The World Bank Report No: ISR8980 Implementation Status & Results Mexico Support to the Social Protection System in Health (P116226) Public Disclosure Copy Operation Name: Support to the Social Protection System in Health (P116226) Project Stage: Implementation Seq.No: 6 Status: ARCHIVED Archive Date: 25-Feb-2013 Country: Mexico Approval FY: 2010 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 25-Mar-2010 Original Closing Date 31-Dec-2013 Planned Mid Term Review Date 24-Sep-2012 Last Archived ISR Date 11-Jul-2012 Effectiveness Date 17-Dec-2010 Revised Closing Date 31-Dec-2013 Actual Mid Term Review Date 08-Nov-2012 Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to (i) initially preserve and later expand the Popular Health Insurance's coverage of peoplewithout social security and (ii) strengthen the capacity of the Commission (for social protection in health) and state healthsystems to effectively administer the entitlements of the Popular Health Insurance. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost PHI's coverage of people without contributory social security 1239.00 Capacity of the Commission and SHS to administer the PHI's entitlements 7.90 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Public Disclosure Copy Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Implementation Status Overview The Project was approved on March 25, 2010, became effective on December 17, 2010 and is closing on December 31, 2013.The original loan amount is US$1,250.0 million of which approximately US$1,165.9 million or 93.3 percent of total loan amount has been disbursed. Progress towards the Project Development Objectives and Project implementation remains satisfactory. The National Commission of Social Protection in Health exceeded the end-of- project targets of three out of its four outcome indicators, including Popular Health Insurance (PHI) coverage. As of October 31, 2011, 52.8 million people have been enrolled in the Popular Health Insurance (PHI), covering practically 100 percent of people without social security. With this, universal health coverage has been reached. Page 1 of 4 The World Bank Report No: ISR8980 Locations No Location data has been entered Public Disclosure Copy Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of individuals affiliated with the PHI as Percentage Value 64.00 109.00 85.00 a percentage of the total number of individuals Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 that are not affiliated with a contributory social Comments End of project target has been security system exceeded. Recommeneded actions implemented by Percentage Value 60.00 87.00 85.00 federal entities resulting from the supervision Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 action plan carried out by the Commission in its Comments End of project target has been 4 action areas exceeded. Number of indviduals affiliated with the PHI Percentage Value 0.00 10408562.00 10000000.00 who have received a "Health Risk Screening" Date 31-Dec-2010 31-Oct-2012 31-Dec-2013 as a percentage of the total number of Comments End of project target has been individuals affiliated with the PHI exceeded. Number of individuals affiliated with the PHI Percentage Value 71.20 74.30 80.00 that report having received enough information Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 to know their rights and obligations as a Comments The National Health and percentage of the total number of individuals affiliated with the Nutrition Survey (2012) shows that this indicator is slightly below the expected 2012 target (77.5%) Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Public Disclosure Copy Federal and State expenditure on the PHI (US$ Amount(USD) Value 3407440000.00 4742590000.00 6481692000.00 constant exchange rate (2009)) Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 Comments The 2012 target has been exceeded. Page 2 of 4 The World Bank Report No: ISR8980 Number of individuals in deciles 1 and 2 Percentage Value 48.00 72.40 77.00 affiliated with the PHI's subsidized regime as a Date 31-Dec-2008 31-Oct-2012 31-Dec-2013 percentage of total number of individualsin Comments 2012 target was surpassed deciles 1 and 2 that are not affiliated with a Public Disclosure Copy contributory socia since 2011 Number of Oportunidades beneficiary families Percentage Value 60.70 118.50 80.00 affiliated with the PHI as a percentage of the Date 31-Dec-2008 31-Oct-2012 31-Dec-2013 total number of Oportunidades beneficiary Comments Base line reviewed during the End of project target has families Feb 2011 mission been surpassed Number of individuals affiliated with the Percentage Value 78.47 122.80 92.00 Popular Health Insurance residing in areas Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 where more than 40% of the population speaks Comments Base line will be modified End of project target has been an indigenous language as a percentage of total number of individuals surpassed. Number of individuals affiliated with the PHI Percentage Value 81.90 74.30 88.00 who report having received a bill of rights and Date 31-Dec-2006 31-Oct-2012 31-Dec-2013 responsibilities at the time of affiliation as a Comments The National Health and percentage of the total number of affiliated with the PHI Nutrition Survey (ENSANUT) shows that this indicator is below the 2012 target (87%) Health risk management program guidelines Yes/No Value No Yes Yes have been designed and rolled out Date 31-Dec-2009 31-Oct-2012 31-Dec-2013 Comments End of project target has been met. Guidelines have been designed and rolled out in all federal entities Number of federal entities that contribute with Number Value 31.00 32.00 31.00 their State Solidarity Contribution (ASE) to the Date 31-Oct-2012 PHI according to the General Health Law Comments End of project target has been met. Public Disclosure Copy Number of federal entities supervised by the Number Value 0.00 32.00 32.00 Commission in any of its four core action areas Date 31-Oct-2012 during a calendar year Comments End of project target has been met Data on Financial Performance (as of 04-Dec-2012) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date Page 3 of 4 The World Bank Report No: ISR8980 Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P116226 IBRD-78600 Effective 25-Mar-2010 30-Mar-2010 17-Dec-2010 31-Dec-2013 31-Dec-2013 Disbursements (in Millions) Public Disclosure Copy Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P116226 IBRD-78600 Effective USD 1,250.00 1,250.00 0.00 1,241.44 8.56 99.00 Disbursement Graph Key Decisions Regarding Implementation None. Public Disclosure Copy Restructuring History Level two Approved on 22-Nov-2011 Related Projects There are no related projects. Page 4 of 4