Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) North East and Red River Delta Regions Health System Support Project (P122629) EAST ASIA AND PACIFIC | Vietnam | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 7 | ARCHIVED on 23-May-2017 | ISR27051 | Implementing Agencies: Ministry of Health, Socialist Republic of Vietnam Key Dates Key Project Dates Bank Approval Date:31-May-2013 Effectiveness Date:17-Oct-2013 Planned Mid Term Review Date:17-Jul-2017 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2019 Revised Closing Date:31-Dec-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to increase the efficiency and equity in the use of hospital services in selected provinces ofthe North East and Red River Delta Regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Strengthening capacity of lower-level hospitals to deliver quality services:(Cost $118.00 M) Reducing the financial barriers to access by the economically vulnerable:(Cost $29.00 M) Project management, monitoring and evaluation:(Cost $7.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Satisfactory Overall Risk Rating  Moderate  Moderate Implementation Status and Key Decisions 5/23/2017 Page 1 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) The project has made significant progress across both project components. With respect to the first component on technical transfer of skills and knowledge, clinical training in new and established techniques has been provided to 1,000 doctors and nurses from 74 hospitals at both provincial- and district-level. In addition, all 74 project hospitals have started implementing quality and management improvement activities in line with the priorities identified in their quality improvement plans. With respect to the second component on supporting health insurance for the near-poor, all 13 provinces are providing at least a 10% top-up to the health insurance premium subsidies provided by the central budget (70%). This has enabled these provinces to reach an average coverage ate of 94% among the near-poor. Some attention is needed to speed up project procurement and strengthen the results monitoring system. A set of actions to address this has been identified. The project Mid-Term Review will take place around mid – 2017. . 5/23/2017 Page 2 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Substantial  Substantial Technical Design of Project or Program  --  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Moderate  Moderate 5/23/2017 Page 3 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Twenty percent reduction in the percent of patients referred from provincial to central level hospitals in five intervention areas. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 64.80 11.00 15.00 52.00 Date 22-Feb-2013 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDPDOTBL  Ten percent reduction in the percent of patients referred for deliveries, child pneumonia and appendicitis from district hospitals to provincial hospitals (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 2.88 1.80 4.00 Date 18-Apr-2013 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDPDOTBL  Ten percent improvement in the self-referral rate by insured patients from the participating project provinces to Central Hospitals in five intervention areas (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 0.11 0.14 8.00 Date 22-Feb-2013 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDPDOTBL  At least fifteen percent increase in the use of inpatient and outpatient health services by the poor and insured near poor in the local hospitals. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 5/23/2017 Page 4 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Date 22-Feb-2013 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDPDOTBL  Use of Inpatient services by the insured poor and near poor in the local hospitals (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 6.30 15.00 6.00 7.50 Date 30-Jun-2015 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDPDOTBL  Use of Outpatient services by the insured poor and near poor in the local hospitals (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 19.90 42.00 22.00 23.00 Date 30-Jun-2015 31-Dec-2015 31-Dec-2016 30-Sep-2019 Overall Comments Intermediate Results Indicators PHINDIRITBL  Number of new technical services is transferred from central to provincial hospitals and district hospitals (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 241.00 696.00 2,200.00 Date 22-Feb-2013 30-Jun-2016 31-Dec-2016 30-Sep-2019 5/23/2017 Page 5 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PHINDIRITBL  Increase in the percent of project hospitals implementing Continuous Quality Improvement (CQI) or equivalent quality improvement process (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 100.00 74.00 75.00 Date 22-Feb-2013 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 81.00 81.00 Date 01-Nov-2013 30-Jun-2016 31-Dec-2016 30-Jun-2019 PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,355.00 3,628.00 4,050.00 Date 22-Feb-2013 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  At least seventy percent of near poor have health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.50 94.20 100.00 70.00 Date 22-Feb-2013 30-Jun-2016 31-Dec-2016 30-Sep-2019 5/23/2017 Page 6 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PHINDIRITBL  Increase of patient satisfied with (a) the overall quality of care, (b) reduction of waiting time, and (c) availability of services and diagnostic facilities at provincial and district hospitals (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 30-Jun-2015 30-Jun-2015 31-Dec-2015 30-Sep-2019 PHINDIRITBL  Provincial Level: Overall Quality (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 76.20 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  District Level: Overall Quality (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 82.10 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Provincial Level: Waiting Time (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 67.50 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 5/23/2017 Page 7 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PHINDIRITBL  District Level: Waiting Time (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 74.90 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Provincial Level: Availability of Services and diagnostic facilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 67.20 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  District Level: Availability of services and diagnostic facilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 58.80 -- -- 63.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  People with access to a basic package of health, nutrition, or reproductive health services (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 9,969,522.00 11,857,381.00 11,857,381.00 10,882,272.00 Date 22-Feb-2013 31-Dec-2015 31-Dec-2016 30-Jun-2019 5/23/2017 Page 8 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PHINDIRITBL  Increase in the knowledge on health insurance (a) benefit package; (b) rights and responsibility; and (c) operation mechanism among near poor people (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 18-Apr-2013 31-Dec-2015 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Knows at least 3 benefits (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 16.40 16.40 16.40 50.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Knows at least 3 responsibilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 6.30 -- -- 50.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 PHINDIRITBL  Knows the Cost Sharing Rate At First Point of Contact (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.20 -- -- 50.00 Date 30-Jun-2015 30-Jun-2016 31-Dec-2016 30-Sep-2019 5/23/2017 Page 9 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PHINDIRITBL  Complete and Timely Project reporting, including Progress Reports, Monitoring and Evaluation Updates, Year 1, Midterm and End of Project surveys, Annual Plans (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Satifactory Value Not applicable Satisfactory Satisfactory assessment Date 18-Apr-2013 30-Jun-2016 31-Dec-2016 31-Dec-2019 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P122629 IDA-52590 Effective XDR 100.10 100.10 0.00 42.25 57.85 42% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P122629 IDA-52590 Effective 31-May-2013 01-Aug-2013 17-Oct-2013 31-Dec-2019 31-Dec-2019 Cumulative Disbursements 5/23/2017 Page 10 of 11 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 5/23/2017 Page 11 of 11 Public Disclosure Copy