing Agency(ies): Key s Board Approval 20-Dec-2011 Original Closing Planned Mid Term Review 15-Jul-2014 Last Archived ISR 22-Jun-2013 Effectiveness 22-Oct-2012 Revised Closing Actual Mid Term Review 04-Feb-2015 Project Development Objectives Project Development Objective (from Project Appraisal Document) To improve the utilization and quality of reproductive health services in the Recipient's territory, with a particular focus on selected regions of Burkina Faso. Has the Project Development Objective been changed since Board Approval of the Project? Yes Component(s) Component Name No Improving the delivery and quality of a Reproductive Health Service Package through Result-Based Financing Component Cost Supporting critical inputs for reproductive and family planning services Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview Activity implementation: Component A: Performance Based Financing: Performance based Financing Impact evaluation (PBF - IE): University of Heidelberg, the principal investigator of the PBF-IE, is providing Technical Assistance to the MoH and World Bank team on the design and process of the impact evaluation. Four workshops have been organized to finalize implementation arrangements of the impact evaluation: impact evaluation protocol workshop, community-based health insurance workshop, training of the surveyors and targeting of the poor workshop. The Ministry of Health launched baseline data collection in October 2013 in all 24 health districts (8 regions). Data collection "implemented by the "MURAZ Page 1 of 6

2 Center" covers 864 health centers (including 507 intervention health centers and 357 control health centers). The IE was approved by the "national Ethic Committee" was done in October 2013 and by the "Scientific Committee" in November The data collection of the performance based financing Impact Evaluation will end on December 2013 and all main activities will take place on first semester of The extension of community based health insurance and community-based targeting of the poor is expected to be completed shortly, alongside roll-out of PBF in 12 more health districts. The PBF implementation in the 3 pre-pilot health districts is ongoing; with the delivery of health minimum package and payment of PBF fees based on the results (Leo, Boulsa and Titao). 12 more districts will start PBF activities at the end of January after the completion of the impact evaluation baseline survey data collection. Project training of trainers at regional level and training of the district management teams have been launched in November 2013; national level training for the managers will be carried out in March Component B: (i) Strengthening demand and delivery for family planning and reproductive health services, 15 local NGOs have been selected for community-based distribution of contraceptives; the training of 120 community midwifes has started in October 2013 (the project plans to train 120 midwifes/nurses: 60 skilled birth attendants and 60 general nurses). RBF implementation continues in 3 health districts where minimum health packages are being delivered including maternal and child health/reproductive health. Locations Country First Administrative Division Location Planned Actual Burkina-Faso Centre-Ouest Léo Burkina-Faso Southwest Region Diebougou Burkina-Faso Boucle du Mouhoun Region Boucle du Mouhoun Region Burkina-Faso Centre-Est Centre-Est Burkina-Faso Centre-Nord Centre-Nord Burkina-Faso Centre-Ouest Centre-Ouest Burkina-Faso Nord Nord Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Contraceptive prevalence rate Percentage Value Dec-2010 DHS Jul-2013 Survey KAP (knowledge- Attitude & Practice) of Populations in Burkina Faso. UNFPA July It shows an increase from DHS 2010 data. The study used the same methodology as DHS. Page 2 of 6

3 Proportion of births assisted by skilled personnel Proportion of women attending postnatal consultations Percentage Value Dec-2010 Source: DHS-MICS 2010 Source: Rapport de progrès (2013) (SP/PNDS); MoH Percentage Value Dec-2010 Source: MoH Annuaire Source: Annuaire Statistique Statistique Children immunized (number) Number Value Apr-2012 Source: Annuaire statistic Oct-2013 Source: Children have been immunized - Administrative data (EPI Direction-MoH/ January- October 2013) ANNUAIRE STATISTIC 2012 Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of pregnant women receiving at Percentage Value least 2 doses of anti-tetanus immunization 31-Dec-2010 Annuaire statistique Source: Rapport de progrès Annuaire statistique S1 (2013) (SP/PNDS) Percentage of facilitiesthat received RBF Percentage Value credits on time 31-May-2012 Project baseline data Source: 3 districts out of 12 Project data collection just started receive RBF credits on time to-date. Pregnant women receiving antenatal care Percentage Value during avisit to a health provider 30-Dec-2010 DHS Oct-2013 Source: Rapport de progrès S1 (2013) (SP/PNDS) Couple years protection (CYP) Number Value Dec-2010 DSME-MoH 16-Oct-2013 Source: DSME-MoH PNDS HMIS Report. Final data for the year will be given MoH Page 3 of 6

4 in the 2013 Annuaire statistique. Percentage of Cesarian sections Percentage Value Mar Sep-2013 Annuaire statistique 2010 Source: PNDS HMIS Report. Final 2013 data will be given in the 2013 Annuaire statistique. Number of CEmONC public sector health Number Value facilities 09-Dec-2010 Pregnant women livingwith HIV who received antiretroviral to reduce the risk ofmtct (number) Percentage of facilities with no contraceptive stock-outsin last three months Percentage of womenaged who know of at least one modern family planning method SONU survey (UNFPA, WB, MoH, UNICEF). Baseline study will inform this indicator Source: HMIS Data will be updated with the results of the RBF impact evaluation in May 2014 (data collection is ongoing). HMIS- Partners survey Percentage Value Dec-2010 (HMIS) (SP/CNLS 2011) Source: SP/CNLS project report Percentage Value Dec Oct-2013 SONU Survey Source: Rapport de progrès HMIS Annuaire (2013) (SP/PNDS) Percentage Value Dec-2010 DHS Data Source: DHS 2010 DHS Data will be updated with the results of the RBF impact evaluation in May 2014 (data collection is ongoing). Health personnel receiving training [cumulative] Number Value May-2012 will get data from impact Source: RBF Project HMIS project data evaluation baseline data in 2nd semester of 2012 Percentage of women ofreproductive age that Percentage Value are satisfied with the quality of RH care and 31-May-2012 services provided in public sector facilities. will get data from impact Source: KAP study Impact evaluation/survey MoH. Data will be updated Page 4 of 6

5 Data on Financial Performance (as of 24-May-2013) Financial Agreement(s) Key s evaluation baseline data in 2nd semester of 2012 with the results of the RBF impact evaluation in May 2014 (data collection is ongoing). Project Ln/Cr/Tf Status Approval Signing Effectiveness Original Closing Revised Closing P IDA-H7510 Effective 20-Dec Feb Oct-2012 P TF Effective 14-Feb Feb Oct-2012 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P IDA-H7510 Effective USD P TF Effective USD Disbursement Graph Key Decisions Regarding Implementation None Page 5 of 6

6 Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 6 of 6

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