Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) LATIN AMERICA AND CARIBBEAN | El Salvador | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2012 | Seq No: 14 | ARCHIVED on 31-May-2018 | ISR32257 | Implementing Agencies: Ministry of Health, Republic of El Salvador Key Dates Key Project Dates Bank Approval Date:21-Jul-2011 Effectiveness Date:11-Dec-2012 Planned Mid Term Review Date:15-Feb-2016 Actual Mid-Term Review Date:19-Oct-2015 Original Closing Date:30-Jun-2016 Revised Closing Date:30-May-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are to: (i) expand the coverage, quality, and equity in utilization of priority health services provided under the RIISS; and (ii) strengthen MINSAL stewardship capacity to manage essential public health functions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Expansion of Priority Health Services and Programs.:(Cost $54.41 M) Component 2: Institutional Strengthening:(Cost $22.74 M) Component 3: Project Management and Monitoring:(Cost $2.65 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Overall Risk Rating  Low  Low Implementation Status and Key Decisions 5/31/2018 Page 1 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) The Project has achieved its development objectives of expanding the coverage, quality, and equity in utilization of priority health services and strengthening the MINSAL capacity to manage essential public health functions. The Project will close as planned on May 30, 2018. As of May 2018, the loan has disbursed US$76.47 million (96%) and full disbursement of loan proceeds is expected by the end of the grace period. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Low  Low Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Moderate  Moderate Stakeholders  --  Low  Low Other  --  --  -- Overall  --  Low  Low Results Project Development Objective Indicators PHINDPDOTBL 1. Coverage of children less than 1 year old with the third dose of pentavalent in the 92 selected municipalities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 92.20 92.80 80.60 95.00 Date 12-Dec-2012 30-Dec-2017 31-Dec-2017 31-Dec-2017 Comments This indicator was achieved in three years of five years of implementation: 2013: 95.0%; 2014: 94.4%; 2015: 86.8%; 2016: 92.0% and 2017: 80.6%. The years when the indicators was not achieved reflect the increased street violence in the country and the breaks in the truce agreements. It represents a barrier for the health personnel to reach specific populations. Although the indicator appears that it did not achieve its target - institutional births in the country are 95% and most of those children have at least been immunized once. This data reports up to December 2017, the previous data was reporting 2016 data. Data is collected by the end of the year. This is the last point of data to be reported. 5/31/2018 Page 2 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) I addition, the denominator used for the estimation of this indicator came from the 2007 census which does not reflect an accurate estimation of the population growth. A new census is overdue. PHINDPDOTBL  2. Coverage of institutional delivery by the public network in the 92 selected municipalities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81.00 84.00 99.80 99.00 Date 12-Dec-2012 30-Dec-2017 31-Dec-2017 31-Dec-2017 PHINDPDOTBL  3. Number of eligible hospitals that comply with standard bio-hazard waste management system. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26.00 30.00 26.00 Date 12-Dec-2012 30-Dec-2017 30-Apr-2018 30-May-2018 Overall Comments Intermediate Results Indicators PHINDIRITBL  ECOS and hospitals in priority municipalities equipped according technical guidelines defined by MINSAL (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target ECOS 104 Hospitals ECOS 169 Value ECOS 0 Hospitals 0 ECOS 259 Hospitals 30 30 Hospitals 30 Date 12-Dec-2012 30-Dec-2017 30-Apr-2018 31-May-2018 5/31/2018 Page 3 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,200.00 4,660.00 2,039.00 Date 12-Dec-2012 30-Dec-2017 30-Apr-2018 31-May-2018 Comments 2,570 women and 2,090 men were trained under this fund. In addition, 5,117 community volunteers received health training (3,326 women and 1,791 men) PHINDIRITBL  Hospitals integrated into the National Medical Emergencies System (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 8.00 Date 12-Dec-2012 30-Dec-2017 30-Mar-2018 31-May-2018 PHINDIRITBL  Number of Facilities in priority Departments with operating information system. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 134.00 158.00 134.00 Date 12-Dec-2012 30-Dec-2017 30-Mar-2018 31-May-2018 Comments 100 UCSF 30 Hospitals 24 Administrative Units 5/31/2018 Page 4 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) PHINDIRITBL  Number of user satisfaction surveys carried out. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 2.00 Date 30-Sep-2014 30-Dec-2017 30-Mar-2018 31-May-2018 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P117157 IBRD-80760 -- USD 80.00 80.00 0.00 77.04 2.96 96% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P117157 IBRD-80760 -- 21-Jul-2011 30-Apr-2012 11-Dec-2012 30-Jun-2016 30-May-2018 Cumulative Disbursements 5/31/2018 Page 5 of 6 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) Restructuring History Level Approved on 21-Dec-2012 ,Level 2 Approved on 20-Feb-2015 ,Level 2 Approved on 07-Mar-2016 ,Level 2 Approved on 06-Apr-2017 ,Level 2 Approved on 08-Aug-2017 Related Project(s) There are no related projects. 5/31/2018 Page 6 of 6 Public Disclosure Copy