Public Disclosure Copy
The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
Serving People, Improving Health Project (P144893)
EUROPE AND CENTRAL ASIA | Ukraine | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 4 | ARCHIVED on 18-Sep-2016 | ISR23530 |
Implementing Agencies: Ministry of Health
Key Dates
Key Project Dates
Bank Approval Date:04-Mar-2015 Effectiveness Date:15-Jun-2015
Planned Mid Term Review Date:25-Oct-2017 Actual Mid-Term Review Date:--
Original Closing Date:30-Sep-2020 Revised Closing Date:30-Sep-2020
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The proposed “Serving People, Improving Health” Project seeks to improve the quality of health services in selected Oblasts, with special focus on
primary and secondary prevention of cardiovascular diseases and cancer, and to enhance efficiency of the health caresystem.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
PHRPDODEL
Components
Name
Improving Service delivery at the local level:(Cost $189.53 M)
Strengthen Ministry of Health Governance:(Cost $20.20 M)
Project Implementation support and monitoring and evaluation:(Cost $4.46 M)
Commission 0.25%:(Cost $0.54 M)
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory
Overall Risk Rating Substantial Substantial
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Public Disclosure Copy
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
Implementation Status and Key Decisions
The project remains fully relevant to the country and sector context and overall health reform agenda. Overall, implementation since project
effectiveness (June 2015) has progressed relatively slow with most progress made at the regional level.
By now, the Project Implementation Units (PIUs) at the Oblast level are functional, and key consultants (subproject coordinators, procurement
specialists and financial managers) are in place. The process of fully staffing the central PIU under the Ministry of Health (MoH) is still ongoing:
the position of PIU manager is not filled to date, and only one out of a total of five central technical clusters has a coordinator.
An action plan to intensify the preparation and processing of key procurement packages by the Ministry of Health and project Oblasts has been
formulated and agreed, and the project implementation conference, to be organized by the MoH, will take place during the week of September 19, 2016.
It is expected that project implementation will be intensified in the next few months. Additional efforts have been made to protect the project from
integrity risks and to ensure that project funds are used for intended purposes.
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance -- Substantial Substantial
Macroeconomic -- High High
Sector Strategies and Policies -- Substantial Substantial
Technical Design of Project or Program -- Moderate Moderate
Institutional Capacity for Implementation and
Sustainability
-- Substantial Substantial
Fiduciary -- Substantial Substantial
Environment and Social -- Moderate Moderate
Stakeholders -- Moderate Moderate
Other -- -- --
Overall -- Substantial Substantial
Results
Project Development Objective Indicators
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
PHINDPDOTBL
PDO Indicator 1: Early detection of cervical and breast cancer as measured: a) Ratio of new in situ to new invasive cervical
cancer (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.79 -- 0.81 0.88
Date 01-Jan-2014 -- 04-Mar-2016 31-Dec-2017
Comments
Monitored annually. Next value will be reported beginning of calendar year (CY) 2017.
PHINDPDOTBL
b) Share of new breast cancer detected at stage I (Percentage, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 21.80 22.90 22.90 30.00
PHINDPDOTBL
PDO Indicator 2: High blood pressure under control as measured by the share of patients aged 40-60 achieving target level of
blood pressure (measure is 140/90mmHg) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 15.40 -- 16.50 19.00
Date 01-Jan-2014 -- 04-Mar-2016 31-May-2020
Comments
Monitored annually. Next value will be reported in the beginning of CY2017.
PHINDPDOTBL
PDO Indicator 3: Improved quality management (prevention, early diagnosis and treatment) of CVDs at primary and secondary
care measured as: a) reduction of hypertension-related hospitalization (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 5.80 5.70 5.70 4.80
Date 01-Jan-2014 04-Mar-2016 04-Mar-2016 31-May-2020
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
Comments
Monitored annually. Next value will be reported in the beginning of CY2017.
PHINDPDOTBL
b) number of patients who received stenting for acute myocardial infarction with ST segment elevation (Number, Custom
Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 93.60 176.30 176.30 193.70
PHINDPDOTBL
PDO Indicator 4: Average in-patient length of stay in hospitals (Days, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 11.70 -- 11.50 9.50
Date 01-Jan-2014 -- 30-Apr-2016 31-May-2020
Comments
Updated since previous ISR based on MOH official data for all regions. The previous number reflected ALOS in project regions only.
Overall Comments
Intermediate Results Indicators
PHINDIRITBL
Health personnel receiving training (number) (Number, Core)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 4.00 9.00 24937.00
Date 01-Jan-2015 04-Mar-2016 27-Jul-2016 31-May-2020
Comments
This number reflects the confirmed number of 9 participants trained in accordance with developed and agreed criteria. The number will be
increased in the next ISR, as regions have recently submitted their training reports, but information about the reported trained personnel is
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
being validated by the MoH/PIU team and the accurate number is not available at this point.
