The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Provincial Public Health Insurance Development Project (P106735) LATIN AMERICA AND CARIBBEAN | Argentina | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2011 | Seq No: 17 | ARCHIVED on 27-Aug-2019 | ISR38327 | Implementing Agencies: Republic of Argentina, National Ministry of Health Key Dates Key Project Dates Bank Approval Date: 28-Apr-2011 Effectiveness Date: 17-Oct-2012 Planned Mid Term Review Date: 31-Aug-2014 Actual Mid-Term Review Date: 07-Nov-2014 Original Closing Date: 31-Dec-2015 Revised Closing Date: 31-Aug-2019 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDOs are to: (a) increase utilization and quality of key health services for the uninsured target population; and (b) improve institutional management by strengthening the incentives for results in Participating Provinces and among Authorized Providers. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Supporting Provincial Public Health Insurance:(Cost $427.00 M) Institutional and Management Strengthening of the National and Provincial Ministries of Health:(Cost $84.50 M) Building capacity of the National Ministry of Health and Provincial Ministries of Health to deliver services:(Cost $87.00 M) Font-end Fee:(Cost $1.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The Project has successfully achieved its development objectives of supporting the Government of Argentina to: (a) increase utilization and quality of key health services for the uninsured target population; and (b) improve institutional management by strengthening the incentives for results in Participating Provinces and among Authorized Providers. The Project is expected to close as planned on August 31, 2019. As of August 15, 2019 8/27/2019 Page 1 of 6 The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) US$598 million have been disbursed (99% of loan proceeds). The Project achieved or surpassed the end-project targets of its 7 (seven) Project's Development Objectives (PDOs). Programs. A Project Completion Report is currently under preparation. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Moderate Moderate Macroeconomic -- Moderate Moderate Sector Strategies and Policies -- Moderate Moderate Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Substantial Substantial Fiduciary -- Substantial Substantial Environment and Social -- Low Low Stakeholders -- Moderate Moderate Other -- -- -- Overall -- Moderate Moderate Results PDO Indicators by Objectives / Outcomes Increase utilization and quality of key health services for the uninsured target population IN00737210 ►PDO Indicator 1: Proportion of eligible children, youths and women with effective coverage. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 50.40 50.40 50.00 Date 31-Dec-2010 30-Apr-2019 28-Jun-2019 30-Aug-2019 End-Project target achieved Comments: IN00737251 ►PDO Indicator 2: Proportion of eligible pregnant women receiving prenatal check-ups before the 13th week. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 37.10 41.50 40.00 Date 31-Dec-2010 30-Apr-2019 30-Apr-2019 30-Aug-2019 8/27/2019 Page 2 of 6 The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Audited data (April 2019). End-Project target achieved. Comments: IN00737252 ►PDO Indicator 3: Proportion of eligible children under 10 years of age receiving complete health check-ups according to protocol. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 15.00 64.60 69.80 60.00 Date 31-Dec-2010 30-Apr-2019 30-Apr-2019 30-Aug-2019 Audited data (april 2019). End-Project target achieved Comments: IN00737253 ►PDO Indicator 4: Proportion of eligible youths between 10 and 19 years of age receiving complete health check- ups according to prot ocol. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.10 37.80 25.00 Date 31-Dec-2010 30-Apr-2019 30-Apr-2019 30-Aug-2019 Audited data (April 2019). End of Project target surpassed Comments: IN00737254 ►PDO Indicator 5: Proportion of eligible women between 25 and 64 years of age with regular cervical cancer screening following established norms. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 22.20 25.00 20.00 Date 31-Dec-2010 30-Apr-2019 28-Dec-2018 30-Aug-2019 End-Project target achieved Comments: IN00737255 ►PDo indicator 7: Proportion of eligible men with effective coverage (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.70 13.40 10.00 Date 31-Mar-2015 30-Apr-2019 28-Jun-2019 30-Aug-2019 End of Project target achieved. Comments: Improve institutional management by strengthening the incentives for results IN00737209 ►PDO Indicator 6: Percentage of provinces which meet the targets of their Annual Performance Agreements. