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Abbreviation and acronyms.

AIDS Acquired Immune Deficiency Syndrome
A-M Aide Memoire
AOP Annual Operational Plan
BSS Behavior Surveillance Survey
CAS Country Assistance Strategy
CHT Chittagong Hill Tract
CLSW Clients of Sex Workers
DCA Development Credit Agreement
DfID Department for International Development
ESP Essential Services Package
FHI Family Health International
FSW Female Sex Worker
FTA Functional Task Analysis
GFATM Global Fund to fight AIDS, Tuberculosis and Malaria
GOB Government of Bangladesh
HAIF HIV/AIDS Intervention Fund
HAPP HIV/AIDS Prevention Program
HBSW Hotel Based Sex Workers
HIV Human Immuno-deficiency Virus
HNPSP Health, Nutrition and Population Sector Program
HPSP Health and Population Sector Program
ICDDR,B International Center for Diarrheal Disease Research,
 Bangladesh
IDA International Development Association
IDU Injecting Drug User
IEC Information, Education, Communication
IECDR Institute for Epidemiology and Disease Control Research IP
 Implementation Progress
M&E Monitoring and Evaluation
MOHFW Ministry of Health and Family Welfare
MSA Management Support Agency
MSM Men having Sex with Men
MSW Male Sex Workers
MTR Mid-Term Review
NASP National AIDS/STD Program
NGO Non-Government Organization
NSP National Strategic Plan
NGO Non-Government Organization
NSP National Strategic Plan
PAD Project Appraisal Document
PDO Project Development Objective
PIP Project Implementation Plan
PLWHA People Living with HIV/AIDS
PSR Project Status Report
QER Quality Enhancement Review
RDS Respondent Driven Sampling
SAC Surveillance Advisory Committee
SBSW Street Based Sex Workers
SIP Strategic Implementation Plan
STD Sexually Transmitted Disease
TA Technical Assistance
TI Targeted Intervention
TTL Task Team Leader
UNAIDS Joint United Nations Program on HIV/AIDS
UNDP United Nations Development Program
UNFPA United Nations Population Fund
USAID United States Agency for International Development
WHO World Health Organization

Vice President: Praful C. Patel Mieko Nishimizu
Country Director: Xian Zhu Frederick Thomas Temple
Sector Manager: Benjamin P. Loevinsohn Richard Lee Skolnik
Project Team Leader: Dinesh M. Nair William B. Herbert
ICR Team Leader: Shahnaz Kazi
ICR Primary Author: Shreelata Rao Seshadri

A. Basic Information

Country: Bangladesh Project Name:
Project ID: P069933 L/C/TF Number(s):
ICR Date: 06/19/2008 ICR Type:
Lending Instrument: SIL Borrower:
Original Total Commitment: XDR 30.8M Disbursed Amount:

Country: HIV/AIDS Prevention Project
Project ID: IDA-34410,TF-28932
ICR Date: Core ICR
Lending Instrument: GOVERNMENT OF BANGLADESH
Original Total Commitment: XDR 14.9M

Environmental Category: C

Implementing Agencies:
National AIDS/STD program

Cofinanciers and Other External Partners:

B. Key Dates

Process Date Process Original Revised/
 Date Actual
 Date(s)

Concept 03/27/2000 Effectiveness: 02/01/2001 02/01/2001
Review:
Appraisal: 07/13/2000 Restructuring(s): 06/12/2003
Approval: 12/12/2000 Mid-term Review: 06/01/2003
 Closing: 06/30/2005 12/31/2007

C. Ratings Summary

C.1 Performance Rating by ICR

Outcomes: Moderately Unsatisfactory
Risk to Development Outcome: Moderate
Bank Performance: Moderately Unsatisfactory
Borrower Performance: Moderately Unsatisfactory

C.2 Detailed Ratings of Bank and Borrower Performance (by ICR)

Bank Ratings Borrower Ratings

Quality at Entry: Unsatisfactory Government: Moderately
 Unsatisfactory
Quality of Moderately Implementing Moderately
Supervision: Satisfactory Agency/Agencies: Unsatisfactory
Overall Bank Moderately Overall Borrower Moderately
Performance: Unsatisfactory Performance: Unsatisfactory

C.3 Quality at Entry and Implementation Performance Indicators

Implementation Indicators QAG Assessments Rating
Performance (if any)

