The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) Health Service Delivery Network Project (P164453) LATIN AMERICA AND CARIBBEAN | Bolivia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 6 | ARCHIVED on 09-Jun-2021 | ISR46605 | Implementing Agencies: Ministry of Health, Plurinational State of Bolivia, Ministry of Health - Agencia de Infraestructura en Salud y Equipamiento Medico (AISEM) Key Dates Key Project Dates Bank Approval Date: 14-Jun-2018 Effectiveness Date: 21-Mar-2019 Planned Mid Term Review Date: 14-Mar-2022 Actual Mid-Term Review Date: Original Closing Date: 31-Jul-2023 Revised Closing Date: 31-Jul-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) is to improve access to, and quality of, health service delivery in selected health networks. Has the Project Development Objective been changed since Board Approval of the Project Objective? Yes Board Approved Revised Project Development Objective (If project is formally restructured) to improve access to, and quality of, health service delivery in selected health networks and to respond to the threat posed by COVID-19 Components Table Name Strengthening Health Service Delivery Networks:(Cost $108.00 M) Improving Quality of Health Service Delivery and Human Resource Capacity Development:(Cost $14.00 M) Project Management:(Cost $8.00 M) Strenthening Public Health Emergency Response to COVID-19:(Cost $170.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions The Project was restructured twice (in March and April 2020) to support critical inputs and activities related to the COVID-19 pandemic. Since March 2020, the project mainly focused on supporting the national COVID-19 response to increase early detection of cases, contact tracing, triage and treatment, and implementation of preventive measures. The project has financed the procurement of supplies, including personal protective equipment for health personnel, laboratory equipment, reagents and supplies for diagnosis of SARS-CoV-2, medical equipment, drugs and medical supplies to treat patients with COVID-19. More recently, the Project has been key in supporting the containment of the pandemic. Between January 6/9/2021 Page 1 of 6 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) – May 2021, the project has significantly supported the expansion of human resources for health in over 100 health centers nationwide. Over 5,400 medical professionals, specialists, intensive care therapists, nurses and support staff for clinical care are now staffing COVID-19 health facilities. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Moderate Substantial Moderate Institutional Capacity for Implementation and High High High Sustainability Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes Improve access to, and quality of, health service and to respond to the threat posed by COVID-19 IN00990160 ►Network referral centers operational with at least 60% of the required medical staff and providing health services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 7.00 Date 31-Jan-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990201 ►Health facilities supported in the targeted networks fulfill the licensing standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 6/9/2021 Page 2 of 6 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990202 ►Doctors checking the MoH clinical guidelines application at least once in the last 60 days (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 45.00 Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990203 ►Number of diagnosed cases treated per approved protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 115,718.00 355,349.00 15,000.00 Date 30-Mar-2020 12-Nov-2020 26-May-2021 31-Dec-2020 Intermediate Results Indicators by Components Strengthening Health Service Delivery Networks IN00990204 ►New hospitals equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990207 ►New hospitals that do not use incineration to treat hospital waste in the targeted networks (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990210 ►Grievance Redress Mechanism (GRM) designed and operational available to attend in indigenous languages of the region (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 Improving Quality of Health Service Delivery and Human Resource Capacity Development 6/9/2021 Page 3 of 6 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) IN00990205 ►Medical specialists enrolled in residency program supported by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 750.00 Date 31-May-2018 21-Sep-2020 26-May-2021 31-Jul-2023 IN00990208 ►Health facility managers and administrators trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 31-May-2018 22-Mar-2019 26-May-2021 31-Jul-2023 IN00990211 ►Patients reporting being satisfied with health services provided in the targeted networks desagregated by gender (including LGBTI) and self- ethnic identification (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 26-May-2021 31-Jul-2023 IN00990212 Female patients reporting being satisfied with health services provided in the targeted networks (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 26-May-2021 31-Jul-2023 IN00990213 ►Facilities in the targeted networks using quality checklists (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 26-May-2021 31-Jul-2023 IN00990214 ►Number clinical guidelines updated or developed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 Date 31-May-2018 22-Mar-2019 26-May-2021 31-Jul-2023 Strenthening Public Health Emergency Response to COVID-19 IN00990206 6/9/2021 Page 4 of 6 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) ►Number of health facilities equipped to improve response to COVID-19 outbreak (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.00 110.00 30.00 Date 10-Mar-2020 12-Nov-2020 26-May-2021 31-Dec-2020 IN00990209 ►Number of regional laboratories equipped to improve response to COVID-19 outbreak (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 3.00 Date 10-Mar-2020 12-Nov-2020 26-May-2021 31-Dec-2021 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164453 IBRD-88680 Effective USD 252.00 252.00 0.00 83.15 168.85 33% P164453 IDA-62480 Effective USD 48.00 48.00 0.00 2.62 45.38 5.5% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164453 IBRD-88680 Effective 14-Jun-2018 21-Dec-2018 21-Mar-2019 31-Jul-2023 31-Jul-2023 P164453 IDA-62480 Effective 14-Jun-2018 21-Dec-2018 21-Mar-2019 31-Jul-2023 31-Jul-2023 Cumulative Disbursements 6/9/2021 Page 5 of 6 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 22-Mar-2020 ,Level 2 Approved on 24-Apr-2020 Related Project(s) There are no related projects. 6/9/2021 Page 6 of 6