The World Bank                                                                                                                                               Report No: ISR15987


                                                                                                   Implementation Status & Results
                                                                                                            Vietnam
                                                                        Health Professionals Education and Training for Health System Reforms (P131825)
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                         Operation Name: Health Professionals Education and Training for Health              Project Stage:   Implementation         Seq.No: 2      Status: ARCHIVED     Archive Date:   25-Oct-2014
                                          System Reforms (P131825)
                                                                               Country: Vietnam                                       Approval FY:        2014
                         Product Line: IBRD/IDA                                Region: EAST ASIA AND PACIFIC                          Lending Instrument: Investment Project Financing
                         Implementing Agency(ies): Ministry of Health

                         Key Dates
                         Board Approval Date      06-May-2014            Original Closing Date 31-Dec-2020          Planned Mid Term Review Date 15-Jul-2015                Last Archived ISR Date 09-Aug-2014
                         Effectiveness Date                              Revised Closing Date 31-Dec-2020           Actual Mid Term Review Date

                         Project Development Objectives
                         Project Development Objective (from Project Appraisal Document)

                         The PDOs are to improve the quality of health professionals' education, strengthen management competencies in the health sector, and improve the competencies of
                         Primary Health Care teams at the grass-roots level.
                         Has the Project Development Objective been changed since Board Approval of the Project?

                            Yes           No

                         Component(s)
                         Component Name                                                                                                           Component Cost
                         Component 1: Improve the Quality of Health Professionals Education                                                                 63.00
                         Component 2: Strengthen Management Competencies in the Health Sector                                                               12.00
                         Component 3: Improve Competencies of Primary Health Care Teams at the Grass-roots Level                                            41.00
                         Component 4: Project Implementation Support and Coordination                                                                        5.00
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                         Overall Ratings
                                                                  Previous Rating                       Current Rating
                         Progress towards achievement of PDO      Satisfactory                          Satisfactory
                         Overall Implementation Progress (IP)     Satisfactory                          Satisfactory
                         Overall Risk Rating                                                            Substantial

                         Implementation Status Overview
                         HPET Financing Agreement has been signed on July 17. Project effectiveness is scheduled for October 16 at the latest. The Minister of Health has signed a Decision establishing the
                         Quality Assurance Council responsible for developing the accreditation system for health professional education institutions and the national examination system. Another Ministerial
                         Decision has appointed the Director and Deputy Directors of the Central Project Management Unit (CPMU). The next steps required to expedite project implementation are the


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                             The World Bank                                                                                                                                  Report No: ISR15987



                         recruitment of CPMU staff to perform financial management, procurement, planning and monitoring and evaluation functions, and the refinement of the Project Operations Manual
                         including specific guidelines for activities under Component 1 (Improve the Quality of Health Professionals Education), Component 2 (Strengthen Management Competencies in the
                         Health Sector) and Component 3 (Improve Competencies of Primary Health Care Teams at the Grass-roots Level) of the project.
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                         Locations
                         Country                                            First Administrative Division               Location                                   Planned             Actual
                         Vietnam                                            Yen Bai                                     Tinh Yen Bai                                         ✔

                         Vietnam                                            Kon Tum                                     Tinh Kon Tum                                         ✔

                         Vietnam                                            Thai Binh                                   Tinh Thai Binh                                       ✔

                         Vietnam                                            Son La                                      Tinh Son La                                          ✔

                         Vietnam                                            Lam Dong                                    Tinh Lam Dong                                        ✔

                         Vietnam                                            Lai Chau                                    Tinh Lai Chau                                        ✔

                         Vietnam                                            Ha Giang                                    Tinh Ha Giang                                        ✔

                         Vietnam                                            Gia Lai                                     Tinh Gia Lai                                         ✔

                         Vietnam                                            Dong Thap                                   Tinh Dong Thap                                       ✔

                         Vietnam                                            Cao Bang                                    Tinh Cao Bang                                        ✔

                         Vietnam                                            Dak Nong                                    Dak Nong                                             ✔

                         Vietnam                                            Huyen Dien Bien                             Huyen Dien Bien                                      ✔

                         Vietnam                                            Nam Dinh                                    Tinh Nam Dinh                                        ✔


                         Results
                         Project Development Objective Indicators
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                             The World Bank                                                                                                                                Report No: ISR15987



