Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Brazil AIDS-SUS (National AIDS Program - National Health Service) (P113540) Operation Name: AIDS-SUS (National AIDS Program - National Health Project Stage: Implementation Seq.No: 8 Status: ARCHIVED Archive : 09-Nov-2014 Service) (P113540) Country: Brazil Approval FY: 2010 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Departamento de Vigilancia, Prevencao e Controle de DST e AIDS e Hepatite Viral Key s Board Approval 18-May-2010 Original Closing 31-Dec-2014 Planned Mid Term Review 18-Mar-2013 Last Archived ISR 06-May-2014 Effectiveness 01-Dec-2010 Revised Closing 31-Dec-2014 Actual Mid Term Review 22-Mar-2013 Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objectives are the following: (i) Increase access and utilization of HIV/AIDS and Sexually-Transmitted Diseases (STD) prevention, care and treatment services by Groups Most at Risk; and, (ii) Improve the performance of the National HIV/AIDS and STD Program through decentralized implementation, improved governance and results-based management. Has the Project Development Objective been changed since Board Approval of the Project? Yes No losure Authorized Public Disclosure Authorized Component(s) Component Name Component Cost Improving Surveillance, Prevention and Control of HIV/AIDS and STD 192.00 Building Decentralized Governance and Innovation Capacity 7.83 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Implementation Status Overview The AIDS-SUS Project was approved by the Board on May 18, 2010, was signed on October 5, 2010, and became effective on December 1, 2010. The first Project restructuring (Level 2) was approved by the Bank on October 15, 2014. The total disbursed amount as of October 15, 2014 was US$33.3 million, which represents 50% of the original loan amount (US$67 million). Page 1 of 7
Based on the revised Results Framework (RF), the Project continues to make progress towards the Project Development Objective (PDO). Based on December 2013 data, five out of nine PDO Indicators show significant progress: the end of Project target (77%) for the indicator on People Living with HIV/AIDS (PLHA) accessing condoms (PDO indicator #4) was achieved. The indicator on persons deprived of liberty accessing condoms (PDO indicator #5) achieved 80.4%, surpassing the end of Project target of 80%. The intermediate target for indicator on Strategic agenda for the period 2011-2015 for STD/ HIV/AIDS (PDO indicator #9) was also achieved. Satisfactory progress is observed for PDO indicators on State Secretariats of Health (SES) and Municipal Secretariats of Health (SMS) capital cities with epidemiological information on STDs, HIV and AIDS on institutional (indicators #6 and #7, respectively). Locations Country First Administrative Division Location Planned Actual Brazil Not Entered Rio Grande do Norte Brazil Not Entered Piauí Brazil Not Entered Pernambuco Brazil Not Entered Paraíba Brazil Not Entered Pará Brazil Not Entered Maranhão Brazil Not Entered Ceará Brazil Not Entered Amapá Brazil Not Entered Alagoas Brazil Not Entered Sergipe Brazil Not Entered São Paulo Brazil Not Entered Santa Catarina Brazil Not Entered Rio Grande do Sul Brazil Not Entered Rio de Janeiro Brazil Not Entered Paraná Brazil Not Entered Minas Gerais Brazil Not Entered Estado de Mato Grosso do Sul Brazil Not Entered Mato Grosso Brazil Not Entered Goiás Brazil Not Entered Distrito Federal Page 2 of 7
Country First Administrative Division Location Planned Actual Brazil Not Entered Espírito Santo Brazil Not Entered Estado da Bahia Brazil Not Entered Tocantins Brazil Not Entered Roraima Brazil Not Entered Amazonas Brazil Not Entered Acre Brazil Not Entered Rondônia Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Indicator 1: Proportion of MSM reporting Percentage Value 63.00 73.00 condom use the last time they had sex in the 31-Dec-2010 last 12 months RDS-MSM 2010 Not available Indicator 2: Proportion of female SW reporting Percentage Value 90.10 90.10 condom use at last sex with client in the last 12 31-Dec-2010 months RDS-SW 2010 Not available Maintain baseline Indicator 3: Proportion of People who use Percentage Value 38.00 24.00 44.00 Drugs (PUD) reporting condom use at last sex 31-Dec-2010 in the last 12 months. RDS-DU 2010 TLS 2013 Indicator 4: Coverage of PLWHA accessing Percentage Value 37.00 77.00 77.00 condoms 31-Dec-2009 Maintain Indicator 5: Coverage of persons deprived of Percentage Value 50.50 80.40 80.00 liberty accessing condoms 31-Dec-2009 Page 3 of 7
