Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) Central North Region Health Support Project (P095275) EAST ASIA AND PACIFIC | Vietnam | Health, Nutrition and Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2010 | Seq No: 8 | ARCHIVED on 29-May-2015 | ISR19197 | Implementing Agencies: Key Dates Key Project Dates Board Approval date:06-Apr-2010 Effectiveness Date:23-Aug-2010 Planned Mid Term Review Date:23-Sep-2013 Actual Mid-Term Review Date:23-Sep-2013 Original Closing Date:31-Aug-2016 Revised Closing Date:31-Aug-2016 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to strengthen district-level curative and preventive health services and improving their accessibility for the economically vulnerable population in the Central North Provinces. Intermediate objectives are: Increasing health insurance coverage among the near-poor population; Upgrading capacities of district hospitals and District Preventive Health Centers; Improving supply and quality of health care personnel. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Supporting health insurance for the near poor population:(Cost $11.60 M) Strengthening district health services:(Cost $29.37 M) Improving supply and quality of human resources for health:(Cost $12.49 M) Project management, monitoring and evaluation:(Cost $4.51 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory 5/29/2015 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) Overall Risk Rating  --  Moderate Implementation Status and Key Decisions The project is progressing towards achieving its Development Objective. The utilization rate of district hospitals by of the poor and near poor have been slightly increased towards the targets. District hospitals and health centers are in the process of receiving training and equipment to improve their performance in order to fulfill their technical requirement by the MOH. The disbursement rate by end of March 2015 was 66%, still behind the schedule. The project contributed to bring up the HI coverage of the near poor people up to 90% by December 31 2014, in which the project provided direct financial support to 70% of the near poor in the region. It is noted that the national coverage of HI for the near poor was only 38.7% in 2014. The achievement is above the target of 40% by end of the project. With this coverage, it is expected to help to increase service utilization by the poor and near poor in local hospitals. The indicator for post graduate training support is also overachieved of 165% against the original target. 30 district preventive health centers were completed the construction and received major equipment to improve their performance in order to meet the MOH’s operation criteria. 5/29/2015 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Low Macroeconomic  --  --  Low Sector Strategies and Policies  --  --  Moderate Technical Design of Project or Program  --  --  Low Institutional Capacity for Implementation and Sustainability  --  --  Moderate Fiduciary  --  --  Moderate Environment and Social  --  --  Low Stakeholders  --  --  Moderate Other  --  --  -- Overall  --  --  Moderate Results Project Development Objective Indicators PHINDPDOTBL  10% increase in the utilization of inpatient and outpatient services by the poor (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target inpatient - inpatient - 5.6/100; inpatient - 26/100; 2.58/100; Value NA outpatient - 11/100 outpatient 9/100 outpatient - 5.79/100 Date 31-Dec-2010 31-Oct-2014 31-Mar-2015 28-Feb-2016 Comments The current data for Indicator 1 (10% increase in the utilization of inpatient and outpatient services by the poor) is collected from 31 district hospital under the project and will be updated once the data from VLSS 2014 is available 5/29/2015 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) PHINDPDOTBL  10% increase in the utilization of inpatient and outpatient services by the near-poor (Text, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target inpatient - inpatient – 5.1/100; inpatient - 6/100; 5.6/100; Value NA outpatient - 11.6/100 outpatient - 6/100 outpatient - 12.8/100 Date 31-Dec-2010 31-Oct-2014 31-Mar-2015 28-Feb-2016 PHINDPDOTBL  Average number of new technical services that a district hospital (among 30 projet district hospitals) can perform with project intervention (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 22.81 20.00 Date 31-Dec-2010 31-Oct-2014 31-Mar-2015 28-Feb-2016 PHINDPDOTBL  20 new District Preventive Health Centers constructed with adequate facilities and equipment to provide the full range of preventive health services accordingto the government norms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 30.00 30.00 20.00 Date 31-Dec-2010 31-Aug-2013 31-Mar-2014 28-Feb-2016 Comments The construction of all 30 District Preventive Health Centers were completed and in operation Overall Comments Intermediate Results Indicators 5/29/2015 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) PHINDIRITBL  40% of the near poor are covered by the health insurance program (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 79.00 89.55 40.00 Date 31-Dec-2010 30-Sep-2014 31-Mar-2015 28-Feb-2016 PHINDIRITBL  The share of near-poor households spending 25% of more of their non-food consumption on health is reduced to 12% or less (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18.40 16.00 16.00 12.00 Date 31-Dec-2010 31-Dec-2013 31-Mar-2015 28-Feb-2016 Comments The current data will be updated once the data from VLSS 2014 is available, expected within 2015. PHINDIRITBL  The share of district hosptials in claims reimbursed by health insurance (VSS) is 50% or more (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 47.90 50.50 57.00 50.00 Date 31-Dec-2010 31-Mar-2014 31-Mar-2015 28-Feb-2016 PHINDIRITBL  50% of patients satisfied with (a) overall quality of care at district hospitals, (b) reduction of waiting time, and (c) availability of services and diagnostic facilities (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target (a) 35%; (a) 50%; Value (b) 35%; NA NA (b) 50%; (c) 32% (c) 50% Date 31-Dec-2010 10-May-2014 31-Mar-2015 28-Feb-2016 Comments The data is expected to be available when the consultant carry out the survey in the 2nd Quarter, 2015. 5/29/2015 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) PHINDIRITBL  Lecturers of Vinh Medical University trained for post-graduate degrees (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Nil 44 44 50 Date 31-Dec-2010 31-Mar-2014 31-Mar-2015 28-Feb-2016 PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1192.00 1093.00 854.00 Date 31-Dec-2010 31-Mar-2014 31-Mar-2015 28-Feb-2016 Comments 289 staffs had been trained to Specialist level 1st, 2nd,…; 804 Assistant Doctors are under training to be full-fledged doctors. PHINDIRITBL  80% of medical professional return to their original place of work/residence after long-term training supported by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value -- 99.48 99.32 80.00 Date 31-Dec-2010 30-Sep-2014 31-Mar-2015 28-Feb-2016 Comments 441/444 MD trainees & post graduate trainees returned to their original place of work after long term training supported by the project 5/29/2015 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P095275 IDA-46880 Effective XDR 41.50 41.50 0.00 27.49 14.01 66% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P095275 IDA-46880 Effective 06-Apr-2010 25-May-2010 23-Aug-2010 31-Aug-2016 31-Aug-2016 Cumulative Disbursements Restructuring History Level 2 Approved on 26-Mar-2015 5/29/2015 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Central North Region Health Support Project (P095275) Related Project(s) There are no related projects. 5/29/2015 Page 8 of 8 Public Disclosure Copy