                         Indicator Name                                    Core Unit of Measure              Baseline                     Current                          End Target
                         Number of health professional programs that             Text             Value      All schools have completed   0                                6 medical programs;
                         have completed the Peer Review Assessment                                           the self-evaluation                                           3 4-yr nursing programs;
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                         (PRA).                                                                                                                                            5 3-yr nursing programs
                                                                                                                                                                           1 pharmacy program
                                                                                                  Date       30-Sep-2014                  15-Aug-2014                      31-Dec-2020
                                                                                                  Comments                                The QA Council to be             year 4 (two medical
                                                                                                                                          responsible for developing the   programs; one
                                                                                                                                          PRA system has been               4-yr nursing programs; one
                                                                                                                                          established.                     3-year nursing program); year
                                                                                                                                                                           5 (four medical programs; two
                                                                                                                                                                            4-yr nursing programs; three
                                                                                                                                                                           3-year nursing program).
                         Percentage of first takers who have passed the          Text             Value      0                            0                                80% for all programs
                         standardized examination for their area of                               Date       30-Sep-2014                  15-Aug-2014                      31-Dec-2020
                         study (medicine, nursing, or pharmacy).
                                                                                                  Comments                                The QA Council to be           year 4 (60% for each of the
                                                                                                                                          responsible for developing the programs); year 5 (70% for
                                                                                                                                          national examination system each of the programs)
                                                                                                                                          has been established.
                         Number of managers that have completed at               Number           Value      0.00                         0.00                             4000.00
                         least one management course.                                             Date       30-Sep-2014                  15-Aug-2014                      31-Dec-2020
                                                                                                  Comments                                A draft training workplan was    year 2 (500); year 3 (1500);
                                                                                                                                          available but need additional    year4 (2500); year 5 (3500)
                                                                                                                                          information.
                         Percentage of young volunteer physicians who            Text             Value      0                            0                                500
                         worked in disadvantage districts during the                              Date       30-Sep-2014                  15-Aug-2014                      31-Dec-2020
                         year following completion of CK1 training.
                                                                                                  Comments                                DOM has conducted
                                                                                                                                          promotion and awareness
                                                                                                                                          raising of the program in
                                                                                                                                          selected medical schools.
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                         Percentage of CHS staff per province that have          Text             Value      0                            0                                80%
                         improved their clinical skills in management of                          Date       30-Sep-2014                  15-Aug-2014                      31-Dec-2020
                         selected conditions by at least 25% after
                                                                                                  Comments                                Plan in progress to conduct a    year 3 (50%);
                         training.
                                                                                                                                          training needs assessment.



                                                                                                                                                                           0

                         Intermediate Results Indicators



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                             The World Bank                                                                                                               Report No: ISR15987



                         Indicator Name                                  Core Unit of Measure              Baseline      Current                          End Target
                         Number of trained assessors.                          Text             Value      0             0                                60 medicine; 30 nursing; 6
                                                                                                                                                          pharmacy
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                                                                                                Date       30-Sep-2014   15-Aug-2014                      30-Sep-2018
                                                                                                Comments                 The QA Council to be
                                                                                                                         responsible for developing the
                                                                                                                         PRA system which will
                                                                                                                         include the use of assessors
                                                                                                                         in the PRA has been
                                                                                                                         established.
                         Examination blueprint ready                           Text             Value      0             0                                blueprint ready
                                                                                                Date       30-Sep-2014   15-Aug-2014                      30-Sep-2015
                                                                                                Comments                 The QA Council to be
                                                                                                                         responsible for developing the
                                                                                                                         national examination system,
                                                                                                                         including overseeing blueprint
                                                                                                                         development, has been
                                                                                                                         established.
                         Item Bank ready.                                      Text             Value      0             0                                item bank ready
                                                                                                Date       30-Sep-2014   15-Aug-2014                      30-Sep-2015
                                                                                                Comments                 The QA Council to be
                                                                                                                         responsible for developing the
                                                                                                                         national examination system,
                                                                                                                         including overseeing the item
                                                                                                                         bank development, has been
                                                                                                                         established.
                         Number of management trainers enrolled in a           Text             Value      0                                              3
                         graduate program.                                                      Date       30-Sep-2014   15-Aug-2014                      30-Sep-2018
                                                                                                Comments                                                  year 2 (5); year 3 (6); year 4
                                                                                                                                                          (3)
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                         Number of students enrolled in a management           Text             Value      0                                              600
                         course.                                                                Date       30-Sep-2014   15-Aug-2014                      31-Dec-2020
                                                                                                Comments                                                  year 2 (600); year 3 (1100);
                                                                                                                                                          year 4 (1100); year 5 (1100);
                                                                                                                                                          year 6 (600)
                         Number of health staff enrolled in a training         Text             Value      0             0                                3500
                         program.                                                               Date       30-Sep-2014   15-Aug-2014                      30-Sep-2018
                                                                                                Comments                                                  year 1 (500); year 2 (2000);
                                                                                                                                                          year 3 (2500); year 4 (3500)



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                             The World Bank                                                                                                                                             Report No: ISR15987



                         Number of CHS provided with a set of basic            Number              Value          0.00                               0.00                               1300.00
                         equipment.                                                                Date           30-Sep-2014                        15-Aug-2014                        30-Sep-2017
                                                                                                   Comments                                                                             year 2 (1000); year 3 (1300)
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                         Data on Financial Performance (as of 30-Jul-2014)
                         Financial Agreement(s) Key Dates
                         Project              Ln/Cr/Tf                Status            Approval Date                 Signing Date           Effectiveness Date        Original Closing Date      Revised Closing Date
                         P131825              IDA-54410               Not Effective     06-May-2014                   17-Jul-2014                                      31-Dec-2020                31-Dec-2020

                         Disbursements (in Millions)
                         Project              Ln/Cr/Tf                Status            Currency           Original             Revised           Cancelled          Disbursed           Undisbursed       % Disbursed
                         P131825              IDA-54410               Not Effective     XDR                             68.60             68.60               0.00               0.00              68.60          0.00


                         Disbursement Graph
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                         Key Decisions Regarding Implementation
                         None

                         Restructuring History
                         There has been no restructuring to date.


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                         Related Projects
                         There are no related projects.
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