The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) Transforming Egypt's Healthcare System Project (P167000) MIDDLE EAST AND NORTH AFRICA | Egypt, Arab Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 2 | ARCHIVED on 27-Mar-2019 | ISR36316 | Implementing Agencies: Ministry of Investment and International Cooperation, Ministry of Health and Population Key Dates Key Project Dates Bank Approval Date: 27-Jun-2018 Effectiveness Date: 07-Sep-2018 Planned Mid Term Review Date: 14-Jan-2021 Actual Mid-Term Review Date: -- Original Closing Date: 31-Dec-2023 Revised Closing Date: 31-Dec-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed Project Development Objective is to (i) improve the quality of primary and secondary health care services, (ii) enhance demand for health and family planning services, and (iii) support the prevention and control of Hepatitis C. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthen Primary Healthcare, Family Planning and Community Activities:(Cost $247.40 M) Strengthen Secondary Level Healthcare:(Cost $274.60 M) Institutional Capacity Building and Project Management:(Cost $8.00 M) Contingency Emergency and Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions This is the second ISR for the Project, which was approved by the Board on June 27, 2018, with the Loan Agreement signed on July 10, 2018. The project was declared effective on September 7, 2018, well ahead of the envisioned Effectiveness date at project design. Project Ratings; The project is making good progress already. Overall, Implementation Progress and progress towards achievement of the Project Development Objective are rated as Satisfactory, and the Disbursement rate is well ahead of schedule at 23%. Implementation progress for all components is well advanced, with a rating of Satisfactory across all components. A functioning Project Management Unit is in place, as well as an approved Project Operations Manual and Grievance Redress Mechanism. In addition, the schedule for 3/27/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) screening of Hepatitis C and Non-Communicable Diseases is expected to be completed in the first year, two years earlier than the planned schedule. The technical Independent Verification Agency of DLIs under the project has been contracted. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Sustainability Moderate Moderate Moderate Fiduciary High High High Environment and Social Moderate Moderate Moderate Stakeholders Substantial Substantial Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes Improve the quality of primary health care services IN00680495 ►Number of PHCs passing Quality Services Index composite indicators list (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 600.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680569 ►Percentage improvement in the average quality of clinical care score at all targeted PHCs, measured through independent direct observations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 3/27/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) Improve the quality of secondary health care services IN00680568 ►Percentage improvement in the average quality of clinical care score at all targeted hospitals measured through independent direct observations (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680570 ►Percentage of blood units dispensed at MOHP affiliated hospitals that have been screened utilizing the Nucleic Acid test (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 Enhance Demand for Health and Family Planning Services IN00680567 ►Contraceptive prevalence rate (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 58.00 58.00 58.00 65.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 Prevention and control of Hepatitis C IN00680566 ►Number of people screened for Viral Hepatitis C (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 43,458,006.00 35,000,000.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680571 Percent Female (Percentage, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 52.49 50.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 29-Dec-2023 IN00680572 ►Percentage of people who received treatment for Hepatitis C who have taken the final confirmation test for sustained virological response (SVR) using a random sampling methodology (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 3/27/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) Intermediate Results Indicators by Components Strenghten Primary Healthcare, Family Planning and Community Activities IN00680573 ►PHC mapping exercise, needs assessments and new accreditation tool completed. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 PHCs needs assessments and mapping exercises are underway and will be ready for assessment by Comments: the end of April, 2019. IN00680576 ►Increased household visits by CHWs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 7.00 7.00 32.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680578 ►Percentage of participating districts certified for enhanced governance performance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680580 ►Client user satisfaction and utilization surveys conducted in project target areas (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680582 ►Grievances addressed in project target facilities using the GRM in accordance with the revised manual issued in 2017 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 The GRM manual has been completed and is being distributed in 600 PHCs. A target of 840 staff will be Comments: trained on the manual. IN00680584 ►Average patient satisfaction level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 3/27/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) Value 0.00 0.00 0.00 65.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680585 ►Targeted people screened for NCDs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 43,458,006.00 20,000,000.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680586 Percent Female (Percentage, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 52.49 50.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 29-Dec-2023 IN00680587 ►Targeted PHCs applying environmentally-positive energy and water efficiency measures (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 600.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 172 PHCs in 21 health district in 5 governorates are applying environmentally-positive energy and water Comments: efficiency measures and will be ready for verification by the end of the 3rd quarter of 2019. IN00680588 ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3,400,000.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680589 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3,400,000.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 Strengthen Secondary Level Healthcare IN00680575 ►Targeted regional blood banks that have been connected to the national automated blood network. (Amount(USD), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 11.00 3/27/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680577 ►Targeted Hep C patients treated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 215,053.00 1,500,000.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 IN00680579 Percent Female (Percentage, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 20-Jun-2018 21-Sep-2018 22-Mar-2019 29-Dec-2023 IN00680581 ►Number of PHCs receiving National Accreditation Certification for healthcare quality (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 600.00 Date 02-Jul-2018 21-Sep-2018 21-Sep-2018 31-Dec-2023 IN00680583 ►Number of Hospitals receiving National Accreditation Certification for healthcare quality in target governorates (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 27.00 Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 Institutional Capacity Building ad Project Management IN00680574 ►Project results published regularly on external MOHP website (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- No reports Yes Date 02-Jul-2018 21-Sep-2018 22-Mar-2019 31-Dec-2023 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed 3/27/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Transforming Egypt's Healthcare System Project (P167000) P167000 IBRD-88950 Effective USD 530.00 530.00 0.00 121.56 408.44 23% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167000 IBRD-88950 Effective 27-Jun-2018 10-Jul-2018 07-Sep-2018 31-Dec-2023 31-Dec-2023 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 3/27/2019 Page 7 of 7