The World Bank Report No: ISR13624 Implementation Status & Results Kyrgyz Republic Kyrgyz Second Health and Social Protection Project (P126278) Public Disclosure Copy Operation Name: Kyrgyz Second Health and Social Protection Project Project Stage: Implementation Seq.No: 2 Status: ARCHIVED Archive Date: 06-Mar-2014 (P126278) Country: Kyrgyz Republic Approval FY: 2013 Product Line: IBRD/IDA Region: EUROPE AND CENTRAL ASIA Lending Instrument: Investment Project Financing Implementing Agency(ies): Ministry of Health Key Dates Board Approval Date 03-May-2013 Original Closing Date 31-Dec-2018 Planned Mid Term Review Date 15-Jun-2016 Last Archived ISR Date 27-Jul-2013 Effectiveness Date Revised Closing Date 31-Dec-2018 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed PDO is to: (i) improve health outcomes in four health priority areas in support of the “Den Sooluk” National Health Reform Program 2012-2016; and (ii) enable the Government's efforts to enhance effectiveness and targeting performance of social assistance and services Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1 – Support for implementation of Den Sooluk program of reforms 13.50 Component 2 – Strengthening the Policy and Administrative Capacity of the MSD 3.00 Component 3: Contingency Emergency Response (no funds allocated) 0.00 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Satisfactory Moderately Unsatisfactory Overall Risk Rating High High Implementation Status Overview The Financing Agreement (FA) was signed on December 16, 2013. It is now pending ratification from Parliament. Project effectiveness is pending issuance of the legal opinion and approval of the Project Operational Manual. This is expected to take place by June 2014. Locations Page 1 of 5 The World Bank Report No: ISR13624 No Location data has been entered Results Public Disclosure Copy Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target (a) Percentage of Government consolidated Percentage Value 12.90 13.00 health expenditures over total consolidated Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Government expenditures Comments Average over the last 5 years Not yet effective (b) Number of disease management programs Number Value 0.00 2.00 created Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective Coverage of the population enrolled in disease Text Value TBD TBD management programs Sub Type Supplemental (c) Access of the patients to preventive care Percentage Value 27.00 50.00 measured by % of detected cases of Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 hypertension (HT) at the primary health care Comments Not yet effective level (d) Financial protection of population measured Text Value Poorest quintiles: 30 Poorest quintiles: 26 by level of out-of-pocket payments in the two 2nd poorest quintiles: 22 2nd poorest quintiles: 18 poorest quintiles as a proportion of total Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 household consumption Comments 2 times during the project Not yet effective (e) Share targeting of MBPF transfers by Percentage Value 71.00 60.00 reducing exclusion errors Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective 60% or less (f) Share of Social Assistance spending on Percentage Value 15.50 35.00 poverty-targeted program(s) Public Disclosure Copy Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective Greater than 35% Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of negative deviations of the Text Value < 5% < 5% executed health budget from the initially Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 approved budget and quarterly allocations and Comments Not yet effective execution of the health budget Page 2 of 5 The World Bank Report No: ISR13624 Inter-sectoral determinants of health by Number Value 0.00 2.00 conducting at least two comprehensive Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 campaigns Comments Not yet effective Public Disclosure Copy Submission of IFRs satisfactory to IDA within Yes/No Value No No Yes due dates according to Financing Agreement Date 31-Dec-2012 31-Dec-2018 Comments Not yet effective Indicators in JAF have baseline and are up to Percentage Value 0.00 100.00 date Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective Indicators in JAF are disaggregated by gender Yes/No Value No No Yes and location where applicable Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective Health personnel receiving training (number) Number Value 0.00 0.00 Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective TBD Children immunized (number) Number Value 0.00 0.00 0.00 Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective TBD Children immunized - under 12 months against Number Value 114000.00 0.00 0.00 DTP3 (number) Sub Type Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Breakdown Comments Not yet effective TBD Children immunized - under 5 years against Number Value 586000.00 0.00 0.00 Polio (number) Sub Type Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Breakdown Comments Not yet effective TBD Share of social assistance (MBPF, Monthly Text Value No Yes Social Benefits (MSB) and Cash Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 compensations) beneficiaries with records in Public Disclosure Copy Comments Not yet effective the SA Beneficiary Registry Turnaround time for processing MBPF Text Value 8 days 5 days applications Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Comments Not yet effective Roadmap to reform disability certification Text Value No New model implemented service developed and endorsed by the Date 10-Dec-2012 30-Jan-2014 31-Dec-2018 Ministry Comments Not yet effective Page 3 of 5 The World Bank Report No: ISR13624 Number of beneficiaries of targeted social Number Value assistance programs Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Comments TBD Not yet effective Public Disclosure Copy Monthly Benefit for Poor Families with Children Number Value (MBPF) Sub Type Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Breakdown Comments To be determined the first Not yet effective year of implementation; to report total of which no. of female Monthly Social Benefits (MSB) Number Value Sub Type Date 31-Dec-2012 30-Jan-2014 31-Dec-2018 Breakdown Comments To be determined the first Not yet effective year of implementation; To report total of which no. of female Data on Financial Performance (as of 20-Dec-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P126278 IDA-52350 Not Effective 03-May-2013 16-Dec-2013 31-Dec-2018 31-Dec-2018 P126278 IDA-H8390 Not Effective 03-May-2013 16-Dec-2013 31-Dec-2018 31-Dec-2018 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P126278 IDA-52350 Not Effective XDR 5.90 5.90 0.00 0.00 5.90 0.00 P126278 IDA-H8390 Not Effective XDR 4.90 4.90 0.00 0.00 4.90 0.00 Disbursement Graph Public Disclosure Copy Page 4 of 5 The World Bank Report No: ISR13624 Public Disclosure Copy Key Decisions Regarding Implementation Not applicable. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 5 of 5