Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) LATIN AMERICA AND CARIBBEAN | El Salvador | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2012 | Seq No: 12 | ARCHIVED on 16-Aug-2017 | ISR28912 | Implementing Agencies: Ministry of Health, Republic of El Salvador Key Dates Key Project Dates Bank Approval Date:21-Jul-2011 Effectiveness Date:11-Dec-2012 Planned Mid Term Review Date:15-Feb-2016 Actual Mid-Term Review Date:19-Oct-2015 Original Closing Date:30-Jun-2016 Revised Closing Date:30-Dec-2017 Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are to: (i) expand the coverage, quality, and equity in utilization of priority health services provided under the RIISS; and (ii) strengthen MINSAL stewardship capacity to manage essential public health functions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Expansion of Priority Health Services and Programs.:(Cost $54.41 M) Component 2: Institutional Strengthening:(Cost $22.74 M) Component 3: Project Management and Monitoring:(Cost $2.65 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Satisfactory Overall Risk Rating  Low  Low Implementation Status and Key Decisions 8/16/2017 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) The Project is on track to achieve its development objectives of expanding the coverage, quality, and equity in utilization of priority health services; and strengthening the MINSAL capacity to manage essential public health functions. The Project closing date has been extended by five months from December 30, 2017 to May 30, 2018 to allow enough time for delivery of procured goods and completion of the user satisfaction survey. 8/16/2017 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) 8/16/2017 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) 8/16/2017 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) 8/16/2017 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Low  Low Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Low  Low Other  --  --  -- Overall  --  Low  Low Results Project Development Objective Indicators 8/16/2017 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) PHINDPDOTBL 1. Coverage of children less than 1 year old with the third dose of pentavalent in the 92 selected municipalities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 92.20 91.00 95.00 92.80 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 PHINDPDOTBL  2. Coverage of institutional delivery by the public network in the 92 selected municipalities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 99.18 99.00 84.00 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 PHINDPDOTBL  3. Number of eligible hospitals that comply with standard bio-hazard waste management system. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 21.00 21.00 26.00 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 Overall Comments The original end target was 21, the new end target is 26. The national team is working with the 5 remaining hospitals and expect to accomplish this end target by the end of 2017. Intermediate Results Indicators 8/16/2017 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) PHINDIRITBL  ECOS and hospitals in priority municipalities equipped according technical guidelines defined by MINSAL (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target ECOS 100 Hospitals ECOS 104 Value ECOS 0 Hospitals 0 ECOS 100 Hospitals 30 30 Hospitals 30 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 867.00 2,039.00 1,200.00 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 PHINDIRITBL  Hospitals integrated into the National Medical Emergencies System (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 8.00 Date 12-Dec-2012 31-Dec-2015 31-Dec-2015 30-Dec-2017 Comments Indicator achieved. PHINDIRITBL  Number of Facilities in priority Departments with operating information system. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 86.00 134.00 134.00 Date 12-Dec-2012 31-Dec-2015 30-Dec-2016 30-Dec-2017 Comments In addition to the 134 health facilities, 24 administrative offices also benefited from this information system. 8/16/2017 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) PHINDIRITBL  Number of user satisfaction surveys carried out. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 2.00 Date 30-Sep-2014 31-Dec-2015 31-Dec-2015 30-Dec-2017 Overall Comments The second survey will be implemented in the second semester of 2017. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P117157 IBRD-80760 Effective USD 80.00 80.00 0.00 46.81 33.19 59% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P117157 IBRD-80760 Effective 21-Jul-2011 30-Apr-2012 11-Dec-2012 30-Jun-2016 30-Dec-2017 Cumulative Disbursements 8/16/2017 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) Restructuring History Level Approved on 21-Dec-2012 ,Level 2 Approved on 20-Feb-2015 ,Level 2 Approved on 07-Mar-2016 ,Level 2 Approved on 06-Apr-2017 ,Level 2 Approved on 08-Aug-2017 Related Project(s) There are no related projects. 8/16/2017 Page 10 of 10 Public Disclosure Copy