I M P ROV I N G E F F E C T I V E N E S S A N D OUT C O M E S F O R T H E P OO R I N H E A LT H , N UT R IT I O N , A N D P O P U L AT I O N
World Bank Management Action Plan (continued)
IEG Recommendation
Actions to Be Taken
How Much & by When
By Whom
IV. Enhance the contribution of support from other sectors to health, nutrition, and population outcomes. (a) When the benefits are potentially great in relation to the marginal costs, incorporate health objectives into non-health projects, for which they are accountable.
– Provide incentives to non-HNP – Intersectoral coordination thematic HNP Sector Board, HNP task team leaders to incorpogroup for HNP results established to Hub, Country Directors. rate health objectives into non- identify constraints and incentives, health projects. by fiscal 2010.
(b) Improve the complementarity of in- – Develop, implement, and man- – Group Functioning by fiscal 2010. age an intersectoral coordinavestment operations in health and other sectors to achieve health, nu- tion thematic group for HNP results. trition, and population outcomes, particularly between health and water supply and sanitation.
HNP Sector Board, HNP Hub.
– Invite other sectors’ (c) Prioritize sectoral participation in participation to HNP project multisectoral HNP projects accorddesign reviews (e.g., Quality ing to the comparative advantages Enhancement Reviews) where and institutional mandates, to appropriate. reduce complexity.
– 100% of all HNP projects, starting fiscal 2010.
HNP Sector Board.
– See response to IV (a) above.
– See response to IV (a) above.
(d Identify new incentives for Bank staff to work cross-sectorally for improving HNP outcomes.
– See response to IV (a) above.
(e) Develop mechanisms to ensure that the implementation and results for small health components retrofitted into projects are properly documented and evaluated.
– Strengthen HNP portfolio – 50% of all HNP and non-HNP Sector HNP Sector Board, HNP Hub. monitoring, including non-HNP Board operations tracked, starting projects, to document health fiscal 2010. results achieved through nonHNP sectors.
V. Implement the results agenda and improve governance by boosting investment in and incentives for evaluation. (a) Create new incentives for monitor- – Implement US$2.8 million Spanish Trust Fund (SIEF), suping and evaluation for both the porting impact evaluations. Bank and the borrower linked to – Pilot and evaluate impact of the project approval process and output- and performancethe mid-term review. This would based financing for HNPinclude requirements for baseline related projects/programs. data, explicit evaluation designs – Introduce Results Frameworks for pilot activities in Project Aptargeting HNP outcomes, outpraisal Documents, and periodic put, and system performance, evaluation of main project activiincluding baseline data and ties as a management tool. output targets and programs.
164
– 15 HNP projects, fiscal 2011. – 16 active projects with most loan proceeds allocated to output-based financing, fiscal 2010. – At least 70% of new projects/ programs approved by the Board, starting fiscal 2009.
HNP Sector Board, HNP Hub.