The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) Chongqing Urban Rural Integration Project II-Health (P126210) EAST ASIA AND PACIFIC | China | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2012 | Seq No: 15 | ARCHIVED on 07-Aug-2019 | ISR37992 | Implementing Agencies: Government of People's Republic of China, Chongqing PMO Key Dates Key Project Dates Bank Approval Date: 14-Jun-2012 Effectiveness Date: 05-Oct-2012 Planned Mid Term Review Date: 05-Dec-2016 Actual Mid-Term Review Date: 16-Dec-2016 Original Closing Date: 31-Aug-2017 Revised Closing Date: 31-Aug-2020 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to improve the access of populations in selected non-metropolitan areas to County/District level hospital- based services, raising the efficiency of service production and improving the quality of care in targeted hospitals. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Strengthening Service Delivery Performance:(Cost $6.65 M) Component 2: Improvement of County/District Level Health Facilities:(Cost $93.10 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Overall the Project has made encouraging progress in the first six months of 2019. The Project Development Objective was assessed as achievable. The implementation progress rating remains moderately satisfactory. Component 1 helps strengthen service delivery performance in 8 hospitals and all activities have been implemented according to the schedules and close to completion. Component Two supports construction and strengthening of eight county level hospitals. Implementation progress up to date is: (i) Dongnan hospital was completed in October 2018; (ii) Chengkou hospital and Dianjiang hospital will be completed by December 2019; (iii) Fuling, Wanchou, Youyang hospitals are expected to complete the main buildings by August 2020; (iv) Wushan hospital construction is suspended due to a landslide; and (v) Qianjiang hospital decided to use other source of financing. 8/7/2019 Page 1 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) 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 -- Low Low Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Moderate Moderate Fiduciary -- Moderate Moderate Environment and Social -- Moderate Substantial Stakeholders -- Low Low Other -- Low Low Overall -- Substantial Substantial Results PDO Indicators by Objectives / Outcomes Increased populaiton access to improved health and hospital services. IN00727010 ►Percent of inpatient referred to upper level hospitals, disaggregated by gender (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 8.50 5.10 4.50 5.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Comments: Tracking the improvement of service delivery capacity of project hospitals. IN00727011 percentage of female inpatient referred to upper level hospital (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 8.50 5.06 4.40 5.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 IN00727012 percentage of male inpatient referred to upper level hospitals (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target 8/7/2019 Page 2 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) Value 8.50 5.12 4.60 5.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 IN00727013 ►Average length of stay in project hospitals (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.60 8.10 7.80 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Comments: Tracking the quality and cost management improvement of project hospitals. IN00727014 ►Number of project hospitals with standardized cost accounting system producing departmental level unit cost data on a quarterly basis (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Comments: Tracking the quality and cost management improvement of project hospitals. IN00727015 ►Number of high volume inpatient conditions or diseases treated using clinical pathways in project hospitals. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 18.00 20.00 16.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Overall Comments PDO All indicators have achieved the end targets. Intermediate Results Indicators by Components Component 1: Strengthening Service Delivery Performance IN00727016 ►Number of Community Health Centers and Township Health Centers having signed coordination and referral agreements with each project/county hospital implementing coordinated care package (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 85.00 98.00 42.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Tracking progress on coordination of care among facilities at different levels. Comments: IN00727018 8/7/2019 Page 3 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) ►Increase in quality assessment scores in project hospitals implementing continuous quality improvement program (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value n/a increased increased Increase Date 31-Dec-2011 31-Dec-2018 01-Jul-2019 31-Aug-2019 Tracking the progress of quality management of project hospitals. Comments: IN00727020 ►Number of trainees who complete the training as evidenced by completion certificate or accreditation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 565.00 607.00 600.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Measuring the quality and quantity of training program under the project. Comments: IN00727022 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,419.00 1,598.00 0.00 Date 31-Dec-2011 31-Dec-2018 01-Jul-2019 31-Aug-2019 This indicator measures the cumulative number of health personnel receiving training through a Bank- Comments: financed project. IN00727024 ►Number of county hospitals included in annual hospital performance assessment report (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2019 Comments: Tracking the progress of health bureaus in implementing hospital performance assessment. IN00727025 ►Number of evaluations conducted on pre-reform packages (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5.00 5.00 1.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2020 Comments: Measuring the progress in capacity building on project management and impact evaluation. IN00727026 ►Number of project hospitals using telemedicine technology for tele-diagnosis according to established protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 8/7/2019 Page 4 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) Value 0.00 5.00 8.00 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2020 Comments: Tracking the progress in implementing telemedicine technology. Component 2: Improvement of County/District Level Health Facilities IN00727017 ►Number of project hospital buildings that meet or exceed the National Energy Saving Standard (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2020 1 Hospital (Tongnan) has completed the construction of civil works. Comments: IN00727019 ►Percent of the construction area with central heating/air conditioning system out of the total hospital construction area (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 30.00 60.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2020 Measuring the progress in implementing energy efficient standards in hospital construction. Comments: IN00727021 ►Number of project hospitals with a cooling system that meets national standard (GB19577, GB19576, GB21454 and GB 29540) on energy consumption cap and energy efficiency category (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 8.00 Date 29-Feb-2012 31-Dec-2018 01-Jul-2019 31-Aug-2020 2 Hospitals (Tongnan and Dianjiang) have completed the construction of civil works. Tongnan hospital has been in full operation since October 2018 and Dianjiang hospital has passed the certification checks by Comments: county agencies and will be ready for moving-in by the end of November 2019. IN00727023 ►Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 8.00 Date 29-Feb-2012 22-Aug-2018 01-Jul-2019 31-Aug-2020 This indicator measures the cumulative number of health facilities constructed, renovated and/or equipped through a Bank-financed project. Comments: 1 Hospital has completed the construction of civil works. 8/7/2019 Page 5 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) Overall Comments IR All indicators of Component 1 have achieved the end targets. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P126210 IBRD-81710 Effective USD 100.00 100.00 0.00 50.88 49.12 51% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P126210 IBRD-81710 Effective 14-Jun-2012 11-Jul-2012 05-Oct-2012 31-Aug-2017 31-Aug-2020 Cumulative Disbursements 8/7/2019 Page 6 of 7 The World Bank Implementation Status & Results Report Chongqing Urban Rural Integration Project II-Health (P126210) Restructuring History Level 2 Approved on 14-Apr-2017 Related Project(s) There are no related projects. 8/7/2019 Page 7 of 7