The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) Strengthening Pre-Service Education System for Health Professionals Project (P169629) EAST ASIA AND PACIFIC | Cambodia | IBRD/IDA | Investment Project Financing (IPF) | FY 2020 | Seq No: 9 | Archived on 12- Jun-2024 | ISR00538 Implementing Agencies: Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 28-May-2020) To strengthen Cambodia’s pre-service education system for health professionals. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name COMPONENT 1: STRENGTHENING NATIONAL FRAMEWORKS FOR COMPETENCY-BASED EDUCATION:(Cost 4,500,000.00) COMPONENT 2: IMPROVING COMPETENCY-BASED TEACHING AND LEARNING CAPACITY:(Cost 10,000,000.00) COMPONENT 3: PROJECT MANAGEMENT, MONITORING AND EVALUATION:(Cost 2,000,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Moderately Unsatisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions Jun 12, 2024 Page 1 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) After the restructuring, the project is getting back on track towards achieving its development objective. The working groups at the MOH and HTIs made strides in the development of curricula, training of faculty members, procurement of equipment, implementation of competency-based education (CBE) courses, and standardization of practice sites. Three of the four PDO indicators and fourteen of the eighteen intermediate results indicators showed remarkable progress toward achieving their end targets. The Project Management Team commits to maintaining the positive momentum by accelerating the implementation of the 2024 work plan and procurement plan, and improving disbursement rates. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 08 - 24 Dec Proposed Rating 29 May 2020 2023 Political and Governance Substantial Substantial Substantial Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Low Low Low Stakeholders Moderate Moderate Moderate Overall Substantial Substantial Substantial Jun 12, 2024 Page 2 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Component 1: Strengthening health professionals’ education governance Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year National CBE curricula 0.00 Jun/2020 4.00 30-Nov-2023 13.00 Jun/2026 independently reviewed and approved (Number) Component 2: Improving competency-based teaching and learning capacity Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Faculty members trained in 0.00 Jun/2020 34.00 30-Nov-2023 85.00 Jun/2026 competency-based education (Percentage) Health facilities or other 0.00 Jun/2020 0.00 30-Nov-2023 10 Jun/2026 relevant settings that meet standard criteria for practice sites (Number) Health Training Institutions 0 Jun/2022 0 5 Jun/2026 with improved quality of education (Number) 6.2 Intermediate Results Indicators by Components COMPONENT 1: STRENGTHENING NATIONAL FRAMEWORKS FOR COMPETENCY-BASED EDUCATION Jun 12, 2024 Page 3 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year National CBE trainers and 0 Jun/2020 150 Jun/2026 assessors trained (Number) Competency-based 0 Jun/2020 500 Jun/2026 examination items developed (Number) Regulations, standards, and 0.00 Jun/2020 18.00 30-Nov-2023 20.00 Jun/2026 guidelines developed (Number) Competency frameworks for 0.00 Jun/2021 6.00 30-Nov-2023 6.00 Jun/2026 health professionals that mainstreamed gender and GBV aspects (Number) Knowledge exchange events 0.00 Jun/2021 7.00 30-Nov-2023 8.00 Jun/2026 organized (Number) CBE courses developed 0.00 Jun/2020 153.00 30-Nov-2023 250 Jun/2026 (Number) Programs that provide 0.00 Jun/2020 3.00 30-Nov-2023 6.00 Jun/2026 training in gender-based violence (Number) COMPONENT 2: IMPROVING COMPETENCY-BASED TEACHING AND LEARNING CAPACITY Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year HTIs that have a strategic 0.00 Jun/2021 5.00 30-Nov-2023 5.00 Jun/2026 plan (Number) E-learning courses developed 0.00 Jun/2020 44.00 30-Nov-2023 40.00 Jun/2026 (Number) Lesson plans developed 0 Jun/2020 300 Jun/2026 (Number) Jun 12, 2024 Page 4 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) MCQs developed (Number) 0.00 Jun/2021 1,426.00 30-Nov-2023 2,000.00 Jun/2026 Preceptors at practice sites 0 Jun/2020 500 Jun/2026 trained (Number) Tools developed to assess 0.00 Jun/2020 2.00 30-Nov-2023 20.00 Jun/2026 students’ performance at practice sites (Number) Libraries equipped 0 Jun/2020 5 Jun/2026 (Number) Skill and simulation 0.00 Jun/2020 0.00 30-Nov-2023 10.00 Jun/2026 laboratories equipped and operational at HTIs (Number) Computer-based 0 Jun/2020 5 Jun/2026 examination facilities upgraded (Number) 0.00 Jun/2020 0.00 30-Nov-2023 5.00 Jun/2026 Number of HTIs that use Comments on The UHS conducted a student feedback survey and will finalize the survey report in quarter student feedback for achieving targets IV, 2024. At four RTCs, student satisfaction is being assessed as part of internal quality education quality assurance. Once the student feedback/satisfaction reports are completed, the HTIs can improvement (Number) make evidence-based decisions for education quality improvements by the end of 2024. Students supported with 0 Jun/2020 1000 Jun/2026 better education (Number) Jun 12, 2024 Page 5 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IDA-66640 Effective 15.00 12.00 3.00 5.68 5.97 47.37% TF-C0329 Effective 8.00 8.00 0.00 2.05 5.95 25.61% 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-66640 Effective 29-May-2020 15-Jun-2020 08-Sept-2020 30-Jun-2026 30-Jun-2026 Jun 12, 2024 Page 6 of 7 The World Bank Implementation Status & Results Report Strengthening Pre-Service Education System for Health Professionals Project (P169629) TF-C0329 Effective 16-Jan-2023 06-Mar-2023 06-Mar-2023 30-Jun-2026 30-Jun-2026 8. KEY DATES Key Events Planned Actual Approval 29-May-2020 29-May-2020 Effectiveness 08-Sept-2020 08-Sept-2020 Mid-Term Review No. 01 24-Feb-2023 24-Feb-2023 Operation Closing/Cancellation 30-Jun-2026 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 30-Nov-2022 Restructuring Level 2 Approved on 01-Apr-2024 10. ASSOCIATED OPERATION(S) There are no associated operations Jun 12, 2024 Page 7 of 7