Comments (incl. % achievement) Target not achieved. Stock-out level at end of the project was higher than that at the baseline Indicator 5 : Ratio of the 10 best performing LGAs to the 10 worst performing LGAs in indicators 1 through 3 (ratio) Value quantitative or Qualitative) 1: 8.1 2: 15.0 3: 8.0 15% decrease 1: 4.1 2:15.4 (figure of 2014) 3: 8.1 Date achieved 12/31/2010 06/30/2015 12/31/2015 Comments (incl. % achievement) 1: 329% -- target surpassed 2: target not achieved as the ratio did not decrease. 3: target not achieved. The ratio may decrease due to the worst performing LGAs doing better or best performing LGAs doing worse (b) Intermediate Outcome Indicator(s) Indicator Baseline Value Original Target Values (from approval documents) Formally Revised Target Values Actual Value Achieved at Completion or Target Years Indicator 1 : Children immunized (number) - core indicator Value (quantitative or Qualitative) 0 6,142,347 8,016,240 Date achieved 12/31/2010 06/30/2015 09/15/2016 Comments (incl. % achievement) 131% -- target surpassed Indicator 2 : Children receiving a dose of Vitamin A (number) - core indicator Value (quantitative or Qualitative) 0 28,978,389 29,730,482 Date achieved 12/31/2010 06/30/2015 09/15/2016 Comments (incl. % achievement) 103% -- target surpassed Indicator 3 : Direct project beneficiaries (of which female) (number and percent) - core indicator Value (quantitative or Qualitative) 0 37,118,980 50.5% 48,605,919 51.4% Date achieved 12/31/2010 06/30/2015 09/15/2016
support based upon performance and capacity criteria Date achieved 12/31/2010 06/30/2015 06/30/2015 Comments (incl. % achievement) SDG not established. Equity based allocation revised in 2012 and since then used only for HB Indicator 8 : LGAs with unqualified audit reports (percent) Value (quantitative or Qualitative) 32% 48% 86% Date achieved 12/31/2010 06/30/2015 08/30/2016 Comments (incl. % achievement) 338% -- target surpassed Indicator 9 : LGAs which have implemented the new DMIS system (percent) Value (quantitative or Qualitative) 0 70% 100% Date achieved 12/31/2010 06/30/2015 12/31/2015 Comments (incl. % achievement) 143% -- target surpassed Indicator 10 : Council Health Services Boards (CHSB) that meet on a quarterly basis to discuss issues related to budget, CHF, rehabilitation, schedule of visits to lower facilities, staff houses, etc. (percent) Value (quantitative or Qualitative) 60% 86% 85% Date achieved 12/31/2010 06/30/2015 12/31/2015 Comments (incl. % achievement) 96% -- target achieved Indicator 11 : LGAs which have implemented one or more community or social accountability mechanisms (score-card, posting financial or performance information, complaint line, enhanced community participation in health facility governance or public opinion survey) Value (quantitative or Qualitative) 0 15% 21% Date achieved 12/31/2010 06/30/2014 02/23/2016
Comments (incl. % achievement) 140% -- target surpassed Indicator 12 : Health personnel receiving training (number) - core indicator Value (quantitative or Qualitative) 0 25,500 32,945 Date achieved 12/31/2010 06/30/2015 12/31/2015 Comments (incl. % achievement) 129% -- target surpassed Indicator 13 : Regional Health Management Teams that have implemented performance monitoring and verification initiatives (percent) Value (quantitative or Qualitative) 0 35% 100% Date achieved 12/31/2010 06/30/2015 12/31/2015 Comments (incl. % achievement) 286% -- target surpassed G. Ratings of Project Performance in ISRs No. Date ISR Archived DO IP Actual Disbursements (USD millions) 1 04/23/2012 Satisfactory Satisfactory 0.00 2 12/17/2012 Satisfactory Satisfactory 10.50 3 06/11/2013 Satisfactory Moderately Satisfactory 35.79 4 12/29/2013 Moderately Satisfactory Moderately Satisfactory 62.74 5 06/22/2014 Moderately Satisfactory Moderately Satisfactory 63.88 6 12/29/2014 Moderately Satisfactory Moderately Satisfactory 92.50 7 06/29/2015 Moderately Satisfactory Moderately Satisfactory 94.15 8 12/31/2015 Moderately Satisfactory Moderately Satisfactory 94.15 9 06/30/2016 Unsatisfactory Moderately Unsatisfactory 95.11 10 10/28/2016 Moderately Unsatisfactory Moderately Satisfactory 95.11 H. Restructuring (if any)
