Second Multi-sectoral HIV/AIDS Project

Abstract*

The objectives of the Second Multi-Sectoral HIV/AIDS Project (EMSAP I1) are to: a) increase access to prevention services for youth, in particular females aged 15-24, and other most-at-risk groups; and b) sustain access to care and support for people living with HIV/AIDS (PLWHA) and orphans undertaken in EMSAP I. The project will focus on rural and peri-urban areas where the majority of the population lives and on specific "hotspots" such as market... Show More

Development Objective

The main objectives are to: a) increase access to prevention services for youth, in particular females aged 15-24, and other most-at-risk groups; and b) sustain access to care and support for PLWHA and orphans undertaken in EMSAP I.

Key Details

Project Details

Project ID
P098031
Status
Closed
Team Leader
Mohamed Ali Kamil
Borrower 2
N/A

Country
Ethiopia
Disclosure Date
September 13, 2006
Approval Date
(as of board presentation)
March 8, 2007
Effective Date
June 28, 2007

Total Project Cost 1
US$ 30.00 million
Implementing Agency
N/A
Region
Eastern and Southern Africa
Fiscal Year 3
2007

Commitment Amount
US$ 30.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
September 30, 2011

Last Stage Reached
BANK APPROVED
Last Update Date
January 15, 2013

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Fiscal Year” is the fiscal year in which the project was approved (or dropped if the status is dropped). The World Bank's fiscal year is from July 1 - June 30. For example, a fiscal year of 1996 corresponds to July 1, 1995 - June 30, 1996.

Sectors

Themes

FY17 - Human Development and Gender

FY17 - Disease Control33%
- FY17 - HIV/AIDS33%
FY17 - Gender17%
FY17 - Health Systems and Policies17%
- FY17 - Reproductive and Maternal Health17%

FY17 - Social Development and Protection

FY17 - Fragility, Conflict and Violence2%
- FY17 - Forced Displacement2%
FY17 - Social Inclusion31%
- FY17 - Other Excluded Groups15%
- FY17 - Participation and Civic Engagement16%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Grant	30.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	30.00
IBRD + IDA Commitment	30.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	30.00

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Apr 29, 2014	IDA-H2790	Loan Cancel	45,211.10
Mar 8, 2007	IDA-H2790	Loan Commitment	30,000,000.00
Apr 29, 2014	IDA-H2790	Loan Disb	-45,211.10

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Overall Safeguards Rating	Satisfactory	2011-10-30
Procurement	Moderately Satisfactory	2011-10-30
Financial Management	Moderately Satisfactory	2011-10-30
Overall Safeguards Rating	Satisfactory	2011-10-30
Counterpart Funding	Satisfactory	2011-10-30
Overall	Low	2011-10-30
Overall Implementation Progress (IP)	Moderately Satisfactory	2011-10-30
Progress towards achievement of PDO	Moderately Satisfactory	2011-10-30
Project Management	Satisfactory	2011-10-30
Monitoring and Evaluation	Moderately Satisfactory	2011-10-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 03-30-2012
Outcomes
Risk to Development Outcome	Moderately Satisfactory
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-10-2012	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Satisfactory	N/a
Risk To Development Outcome	Significant	N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance	Moderately Satisfactory	N/a
Government Performance	Moderately Satisfactory	N/a
Implementing Agency	Moderately Satisfactory	N/a
Icr Quality	Unsatisfactory	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

% of women and men aged 15-24 reporting the use of condoms during (last) sexual intercourse with a non-regular partner (of those reporting sexual intercours with a non-regular partner withing last 12m	Value	F: NA%; M:49.5.%	81%	F: 50% M: 50%
	Date	September 17, 2005	August 31, 2011	June 30, 2011
	Comment	DHS 2005	In view of the delay in DHS information a special survey was conducted.

