| Financier | Commitments |
|---|---|
| IDA Credit | 42.50 |
| IDA Grant | 42.50 |
Phase 2 of Improving Nutrition Outcomes Using the Multiphase Programmatic Approach
Abstract*
The operation covers the second phase of the Improving Nutrition Outcomes Project, using the Multiphase Programmatic Approach (MPA), under which the first phase (P160848, PAD 23336). The PDO is: (i) to increase utilization of a package of reproductive, maternal and child health and nutrition (RMCHN) interventions; and (ii) to improve key nutrition behaviors known to reduce stunting in targeted regions. The second phase will continue to support the... Show More
Development Objective
The Project Development Objective is : (i) to increase utilization of a package of reproductive, maternal and child health and nutrition (RMCHN) interventions and (ii) to improve key nutrition behaviors known to reduce stunting in targeted regions.
Key Details
Project Details
P175110
Active
Cedric Ndizeye
Republic of Madagascar
June 16, 2022
(as of board presentation)
June 27, 2022
August 12, 2022
US$ 85.00 million
Ministry of Public Health,National Nutrition Office
2022
US$ 85.00 million
N/A
January 24, 2024
December 31, 2026
Yes
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 85.00 |
| IBRD + IDA Commitment | 85.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 85.00 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Mar 26, 2024 | IDA-E1120 | Loan Disb | 137,271.44 |
| Jun 20, 2024 | IDA-71930 | Loan Disb | 1,291,187.00 |
| Jun 28, 2024 | IDA-E1120 | Loan Disb | 903.09 |
| May 28, 2024 | IDA-E1120 | Loan Disb | 960,612.50 |
| Jun 28, 2024 | IDA-E1120 | Loan Disb | 459,530.06 |
| May 28, 2024 | IDA-E1120 | Loan Disb | 124,051.55 |
| May 28, 2024 | IDA-E1120 | Loan Disb | 633,956.20 |
| Apr 17, 2024 | IDA-E1120 | Loan Disb | 370,445.16 |
| Apr 17, 2024 | IDA-E1120 | Loan Disb | 401,341.22 |
| Jul 1, 2024 | IDA-E1120 | Loan Disb | 444,982.40 |
| May 28, 2024 | IDA-E1120 | Loan Disb | 494,911.94 |
| Jun 21, 2024 | IDA-E1120 | Loan Disb | 955,628.80 |
| Apr 2, 2024 | IDA-E1120 | Loan Disb | 33,482.11 |
| Apr 2, 2024 | IDA-E1120 | Loan Disb | 185,898.44 |
| Apr 8, 2024 | IDA-E1120 | Loan Disb | 607,530.30 |
| Jun 21, 2024 | IDA-E1120 | Loan Disb | 13,000,000.00 |
| Mar 28, 2024 | IDA-E1120 | Loan Disb | 360,776.00 |
| Jun 20, 2024 | IDA-E1120 | Loan Disb | 60,011.55 |
| Jun 27, 2022 | IDA-71930 | Loan Commitment | 42,500,000.00 |
| Jun 27, 2022 | IDA-E1120 | Loan Commitment | 42,500,000.00 |
| Apr 21, 2023 | IDA-E1120 | Loan Disb | 4,000,000.00 |
| Feb 23, 2023 | IDA-E1120 | Loan Disb | 4,000,000.00 |
| Sep 14, 2023 | IDA-E1120 | Loan Disb | 855,602.10 |
| Dec 13, 2023 | IDA-E1120 | Loan Disb | 44,048.62 |
| Oct 11, 2023 | IDA-E1120 | Loan Disb | 148,284.84 |
| Jul 25, 2024 | IDA-E1120 | Loan Disb | 346,281.03 |
| Aug 13, 2024 | IDA-E1120 | Loan Disb | 230,215.47 |
| Mar 18, 2024 | IDA-E1120 | Loan Disb | 83,767.11 |
| Apr 10, 2024 | IDA-E1120 | Loan Disb | 196,834.94 |
| Apr 1, 2024 | IDA-E1120 | Loan Disb | 178,551.90 |
| Aug 15, 2024 | IDA-E1120 | Loan Disb | 1,177,044.00 |
| Aug 13, 2024 | IDA-E1120 | Loan Disb | 440,944.90 |
| Apr 3, 2024 | IDA-E1120 | Loan Disb | 134,927.08 |
| Jun 5, 2024 | IDA-E1120 | Loan Disb | 118,213.86 |
| May 7, 2024 | IDA-E1120 | Loan Disb | 455,228.30 |
| Jun 26, 2024 | IDA-E1120 | Loan Disb | 4,810.71 |
| Jan 29, 2024 | IDA-E1120 | Loan Disb | 858,791.20 |
| Jan 29, 2024 | IDA-E1120 | Loan Disb | 498,548.16 |
| Jun 4, 2024 | IDA-E1120 | Loan Disb | 416,998.88 |
| Jun 5, 2024 | IDA-E1120 | Loan Disb | 104,992.53 |
| May 31, 2024 | IDA-E1120 | Loan Disb | 883,669.25 |
| Feb 23, 2024 | IDA-E1120 | Loan Disb | 880,524.06 |
| Mar 26, 2024 | IDA-E1120 | Loan Disb | 101,933.59 |
| Jun 28, 2024 | IDA-E1120 | Loan Disb | 148,890.36 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Satisfactory | 2025-01-31 |
| Project Management | Moderately Satisfactory | 2025-01-31 |
| Financial Management | Moderately Satisfactory | 2025-01-31 |
| Overall Implementation Progress (IP) | Moderately Unsatisfactory | 2025-01-31 |
| Procurement | Moderately Satisfactory | 2025-01-31 |
