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National Immunization Support Project

Abstract*

The development objective of the National Immunization Support Project for Pakistan is to increase equitable coverage of services for immunization against vaccine preventable diseases (VPD), including poliomyelitis, for children between 0 and 23 months in Pakistan. The project comprises of five components. The first component, strengthening provincial management, governance and stewardship functions supports: robust monitoring and evaluation mechanisms;...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

The project development objective is to increase the equitable coverage of services for immunization against vaccine preventablediseases (VPD), including poliomyelitis, for children between 0 and 23 months in Pakistan.

Key Details

Project Details

  • P132308

  • Closed

  • Aliya Kashif , Iffat Mahmud

  • The Islamic Republic of Pakistan

  • Pakistan

  • November 28, 2012

  • (as of board presentation)

    April 21, 2016

  • November 23, 2016

  • US$ 377.41 million

  • Benazir Income Support Program,Federal Directorate of Immunization, Ministry of National Health Services, Reg. and Coordination

  • South Asia

  • 2016

  • US$ 144.00 million

  • B

  • February 11, 2023

  • June 30, 2022

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 50.00
National Immunization Support Project 94.00
Borrower/Recipient 233.41

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 50.00
IBRD + IDA Commitment 50.00
Lending Instrument
Grant Amount 94.00
Total Project Cost** 377.41

