Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) Uttarakhand Health Systems Development Project (P148531) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 1 | ARCHIVED on 04-May-2017 | ISR27796 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:26-Jan-2017 Effectiveness Date:-- Planned Mid Term Review Date:06-Apr-2020 Actual Mid-Term Review Date:-- Original Closing Date:30-Sep-2023 Revised Closing Date:30-Sep-2023 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to improve access to quality health services, particularly in the hilly districts of thestate, and to expand health financial risk protection for the residents of Uttarakhand Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Innovations in engaging the private sector:(Cost $80.00 M) Stewardship and system improvement component:(Cost $45.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  --  Satisfactory Overall Implementation Progress (IP)  --  Satisfactory Overall Risk Rating  --  Substantial Implementation Status and Key Decisions 5/4/2017 Page 1 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) The project was approved by the World Bank’s Board on January 26th, 2017, during the period when an election process was ongoing in the state. Soon after the completion of the election process in mid-March 2017, the project was signed between the World Bank, Government of India and the Government of Uttarakhand on March 23, 2017. We are expecting effectiveness of the project in May 2017. After the recent change in government, senior management of the project as well as the project team remain the same, but there has been a change in the Project Director (on 10th April 2017). The project has started the bidding process of the first district cluster and the EOI has been issued online on UNDB website. Bids are expected to be available at https://uktenders.gov.in/nicgep/app from end-April, 2017. Steady disbursement will commence in about 5-6 months once the operator is selected and ready to commence operations after the handover. The World Bank task team is closely assisting the project team in ensuring wide reach of this opportunity to all key private sector hospitals/organizations to ensure wider participation and successful procurement of the cluster. The state’s project team has also identified key positions of project consultants to be recruited in the near future. State is expected to process the terms of reference for these consultants through the online procurement system and initiate the selection process at the earliest. The task team does plan close follow up of the timelines and the process through regular interaction with the state. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Moderate Macroeconomic  --  --  Moderate Sector Strategies and Policies  --  --  Moderate Technical Design of Project or Program  --  --  Substantial Institutional Capacity for Implementation and Sustainability  --  --  Substantial Fiduciary  --  --  Substantial Environment and Social  --  --  Low Stakeholders  --  --  Substantial Other  --  --  -- Overall  --  --  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Number of outpatient visits to Primary Health Centers (PHCs), CHCs, and mobile vans per year, disaggregated by districts (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 774,926.00 -- -- 1,150,000.00 Date 31-Mar-2016 -- -- 31-Mar-2023 5/4/2017 Page 2 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) PHINDPDOTBL  Number of persons who used the Health Helpline to receive information or lodge grievances, disaggregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 81,192.00 -- -- 160,000.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDPDOTBL  Patients contacted by the Health Helpline that are satisfied with the health services provided to them (per year, disaggregated by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 70.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDPDOTBL  Number of government and non-government healthcare facilities in the state issued with an entry (or higher) level certification by the National Accreditation Board for Hospitals (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 -- -- 8.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDPDOTBL  Number of hospital admissions and outpatient consultations covered by any form of health insurance supported by the project (RSBY and MSBY), disaggregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 46,040.00 -- -- 100,000.00 Date 29-Jul-2016 -- -- 31-Mar-2023 Overall Comments Intermediate Results Indicators 5/4/2017 Page 3 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) PHINDIRITBL  People with access to any form of health insurance in the state during the year, disaggregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 921,584.00 -- -- 3,000,000.00 Date 31-Dec-2014 -- -- 31-Mar-2023 PHINDIRITBL  Number of children covered under the expanded health insurance program who received an annual health assessment during the year, disaggregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 200,000.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Number of children immunized during the year (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 140,631.00 -- -- 180,000.00 Date 31-Mar-2016 -- -- 31-Mar-2023 PHINDIRITBL  Number of patients who use the services provided by the mobile health vans, disaggregated by gender (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 104,122.00 -- -- 300,000.00 Date 25-Nov-2016 -- -- 31-Mar-2023 5/4/2017 Page 4 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) PHINDIRITBL  Number of mobile medical units complying with the requirement of having at least one female doctor with sonology certification (>90% compliance on a day-to-day basis) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 9.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Number of outsourced CHCs with utilization of emergency services reported during each month (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 8.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Number of outsourced CHCs where at least one emergency caesarean section was reported during each quarter (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 6.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Benefit package of child health services finalized and piloted (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 'yes' from year Value 0.00 -- -- 2 Date 25-Nov-2016 -- -- 31-Mar-2023 5/4/2017 Page 5 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) PHINDIRITBL  Benefit package of NCDs services finalized and piloted (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target "no" for the first three years and Value 0.00 -- -- "yes" from year 4. Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Share of eligible households successfully enrolled under RSBY/MSBY during the year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 45.70 -- -- 50.00 Date 31-Dec-2014 -- -- 31-Mar-2023 PHINDIRITBL  Number of specialists working in the outsourced health facilities (and augmenting the positions functionally vacant in the public system) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 -- -- 50.00 Date 25-Nov-2016 -- -- 31-Mar-2023 PHINDIRITBL  Health personnel receiving training financed by the project- cumulative (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- -- 5,000.00 Date 25-Nov-2016 -- -- 31-Mar-2023 5/4/2017 Page 6 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) PHINDIRITBL  Development and periodical update of a comprehensive disaster response plan at the state level (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Done by year 2, updated by Value 0.00 -- -- year revised by year 6. Date 25-Nov-2016 -- -- 31-Mar-2023 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P148531 IDA-59480 USD 100.00 100.00 0.00 0.00 100.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P148531 IDA-59480 26-Jan-2017 23-Mar-2017 -- 30-Sep-2023 30-Sep-2023 Effective Cumulative Disbursements 5/4/2017 Page 7 of 8 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Uttarakhand Health Systems Development Project (P148531) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 5/4/2017 Page 8 of 8 Public Disclosure Copy