Potential Problem Project No Quality at Entry None
at any time (Yes/No): (QEA):
Problem Project at any Yes Quality of None
time (Yes/No): Supervision (QSA):
DO rating before Moderately
Closing/Inactive status: Unsatisfactory

D. Sector and Theme Codes
 Original Actual

Sector Code (as % of total Bank financing)
Central government administration 2 2
Health 98 98

Theme Code (Primary/Secondary)

Gender Secondary Secondary
HIV/AIDS Primary Primary
Participation and civic engagement Primary Primary
Population and reproductive health Primary Secondary

E. Bank Staff

 Positions At ICR At Approval

Vice President: Praful C. Patel Mieko Nishimizu
Country Director: Xian Zhu Frederick Thomas Temple
Sector Manager: Benjamin P. Loevinsohn Richard Lee Skolnik
Project Team Leader: Dinesh M. Nair William B. Herbert
ICR Team Leader: Shahnaz Kazi
ICR Primary Author: Shreelata Rao Seshadri


F. Results Framework Analysis

Project Development Objectives (from Project Appraisal Document) To control the spread of HIV infection within high risk groups and to limit its spread to the general population, without stigmatizing the high risk groups

Revised Project Development Objectives (as approved by original approving authority) To control the spread of HIV infection within high risk groups and to limit its spread to the general population, without stigmatizing the high risk groups

Outcome indicators to measure progress toward the development objective were changed several times over the course of the project. Since these changes were quite numerous, this section will report on the final indicators agreed at the MTR, when a new logical framework was developed, retaining the same objective, to be measured by two PDO indicators. Annex 9 contains all the details of changes made to the Results Framework during the life of the project and the status of the original indicators agreed in the PAD.
(a) PDO Indicator(s)

Indicator Baseline Value Original Target Values
 (from approval
 documents)

Indicator 1 : Prevalence of HIV infection among high risk
 groups remains below 5% (PAD)

Value IDUs: 0.2%; Brothel <5% for all HRG
quantitative or Based Sex Workers: 0%;
Qualitative) Street Based Sex
 Workers (SBSW) Dhaka:
 0.3%; MSM: 0.2%

Date achieved 4/15/2001 06/30/2005

Comments The indicator was reworded at the MTR to refer to
(incl. % commercial sex workers, MSM and IDUs. The target
achievement) for the first two groups was revised to < 1
 percent at the MTR and was changed back to < 5
 percent in the May 15, 2005 ISR. (see Annex 9)

(b) Intermediate Outcome Indicator(s)

Indicator Baseline Value Original Target Values
 (from approval
 documents)

Indicator 1 : Percentage of estimated total high risk
 population in Bangladesh reached by NGOs
 contracted by the project

Value SBSW Dhaka: 41%; SBSW
quantitative or Chittagong: 6%;
Qualitative) Rickshaw Drivers Dhaka:
 0%; Truckers Dhaka:
 <1%; MSW Dhaka: 42%;
 MSM Dhaka: 32%; MSM
 Sylhet: <2%, IDU Dhaka:
 46%, IDU Rajshahi: 68%

Date achieved 04/15/2001

Comments Source: Behavioural Surveillance Surveys (BSS).
(incl. % The BSS does not provide country level
achievement) information but includes reported coverage in
 select cities. This indicator was included in the
 PAD but was dropped in the MTR and again include
 in May 2005.

Indicator 2 : % of IDUs who did not share needles in the last
 week

Value Dhaka: 16%,
quantitative or Rajshahi: 38%
Qualitative)

Date achieved 4/15/2001

Comments This was a PDO indicator in the PAD but was
(incl. % classified as an IO indicator at the MTR.
achievement) Subsequently the target date was extended along
 with project extensions.

Indicator 3 : % of CSWs using condoms (last time condom use in
 last sex with new clients in last week)

Value Brothel: 20%, Street
quantitative or based workers (SBSW)
Qualitative) Dhaka: 29% SBSW
 Chittagong: 19%.

