Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Kosovo Health Project (P147402) EUROPE AND CENTRAL ASIA | Kosovo | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 6 | ARCHIVED on 08-Apr-2016 | ISR22962 | Implementing Agencies: Ministry of Health, Ministry of Health Key Dates Key Project Dates Bank Approval Date:13-May-2014 Effectiveness Date:20-May-2015 Planned Mid Term Review Date:24-Apr-2017 Actual Mid-Term Review Date:-- Original Closing Date:30-Oct-2019 Revised Closing Date:30-Oct-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to improving financial protection from health spending for the poor and quality of care for priority maternal and child health and non communicable disease services. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improving financial protection and quality of care:(Cost $11.20 M) Strengthening primary care:(Cost $12.50 M) Project management:(Cost $1.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Unsatisfactory Overall Risk Rating  Substantial  Substantial 4/8/2016 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Implementation Status and Key Decisions Project implementation is currently behind schedule, with very limited progress made since the Bank implementation support visit in December, 2016. Most of other on-going activities have not progressed as planned to the exception of the technical assistance for the procurement of medical equipment. Key concern remains with the contracting of the technical assistance for the design of an outpatient drug benefit scheme, which is considered as a flagship benefit under the future mandatory health insurance scheme. Other key pending issues include: (i) the separate line budget for capitation-based performance payments to be created under the Specific Health Grant per each pilot municipalities, and (ii) the related Memorandum of Understanding (MoU) between the MoH and MoF to be signed, that is meant to establish the basis for the implementation of capitation based performance payment for the pilot Municipalities. 4/8/2016 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) 4/8/2016 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Substantial  Substantial Macroeconomic  --  High  High Sector Strategies and Policies  --  Substantial  Substantial Technical Design of Project or Program  --  Moderate  Substantial Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Substantial  Substantial Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators 4/8/2016 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDPDOTBL  Percentage of the poor enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDPDOTBL  Outpatient (OP) drug benefit scheme established and functional based on pre-defined operational criteria (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDPDOTBL  Percentage of participating municipalities where at least 75 percent of the agreed quality targets were achieved in the preceding one year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 Overall Comments Intermediate Results Indicators PHINDIRITBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1170000.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 4/8/2016 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 48.00 0.00 0.00 48.00 PHINDIRITBL  Female project beneficiaries, as % of number of project beneficiaries (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Percentage of resident population enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 65.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Achievement of key benchmarks for functioning health insurance system (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 4/8/2016 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1000.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Number of municipalities who have entered into performance agreements with the MoH/ HFA/ HIF and MoF (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Percentage of participating municipalities with a performance improvement action plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Percentage of capitation-based performance payment budget spent at municipality level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 95.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 4/8/2016 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 13-May-2014 07-Oct-2015 14-Mar-2016 30-Oct-2019 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P147402 IDA-54420 Effective XDR 16.50 16.50 0.00 0.02 16.48 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147402 IDA-54420 Effective 13-May-2014 15-Jan-2015 20-May-2015 30-Oct-2019 30-Oct-2019 Cumulative Disbursements 4/8/2016 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 4/8/2016 Page 9 of 9 Public Disclosure Copy