Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Provincial Public Health Insurance Development Project (P106735) LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice | IBRD/IDA | Specific Investment Loan | FY 2011 | Seq No: 12 | APPROVED | ISR29334 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:28-Apr-2011 Effectiveness Date:17-Oct-2012 Planned Mid Term Review Date:31-Aug-2014 Actual Mid-Term Review Date:07-Nov-2014 Original Closing Date:31-Dec-2015 Revised Closing Date:31-Dec-2018 Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDOs are to: (a) increase utilization and quality of key health services for the uninsured target population; and (b) improve institutional management by strengthening the incentives for results in Participating Provinces and among Authorized Providers. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Supporting Provincial Public Health Insurance:(Cost $427.00 M) Institutional and Management Strengthening of the National and Provincial Ministries of Health:(Cost $84.50 M) Building capacity of the National Ministry of Health and Provincial Ministries of Health to deliver services:(Cost $87.00 M) Font-end Fee:(Cost $1.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  Moderate  Moderate 8/31/2017 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Implementation Status and Key Decisions The Project continues progressing towards achievement of the Project Development Objective (PDO). Based on the analysis of financial projections for the Sumar Program, the original Loan IBRD 8062-AR is expected to be fully disbursed by its current Closing Date which is September 30, 2017, while the Additional Financing Loan (IBRD 8516- AR) was extended from September 30, 2017 to December 31, 2018 in order to fully disburse the Loan amount. 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  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Substantial  Substantial Fiduciary  --  Moderate  Moderate Environment and Social  --  Moderate  Moderate Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  PDO Indicator 1: Proportion of eligible children, youths and women with effective coverage. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 38.00 38.00 50.00 Date 31-Dec-2010 30-Nov-2016 30-Nov-2016 31-Dec-2018 PHINDPDOTBL  PDO Indicator 2: Proportion of eligible pregnant women receiving prenatal check-ups before the 13th week. (Percentage, Custom) 8/31/2017 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 29.30 29.30 40.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 PHINDPDOTBL  PDO Indicator 3: Proportion of eligible children under 10 years of age receiving complete health check-ups according to protocol. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 56.00 56.00 60.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 PHINDPDOTBL  PDO Indicator 4: Proportion of eligible youths between 10 and 19 years of age receiving complete health check- ups according to prot ocol. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 27.50 27.50 25.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 PHINDPDOTBL  PDO Indicator 5: Proportion of eligible women between 25 and 64 years of age with regular cervical cancer screening following established norms. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 13.50 13.50 20.00 Date 31-Dec-2010 30-Jun-2016 30-Jun-2016 31-Dec-2018 PHINDPDOTBL  PDO Indicator 6: Percentage of provinces which meet the targets of their Annual Performance Agreements. (Percentage, Custom) 8/31/2017 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 50.00 50.00 58.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 PHINDPDOTBL  PDo indicator 7: Proportion of eligible men with effective coverage (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.60 10.60 10.00 Date 31-Mar-2015 30-Nov-2016 30-Nov-2016 31-Dec-2018 Overall Comments Intermediate Results Indicators PHINDIRITBL  IR Indicator 1: Proportion of prioritized departments (those with IMR above the provincial average) with enrollment rate above the provincial average. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 36.50 36.50 70.00 Date 31-Dec-2010 30-Jun-2016 30-Jun-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 2: Proportion of eligible indigenous population with effective coverage. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.80 10.80 30.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 8/31/2017 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) PHINDIRITBL  IR Indicator 3: Percentage of health facilities billing regularly on line. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 61.90 61.90 65.00 Date 31-Dec-2010 31-Oct-2016 31-Oct-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 4: Number of institutional staff trained in the provinces. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 16,600.00 16,600.00 14,000.00 Date 31-Dec-2010 30-Jun-2016 30-Jun-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 5: Percentage of provinces with at least 40% of participating health facilities visited by the provincial internal auditors. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 80.00 80.00 90.00 Date 31-Dec-2010 30-Jun-2016 30-Jun-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 6: Percentage of hospitals that received equipment and submitted a maintenance plan. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 41.50 41.50 60.00 Date 31-Dec-2010 31-Dec-2015 31-Dec-2015 31-Dec-2018 8/31/2017 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) PHINDIRITBL  IR Indicator 7: Participating provinces implementing actions to disseminate the Sumar Program grievances redress’ mechanisms. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 12.00 13.00 Date 31-Dec-2014 31-Mar-2016 31-Mar-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 8: Percentage of grievances responded to within the stipulated service standards for response. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 86.10 86.10 70.00 Date 31-Dec-2014 30-Jun-2016 30-Jun-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 9: Participating Provinces with the Provincial Health Insurance Unit included within the organizational structure of the MSPs. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 -- 8.00 10.00 Date 31-Dec-2014 -- 31-Mar-2016 31-Dec-2018 PHINDIRITBL  IR Indicator 10: Proportion of health facilities with a high proportion of indigenous people in their catchment areas that comply with their work plan. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 70.70 70.00 Date 31-Dec-2014 -- 30-Jun-2016 31-Dec-2018 Overall Comments 8/31/2017 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P106735 IBRD-80620 Effective USD 400.00 400.00 0.00 398.74 1.26 100% P106735 IBRD-85160 Effective USD 200.00 200.00 0.00 80.36 119.64 40% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P106735 IBRD-80620 Effective 28-Apr-2011 06-Aug-2012 17-Oct-2012 31-Dec-2015 30-Sep-2017 P106735 IBRD-85160 Effective 07-Jul-2015 31-Mar-2016 16-Jun-2016 30-Sep-2017 31-Dec-2018 Cumulative Disbursements Restructuring History Level 2 Approved on 16-Jun-2017 8/31/2017 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Related Project(s) P154431-AF for AR Provincial Public Health Insurance Development Project 8/31/2017 Page 8 of 8 Public Disclosure Copy