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of February 28, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Oct 1, 2021 IDA-57860 Int Charges 144,842.19
Apr 1, 2022 IDA-57860 Loan Repay 819,075.20
Apr 1, 2022 IDA-57860 Int Charges 169,981.12
Apr 1, 2022 IDA-57860 Int Charges 169,981.12
Apr 1, 2022 IDA-57860 Int Charges 283,301.94
Apr 1, 2022 IDA-57860 Loan Repay 0.01
Apr 1, 2019 IDA-57860 Int Charges 73,738.92
Apr 1, 2019 IDA-57860 Int Charges 43,615.30
Apr 1, 2019 IDA-57860 Int Charges 43,615.30
Jun 27, 2019 IDA-57860 Loan Disb 1,996,633.60
Jun 27, 2019 IDA-57860 Loan Disb 597,946.75
Jul 23, 2019 IDA-57860 Loan Disb 1,415,841.10
Jul 23, 2019 IDA-57860 Loan Disb 1,435,075.20
Jul 23, 2019 IDA-57860 Loan Disb 796,190.75
Apr 1, 2019 IDA-57860 Int Charges 628.07
Apr 1, 2019 IDA-57860 Int Charges 628.07
Jul 22, 2019 IDA-57860 Loan Disb 2,852,097.00
Oct 1, 2019 IDA-57860 Int Charges 875.42
Oct 1, 2019 IDA-57860 Int Charges 875.42
Oct 1, 2019 IDA-57860 Int Charges 57,322.83
Oct 1, 2019 IDA-57860 Int Charges 57,322.83
Oct 1, 2019 IDA-57860 Int Charges 96,997.10
Jul 23, 2019 IDA-57860 Loan Disb 477,990.44
Jun 22, 2020 IDA-57860 Loan Disb 716,508.00
Jun 22, 2020 IDA-57860 Loan Disb 399,189.00
Jun 22, 2020 IDA-57860 Loan Disb 719,508.00
Jun 22, 2020 IDA-57860 Loan Disb 1,427,947.00
Jun 22, 2020 IDA-57860 Loan Disb 239,652.00
Jun 1, 2020 IDA-57860 Loan Disb 1,293,284.60
Apr 1, 2020 IDA-57860 Int Charges 78,112.28
Apr 1, 2020 IDA-57860 Int Charges 78,112.28
Apr 1, 2020 IDA-57860 Int Charges 131,632.36
Apr 1, 2020 IDA-57860 Int Charges 867.12
Apr 1, 2020 IDA-57860 Int Charges 867.12
Jul 7, 2020 IDA-57860 Loan Disb 5,232,558.50
Oct 1, 2020 IDA-57860 Int Charges 105,016.33
Oct 1, 2020 IDA-57860 Int Charges 105,016.33
Oct 1, 2020 IDA-57860 Int Charges 177,864.33
Oct 1, 2020 IDA-57860 Int Charges 1,702.29
Oct 1, 2020 IDA-57860 Int Charges 1,702.29
Jul 17, 2020 IDA-57860 Loan Disb 474,156.97
Jun 22, 2020 IDA-57860 Loan Disb 397,524.16
Jun 22, 2020 IDA-57860 Loan Disb 238,652.28
Jun 22, 2020 IDA-57860 Loan Disb 1,421,992.80
Nov 20, 2020 IDA-57860 Loan Disb 741,270.40
Nov 20, 2020 IDA-57860 Loan Disb 411,262.53
Nov 20, 2020 IDA-57860 Loan Disb 1,471,136.60
Nov 20, 2020 IDA-57860 Loan Disb 246,900.06
Jun 15, 2017 IDA-57860 Loan Disb 614,286.00
Feb 23, 2017 IDA-57860 Loan Disb 5,000,000.00
Jun 8, 2017 IDA-57860 Loan Disb 1,105,714.00
Oct 1, 2017 IDA-57860 Int Charges 4,139.87
Oct 1, 2017 IDA-57860 Int Charges 4,139.87
Jul 24, 2017 IDA-57860 Loan Disb 2,211,429.00
Oct 1, 2017 IDA-57860 Int Charges 6,899.74
Oct 1, 2017 IDA-57860 Int Charges 27,477.21
Oct 1, 2017 IDA-57860 Int Charges 27,477.21
Oct 1, 2017 IDA-57860 Int Charges 45,795.32
Apr 1, 2018 IDA-57860 Int Charges 38.77
Apr 1, 2018 IDA-57860 Int Charges 38.77
Apr 1, 2018 IDA-57860 Int Charges 41,100.39
Apr 1, 2018 IDA-57860 Int Charges 41,100.39
Jan 11, 2018 IDA-57860 Loan Disb 2,442,228.20
Apr 1, 2018 IDA-57860 Int Charges 68,565.23
Oct 1, 2018 IDA-57860 Int Charges 334.95
Oct 1, 2018 IDA-57860 Int Charges 334.95
Oct 1, 2018 IDA-57860 Int Charges 44,151.61
Oct 1, 2018 IDA-57860 Int Charges 44,151.61
Oct 1, 2018 IDA-57860 Int Charges 74,144.22
Jun 29, 2017 IDA-57860 Loan Disb 368,571.00
Apr 1, 2022 IDA-57860 Loan Repay 3,148.12
Apr 1, 2022 IDA-57860 Int Charges -0.01
Apr 1, 2022 IDA-57860 Loan Repay 0.01
