The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) Health Service Delivery Network Project (P164453) LATIN AMERICA AND CARIBBEAN | Bolivia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2018 | Seq No: 3 | ARCHIVED on 21-Oct-2019 | ISR38163 | Implementing Agencies: Ministry of Health, Plurinational State of Bolivia, Ministry of Health - Agencia de Infraestructura en Salud y Equipamiento Medico (AISEM) Key Dates Key Project Dates Bank Approval Date: 14-Jun-2018 Effectiveness Date: 21-Mar-2019 Planned Mid Term Review Date: 13-Apr-2020 Actual Mid-Term Review Date: Original Closing Date: 31-Jul-2023 Revised Closing Date: 31-Jul-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective (PDO) is to improve access to, and quality of, health service delivery in selected health networks. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening Health Service Delivery Networks:(Cost $243.00 M) Improving Quality of Health Service Delivery and Human Resource Capacity Development:(Cost $49.00 M) Project Management:(Cost $8.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO ►Satisfactory ►Moderately Satisfactory Overall Implementation Progress (IP) ►Satisfactory ►Moderately Satisfactory Overall Risk Rating ►High ►High Implementation Status and Key Decisions The project was declared effective on March 21, 2019 and the first disbursement was made for both PIUs. For the remaining months of this first year of implementation, the project will focus mainly on the following activities: 1. The reconstruction of the Emergency and IT Unit in the "Hospital de Clinicas" in La Paz 10/21/2019 Page 1 of 5 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) 2. The selection and signing of five turn-key contracts for five secondary level hospitals 3. The selection and signing of a turn-key contract for a tertiary level hospital in La Paz (South Zone) 4. Rehabilitation and medical equipment for four 24-hour health-care centers will be prioritized 5. Launch of short- and long-term training courses for health personnel 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 ►Moderate ►Moderate ►Moderate Institutional Capacity for Implementation and Sustainability ►High ►High ►High Fiduciary ►High ►High ►High Environment and Social ►Moderate ►Moderate ►Moderate Stakeholders ►Moderate ►Moderate ►Moderate Other -- -- -- Overall ►High ►High ►High Results PDO Indicators by Objectives / Outcomes Improve access to, and quality of, health service delivery in selected health networks. IN00732154 ►Network referral centers operational with at least 60% of the required medical staff and providing health services (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 7.00 Date 31-Jan-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732155 ►Health facilities supported in the targeted networks fulfill the licensing standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 10/21/2019 Page 2 of 5 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) Value 0.00 0.00 0.00 75.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732176 ►Doctors checking the MoH clinical guidelines application at least once in the last 60 days (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 45.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 Intermediate Results Indicators by Components Strengthening Health Service Delivery Networks IN00732177 ►New hospitals equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732179 ►New hospitals that do not use incineration to treat hospital waste in the targeted networks (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732181 ►Grievance Redress Mechanism (GRM) designed and operational (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 Improving Quality of Health Service Delivery and Human Resource Capacity Development IN00732178 ►Medical specialists enrolled in residency program supported by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 750.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 10/21/2019 Page 3 of 5 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) IN00732180 ►Health facility managers and administrators trained (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732182 ►Patients reporting being satisfied with health services provided in the targeted networks (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732183 ►Female patients reporting being satisfied with health services provided in the targeted networks (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732184 ►Facilities in the targeted networks using quality checklists (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 IN00732185 ►Number clinical guidelines updated or developed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20.00 Date 31-May-2018 22-Mar-2019 22-Mar-2019 31-Jul-2023 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P164453 IBRD-88680 Effective USD 252.00 252.00 0.00 7.13 244.87 2.8% 10/21/2019 Page 4 of 5 The World Bank Implementation Status & Results Report Health Service Delivery Network Project (P164453) P164453 IDA-62480 Effective USD 48.00 48.00 0.00 2.62 45.38 5.5% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P164453 IBRD-88680 Effective 14-Jun-2018 20-Dec-2018 21-Mar-2019 31-Jul-2023 31-Jul-2023 P164453 IDA-62480 Effective 14-Jun-2018 20-Dec-2018 21-Mar-2019 31-Jul-2023 31-Jul-2023 Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/21/2019 Page 5 of 5