IFC Development Goals (IDGs) Overview IDG2: HEALTH AND EDUCATION 83846 The IFC Development Goals (IDGs) The IFC Development Goals (IDGs) are corporate-level development goals which IFC began testing in 2011. They were inspired by the Millennium Development Goals as a way to better integrate IFC’s results measurement with strategy. The IDGs are high-level targets for the incremental reach IFC aims to achieve through its investments and advisory services. IFC aims to use them to drive implementation of strategy and influence operational decision making, alongside volume targets. IFC’s contributions are counted as expected results at the time projects are committed or signed. In addition, IFC’s regular monitoring and evaluation system tracks the results materializing during project implementation. IDG 2: Health and Education IDG 2 is the development goal set for IFC’s projects that help increase or improve health and education services to people. After two years of testing, IFC is moving this IDG out of test phase and into implementation starting July 1st, 2012. What projects contribute to IDG2? Any IFC project that helps people access health and education services will contribute to IDG2. These include but not limited to the following types of projects: Healthcare services projects Education projects – Hospitals – K12 schools – Clinics/Ambulatory care centers – Universities – Laboratories – Technical and vocational schools – Health Management Organizations (HMOs) – Student loan programs – Diagnostic centers – FIs that provides loans either directly to students (student loans) or to schools – Specialist services such as eye care and ophthalmology centers – Quality Accreditation of schools – Specialized facilities, such as radiology and dialysis – Medical education – Medical waste management – Assistance to FIs that provide loans to healthcare SMEs – Quality Accreditation of service provider Incremental Reach and IFC’s contribution The incremental reach of IFC clients is the additional reach expected in the 5 years after commitment to achieve a total reach (target) from the current reach (baseline). To claim credit commensurate with the magnitude of IFC’s involvement with a client, IFC applies a contribution factor to the incremental reach. The contribution is a function of the type of intervention and IFC’s stake in the project, and it is based on the latest financial statement available prior to commitment and other project data. How is the project contribution determined? The contribution is determined by the type of intervention/instrument and IFC’s stake in the project. Target Target Increment Baseline Basic formula for project IDG contribution   -­‐ =   x   =   Project   Project   Project   Project   Project   Expected   Expected   Contribution   IDG   Baseline  FY12   Target  in  FY17   Increment   Factor   Contribution   -­‐   Contribution rules for Investment: • IDG’s contribution is counted at the time of a project’s first commitment and tracked in IFC’s Development Outcome Tracking System (DOTS). • Contribution is retroactively adjusted if the commitment is lower than the approved amount or if the transaction is later cancelled. • Aligned to the final use of IFC funding: • IFC Equity measured against total equity, IFC Corporate loans against client’s assets1. • For project finance, IFC’s contribution is measured against project cost. • For wholesale projects where IFC’s funding is used or tied to a specific purpose (i.e. student loans) contribution factor is prorated by relevant portfolio. • For wholesale projects involving transactions where funding is directly channeled through investees to beneficiaries (e.g risk sharing facilities) the entire reach can be counted. • The contribution factor reflects IFC’s total involvement with the client at the time of commitment (including outstanding amounts of prior investments). Equity ≥ 10%; 100% of incremental reach Loan/Client’s assets ≥ 20%; 100% of incremental reach Equity < 10%; prorate incremental reach Loan/Client’s assets < 20%; prorate incremental reach If project has Equity & Debt components are added up (100% limit) 1 Clients’ long term debt in the case of wholesale projects where beneficiaries are reached through investments in financial intermediaries. Advisory Services • IDG’s contribution is counted when the Public-Private Partnership agreement is signed between the client (government) and private operator. • Advisory services will contribute 100% of the project’s impact. This is based on the assumption that without IFC Advisory, transaction would not have happened. IFC only takes on mandates where it has clear advantage over private advisors, and can be procured only by sole-sourcing. How is IDG2 measured and tracked? • IDG2 is measured by an estimated number of people served by health and education service providers supported by IFC’s intervention. • The measure covers both concepts (i) “increase”, ie., more people accessing the service available; and (ii) “improve”, ie., the same people accessing the better services. • IDG2 is tracked by two standard indicators. Indicators IDG estimate Number of people receiving access to new or improved health Number of people reached per year is estimated by combining the services expected number of outpatient consultations and the expected number of inpatient admissions Number of people receiving access to new or improved Number of people reached is the number of students enrolled per education services year or the number of students accessing educational loans per year (for student loan programs). Currently, neither AS projects nor IS projects distinguish between part-time and full-time students. Sub-Sector Health Projects Contributing to IDG2 Sub-sector Definition Counting and example 1 Outpatient care, Number of outpatient visit/consultation The unit of counting is the “visit/ consultation”, rather than including Specialist number of unique patients. For example, Mr. X visited services the outpatient clinic 2 times last month, one due to the common cold and one due to diarrhea. IDG target will be counted as 2. 2 Ambulatory care Number of persons who receive ambulatory The unit of counting is the “service” rather than number of centers care services and depart from the unique patients. For example, Ms. X called ambulatory care ambulatory care centers 3 times in the last 12 months, all due to the acute asthma attack. IDG target will be counted as 3. 3 Emergency care Number of visit to hospital emergency Same to the outpatient care departments 4 Hospital service Number of hospital /admission separations The unit of counting is the “admission/separation”. All (treatment and services, e.g. diagnostic, procedures and treatment carried procedures) out during one hospital stay will be counted as 1 service. 5 Specialized facilities Number of services - a regular course The unit of counting is “a course of services/treatment” that (radiology, dialysis) of maintenance dialysis, radiological or a patient received in the same facility under one diagnostic chemotherapy that provided by specialized condition in 12 months. For example, a kidney failure facilities on an outpatient basis patient who received a regular maintenance dialysis (weekly or monthly). IDG target will be counted as 1. 6 Laboratories and Number of patient undertaking pathology, The unit of counting is “patient” undertaking the test in Diagnostic centers imaging services, diagnostic tests provided the facility/centers supported by the project. The number of by laboratories or diagnostic centers on an patient served will be estimated as: outpatient basis Average # of lab services or tests per patient per year/# of lab services or tests per year 7 Health Management Number of member/enrollees of HMOs Number of unique individual members/ enrollees under the Organizations HMOs (HMOs) 8 Private Finance The private finance initiative (PFI) is a way of Services specific counting methodology applied, such as Initiatives creating “public-private partnership” (PPPs) hospital, or Laboratories. by funding health projects with private capital. What are the Data Sources? The project team, through the due diligence process and financial forecasts, estimates the expected reach of projects within 5 years from commitment/signing. Data on patients and students reached by the project is tracked as part of IFC’s regular monitoring and evaluation activities. For more information contact: Lars Johannes Ljohannes@ifc.org www.ifc.org/results