Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
Kyrgyz Second Health and Social Protection Project (P126278)
EUROPE AND CENTRAL ASIA | Kyrgyz Republic | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 12 | ARCHIVED on 26-Jun-2018 | ISR32836 |
Implementing Agencies: Kyrgyz Republic, Ministry of Health
Key Dates
Key Project Dates
Bank Approval Date:03-May-2013 Effectiveness Date:11-Jul-2014
Planned Mid Term Review Date:20-Jun-2016 Actual Mid-Term Review Date:15-Jun-2016
Original Closing Date:31-Dec-2018 Revised Closing Date:31-Dec-2018
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The proposed PDO is to: (i) improve health outcomes in four health priority areas in support of the “Den Sooluk” National Health Reform Program
2012-2016; and (ii) enable the Government's efforts to enhance effectiveness and targeting performance of social assistance and services
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)PHRPDODEL
The proposed new PDO is to contribute to improving delivery of quality maternal and child health care services within the “Den Sooluk” National
Health Reform Program.
Components
Name
Component 1 – Strengthening the delivery of quality MCH care services within eh "Den Sooluk" National Health Reform Program:(Cost $13.50 M)
Component 2 – Strenghtening Health System within teh "Den Sooluk" National Health Reform Program:(Cost $3.00 M)
Component 3: Contingency Emergency Response (no funds allocated)
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Moderately Satisfactory Satisfactory
Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory
Overall Risk Rating Substantial Substantial
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
Implementation Status and Key Decisions
Progress toward achievement of Project Development Objective (PDO) is proposed to be upgraded from Moderately Satisfactory to Satisfactory. At this
stage, all five PDO indicators have been achieved or over-achieved. Implementation of the project components is largely on track. Overall disbursement
has reached 95% of the total Grant and Credit.
Preparation for the next health project has officially kicked off. For the next phase of engagement, an emphasis will be put on moving from financing for
inputs to financing for results. The Joint Financiers’ support will focus on advancing Kyrgyz’s progress toward effective and sustainable universal health
coverage while tackling the key bottlenecks in quality of health service and efficiency in the system.
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance -- Substantial Substantial
Macroeconomic -- Substantial Substantial
Sector Strategies and Policies -- High High
Technical Design of Project or Program -- High High
Institutional Capacity for Implementation and
Sustainability
-- High High
Fiduciary -- High High
Environment and Social -- Low Low
Stakeholders -- Substantial Substantial
Other -- Substantial Substantial
Overall -- Substantial Substantial
Results
Project Development Objective Indicators
PHINDPDOTBL
Proportion of normal deliveries in district (rayon) hospitals that received services following clinical protocols (Percentage,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 5.70 72.50 73.80 58.00
Date 01-Jul-2014 22-Sep-2017 18-May-2018 31-Dec-2018
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
PHINDPDOTBL
Proportion of complicated deliveries in district (rayon) hospitals that received services following clinical protocols (Percentage,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 2.50 68.10 61.10 43.00
Date 01-Jul-2014 22-Sep-2017 18-May-2018 31-Dec-2018
PHINDPDOTBL
Births (deliveries) attended by skilled health personnel (number) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 150,000.00 622,617.00 777,224.00 916,000.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDPDOTBL
Diarrhea treatment with oral rehydration therapy (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 77.00 82.60 82.10 80.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDPDOTBL
Government health expenditure as % of total government expenditure (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 13.70 13.00 13.00 13.00
Date 31-Dec-2013 30-Nov-2017 18-May-2018 31-Dec-2018
Overall Comments
Intermediate Results Indicators
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
PHINDIRITBL
Number of facilities adequately equipped to provide emergency obstetric and neonatal care (cumulative) (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 10.00
Date 31-Dec-2013 22-Sep-2017 18-May-2018 31-Dec-2018
Comments
Number of oblast hospital maternity wards and city perinatal centers having the full set of basic equipment required to provide emergency
obstetric care.
Status update May 2018: contract is being signed for 3 out of 4 lots. One lot is being retendered, deliverable by September 2018
PHINDIRITBL
Pregnant women receiving antenatal care during a visit to a health provider (number) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 148,000.00 612,942.00 766,019.00 909,000.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Number of providers trained in postnatal and postabortal IUD insertion and removal (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 76.00 200.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Children immunized (number) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 135,000.00 558,601.00 697,000.00 837,000.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
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Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
PHINDIRITBL
Children immunized - under 12 months against DTP3 (number) (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 135,000.00 558,601.00 699,732.00 837,000.00
Date 31-Dec-2012 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Children immunized - under 12 months against Polio (number) (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 135,000.00 560,192.00 703,099.00 837,000.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Number of children treated with ORS for diarrhea or with antibiotic for pneumonia (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 53,000.00 125,416.00 134,145.00 177,000.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Proportion of HIV infected pregnant women that received antiretroviral drugs to reduce risk of mother-to-child transmission
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 96.10 91.00 95.20 95.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
PHINDIRITBL
Number of family doctors, feldshers, TB doctors and nurses trained on TB clinical protocols and guidelines (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 1,210.00 5,835.00 3,300.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Number of family doctors, feldshers and nurses trained on CVD (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 418.00 2,479.00 4,500.00
Date 31-Dec-2013 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Percentage of negative deviations of the executed health budget from the initially approved budget and quarterly allocations
and execution of the health budget (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 5.00 3.60 4.65 5.00
Date 31-Dec-2012 30-Dec-2016 18-May-2018 31-Dec-2018
PHINDIRITBL
Submission of IFRs satisfactory to IDA within due dates according to Financing Agreement (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N Y Y Y
Date 31-Dec-2012 15-Dec-2017 18-May-2018 31-Dec-2018
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
PHINDIRITBL
Proportion of electronically registered families with children receiving social assistance (MBPF) who are electronically
registered (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 100.00 100.00 100.00
Date 31-Dec-2013 22-Sep-2017 18-May-2017 31-Dec-2018
PHINDIRITBL
Number of districts where the Social Registry Information System has been fully rolled out (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 20.00 50.00 50.00 57.00
Date 31-Dec-2013 22-Sep-2017 18-May-2018 31-Dec-2018
Comments
The last of the remote districts was connected on-line to the new MIS system, reaching the target of connecting all the districts in the
country.
PHINDIRITBL
Roadmap to reform disability service developed (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value N Y Y Y
Date 31-Dec-2012 22-Sep-2017 18-May-2018 31-Dec-2018
Overall Comments
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
P126278 IDA-52350 Effective USD 9.07 9.07 0.00 6.87 1.41 83%
P126278 IDA-H8390 Effective USD 7.43 7.43 0.00 6.85 0.00 100%
P126278 TF-15135 Effective USD 11.96 11.96 0.00 11.96 0.00 100%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P126278 IDA-52350 Effective 03-May-2013 16-Dec-2013 11-Jul-2014 31-Dec-2018 31-Dec-2018
P126278 IDA-H8390 Effective 03-May-2013 16-Dec-2013 11-Jul-2014 31-Dec-2018 31-Dec-2018
P126278 TF-15135 Effective 05-Feb-2014 28-May-2014 11-Jul-2014 30-Jun-2016 31-Dec-2018
Cumulative Disbursements
Restructuring History
Level 2 Approved on 16-Nov-2015 ,Level 1 Approved on 07-Mar-2017 ,Level 2 Approved on 07-Apr-2017
Related Project(s)
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Public Disclosure Copy
Public Disclosure Copy
The World Bank Implementation Status & Results Report
Kyrgyz Second Health and Social Protection Project (P126278)
There are no related projects.
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