PHINDIRITBL
Health facilities constructed, renovated, and/or equipped (number) (Number, Core)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 9.00 260.00
Date 01-Jan-2015 -- 27-Jul-2016 31-May-2020
Comments
Major reconstruction and procurement of equipment are expected in FYs 2017-2018.
PHINDIRITBL
7. % of primary health care facilities meeting the equipment norms for improved management of CVD (according to an explicit
list) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 31.00 -- 35.00 55.00
Date 01-Jan-2014 11-Mar-2016 30-Apr-2016 31-May-2020
Comments
Monitored annually. Next value will be reported in CY2017.
PHINDIRITBL
8. Number of cancer screening procedures performed: a) cervical cancer tests (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 709184.00 -- 684538.00 830000.00
Date 01-Jan-2014 -- 04-Mar-2016 31-May-2018
Comments
Monitored annually. Next value will be reported in CY2017. The actual number reported in March 2016 was reflecting the number of cancer
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
screening procedures in 2015, which was below the baseline, mainly because the screening program was underfinanced. The reported
number of cervical cancer tests be the end of the Q2CY2016 was 369,328, which is expected to increase by the end of the year to reach
the target of 750,000.
PHINDIRITBL
b) mammograms (Number, Custom Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 20893.00 25299.00 25299.00 150000.00
PHINDIRITBL
9. Share of acute myocardial infarction with ST segment elevation diagnoses confirmed according to appropriate protocols in
the previous 12 months (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 65.00 -- -- 78.00
Date 01-Jan-2014 11-Mar-2016 11-Mar-2016 31-May-2020
Comments
The study of medical records to confirm the baseline and provide actual value has not yet been launched, but is expected to take place by
the end of CY2016.
PHINDIRITBL
10. Share of primary care centers which have structured schools of health or similar initiatives working on educational group
activities related to main NCDs’ risk factors (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 18.80 0.00 50.00
Date 01-Jan-2014 04-Mar-2016 27-Jun-2016 31-May-2020
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The World Bank Implementation Status & Results Report
Serving People, Improving Health Project (P144893)
Comments
The previous reported actual value has not been validated. The establishment of structured schools of health is to be launched as part of
the MOH contract with WHO (still to be signed).
PHINDIRITBL
11. Critical e-Health standards approved by MoH (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N -- N Y
Date 01-Jan-2014 -- 27-Jul-2016 31-May-2017
Comments
The selection of the Consultant firm (QCBS), which will be supporting development of eHealth standards is ongoing (RFP was issued).
PHINDIRITBL
12. Communication campaign designed and implemented at central level (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N N N Y
Date 01-Jan-2014 04-Mar-2016 27-Jul-2016 31-May-2020
Comments
No progress is observed at this stage
PHINDIRITBL
13. Availability of hospital beds (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 880.00 -- 762.00 650.00
Date 01-Jan-2014 -- 30-Apr-2016 31-May-2020
Comments
Actual value will be updated in the next ISR.
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Serving People, Improving Health Project (P144893)
PHINDIRITBL
14. Number of Oblasts that in any given year have implemented at least one productivity enhancing reform (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- -- 8.00
Date 01-Jan-2014 11-Mar-2016 11-Mar-2016 31-May-2020
Comments
The definition of the "productivity enhancing reform" will be agreed at the annual project conference in September 2016, and the
commitments from the regions on implementation of such reforms will be agreed during the same event.
PHINDIRITBL
15. Share of beneficiaries in participating oblasts reporting improvement in the access and quality of the targeted healthcare
services (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- -- 20.00
Date 01-Jan-2014 11-Mar-2016 11-Mar-2016 31-May-2020
Comments
The ToR for the beneficiary survey is being developed and will be submitted to the Bank for no objection by the end of September 2016
Overall Comments
Progress towards achieving project’s indicators is slow. The major issue is that the planned surveys of medical records, health facilities, and
project beneficiaries have not yet been launched.
Data on Financial Performance
Disbursements (by loan)
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Serving People, Improving Health Project (P144893)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed
P144893 IBRD-84750 Effective USD 214.73 214.73 0.00 2.75 211.98 1%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P144893 IBRD-84750 Effective 04-Mar-2015 19-Mar-2015 15-Jun-2015 30-Sep-2020 30-Sep-2020
Cumulative Disbursements
Restructuring History
There has been no restructuring to date.
Related Project(s)
There are no related projects.
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