Oct 1, 2022 IDA-57860 Int Charges 154,746.62
Oct 1, 2022 IDA-57860 Int Charges 154,746.62
Oct 1, 2022 IDA-57860 Int Charges 257,911.08
Oct 1, 2022 IDA-57860 Loan Repay 746,116.10
Oct 1, 2022 IDA-57860 Loan Repay 16,244.36
Oct 1, 2022 IDA-57860 Loan Repay 0.03
Oct 17, 2022 IDA-57860 Loan Disb 663,821.60
Oct 17, 2022 IDA-57860 Loan Disb 663,821.60
Oct 19, 2022 IDA-57860 Loan Disb 221,481.23
May 4, 2023 IDA-57860 Loan Disb -82,664.47
Mar 14, 2023 IDA-57860 Loan Repay 12,967,641.00
May 9, 2023 IDA-57860 Loan Cancel 2,043,272.10
May 4, 2023 IDA-57860 Loan Disb -0.01
Mar 14, 2023 IDA-57860 Loan Repay 12,163,935.00
Mar 14, 2023 IDA-57860 Loan Repay -12,967,641.00
Apr 1, 2023 IDA-57860 Loan Repay 41,193.75
Apr 1, 2023 IDA-57860 Loan Repay 498,250.78
Apr 1, 2023 IDA-57860 Int Charges 98,905.10
Apr 1, 2023 IDA-57860 Int Charges 98,905.10
Apr 1, 2023 IDA-57860 Int Charges 164,841.81
Jul 5, 2024 IDA-57860 Loan Cancel 495,714.00
Apr 1, 2024 IDA-57860 Loan Repay 486,135.30
Apr 1, 2024 IDA-57860 Loan Repay 9,255.26
Jul 5, 2024 IDA-57860 Loan Disb -495,714.00
Oct 1, 2023 IDA-57860 Loan Repay 47,651.78
Oct 1, 2023 IDA-57860 Loan Repay 266,837.40
Oct 1, 2023 IDA-57860 Loan Repay 177,645.38
Apr 21, 2016 IDA-57860 Loan Commitment 50,000,000.00
Oct 1, 2021 IDA-57860 Int Charges 241,403.66
Sep 13, 2021 IDA-57860 Loan Disb 1,468,030.40
Apr 1, 2021 IDA-57860 Int Charges 137,569.53
Apr 1, 2021 IDA-57860 Int Charges 137,569.53
Apr 1, 2021 IDA-57860 Int Charges 514.47
Apr 1, 2021 IDA-57860 Int Charges 514.47
Oct 1, 2021 IDA-57860 Loan Repay 5,635.30
Apr 1, 2021 IDA-57860 Int Charges -138,084.00
Apr 1, 2021 IDA-57860 Int Charges -138,084.00
Apr 1, 2021 IDA-57860 Int Charges -229,280.45
Oct 1, 2021 IDA-57860 Loan Repay 835,231.90
Oct 1, 2021 IDA-57860 Int Charges 144,842.19
Oct 1, 2021 IDA-57860 Int Charges 144,842.19
Oct 1, 2021 IDA-57860 Int Charges 241,403.66
Apr 1, 2021 IDA-57860 Int Charges 230,139.98
Sep 9, 2021 IDA-57860 Loan Disb 246,759.77
Sep 9, 2021 IDA-57860 Loan Disb 246,759.77
Sep 9, 2021 IDA-57860 Loan Disb 1,470,300.80
Sep 9, 2021 IDA-57860 Loan Disb 1,470,300.80
Sep 9, 2021 IDA-57860 Loan Disb 411,028.84
Sep 9, 2021 IDA-57860 Loan Disb 411,028.84
Sep 9, 2021 IDA-57860 Loan Disb 740,849.20
Sep 9, 2021 IDA-57860 Loan Disb 1,470,300.80
Sep 9, 2021 IDA-57860 Loan Disb 411,028.84
Sep 9, 2021 IDA-57860 Loan Disb 1,470,300.80
Apr 1, 2021 IDA-57860 Int Charges 514.47
Apr 1, 2021 IDA-57860 Int Charges 514.47
Apr 1, 2021 IDA-57860 Int Charges 137,569.53
Apr 1, 2021 IDA-57860 Int Charges 137,569.53
Apr 1, 2021 IDA-57860 Int Charges 230,139.98
Apr 1, 2021 IDA-57860 Int Charges -230,139.98
Oct 1, 2021 IDA-57860 Int Charges -241,403.66
Apr 1, 2021 IDA-57860 Int Charges -514.47
Apr 1, 2021 IDA-57860 Int Charges -514.47
Apr 1, 2021 IDA-57860 Int Charges -137,569.53
Apr 1, 2021 IDA-57860 Int Charges -137,569.53
Apr 1, 2021 IDA-57860 Int Charges 138,084.00
Apr 1, 2021 IDA-57860 Int Charges 138,084.00
Apr 1, 2021 IDA-57860 Int Charges 229,280.45
Oct 1, 2021 IDA-57860 Loan Repay -5,635.30
Oct 1, 2021 IDA-57860 Loan Repay -835,231.90
Oct 1, 2021 IDA-57860 Int Charges -144,842.19
Oct 1, 2021 IDA-57860 Int Charges -144,842.19
Oct 1, 2021 IDA-57860 Loan Repay 5,635.30
Oct 1, 2021 IDA-57860 Loan Repay 835,231.90
Oct 1, 2021 IDA-57860 Int Charges 144,842.19

