The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) EUROPE AND CENTRAL ASIA | Ukraine | IBRD/IDA | Investment Project Financing (IPF) | FY 2023 | Seq No: 4 | Archived on 06-Nov-2024 | ISR02137 Implementing Agencies: Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Decision package on 19-Dec-2022) The objectives of the Project are to (i) restore and improve access to essential health care, (ii) address new and urgent needs for health services, and (iii) provide financial protection in an emergency context. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Component 1: Addressing new and urgent health needs for mental health and rehabilitation:(Cost 100,000,000.00) Component 2: Further improving and strengthening primary health care:(Cost 150,000,000.00) Component 3: Restoring and modernizing hospital care in line with reform direction:(Cost 200,000,000.00) Component 4: Supporting capacity-building, digitalization and innovations:(Cost 50,000,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High 4. KEY ISSUES & STATUS Nov 06, 2024 Page 1 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) 4.1 Implementation Status and Key Decisions Progress towards achieving the Project development objective (PDO) and overall implementation progress are rated Satisfactory. Since the last ISR filed in April, 2024, good progress towards achieving the PDO has been made. To date, US$145.4 million equivalent (45 percent of the Project proceeds currently available) has been disbursed and the Government has reached the intermediate results for all five performance-based conditions (PBCs). The Project also continues to close its financing gap by mobilizing additional funding. Currently, the Project includes financing from the International Bank for Reconstruction and Development (IBRD) (with guarantees from the Kingdom of Spain), the Global Financing Facility for Women, Children, and Adolescents (GFF), the Relief, Recovery, Reconstruction and Reform Trust Fund (URTF), the Council of Europe Bank (CEB), and parallel co-financing from the Korean Export Import Bank (KEXIM). To date, based on the Ministry of Health’s latest report, over 450,00 people have received mental health services, over 470,000 have received rehabilitation services, over 5.8 million people have received extended primary health care examinations, nearly 1.5 million additional people have received subsidized medicines, and over 5.2 million doses of childhood vaccines have been administered. Renovations to Irpin Central city hospital and 3 primary health care facilities in Bobrovytsya, Kozyatyn and Vinnytsya are ongoing. 250 vehicles and 259 hematology analyzers have been purchased for primary care centers, and solar panels are being installed in 130 primary health care facilities. Rehabilitation equipment has been procured for over 190 facilities in 22 regions. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 03 - 22 Apr Proposed Rating 20 Dec 2022 2024 Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary High High High Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Nov 06, 2024 Page 2 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Other Substantial Substantial Substantial Overall High High High Nov 06, 2024 Page 3 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of people who 0.00 Oct/2022 454,036 18-Oct-2024 454,036 18-Oct-2024 500,000.00 Dec/2026 received mental health Comments on On track. Number of people receiving mental health services (dissagregated by gender) services following agreed achieving targets criteria (disaggregated by gender) (Number) PBC Number of people who 0.00 Oct/2022 473,581 18-Oct-2024 473,581 18-Oct-2024 312,500 Dec/2026 completed a defined course Comments on Exceeded. Number of people receiving rehabilitation services (disaggregated by gender) of rehabilitation services achieving targets (disaggregated by gender) (Number) PBC Number of people receiving 0.00 Oct/2022 5,868,399 18-Oct-2024 5,868,399 18-Oct-2024 3,500,000.00 Dec/2026 an extended health Comments on Exceeded. Number of people receiving the extended medical examination at the PHC level examination at the PHC level achieving targets (disaggregated by gender) (disaggregated by gender) (Number) PBC Hospital deliveries, cases of 0.00 Dec/2022 6 18-Oct-2024 6 18-Oct-2024 10.00 Dec/2026 stroke, and cases of Comments on On track. Increase in total hospital cases (childbirth, strokes, and myocardial infarction) myocardial infarction treated achieving targets treated in hospitals supported by the Project. in hospitals contracted by NHSU for relevant PMG services and supported by the Project (Percentage) Nov 06, 2024 Page 4 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Number of people receiving 3,392,838.00 Feb/2022 4,953,648 18-Oct-2024 4,953,648 18-Oct-2024 4,767,838 Dec/2026 medicines and/or medical Comments on Exceeded. An additional number of people, who receive medicines and medical products products subsidized through achieving targets through the AMP. The baseline is established retroactively as of March 1, 2022. the AMP (Number) PBC 6.2 Intermediate Results Indicators by Components Not Categorized Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of mobile mental 0.00 Oct/2022 86 18-Oct-2024 86 18-Oct-2024 75.00 Dec/2026 health teams deployed Comments on Exceeded. Number of mobile mental health teams deployed (Number) achieving targets Number of facilities 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 400.00 Dec/2026 reconfigured to provide new Comments on On track. Number of facilities reconfigured to provide new or enhanced mental health or enhanced mental health achieving targets services (financed by the Project) services (financed by the Project) (Number) Number of PHC personnel 0.00 Oct/2022 3,919 18-Oct-2024 3,919 18-Oct-2024 3,000.00 Dec/2026 trained on case