Indicator 6: Proportion of SES with epidemiological information on STDs, HIV and AIDS on institutional websites Indicator 7: Proportion of SMS Capital Cities with epidemiological information on STDs, HIV and AIDS on institutional websites Indicator 8: Proportion of CSO projects with disbursements linked to DDAHV s implementation index for timeliness, financial compliance and achievement of objectives Indicator 9: Strategic agenda for the period 2011-2015 for STD/ HIV/AIDS Percentage Value 19.00 77.00 78.00 31-Dec-2010 Percentage Value 15.00 50.00 65.00 31-Dec-2010 Percentage Value 2.50 90.00 31-Dec-2008 Data to be finalized Text Value NA Strategic agenda revised and available on the web for 2015-2019 31-Dec-2010 Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Indicator 1: Proportion of MSM reporting having Percentage Value 23.50 30.00 been tested for HIV in the last 12 months 31-Dec-2010 RDS-MSM 2010 Not Available Indicator 2: Proportion of female SW reporting Percentage Value 19.80 25.00 having been tested for HIV in the last 12 31-Dec-2010 months RDS-SW 2010 Not Available Indicator 3: Proportion of PUD reporting having Percentage Value 14.40 46.00 20.00 been tested for HIV in the last 12 months 31-Dec-2010 RDS-UD 2010 Data being finalized TLS 2013 Indicator 4: Proportion of Specialized Care Percentage Value 32.00 32.00 80.00 Services (SAE-SUS) that provide condoms. 31-Dec-2007 PAD indicator #20, revised Page 4 of 7
Indicator 5: Proportion of pregnant women tested for HIV during prenatal visits Indicator 6: Proportion of pregnant women tested for syphilis during prenatal visits Indicator 7: Sexually active population reporting having been tested at least once for HIV Indicator 8: Proportion of HIV-positive patients with first CD4 count below 200 cells/mm3 Indicator 9: Proportion of eligible municipalities that receive Incentive Policy funds. Indicator 10: SES that carried out training in management and governance Indicator 11: All SES and SMS Capital City trained on epidemiological surveillance Percentage Value 62.30 84.00 84.00 31-Dec-2006 PAD indicator #21, revised Percentage Value 16.90 41.00 40.00 31-Dec-2006 PAD indicator #22, revised Percentage Value 38.00 37.00 44.00 31-Dec-2008 PAD indicator #18, no change Percentage Value 29.00 29.00 22.00 31-Dec-2012 Percentage Value 88.00 100.00 31-Dec-2012 PAD indicator #26, revised To be measured only in Dec - 2014 Percentage Value 0.00 100.00 50.00 PAD indicator #27, no change Target to be measured annually. Potential change in the administration in 2014, which may affect results. Number Value 0.00 53.00 53.00 31-Dec-2008 PAD indicator #31, no change 100% of SES and SMS Capital city Page 5 of 7
Indicator 12: Number of analytical studies carried out. Indicator 13: Proportion of DSEI with plan to control HIV/AIDS and other STDs implemented Indicator 14: Proportion of individuals with HIV, followed up by SISCEL, who are notified by SINAN Text Value 0 5 carried out Percentage Value 76.00 100.00 100.00 31-Dec-2010 PAD indicator #37, revised 34 DSEIs 26 DSEIs Percentage Value 0.00 10.00 31-Dec-2011 Not available To be measured only in Dec - 2014 Data on Financial Performance (as of 03-Jun-2014) Financial Agreement(s) Key s Project Ln/Cr/Tf Status Approval Signing Effectiveness Original Closing Revised Closing P113540 IBRD-79010 Effective 18-May-2010 05-Oct-2010 01-Dec-2010 31-Dec-2014 31-Dec-2014 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P113540 IBRD-79010 Effective USD 67.00 67.00 0.00 33.27 33.73 50.00 Disbursement Graph Page 6 of 7
Key Decisions Regarding Implementation - The Project is being restructured to: (i) revise the RF; (ii) modify or exclude some activities under Components 1 and 2; (iii) revise some implementation arrangements; (iv) extend the Closing ; and (v) cancel part of loan proceeds. - The next supervision mission is scheduled to take place in November 2014. Restructuring History Level 2 CD Decision on 15-Oct-2014 Related Projects There are no related projects. Page 7 of 7