The World Bank Report No: ISR11447 Implementation Status & Results Vietnam North East and Red River Delta Regions Health System Support Project (P122629) Public Disclosure Copy Operation Name: North East and Red River Delta Regions Health System Project Stage: Implementation Seq.No: 1 Status: ARCHIVED Archive Date: 23-Oct-2013 Support Project (P122629) Country: Vietnam Approval FY: 2013 Product Line: IBRD/IDA Region: EAST ASIA AND PACIFIC Lending Instrument: Investment Project Financing Implementing Agency(ies): Ministry of Health Key Dates Board Approval Date 31-May-2013 Original Closing Date 31-Dec-2019 Planned Mid Term Review Date 30-Jun-2017 Last Archived ISR Date Effectiveness Date Revised Closing Date 31-Dec-2019 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to increase the efficiency and equity in the use of hospital services in selected provinces of the North East and Red River Delta Regions. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Strengthening capacity of lower-level hospitals to deliver quality services 118.00 Reducing the financial barriers to access by the economically vulnerable 29.00 Project management, monitoring and evaluation 7.00 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Satisfactory Overall Risk Rating Substantial Implementation Status Overview The Financing Agreement was signed on August 1, 2013. The Agreement is not yet effective; the deadline for effectiveness has been set as October 30, 2013 in accordance with the terms of the Agreement. At this point in time, the Government is taking the necessary steps to ensure the Agreement becomes effective and the Ministry of Health is working toward effective start-up and implementation. Page 1 of 5 The World Bank Report No: ISR11447 Locations Country First Administrative Division Location Planned Actual Vietnam Tinh Ninh Binh Tinh Ninh Binh ✔ Public Disclosure Copy Vietnam Tinh Tuyen Quang Tinh Tuyen Quang ✔ Vietnam Tinh Yen Bai Tinh Yen Bai ✔ Vietnam Tinh Thai Binh Tinh Thai Binh ✔ Vietnam Tinh Hoa Binh Tinh Hoa Binh ✔ Vietnam Tinh Lang Son Tinh Lang Son ✔ Vietnam Tinh Bac Giang Tinh Bac Giang ✔ Vietnam Tinh Thai Nguyen Tinh Thai Nguyen ✔ Vietnam Tinh Phu Tho Tinh Phu Tho ✔ Vietnam Tinh Nam Dinh Tinh Nam Dinh ✔ Vietnam Tinh Ha Nam Tinh Ha Nam ✔ Vietnam Tinh Hai Duong Tinh Hai Duong ✔ Vietnam Tinh Hung Yen Tinh Hung Yen ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Twenty percent reduction in the percent of Percentage Value 64.80 52.00 patients referred from provincial to central level Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 Public Disclosure Copy hospitals in five intervention areas. Comments Not Due Yet Twenty percent improvement from baseline Ten percent reduction in the percent of patients Percentage Value 6.00 4.00 referred for deliveries, child pneumonia and Date 18-Apr-2013 30-Sep-2013 30-Sep-2019 appendicitis from district hospitals to provincial Comments Baseline shown is from the Not Due Yet 10 percent improvement from hospitals same indicator for a similar baseline but different region. Baseline to be updated in Year 1 of the Project. Page 2 of 5 The World Bank Report No: ISR11447 Ten percent improvement in the self-referral Percentage Value 10.00 8.00 rate by insured patients from the participating Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 project provinces to Central Hospitalsin five Comments Not Due Yet intervention areas Public Disclosure Copy At least fifteen percent increase in the use of Text Value 0.08 (In-patient) 0.10 (IP) inpatient and outpatient health services by the 0.94 (Out-patient) 1.12 (OP) poor and insured near poor in the local Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 hospitals. Comments Not Due Yet 15% for In-patient and 20% for out-patient Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of new technical services is Number Value 0.00 2200.00 transferred from central to provincial hospitals Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 and district hospitals Comments Not Due Yet Average of 200 per province assuming at least 11 provinces participating Increase in the percent of project hospitals Percentage Value 25.00 75.00 implementing Continuous Quality Improvement Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 (CQI) program Comments Not Due Yet Health facilities constructed, renovated, and/or Number Value 0.00 57.00 equipped (number) Date 01-Nov-2013 30-Sep-2013 30-Jun-2019 Comments Not Due Yet Health personnel receiving training (number) Number Value 0.00 4050.00 Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 Comments Not Due Yet About 2800 in technical transfer and more than 1200 in management, quality Public Disclosure Copy improvement related areas. At least seventy percent of near poor have Percentage Value 3.50 70.00 health insurance Date 22-Feb-2013 30-Sep-2013 30-Sep-2019 Comments Not Due Yet Page 3 of 5 The World Bank Report No: ISR11447 Increase of patient satisfied with (a) the overall Percentage Value 50.00 63.00 quality of care, (b) reduction of waiting time, Date 18-Apr-2013 30-Sep-2013 30-Sep-2019 and (c) availability of services and diagnostic Comments Baseline value based on Not Due Yet 25% increase from the facilities at provincial and district hospitals Public Disclosure Copy same indicator from a similar baseline value. but different region. Baseline value subject to be updated. People with access to a basic package of Number Value 9969522.00 10882272.00 health, nutrition, or reproductive health services Date 22-Feb-2013 30-Sep-2013 30-Jun-2019 (number) Comments Not Due Yet Baseline + 70% of the near poor (without other coverage) in the target provinces Increase in the knowledge on health insurance Percentage Value 15.00 50.00 (a) benefit package; (b) rights and Date 18-Apr-2013 30-Sep-2013 30-Sep-2019 responsibility; and (c) operation mechanism Comments Baseline data from the same Not Due Yet At least 50% of the poor and among near poor people indicator from a different, but near poor should have a similar region. Baseline satisfactory knowledge of the indicator will be updated in health insurance benefits, Year 1 of the Project. rights, and state support. Complete and Timely Project reporting, Text Value Not applicable Satifactory assessment including Progress Reports, Monitoring and Date 18-Apr-2013 30-Sep-2013 31-Dec-2019 Evaluation Updates, Year 1, Midterm and End Comments Not Due Yet of Project surveys, Annual Plans Data on Financial Performance (as of 08-Aug-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P122629 IDA-52590 Not Effective 31-May-2013 01-Aug-2013 31-Dec-2019 31-Dec-2019 Disbursements (in Millions) Public Disclosure Copy Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P122629 IDA-52590 Not Effective XDR 100.10 100.10 0.00 0.00 100.10 0.00 Disbursement Graph Page 4 of 5 The World Bank Report No: ISR11447 Public Disclosure Copy Key Decisions Regarding Implementation At this early stage of Project implementation, there are no pending key decisions. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 5 of 5