The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) Health System Efficiency and Resilience Project (P180263) MIDDLE EAST AND NORTH AFRICA | West Bank and Gaza | IBRD/IDA | Investment Project Financing (IPF) | FY 2023 | Seq No: 3 | Archived on 15-Aug-2024 | ISR00937 Implementing Agencies: Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 06-Apr-2023) To support the Palestinian Authority in improving the quality, efficiency, and resilience of public health service delivery. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Component 1: Scaling Up Cost-effective Public Primary Health Care Services:(Cost 16,800,000.00) Component 2: Improving Public Hospitals Service Delivery:(Cost 13,200,000.00) Component 3: Strengthening key public health functions of pandemic prevention, preparedness, and response:(Cost 14,500,000.00) Component 4: Project Implementation and Monitoring:(Cost 500,000.00) Component 5: Contingent Emergency Response Component:(Cost 0.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Aug 15, 2024 Page 1 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) 4. KEY ISSUES & STATUS 4.1 Implementation Status and Key Decisions 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Last Approved Rating Risk Category Rating at Approval AF Seq. 01 Approval - Proposed Rating 06 May 2024 Political and Governance  High High Macroeconomic  Substantial Substantial Sector Strategies and Policies  High High Technical Design of Project or Program  Substantial Substantial Institutional Capacity for Implementation and  Substantial Substantial Sustainability Fiduciary  Substantial Substantial Environment and Social  Substantial Substantial Stakeholders  Substantial Substantial Overall  Substantial Substantial Aug 15, 2024 Page 2 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Delivery of quality health services Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Number of people receiving quality 0.00 Apr/2024 0 25-Jul-2024 477,910.00 May/2028 health, nutrition, population services (Number) Improved efficiency of health system system Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Average growth rate of total OMR 16.00 Feb/2023 16 25-Jul-2024 16.00 Mar/2028 expenditures in the preceding 3 years for conditions targeted by the project (Percentage) Improve resilience of the health system Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Percentage of scores maintained or 0.00 Apr/2024 0 25-Jul-2024 20.00 May/2028 improved for targeted indicators within the States Parties’ Annual Report/Joint External Evaluation (Percentage) Page 3 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) 6.2 Intermediate Results Indicators by Components Component 1: Scaling Up Cost-Effective Primary Health Services Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year People receiving quality health, False False nutrition, and population services () CRI People receiving quality health, False False nutrition, and population services – Youth (Number of people) CRI People receiving quality health, False False nutrition, and population services – Female (Number of people) CRI People receiving quality health, False False nutrition, and population services (Number of people) CRI People receiving quality health, False False nutrition, and population services – Youth (Number of people) CRI People receiving quality health, False False nutrition, and population services – Female (Number of people) CRI Page 4 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) Number of women undergoing 5,864.00 Feb/2023 5,864 25-Jul-2024 20,000.00 May/2028 mammography examination Comments on achieving targets Annual number of women undergoing mammography examination in public (Number) health facilities in West Bank Number of people receiving project 0.00 Apr/2024 0 25-Jul-2024 175,610.00 May/2028 supported quality primary health services (Number) Number of people receiving project 0.00 Apr/2024 0 25-Jul-2024 247,500.00 May/2028 supported quality mental health and psychosocial support services (Number) Number of public PHC facilities and 0.00 Apr/2024 0 25-Jul-2024 280.00 May/2028 service delivery points receiving investments from the project (Number) Number of service delivery points 0.00 Apr/2024 0 25-Jul-2024 20.00 May/2028 provided with equipment or medical/non-medical supplies for provision of integrated MHPSS and family medicine services (Number) Number of referrals from outreach 0.00 Apr/2024 0 25-Jul-2024 30,000.00 May/2028 teams to health facilities providing integrated MHPSS and family medicine services (Number) Number of service providers recruited 0.00 Apr/2024 0 25-Jul-2024 200.00 May/2028 and trained to administer MHPSS interventions (Number) Component 2: Strengthening Hospital Service Delivery Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Page 5 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) 0.00 Apr/2024 0 25-Jul-2024 75.00 May/2028 Percentage of patients that are Comments on achieving targets Number of hospital patients satisfied with the treatment/total number of satisfied with service availability at hospital patients that completed survey. The indicator will be disaggregated hospitals targeted by the project by West Bank and Gaza. Results of the survey will be disclosed and (Percentage) disseminated to the public. Number of people receiving project 0.00 Apr/2024 0 25-Jul-2024 18,800.00 May/2028 supported quality tertiary care services (Number) Number of people receiving project 0.00 Apr/2024 0 25-Jul-2024 6,000.00 May/2028 supported rehabilitation surgery (Number) Number of public hospitals receiving 0.00 Apr/2024 0 25-Jul-2024 30.00 May/2028 investments from the project (Number) Component 3: Strengthening key public health functions of pandemic prevention, preparedness, and response Baseline Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Month/Year Number of after/intra-action reviews 0.00 Apr/2004 0 25-Jul-2024 5.00 May/2028 or simulation exercises performed utilizing the 7-1-7 approach (Number) Number of diagnostic tests added to 0.00 Apr/2024 0 25-Jul-2024 4.00 May/2028 the central public health laboratories (Number) Page 6 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed TF-C0976 Effective 10.00 10.00 0.00 9.09 0.91 90.88% TF-C4784 Effective 14.80 14.80 0.00 0.00 14.80 0% TF-C4774 Effective 5.00 5.00 0.00 0.00 5.00 0% TF-C4772 Effective 4.00 4.00 0.00 0.00 4.00 0% 7.3 Key Dates (by loan) Aug 15, 2024 Page 7 of 8 The World Bank Implementation Status & Results Report Health System Efficiency and Resilience Project (P180263) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing TF-C0976 Effective 07-Apr-2023 26-Apr-2023 08-Jun-2023 31-May-2028 31-May-2028 TF-C4772 Effective 23-May-2024 23-May-2024 04-Jun-2024 31-May-2028 31-May-2028 TF-C4774 Effective 19-May-2024 21-May-2024 04-Jun-2024 30-Jun-2026 30-Jun-2026 TF-C4784 Effective 19-May-2024 21-May-2024 04-Jun-2024 30-Jun-2027 30-Jun-2027 8. KEY DATES Key Events Planned Actual Approval 07-Apr-2023 07-Apr-2023 Effectiveness 30-May-2023 08-Jun-2023 Mid-Term Review No. 01 31-Jul-2026 Operation Closing/Cancellation 31-May-2028 9. RESTRUCTURING HISTORY 10. ASSOCIATED OPERATION(S) There are no associated operations Aug 15, 2024 Page 8 of 8