management Comments on Exceeded. Number of PHC personnel trained on case management of GBV of GBV (Number) achieving targets Proportion of primary health 0.00 Oct/2022 24.40 18-Oct-2024 24.40 18-Oct-2024 50.00 Dec/2026 care providers with at least Comments on On track. This indicator will measure the readiness of facilities to provide care to survivors of one staff trained to care for achieving targets GBV and refer survivors of GBV (Percentage) 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 40.00 Dec/2026 Nov 06, 2024 Page 5 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Number of facilities Comments on On track. Number of facilities reconfigured to provide new or enhanced rehabilitation reconfigured to provide new achieving targets services (financed by the Project) or enhanced rehabilitation services (financed by the Project) (Number) Number of vaccinations 0.00 Feb/2022 5,208,366 18-Oct-2024 5,208,366 18-Oct-2024 5,000,000.00 Dec/2026 received by children under Comments on Exceeded. Number of vaccinations received by children under the age of 7 according to the the age of 7 according to the achieving targets national vaccination schedule national vaccination schedule (Number) PBC New regulatory and technical No Oct/2022 No 18-Oct-2024 No 18-Oct-2024 Yes Dec/2026 standards for PHC+ facilities Comments on On track. New regulatory and technical standards for PHC+ facilities developed developed (Yes/No) achieving targets Number of PHC facilities 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 300.00 Dec/2026 renovated by the project Comments on On track. Number of PHC facilities renovated by the project (total) (total) (Number) achieving targets Number of health facilities 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 200.00 Dec/2026 renovated by the project to Comments on On track. Number of health facilities renovated by the project to incorporate solar panels or incorporate solar panels or achieving targets other green technologies other green technologies (Number) Number of designs for 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 40.00 Dec/2026 renovating hospitals in line Comments on On track, Number of designs for renovating hospitals in line with the hospital network with the hospital network achieving targets optimization strategy optimization strategy (Number) Number of hospitals 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 25.00 Dec/2026 renovated by the Project Comments on On track, Number of hospitals renovated by the Project (Number) achieving targets Nov 06, 2024 Page 6 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Introduction of an electronic No Oct/2022 No 18-Oct-2024 No 18-Oct-2024 Yes Dec/2026 instrument to track patient Comments on On track, Introduction of an electronic system to track patient feedback and response feedback and response achieving targets (Yes/No) Number of facilities that 0.00 Oct/2022 328 18-Oct-2024 328 18-Oct-2024 50.00 Dec/2026 participate in the provision of Comments on Exceeded. Number of facilities that participate in the provision of case using telemedicine care using telemedicine achieving targets (Number) Number of institutions who 0.00 Oct/2022 0.00 18-Oct-2024 0.00 18-Oct-2024 4.00 Dec/2026 have received capacity Comments on On track, Number of institutions who have received capacity strengthening from the Project strengthening from the achieving targets Project (Number) 6.3 Performance Based Conditions (PBC) Actual (Previous) Actual (Current) PBC Name Baseline Closing Period Value Date Value Date 1:Number of people Value 454,036 454,036 who received mental health services following Allocated 18-Oct-2024 18-Oct-2024 agreed criteria 0.00 (disaggregated by Amount gender) (Number) Not Due PBC allocation 0.00 Value 473,581 18-Oct-2024 473,581 18-Oct-2024 Nov 06, 2024 Page 7 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) 2:Number of people who completed a defined course of rehabilitation Allocated 0.00 services Amount (disaggregated by gender) (Number) Achieved PBC allocation 0.00 3:Number of people Value 5,868,399 5,868,399 receiving an extended health examination at the Allocated 18-Oct-2024 18-Oct-2024 PHC level 0.00 (disaggregated by Amount gender) (Number) Achieved PBC allocation 0.00 4:Number of Value 5,208,366 5,208,366 vaccinations received by children under the age of 7 Allocated 18-Oct-2024 18-Oct-2024 according to the 0.00 national vaccination Amount schedule (Number) Achieved PBC allocation 0.00 Value 4,953,648 18-Oct-2024 4,953,648 18-Oct-2024 Nov 06, 2024 Page 8 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) 5:Number of people receiving medicines and/or medical Allocated products subsidized 0.00 Amount through the AMP (Number) Achieved PBC allocation 0.00 Nov 06, 2024 Page 9 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed Historical Disbursed TF-C0814 Effective 88.00 88.00 0.00 70.00 18.00 79.55% 88.00 TF-C0038 Effective 10.00 10.00 0.00 6.16 13.84 61.59% 10.00 IBRD-94680 Effective 103.50 103.50 0.00 60.95 44.89 58.89% 103.50 7.3 Key Dates (by loan) Nov 06, 2024 Page 10 of 11 The World Bank Implementation Status & Results Report Health Enhancement And Lifesaving (HEAL) Ukraine Project (P180245) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IBRD-94680 Effective 20-Dec-2022 22-Dec-2022 03-Apr-2023 31-Dec-2024 23-Dec-2026 TF-C0038 Effective 22-Dec-2022 22-Dec-2022 03-Apr-2023 31-Dec-2024 23-Dec-2026 TF-C0814 Effective 06-Jun-2023 06-Jun-2023 26-Jun-2023 31-Dec-2024 23-Dec-2026 8. KEY DATES Key Events Planned Actual Approval 20-Dec-2022 20-Dec-2022 Effectiveness 03-Apr-2023 03-Apr-2023 Mid-Term Review No. 01 10-Apr-2025 Operation Closing/Cancellation 31-Dec-2026 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 03-Oct-2024 10. ASSOCIATED OPERATION(S) There are no associated operations Nov 06, 2024 Page 11 of 11