| Monitoring and Evaluation | Satisfactory | 2025-01-31 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Percentage of infants 0-5 months of age exclusively breastfed (by sex) Value 54.40 67.20 58.40 Date June 30, 2021 November 30, 2023 December 30, 2026 Comment Percentage of children 6-59 months of age receiving vitamin A supplementation within the past 6 months (by sex) Value 29.00 56.00 35.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Percentage of women receiving any IFA tablets at last pregnancy Value 63.00 76.00 70.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Percentage of deliveries in primary healthcare facilities (CSB) Value 47.00 20.00 53.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Percentage of children 6-23 months of age receiving 5 of the 8 recommended food groups Value 20.00 16.00 30.00 Date June 30, 2021 November 30, 2023 December 30, 2026 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
People who have received essential health, nutrition, and population (HNP) services Value 0.00 1102865.00 3461100.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of community workers trained by the project on at least 2 modules Value 10446.00 9052.00 12600.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of vulnerable households enrolled in FID who receive enhanced nutrition messages Value 0.00 0.00 7200.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Grievances responded to and/or resolved within the stipulated service standard for response times Value 82.00 80.00 85.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Percentage of health workers in basic health facilities with a satisfactory score at the last supervision Value 0.00 0.00 60.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of women’s groups with business plans meeting agreed criteria to support nutrition-sensitive agriculture Value 0.00 0.00 420.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of children immunized Value 0.00 300436.00 529100.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Percentage of community workers in community sites with a satisfactory score at the last supervision Value 0.00 0.00 60.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Number of community sites with functional community demonstration gardens for nutrition-sensitive agriculture Value 0.00 0.00 500.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of women and children who have received basic nutrition services Value 0.00 802429.00 2932000.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Number of women receiving ANC during the first 3 months of pregnancy Value 163630.00 329800.00 409100.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Percentage of primary care facilities providing monthly activity reports on time Value 53.00 85.00 89.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Proportion of pregnant women having benefitted from at least 4 prenatal visits during their pregnancy Value 26.00 56.00 78.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Completion rate of community monthly activity reports Value 75.00 67.00 95.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Number of functioning community sites Value 5223.00 4346.00 6300.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Percentage of communes that organized at least 1 CoSan meeting in the past 6 months Value 25.00 21.00 50.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Recovery rate of severe acute malnutrition (SAM) without complication cases treated in the Centers for Outpatient Nutritional Rehabilitation for Malnutrition (CRENA) Value 62.00 78.82 79.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Recovery rate of children from moderate acute malnutrition (MAM) Value 75.00 82.00 85.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Percentage of primary care facilities having tracer medications in stock Value 92.00 72.79 95.00 Date April 30, 2022 November 30, 2023 December 30, 2026 Comment Coverage rate of children aged 0-59 months followed at community sites Value 65.00 67.00 75.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment Percentage of children aged 0-59 months with diarrhea receiving ORS/Zinc Value 75.00 75.00 85.00 Date April 30, 2022 November 30, 2023 December 31, 2026 Comment