Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) Health System Strengthening and Support Project (P152799) EUROPE AND CENTRAL ASIA | Turkey | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 2 | ARCHIVED on 08-Jun-2016 | ISR23780 | Implementing Agencies: Ministry of Health Key Dates Key Project Dates Bank Approval Date:21-Sep-2015 Effectiveness Date:26-Nov-2015 Planned Mid Term Review Date:01-Jun-2017 Actual Mid-Term Review Date:-- Original Closing Date:31-May-2020 Revised Closing Date:31-May-2020 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) of the HSSSP is to improve primary and secondary prevention of selected NCDs, increase the efficiency of hospital management, and enhance the capacity of the MoH for evidence-based policy making. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Primary and Secondary Prevention:(Cost $44.03 M) Increasing Efficiency of Hospital Management and Operations:(Cost $47.65 M) Improving the Effectiveness of Overall Health Sector Administration:(Cost $44.30 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Satisfactory Overall Implementation Progress (IP)  Satisfactory  Satisfactory Overall Risk Rating  Moderate  Moderate 6/8/2016 Page 1 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) Implementation Status and Key Decisions There has been some delays in project implementation since effectiveness of November 2015. A project launch workshop took place on April 20 and 22, 2016 and project implementation plan was updated in coordination with the Ministry of Health implementing units. It is expected that the pace of implementation will accelerate over the coming months. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Substantial  Substantial  Substantial Macroeconomic  Moderate  Moderate  Moderate Sector Strategies and Policies  Low  Low  Low Technical Design of Project or Program  Moderate  Moderate  Moderate Institutional Capacity for Implementation and Sustainability  Substantial  Substantial  Substantial Fiduciary  Substantial  Substantial  Substantial Environment and Social  Low  Low  Low Stakeholders  Low  Low  Low Other  --  --  -- Overall  Moderate  Moderate  Moderate Results Project Development Objective Indicators PHINDPDOTBL  Percent of households that receive from health workers counselling or education related to healthy living (by gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 -- 10.00 11.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 Comments 6/8/2016 Page 2 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) HSS to provide initial status of indicator by early CY2017 PHINDPDOTBL  Percent change of target population using services of Healthy Living Centers (by province, age, gender, education, health status, and by type of services provided) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDPDOTBL  Early detection of (a) cervical (by province and age) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 -- 25.00 50.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDPDOTBL  Early detection of (b) breast cancer (by province and age) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 -- 40.00 65.00 PHINDPDOTBL  Increase in average composite productivity index for all public hospitals (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 6/8/2016 Page 3 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDPDOTBL  Percent of policy and decision makers that regularly use HMIS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 Overall Comments For a limited number of other indicators, survey data would be provided with the newly designed Household Health Survey (HHS). The MoH will conduct the HHS with the WHO, with the initial survey results to be obtained by early 2017 and a follow-up survey to take place in 2019. The PMSU is currently working with the GDHIS to install a system which will provide on time information on Project expenditures incurred by the implementing units. The system software will also be used to support the monitoring of the Project indicators in the Results Framework Intermediate Results Indicators PHINDIRITBL  Percent of general population who can state two or more negative health impacts of selected risk factors of non-communicable diseases and substance use (by province, age, and gender) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 Comments HSS to provide initial status of indicator by early CY2017 PHINDIRITBL  Percent of target population in 8 provinces covered by newly established Healthy Living Centers (by province) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 90.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 6/8/2016 Page 4 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDIRITBL  Number of individuals in 5 project provinces who visit Substance Use Treatment Centers to receive patient-specific counselling (new and returning visitors) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 90.00 -- 90.00 8400.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of target population screened for 3 types of cancer: (a) by province (for colorectal and cancer type) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 -- 50.00 70.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of target population screened for 3 types of cancer : (b) by age (for colorectal and cancer type) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 30.00 -- 30.00 70.00 PHINDIRITBL  Percent of target population screened for 3 types of cancer: (c) by gender (for colorectal and cancer type) (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 -- 20.00 50.00 6/8/2016 Page 5 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDIRITBL  Percent of PHC-level staff who have satisfactorily completed standardized training modules required by the staff’s job profile: (a)distance learning (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 60.00 -- 60.00 80.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of PHC-level staff who have satisfactorily completed standardized training modules required by the staff's job profile: (b)face-to-face (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 30.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2015 PHINDIRITBL  Number of Public Hospital Unions where newly developed hospital management models implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 89.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Standard guidelines and templates for PPP transactions developed (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Standard guidelines and No standard No standard templates for Value -- documentation documentation PPP transactions in place Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 6/8/2016 Page 6 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDIRITBL  National-level Health System Assessment conducted annually and published (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Y -- Y Y Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Key information technology standards developed and integrated into updated draft regulations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of health facilities that share data to HMS (a) public hospitals (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.50 -- 1.50 100.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of health facilities that share data to HMS (b) family/community health centers (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 6/8/2016 Page 7 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDIRITBL  Percent of health facilities that share data to HMS (c) private hospitals (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 60.00 PHINDIRITBL  Percent of health indicators on Health.Net that meet international standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 70.00 -- 70.00 97.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  At least 12 Health Technology Assessments on prioritized topics prepared in line with new HTA strategy and published (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 -- 4.00 12.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Direct project beneficiaries (number), of which female (percentage) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2678769.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 6/8/2016 Page 8 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) PHINDIRITBL  Health personnel receiving training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40953.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 PHINDIRITBL  Percent of users of Healthy Living Centers satisfied with ease of access to Healthy Living Centers and/or responsiveness of services to users’ individual needs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 20-Apr-2015 -- 31-May-2016 30-Jun-2020 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P152799 IBRD-85310 Effective USD 134.30 134.30 0.00 1.10 133.18 1% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P152799 IBRD-85310 Effective 21-Sep-2015 30-Sep-2015 26-Nov-2015 31-May-2020 31-May-2020 6/8/2016 Page 9 of 10 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Health System Strengthening and Support Project (P152799) Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 6/8/2016 Page 10 of 10 Public Disclosure Copy