The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) LATIN AMERICA AND CARIBBEAN | Argentina | IBRD/IDA | Investment Project Financing (IPF) | FY 2024 | Seq No: 2 | Archived on 16-Apr-2024 | ISR00206 Implementing Agencies: Provincial Directorate of Multilateral Organizations and Bilateral Financing 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 05-Jul-2023) Increase access to health services and improve coordination and continuity of care in the public healthcare network of the Province of Buenos Aires. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Strengthening the Implementation of Electronic Medical Records (EMRs) / Integrated Health Record (IHR) in public health facilities:(Cost 39,100,000.00) Developing and Implementing Virtual Tools for Health Provision and Communication:(Cost 10,600,000.00) Project Management:(Cost 300,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall ESS Performance --- Satisfactory Overall Risk Rating Substantial Substantial Apr 16, 2024 Page 1 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions The Strengthening the Digital Health Agenda in the Province of Buenos Aires Project is financed by a US$50 million loan approved by the World Bank Board of Directors on July 5, 2023, and declared effective on December 13, 2023. The Project's Development Objectives are to increase access to health services and improve coordination and continuity of care in the public healthcare network of the Province of Buenos Aires. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 01 - 18 Oct Proposed Rating 05 Jul 2023 2023 Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Moderate Moderate Moderate Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Overall Substantial Substantial Substantial Apr 16, 2024 Page 2 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Improving coordination and continuity of care. Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Percentage of consultations 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 14.00 Dec/2027 properly registered in the IHR, by gender. (Percentage) Percentage of women 25 to 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 20.00 Dec/2027 64 years old with positive cervical cancer screening that have received a colposcopy or have a scheduled colposcopy consultation within a three-month period. (Percentage) Increasing access to healthcare services. Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Percentage of diabetics that 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 15.00 Dec/2027 received an eye fundus exam through the tele- ophthalmology strategy. (Percentage) Apr 16, 2024 Page 3 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) 6.2 Intermediate Results Indicators by Components Strengthening the Implementation of Electronic Medical Records (EMRs) / Integrated Health Record (IHR) in public health facilities Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Absenteeism in scheduled 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 30.00 Dec/2027 colposcopy (Percentage) Municipalities that started 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 30.00 Dec/2027 implementing IHR (Number) Primary Health Care (PHC) 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 150.00 Dec/2027 facilities with adequate ICT equipment (Number) Hospital facilities with 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 40.00 Dec/2027 adequate ICT equipment (Number) PHC facilities that received 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 150.00 Dec/2027 IHR training (Number) Hospital facilities that 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 40.00 Dec/2027 received IHR training (Number) Health Facilities with IHR 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 190.00 Dec/2027 implemented and fully operational (Number) Patients with a consultation 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 334,114.00 Dec/2027 properly registered in the IHR, by gender (Number) Prioritized functionalities 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 5.00 Dec/2027 developed (Number) Apr 16, 2024 Page 4 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) Selected municipalities with 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 4.00 Dec/2027 their own EMR solution interoperable with IHR platform (Number) Percentage of Health 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 20.00 Dec/2027 Facilities implementing digital two-way referral (Percentage) Percentage of SUMAR 35.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 43.00 Dec/2027 beneficiaries with basic effective coverage, by gender (Percentage) Percentage of people 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 40.00 Dec/2027 registered in IHR with self- perceived gender identity (Percentage) Developing and Implementing Virtual Tools for Health Provision and Communication Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Stages achieved in the 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 6.00 Dec/2027 development of the ecosystem for the virtual healthcare operational center. (Number) Citizen consultations 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 150,000.00 Dec/2027 managed through the web portal of the PBA (Number) Average number of days 31.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 20.00 Dec/2027 between the prescription of breast cancer medication and Apr 16, 2024 Page 5 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) the delivery of this medication to women with exclusive public coverage. (Number) Percentage of people 0.00 Nov/2022 0.00 29-Sep-2023 0.00 29-Sep-2023 50.00 Dec/2027 satisfied with the use of the Citizen Web Portal and telemedicine applications (Percentage) Apr 16, 2024 Page 6 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IBRD-95410 Effective 50.00 50.00 0.00 0.89 49.11 1.78% 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IBRD-95410 Effective 05-Jul-2023 20-Oct-2023 13-Dec-2023 30-Apr-2027 30-Apr-2027 8. KEY DATES Apr 16, 2024 Page 7 of 8 The World Bank Implementation Status & Results Report Strengthening the Digital Health Agenda in the Province of Buenos Aires (P179534) Key Events Planned Actual Approval 05-Jul-2023 05-Jul-2023 Effectiveness 13-Dec-2023 13-Dec-2023 Mid-Term Review No. 01 16-Nov-2025 Operation Closing/Cancellation 30-Apr-2027 9. RESTRUCTURING HISTORY 10. ASSOCIATED OPERATION(S) There are no associated operations Apr 16, 2024 Page 8 of 8