Date achieved 4/15/2001

Comments This was a PDO indicator in the PAD but
(incl. % classified as IO indicator at the MTR
achievement)

Indicator Formally Revised Target Actual Value Achieved
 Values at Completion or Target
 Years

Indicator 1 : Prevalence of HIV infection among high risk
 groups remains below 5% (PAD)

Value FSW<1%, MSM <1%, IDUs
quantitative or in cities other than
Qualitative) Dhaka<2%, Dhaka 7%

Date achieved 01/09/2007

Comments The indicator was reworded at the MTR to refer to
(incl. % commercial sex workers, MSM and IDUs. The target
achievement) for the first two groups was revised to < 1
 percent at the MTR and was changed back to < 5
 percent in the May 15, 2005 ISR. (see Annex 9)

(b) Intermediate Outcome Indicator(s)

Indicator Formally Revised Target Actual Value Achieved
 Values at Completion or Target
 Years

Indicator 1 : Percentage of estimated total high risk
 population in Bangladesh reached by NGOs
 contracted by the project

Value 100 percent Brothel workers
quantitative or national: 75%; SBSW
Qualitative) Dhaka 56%; SBSW
 Chittagong: 87%; SBSW
 Khulna: 53%; HBSW
 Dhaka: 20%; HBSW
 Chittagong: 9%; HBSW
 Sylhet: 37%; Rickshaw
 3%; Truckers: 3%; MSW
 Dhaka: 48%; MSM Dhaka:
 15%; MSM Sylhet: 11%;
 IDUs Dhaka: 80%; IDUs
 Rajshahi: 51%

Date achieved 12/31/2007 01/09/2007

Comments Source: Behavioural Surveillance Surveys (BSS).
(incl. % The BSS does not provide country level
achievement) information but includes reported coverage in
 select cities. This indicator was included in the
 PAD but was dropped in the MTR and again include
 in May 2005.

Indicator 2 :

Value >95 percent Dhaka: 45%;
quantitative or Rajshahi: 51%;
Qualitative) Chapinawabganj:
 26%;
 Chandhpur: 37%

Date achieved 12/31/2007 01/09/2007

Comments This was a PDO indicator in the PAD but was
(incl. % classified as an IO indicator at the MTR.
achievement) Subsequently the target date was extended along
 with project extensions.

Indicator 3 :

Value >50% Brothel workers: 70%;
quantitative or SBSW Dhaka: 81%; SBSW
Qualitative) Chittagong: 91%; SBSW
 Khulna: 51; Hotel based
 sex workers (HBSW)
 Dhaka: 40%; HBSW
 Chittagong: 36%; HBSW
 Sylhet: 71%

Date achieved 12/31/2007 01/09/2007

Comments This was a PDO indicator in the PAD but
(incl. % classified as IO indicator at the MTR
achievement)

G. Ratings of Project Performance in ISRs

No. Date ISR DO
 Archived

1 06/21/2001 Satisfactory
2 06/25/2001 Satisfactory

3 12/11/2001 Satisfactory
4 06/23/2002 Satisfactory
5 12/22/2002 Satisfactory
6 12/23/2002 Satisfactory
7 06/26/2003 Satisfactory
8 11/22/2003 Satisfactory
9 01/23/2004 Satisfactory
10 08/17/2004 Satisfactory
11 01/04/2005 Satisfactory
12 05/15/2005 Moderately Satisfactory
13 11/30/2005 Moderately Satisfactory
14 05/30/2006 Moderately Satisfactory
15 11/30/2006 Moderately Satisfactory
16 05/18/2007 Moderately Satisfactory
17 11/29/2007 Moderately Unsatisfactory

No. IP Actual
 Disbursements
 (USD millions)

1 Satisfactory 2.51
2 Unsatisfactory 2.51

3 Satisfactory 2.51
4 Satisfactory 2.57
5 Unsatisfactory 2.78
6 Unsatisfactory 2.78
7 Unsatisfactory 3.13
8 Satisfactory 3.91
9 Satisfactory 4.08
10 Satisfactory 7.16
11 Satisfactory 10.41
12 Satisfactory 13.82
13 Satisfactory 17.15
14 Satisfactory 17.83
15 Moderately Satisfactory 19.19
16 Moderately Unsatisfactory 20.33
17 Unsatisfactory 21.70

H. Restructuring (if any)

Restructuring Board ISR Ratings at Amount
Date(s) Approved Restructuring Disbursed at
 PDO Change Restructuring
 in USD millions

 DO IP

06/12/2003 S U 3.13

Restructuring Reason for Restructuring &
Date(s) Key Changes Made

06/12/2003


I. Disbursement Profile

[GRAPHIC OMITTED]
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Publication:Bangladesh - HIV/AIDS Prevention Project
Date:Jun 10, 2008
Words:1711
Next Article:1. Project context, development objectives and design (this section is descriptive, taken from other documents, e.g., PAD/ISR, not evaluative).
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