The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) EUROPE AND CENTRAL ASIA | Ukraine | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2023 | Seq No: 1 | ARCHIVED on 28-Mar-2023 | ISR55410 | Implementing Agencies: Government of Ukraine, Ministry of Health Key Dates Key Project Dates Bank Approval Date: 20-Dec-2022 Effectiveness Date: -- Planned Mid Term Review Date: 15-Feb-2024 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are to (i) restore and improve access to essential health care, (ii) address new and urgent needs for health services, and (iii) provide financial protection in an emergency context. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Addressing new and urgent health needs for mental health and rehabilitation:(Cost $100.00 M) Component 2: Further improving and strengthening primary health care:(Cost $150.00 M) Component 3: Restoring and modernizing hospital care in line with reform direction:(Cost $200.00 M) Component 4: Supporting capacity-building, digitalization and innovations:(Cost $50.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- High Implementation Status and Key Decisions The Project is not yet reached effective, as it awaits approval of the 2023 Budget and subsequent issuance of the Legal Opinion, which is expected in April 2023. The Project Implementation Unit is working to prepare the implementation of the project's components. The progress towards performance-based conditions of the project is on track, according to the data provided by the National Health Service of Ukraine. 3/28/2023 Page 1 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High -- High Macroeconomic High -- High Sector Strategies and Policies Substantial -- Substantial Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary High -- High Environment and Social Substantial -- Substantial Stakeholders Substantial -- Substantial Other Substantial -- Substantial Overall High -- High Results PDO Indicators by Objectives / Outcomes Address new needs for mental health and rehabilitation services IN01266089 ►Number of people who received mental health services following agreed criteria (disaggregated by gender) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 3,079.00 500,000.00 Date 24-Oct-2022 -- 01-Jan-2023 31-Dec-2024 Comments: Number of people receiving mental health services (dissagregated by gender) IN01266092 ►Number of people who completed a defined course of rehabilitation services (disaggregated by gender) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 157.00 112,500.00 Date 24-Oct-2022 -- 01-Jan-2023 31-Dec-2024 Comments: Number of people receiving rehabilitation services (disaggregated by gender) 3/28/2023 Page 2 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Restore and improve access to essential health services IN01266090 ►Number of people receiving an extended health examination at the PHC level (disaggregated by gender) (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3,000,000.00 Date 24-Oct-2022 -- 01-Jan-2023 31-Dec-2024 Number of people receiving the extended medical examination at the PHC level (disaggregated by Comments: gender) IN01266093 ►Hospital deliveries, cases of stroke, and cases of myocardial infarction treated in hospitals contracted by NHSU for relevant PMG services and supported by the Project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 01-Jan-2023 -- 01-Jan-2023 31-Dec-2024 Increase in total hospital cases (childbirth, strokes, and myocardial infarction) treated in hospitals supported by the Project. The baseline will be established on January 1, 2023, for each of the hospitals Comments: supported by the Project. Hospitals supported by the Project are expected to increase and consolidate services included in relevant PMG packages by at least 10 percent, Provide financial protection IN01266091 ►Number of people receiving medicines and/or medical products subsidized through the AMP (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 3,392,838.00 -- 3,902,369.00 4,392,838.00 Date 01-Mar-2022 -- 15-Mar-2023 31-Dec-2024 An additional number of people, who receive medicines and medical products through the AMP. The Comments: baseline is established retroactively as of March 1, 2022. Overall Comments PDO The data on implementation of performance-based conditions are preliminary Intermediate Results Indicators by Components Component 1: Addressing new and urgent health needs for mental health and rehabilitation IN01266094 ►Number of mobile mental health teams deployed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 3/28/2023 Page 3 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Value 0.00 -- 67.00 75.00 Date 24-Oct-2022 -- 16-Mar-2023 31-Dec-2024 Comments: Number of mobile mental health teams deployed IN01266098 ►Number of facilities reconfigured to provide new or enhanced mental health services (financed by the Project) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 400.