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 17.00 58.30 58.30 58.00 Date 31-Dec-2010 30-Apr-2019 30-Apr-2019 31-Dec-2018 Overall Comments PDO 8/27/2019 Page 3 of 6 The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) All PDO indicator targets after restructuring in 2015, had been achieved or surpassed. Intermediate Results Indicators by Components Building capacity of the National Ministry of Health and Provincial Ministries of Health to deliver services IN00737258 ►IR Indicator 6: Percentage of hospitals that received equipment and submitted a maintenance plan. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 60.00 Date 31-Dec-2010 30-Apr-2019 28-Dec-2018 30-Aug-2019 End of project target achieved Comments: Supporting Provincial Public Health Insurance IN00737256 ►IR Indicator 10: Proportion of health facilities with a high proportion of indigenous people in their catchment areas that comply with their work plan. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 82.80 82.80 70.00 Date 31-Dec-2014 30-Apr-2019 28-Dec-2018 30-Aug-2019 IN00737259 ►IR Indicator 1: Proportion of prioritized departments (those with IMR above the provincial average) with enrollment rate above the provincial average. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 36.00 46.40 70.00 Date 31-Dec-2010 30-Apr-2019 30-Apr-2019 30-Aug-2019 IN00737261 ►IR Indicator 2: Proportion of eligible indigenous population with effective coverage. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 16.10 16.10 30.00 Date 31-Dec-2010 30-Apr-2019 28-Jun-2019 30-Aug-2019 Institutional and Management Strengthening of the National and Provincial Ministries of Health IN00737257 ►IR Indicator 5: Percentage of provinces with at least 40% of participating health facilities visited by the provincial internal auditors. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 8/27/2019 Page 4 of 6 The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Value 0.00 80.00 80.00 90.00 Date 31-Dec-2010 30-Apr-2019 28-Dec-2018 30-Aug-2019 IN00737260 ►IR Indicator 4: Number of institutional staff trained in the provinces. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 23,491.00 23,491.00 14,000.00 Date 31-Dec-2010 30-Apr-2019 28-Dec-2018 30-Aug-2019 End of Project target surpassed. Comments: IN00737262 ►IR Indicator 3: Percentage of health facilities billing regularly on line. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.10 67.40 65.00 Date 31-Dec-2010 30-Apr-2019 28-Jun-2019 30-Aug-2019 IN00737263 ►IR Indicator 7: Participating provinces implementing actions to disseminate the Sumar Program grievances redress’ mechanisms. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 24.00 24.00 13.00 Date 31-Dec-2014 30-Apr-2019 28-Dec-2018 30-Aug-2019 End of Project target achieved Comments: IN00737264 ►IR Indicator 8: Percentage of grievances responded to within the stipulated service standards for response. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 85.50 85.50 70.00 Date 31-Dec-2014 30-Apr-2019 28-Dec-2018 30-Aug-2019 IN00737265 ►IR Indicator 9: Participating Provinces with the Provincial Health Insurance Unit included within the organizational structure of the MSPs. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 8.00 8.00 10.00 Date 31-Dec-2014 30-Apr-2019 28-Dec-2018 30-Aug-2019 Data on Financial Performance Disbursements (by loan) 8/27/2019 Page 5 of 6 The World Bank Implementation Status & Results Report Provincial Public Health Insurance Development Project (P106735) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P106735 IBRD-80620 Closed USD 400.00 400.00 0.00 400.00 0.00 100% P106735 IBRD-85160 Effective USD 200.00 200.00 0.00 198.40 1.60 99% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P106735 IBRD-80620 Closed 28-Apr-2011 06-Aug-2012 17-Oct-2012 31-Dec-2015 30-Sep-2017 P106735 IBRD-85160 Effective 07-Jul-2015 31-Mar-2016 16-Jun-2016 30-Sep-2017 31-Aug-2019 Cumulative Disbursements Restructuring History Level 2 Approved on 16-Jun-2017 ,Level 2 Approved on 20-Sep-2018 Related Project(s) P154431-AF for AR Provincial Public Health Insurance Development Project 8/27/2019 Page 6 of 6