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Unsatisfactory 2022-06-30
Project Management Moderately Satisfactory 2022-06-30
Counterpart Funding Satisfactory 2022-06-30
Financial Management Satisfactory 2022-06-30
Procurement Satisfactory 2022-06-30
Monitoring and Evaluation Moderately Satisfactory 2022-06-30
Overall Implementation Progress (IP) Moderately Satisfactory 2022-06-30

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 02-09-2023
OutcomesModerately Satisfactory
Risk to Development Outcome
Bank PerformanceSubstantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 08-07-2023PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeN/a
Bank PerformanceSatisfactoryN/a
Borrower PerformanceN/a
Government PerformanceN/a
Implementing AgencyN/a
Icr QualitySubstantialN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percent of children aged between 12-23 months in the province or territory who are fully immunizedValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue16.0037.900.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue53.0060.500.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue66.0088.500.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue29.0080.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of districts in each province reporting coverage of >80% Penta3 in children between 12-23 months which have these reports validatedValue0.000.000.00
    DateDecember 31, 2015June 30, 2022
    Comment
  • BalochistanValue0.0018.200.00
    DateDecember 31, 2015June 30, 2022
    Comment
  • KPValue52.0024.000.00
    DateDecember 31, 2015June 30, 2022
    Comment
  • PunjabValue25.00100.000.00
    DateDecember 31, 2015June 30, 2022
    Comment
  • SindhValue33.0044.800.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Drop-out rate between Penta1 and Penta3 in each provinceValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue11.0027.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue10.0015.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue11.004.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue26.0010.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Penta3 coverage in each province between the lowest and the highest wealth quintileValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue35.0023.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue43.0038.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue41.001.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue30.0024.000.00
    DateDecember 31, 2014May 31, 2022
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • SindhValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue25.9070.400.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of UC in each province with at least two skilled staff capable of providing immunizationValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue0.0034325048.000.00
    DateDecember 31, 2016June 30, 2022
    Comment
  • Percentage of total combined number of EDOs/EDO(H) in each province EDOs/EDO(H)s have attended MLM coursesValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.0097.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Number of children immunizedValue0.0034325048.000.00
    DateDecember 31, 2016June 30, 2022
    Comment
  • BalochistanValue70.0081.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue91.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.0080.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue96.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.0043.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue91.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of detailed UC supervisory plans implemented by District supervisors and made available to supervisor officers in each Project ProvinceValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.0089.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • In each province, a simple average of the percent of children in each targeted city aged 12-23 months who are fully immunizedValue0.000.000.00
    DateJune 7, 2020June 30, 2022
    Comment
  • BalochistanValue42.0054.800.00
    DateJune 7, 2020June 30, 2022
    Comment
  • KPValue76.0074.400.00
    DateJune 7, 2020June 30, 2022
    Comment
  • PunjabValue77.0079.000.00
    DateJune 7, 2020June 30, 2022
    Comment
  • SindhValue63.0071.400.00
    DateJune 7, 2020June 30, 2022
    Comment
  • Percentage of zero-dose children in each city who received their overdue vaccines within six months of being identified by the polio teamValue0.000.000.00
    DateJune 7, 2020June 30, 2022
    Comment
  • BalochistanValue20.0020.0030.00
    DateJune 7, 2020June 30, 2022December 31, 2020
    Comment
  • KPValue53.0053.0060.00
    DateJune 7, 2020June 30, 2022December 31, 2020
    Comment
  • PunjabValue91.0091.0092.00
    DateJune 7, 2020June 30, 2022December 31, 2020
    Comment
  • SindhValue30.0030.0040.00
    DateJune 7, 2020June 30, 2022December 31, 2020
    Comment
  • Percentage of Districts in each province with at least 80% timeliness and completeness reporting on vLMISValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of UC in each province for which revised computerized UC level micro plans are in functional use at district and provincial levelsValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of districts in each province with functional cold chain equipment in place as per specifications >95% in each tier of health systemValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Number of contracts by each province with CSOs for provision of immunization services in urban slums awardedValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue63.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.0093.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.001.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue89.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue73.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue56.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValue0.001.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of children under two years of age with vaccination card availableValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • In each province, the departments of health continuously maintain appropriately qualified specialized staff: epidemiologist, M&E, surveillance and FM officer positionsValuePosition: vacant0
    DateJune 7, 2020June 30, 2022
    Comment
  • Percentage of secure districts in each province with functional electronic tracking of the vaccinators and supervisorsValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • Percentage of districts in each province with their recognized surveillance sites having functional online surveillance for VaccinePreventable Diseases & Adverse Events Following ImmunizationValue0.000.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.0055.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValuePositions: vacant4
    DateJune 7, 2020June 30, 2022
    Comment
  • BalochistanValue8.0035.200.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • BalochistanValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValue39.7071.700.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • KPValuePositions: vacant3
    DateJune 7, 2020June 30, 2022
    Comment
  • KPValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValuePositions: vacant4
    DateJune 7, 2020June 30, 2022
    Comment
  • PunjabValue40.7085.500.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • PunjabValue0.00100.000.00
    DateDecember 31, 2014June 30, 2022
    Comment
  • SindhValuePositions: vacant4
    DateJune 7, 2020June 30, 2022
    Comment