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Number of facilities reconfigured to provide new or enhanced mental health services (financed by the Comments: Project) IN01266102 ►Number of PHC personnel trained on case management of GBV (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 1,189.00 3,000.00 Date 24-Oct-2022 -- 17-Mar-2023 31-Dec-2024 Comments: Number of PHC personnel trained on case management of GBV IN01266105 ►Proportion of primary health care providers with at least one staff trained to care for and refer survivors of GBV (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 01-Nov-2022 -- 01-Mar-2023 31-Dec-2024 Comments: This indicator will measure the readiness of facilities to provide care to survivors of GBV IN01266107 ►Number of facilities reconfigured to provide new or enhanced rehabilitation services (financed by the Project) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Number of facilities reconfigured to provide new or enhanced rehabilitation services (financed by the Comments: Project) Component 2: Further improving and strengthening primary health care IN01266095 ►Number of vaccinations received by children under the age of 7 according to the national vaccination schedule (Number, Custom, PBC) 3/28/2023 Page 4 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 2,381,894.00 5,000,000.00 Date 01-Mar-2022 -- 08-Mar-2023 31-Dec-2024 Number of vaccinations received by children under the age of 7 according to the national vaccination Comments: schedule IN01266099 ►New regulatory and technical standards for PHC+ facilities developed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: New regulatory and technical standards for PHC+ facilities developed IN01266103 ►Number of PHC facilities renovated by the project (total) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 300.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Number of PHC facilities renovated by the project (total) IN01266106 ►Number of health facilities renovated by the project to incorporate solar panels or other green technologies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Number of health facilities renovated by the project to incorporate solar panels or other green Comments: technologies Component 3: Restoring and modernizing hospital care in line with reform direction IN01266096 ►Number of designs for renovating hospitals in line with the hospital network optimization strategy (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Number of designs for renovating hospitals in line with the hospital network optimization strategy IN01266100 3/28/2023 Page 5 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) ►Number of hospitals renovated by the Project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 25.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Number of hospitals renovated by the Project Component 4: Supporting capacity building, digitalization and innovations IN01266097 ►Introduction of an electronic instrument to track patient feedback and response (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Introduction of an electronic system to track patient feedback and response IN01266101 ►Number of facilities that participate in the provision of care using telemedicine (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Number of facilities that participate in the provision of case using telemedicine IN01266104 ►Number of institutions who have received capacity strengthening from the Project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 24-Oct-2022 -- 01-Mar-2023 31-Dec-2024 Comments: Number of institutions who have received capacity strengthening from the Project Performance-Based Conditions IN01266108 ►PBC 1 Number of people who received mental health services following agreed criteria (disaggregated by gender) (Number, Outcome, 25,000,000.00, 5%) 3/28/2023 Page 6 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Baseline Actual (Previous) Actual (Current) Endline Value 0.00 -- 3,079.00 -- Date -- -- 01-Jan-2023 -- IN01266109 ►PBC 2 Number of people who completed a defined course of rehabilitation services (disaggregated by gender) (Number, Outcome, 45,000,000.00, 9%) Baseline Actual (Previous) Actual (Current) Endline Value 0.00 -- 157.00 -- Date -- -- 01-Jan-2023 -- IN01266110 ►PBC 3 Number of people receiving an extended health examination at the PHC level (disaggregated by gender) (Number, Outcome, 30,000,000.00, 6%) Baseline Actual (Previous) Actual (Current) Endline Value 0.00 -- 0.00 -- Date -- -- 01-Jan-2023 -- IN01266111 ►PBC 4 Number of vaccinations received by children under the age of 7 according to the national vaccination schedule (Number, Outcome, 20,000,000.00, 4%) Baseline Actual (Previous) Actual (Current) Endline Value 0.00 -- 2,381,894.00 -- Date -- -- 08-Mar-2023 -- IN01266112 ►PBC 5 Number of people receiving medicines and/or medical products subsidized through the AMP (Number, Output, 40,000,000.00, 8%) Baseline Actual (Previous) Actual (Current) Endline Value 3,392,838.00 -- 3,902,369.00 -- Date -- -- 15-Mar-2023 -- 3/28/2023 Page 7 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P180245 IBRD-94680 USD 103.50 103.50 0.00 0.00 103.50 0% Effective Not P180245 TF-C0038 USD 10.00 10.00 0.00 0.00 10.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P180245 IBRD-94680 20-Dec-2022 22-Dec-2022 -- 31-Dec-2024 31-Dec-2024 Effective Not P180245 TF-C0038 22-Dec-2022 -- -- 31-Dec-2024 31-Dec-2024 Effective Cumulative Disbursements 3/28/2023 Page 8 of 9 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 3/28/2023 Page 9 of 9