Percentage of sex workers who report using a condom with their most recent client (of those surveyed having sex with any clients inthe last 12 months).	Value	96.6%	98%	>98%
	Date	September 17, 2005	November 4, 2008	June 30, 2011
	Comment	DHS 2005	Based on the findings of the special survey

Percentage of young people aged 15-24 who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmission	Value	67.3% Women 54.3 % man	Women > 75% Men >75%	Women > 75% Men >75%
	Date	September 17, 2007	August 31, 2011	June 30, 2010
	Comment	BSS 2007	Based on the findings of the special survey

Number of people aged 15 and older undergoing voluntary HIV Counseling and testing each year (depending on expected changes to the national policy, otherwise 18 and older)	Value	564,000/year	9.8 million in 2010/11	700,000/year
	Date	January 31, 2007	June 30, 2010	June 30, 2010
	Comment

Percentage of project Woredas that are supporting effective PLWHA groups/associations and implementing community programs to support orphans.	Value	This was a new measure for the M&E system. So ther		95%
	Date	September 17, 2007	September 9, 2010	June 30, 2011
	Comment		Compiled Woreda Reports

System Development: Establishment of a HIV/AIDS information and M&E system that supports improved policy and program decision-making	Value	This was a new measure for the M&E system. So ther	100%	100%
	Date	September 17, 2007	June 9, 2010	September 30, 2011
	Comment	No baseline data	The HMIS and CIS have been strengthened	The HMIS and Community IInformation System (CIS) roll out expected to help generate useful information for decision making byJune30 2011.

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of PLWHA & orphans who have received care and support through Woredas.	Value	PLWHA 35.000 Orphans 80,000	PLWHA 103,659OVCs give school material support 35	PLWHA 100,000 Orphans 200,000
	Date	September 17, 2007	August 31, 2011	June 30, 2011
	Comment		The figure given is for all types of support

Percentage of project Woredas implementing HIV/AIDS health and non-health M&E Plans in the last 12 months	Value	60.3% (251 out of 416 woredas)	100%	100%
	Date	September 17, 2007	August 31, 2011	September 30, 2011
	Comment		HAPCO Routine Data

Percentage of Project Woredas submitting completed program monitoring forms for community-based indicators to HAPCO in the last 12 months	Value	0%	100%	100%
	Date	September 17, 2007	August 31, 2011	June 30, 2011
	Comment		HAPCO Routine Data

Ability of M&E to collect data and measure:i) Men & women with advanced HIV infection receiving anti retroviral combination therapy;ii) HIV-infected pregnant women receiving complete MTCT profilax	Value	i) Men and Women: 42,195 Pregnant women PM	64,500 (Newly started)310,140 (started in the pas
	Date	September 17, 2007	August 31, 2011	June 30, 2011
	Comment		HAPCO Routine Data

Percentage of priority non-health public sector action plans targeting most-at-risk groups.	Value	60.3% (251 out of 416 wordas)	100%	100%
	Date	September 17, 2007	June 30, 2009	June 30, 2011
	Comment		HAPCO Routine Data

Percentage of project funds allocated to support most at-risk groups by public sector agencies. Value NA 100% 70%
Date September 17, 2007 August 31, 2011 June 30, 2010
Comment HAPCO Routine Data

Increased number of male and female condoms distributed nationally.	Value	80 million/year.	173 million in 2010/11	Female: increase of 20% per year. Male: 140 millio
	Date	September 17, 2007	June 17, 2010	June 30, 2010
	Comment		Female condom: The system is not able to report this number.

Percentage of grant financing to NGO/CBO through Woredas in the last 12 months. Value 29,7% 44.7 45%
Date September 17, 2007 August 31, 2011 June 30, 2010
Comment HAPCO Routine Data

At least 75% percent of grants finance targeted prevention related services	Value	New Directive	75%	75% of the grant will be used to finance preventio
	Date	September 17, 2007	August 31, 2011	June 30, 2011
	Comment		most of the regions issued guideline to ensure 75% spending on prevention related activities. The recent mission to a region foundthe region has complied wih the 75% guideline

All participating Woredas have implemented action plans that are aligned to national strategy with programs targeting most	Value	ew measurment for the M&E system	100%	100%
	Date	September 17, 2007	September 30, 2009	June 30, 2011
	Comment	This was a new measure for the M&E system thus there was no base line data.	All EMSAP II Woredas have produced action plans in line with the national strategic plans. Submission of action plans apre-requisite for receiving EMSAP II support	Information is collected and analyzed from the woreda reports

Percentage of grant financing to NGO/CBO through Woredas in the last 12 months.	Value	29,7%	44.7	45%
	Date	September 17, 2007	August 31, 2011	June 30, 2010
	Comment		HAPCO Routine Data