lessons drawn from implementing the two designs – initial design implemented in Pwani and the revised design in Shinyanga. Kishapu district, Shinyanga region: The HRITF also supported P4P in 45 health facilities in Kishapu district of Shinyanga region. Progress of the RBF indicators are provided in the table below: Table 4: Achievement of P4P in Kishapu district Sl. RBF Indicators Achievement Quarter Ending June 2015 Achievement Quarter Ending September 2015 Achievement Quarter Ending December 2015 1 New outpatient consultations 41,178 44,132 34,686 2 Clients initiated to counsel and test for HIV 3,051 2,283 2,523 3 Under-five children receiving Vitamin A supplements 4,066 1,651 5,469 4 New users using modern family planning methods 2,131 1,957 2,408 5 Pregnant mothers who received mebendazole 1,744 1,801 2,453 6 Institutional deliveries 1,826 1,717 1,804 7 Pregnant women attending ANC at: least 4 times during pregnancy 422 409 627 8 Pregnant women receiving two doses of (IPT2) 1,453 1,073 1,779 9 Mothers receiving Post Natal Services within 3-7 days after delivery 883 898 1,020 10 Children under one year immunized against measles 1,238 1,000 2,251 11 Poor individuals (from TASAF register) who received outpatient care - 154 205 12 Children given mebendazole every Six months 1,690 1,325 3,423 13 First antenatal visits with gestation age < 12 weeks 94 227 221 14 Tuberculosis suspect referred (already screened) 79 86 75 15 HIV positive pregnant women receiving anti-retrovirals (ARVs) 99 70 85 16 HIV exposed infants receiving ARVs 39 36 53
segments of the population may have been adversely impacted. This, however, cannot be confirmed due to lack of data. Annex 4. Bank Lending and Implementation Support/Supervision Processes (a) Task Team members Names Title Unit Lending Sanjeev Ahluwalia Consultant GGODR Maryam Salum Ahmed Team Assistant AFCE1 Denis Maro Biseko Senior Public Sector Specialist GGODR Bella Lelouma Diallo Senior Financial Management Specialist GGODR Dominic S. Haazen Lead Health Policy Specialist GHNDR Jane A. N. Kibbassa Senior Environmental Specialist GENDR Emmanuel G. Malangalila Consultant GTIDR Donald Paul Mneney Senior Procurement Specialist GGODR Helen Z. Shahriari Senior Social Scientist GSURR Supervision/ICR Dominic S. Haazen Lead Health Policy Specialist GHNDR Emmanuel G. Malangalila Consultant GTIDR Donald Paul Mneney Senior Procurement Specialist GGODR Raymond Mbishi Consultant GGODR Janneke Blomberg Nutrition Specialist GHNDR Yvonne Nkrumah Senior Operations Officer WBIHD Julia Mensah Consultant WBIHD Michael Okuny Senior Financial Management Specialist GGODR England Maasamba Financial Management Analyst GGODR Mwanaisha Kassanga Program Assistant AFCE1 Gisbert Kinyero Senior Procurement Specialist GGODR Neema Mwakalinga Program Assistant AFCE1 Rekha Menon HD Sector Leader GHNDR Olusoji Adeyi Sector Manager AFTHN Sangeeta Raja Senior Health Specialist GHNDR Yahya Abdallah Ipuge Senior Health Specialist GHNDR Christophe Rockmore Senior Economist GHNDR Agnes Nderakindo Mganga Team Assistant AFCE1 Eva K Ngegba Program Assistant GHN01 Son Nam Nguyen Lead Health Specialist GHNDR Bernard Olayo Health Specialist GHNDR Gayle Martin Program Leader AFCE1 Helen Z Shariari Senior Social Scientist GSU07 Jane A N Kibbassa Senior Environment Specialist GEN07