Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) Essential Public Health Functions Programs II Project (P110599) LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2011 | Seq No: 14 | ARCHIVED on 28-Dec-2017 | ISR30744 | Implementing Agencies: Ministerio de Salud de la Nacion, Ministerio de Hacienda y Finanzas Key Dates Key Project Dates Bank Approval Date:20-Dec-2010 Effectiveness Date:03-Aug-2011 Planned Mid Term Review Date:04-Aug-2014 Actual Mid-Term Review Date:01-Dec-2014 Original Closing Date:30-Jun-2016 Revised Closing Date:30-Apr-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDOs are to: (i) improve the stewardship role of the federal public health system, through the strengthening of Essential Public Health Functions; and (ii) increase the coverage and clinical governance of Priority Public Health Programs Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Strengthen the Ministry of Health's (MSN) and Provincial Ministries' Stewardship Capacities and Improve the Public Health Infrastruc ture.:(Cost $123.20 M) Improve Results of Public Health Priority Programs and the Provincial Level:(Cost $322.00 M) Administration, Monitoring, and Evaluation:(Cost $14.50 M) 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  Moderate  Moderate Implementation Status and Key Decisions 12/28/2017 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) The Project was approved by the board on December 20, 2010, and the loan was signed on April 11, 2011. It became effective on August 3, 2011. As of November 2017, 96% of loan proceeds have been disbursed (US$441.5 million). The Project shows a positive trend towards achieving Project's Development Objectives (PDO) as two out of five PDO indicators has already surpassed the end-Project targets, the other three indicators are in progress to achieve their end targets by the revised closing date – April 30, 2018. The Project is expected to achieve its PDOs and fully disburse the loan by the closing date. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Moderate  Moderate Macroeconomic  --  Moderate  Moderate Sector Strategies and Policies  --  Moderate  Moderate Technical Design of Project or Program  --  Low  Low Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Substantial Environment and Social  --  Low  Low Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Increased kilograms of blood-plasma produced by MSN and provincial labs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 33,000.00 41,600.00 41,600.00 40,000.00 Date 20-Dec-2010 28-Apr-2017 28-Apr-2017 30-Apr-2018 PHINDPDOTBL  Reduction of the tobacco consumption prevalence in adults 18-64 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/28/2017 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) Value 30.00 25.10 25.10 27.00 Date 20-Dec-2010 30-Sep-2016 30-Sep-2016 30-Apr-2018 PHINDPDOTBL  At least 200 out of the 700 participating municipalities certified as Health Responsible Municipalities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 192.00 200.00 200.00 Date 20-Dec-2010 28-Apr-2017 31-Oct-2017 30-Apr-2018 PHINDPDOTBL  Increased percentage of certified departments or local territories with satisfactory or highly satisfactory epidemiological surveillance nodes (C2). (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 68.00 70.20 80.00 Date 20-Dec-2010 30-Sep-2016 29-Sep-2017 30-Apr-2018 PHINDPDOTBL  Increased percentage of children under one year of age vaccinated with pentavalent vaccine. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 93.60 94.70 94.70 95.00 Date 20-Dec-2010 31-May-2016 30-Dec-2016 30-Apr-2018 Overall Comments Intermediate Results Indicators 12/28/2017 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) PHINDIRITBL  Increased participation of provinces in training of health personnel in public health (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 24.00 24.00 24.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Number of pilot studies with nutritional sprinkles component (to reduce iron deficiency anemia) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,665.00 1,665.00 800.00 Date 31-Mar-2011 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of women between 40 and 70 years old in the province of Tucuman benefiting from at least one mammography provided by the health system. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 90.80 90.80 60.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 12/28/2017 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) PHINDIRITBL  Percentage of women between 35 and 64 in Tucuman benefiting from at least one PHV and/or citology test provided by the health system (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 63.90 63.90 60.00 Date 01-Nov-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of women between 35 and 64 in Misiones benefiting from at least one PHV and/or citology test provided by the health system (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 90.50 90.50 60.00 Date 01-Nov-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of women between 50 and 69 years old in the province of Misiones benefiting from at least one mammography provided by the health system. (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 89.60 89.60 60.00 Date 01-Nov-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Increased number of PROFE population from Tucuman and Misiones enrolled in a clinical governance program for kidney disease prevention and control. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,261.00 2,562.00 4,000.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 12/28/2017 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) PHINDIRITBL  Number of intensive health care units evaluated and properly registered in the system. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 426.00 405.00 400.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Blood donations per 1000 inhabitants over 18 years old (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.60 30.70 29.90 30.60 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of operational HIV/AIDS Counseling and Testing Centers. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 91.80 91.80 70.00 Date 20-Dec-2010 28-Apr-2017 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of PROFE beneficiaries with low incidence high cost diseases included in the PROFE health care chain. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 83.30 83.30 50.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 12/28/2017 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) PHINDIRITBL  Percentage of PROFE newly diagnosed patients with renal chronic dialysis evaluated within six months of beginning dialysis. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 80.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Percentage of PROFE renal chronic dialysis patients evaluated and included in SINTRA. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 95.10 95.10 80.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Number of PROFE women with more than 7 children having signed their letter of rights. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8,477.00 8,477.00 40,000.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Number of tobacco free municipalities. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 121.00 121.00 140.00 Date 20-Dec-2010 28-Apr-2017 28-Apr-2017 30-Jun-2016 12/28/2017 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) PHINDIRITBL  Number of technical audits on clinical effectiveness of the diseases of low incidence and higher cost, renal disease and haemophilia. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 3.00 2.00 Date 20-Dec-2010 09-Nov-2015 31-Oct-2017 30-Jun-2016 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 12.00 Date 20-Dec-2010 30-Sep-2016 31-Oct-2017 30-Jun-2016 Comments 12 civil works are now under execution. Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P110599 IBRD-79930 Effective USD 461.00 461.00 0.00 441.52 19.48 96% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P110599 IBRD-79930 Effective 20-Dec-2010 11-Apr-2011 03-Aug-2011 30-Jun-2016 30-Apr-2018 Cumulative Disbursements 12/28/2017 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Essential Public Health Functions Programs II Project (P110599) Restructuring History Level 2 Approved on 13-Jun-2016 Related Project(s) There are no related projects. 12/28/2017 Page 9 of 9 Public Disclosure Copy