The World Bank Report No: ISR12755 Implementation Status & Results Argentina Provincial Public Health Insurance Development Project (P106735) Public Disclosure Copy Operation Name: Provincial Public Health Insurance Development Project Project Stage: Implementation Seq.No: 5 Status: ARCHIVED Archive Date: 08-Jan-2014 (P106735) Country: Argentina Approval FY: 2011 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 28-Apr-2011 Original Closing Date 31-Dec-2015 Planned Mid Term Review Date 03-Mar-2014 Last Archived ISR Date 08-Jun-2013 Effectiveness Date 17-Oct-2012 Revised Closing Date 31-Dec-2015 Actual Mid Term Review Date 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? Yes No Component(s) Component Name Component Cost Supporting Provincial Public Health Insurance 290.00 Institutional and Management Strengthening of the National and Provincial Ministries of Health 59.00 Building capacity of the National Ministry of Health and Provincial Ministries of Health to deliver 50.00 services Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview The project was approved in April 2011, and became effective on October 17, 2012. At present, 28% of the loan has been disbursed. Implementation picked up since project effectiveness, and has proceeded relatively well recently. Preliminary data are now available for the six Project Development Objective (PDO) Page 1 of 5 The World Bank Report No: ISR12755 indicators, and they show substantial progress for four out of six PDO indicators relative to the baseline values (proportion of eligible population with effective coverage, proportion of eligible pregnant women receiving prenatal check-ups before the 13th week, proportion of eligible children under 10 years of age receiving complete health check-ups according to protocol, and percentage of provinces which meet the targets of their Annual Performance Agreements). Public Disclosure Copy However, progress has been slower for other two PDO indicators (proportion of eligible youths between 10 and 19 years of age receiving complete health check- ups according to protocol, and proportion of eligible women between 25 and 64 years of age with at least one cervical cancer screening every two years), and in the case of the latter the latest measured value is lower than the baseline value. Locations Country First Administrative Division Location Planned Actual Argentina Not Entered Provincia de Misiones Argentina Not Entered Provincia de Formosa Argentina Not Entered Ciudad Autonoma de Buenos Aires Argentina Not Entered Provincia de Entre Rios Argentina Not Entered Provincia de Corrientes Argentina Not Entered Provincia de Buenos Aires Argentina Not Entered Provincia de Tucuman Argentina Not Entered Provincia de Tierra del Fuego, Antartida e Islas del Atlantico Sur Argentina Not Entered Provincia de Santiago del Estero Argentina Not Entered Provincia de Santa Fe Argentina Not Entered Provincia de Santa Cruz Argentina Not Entered Provincia de San Luis Argentina Not Entered Provincia de San Juan Public Disclosure Copy Argentina Not Entered Provincia de Salta Argentina Not Entered Provincia de Rio Negro Argentina Not Entered Provincia del Neuquen Argentina Not Entered Provincia de Mendoza Argentina Not Entered Provincia de La Rioja Argentina Not Entered Provincia de La Pampa Page 2 of 5 The World Bank Report No: ISR12755 Country First Administrative Division Location Planned Actual Argentina Not Entered Provincia de Jujuy Public Disclosure Copy Argentina Not Entered Provincia de Cordoba Argentina Not Entered Provincia del Chubut Argentina Not Entered Provincia del Chaco Argentina Not Entered Provincia de Catamarca Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Proportion of eligible population with effective Percentage Value 7.00 30.00 70.00 coverage Date 31-Dec-2010 30-Sep-2013 31-Dec-2015 Comments It was always expected that this indicator's value would fall substantially once the program really took off, because of the way itis measured. The latest value is still much higher than the baseline value of 7%. Proportion of eligible pregnant women Percentage Value 15.00 28.00 52.00 receiving prenatal check-ups before the 13th Date 31-Dec-2010 31-Aug-2013 31-Dec-2015 week. Comments This value is still subject to final confirmation. Proportion of eligible children under 10 years of Percentage Value 15.00 32.00 60.00 age receiving complete health check-ups Date 31-Dec-2010 31-Aug-2013 31-Dec-2015 Public Disclosure Copy according to protocol. Comments This value is still subject to final confirmation. Proportion of eligible youths between 10 and Percentage Value 2.00 47.00 19 years of age receiving complete health Date 31-Aug-2013 31-Dec-2015 check- ups according to protocol. Comments Baseline not available This value is still subject to final confirmation. Page 3 of 5 The World Bank Report No: ISR12755 Proportion of eligible women between 25 and Percentage Value 5.00 1.00 53.00 64 years of age with least one cervical cancer Date 31-Dec-2010 31-Aug-2013 31-Dec-2015 screening every two years. Comments This value is still subject to Public Disclosure Copy final confirmation. Percentage of provinces which meet the Percentage Value 17.00 33.00 58.00 targets of their Annual Performance Date 31-Dec-2010 30-Sep-2013 31-Dec-2015 Agreements. Comments This value is still subject to final confirmation. Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Proportion of prioritized departments (those Percentage Value 10.00 70.00 with IMR above the provincial average) with Date 31-Dec-2010 31-Dec-2015 enrollment rate above the provincial average. Comments There are no data as yet on this indicator. Proportion of eligible indigenous population Percentage Value 0.00 50.00 with effective coverage. Date 31-Dec-2010 31-Dec-2015 Comments There are no data yet on this indicator. Percentage of health facilities billing regularly Percentage Value 0.00 65.00 on line. Date 31-Dec-2010 31-Dec-2015 Comments There are no data yet on this indicator. Number of institutional staff trained in the Number Value 0.00 14000.00 provinces. Date 31-Dec-2010 31-Dec-2015 Comments There are no data yet on this indicator. Percentage of provinces with at least 40% of Percentage Value 0.00 90.00 Public Disclosure Copy participating health facilities visited by the Date 31-Dec-2010 31-Dec-2015 provincial internal auditors. Comments There are no data yet on this indicator. Percentage of hospitals that received Percentage Value 0.00 60.00 equipment and submitted a maintenance plan. Date 31-Dec-2010 31-Dec-2015 Comments There are no data yet on this indicator. Data on Financial Performance (as of 04-Dec-2013) Page 4 of 5 The World Bank Report No: ISR12755 Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P106735 IBRD-80620 Effective 28-Apr-2011 06-Aug-2012 17-Oct-2012 31-Dec-2015 31-Dec-2015 Public Disclosure Copy Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P106735 IBRD-80620 Effective USD 400.00 400.00 0.00 133.36 266.64 33.00 Disbursement Graph Key Decisions Regarding Implementation Since the Project became effective about 18 months after the approval date, activities started later than anticipated. Thus, discussions are under way to look into possible extension Public Disclosure Copy of the Project's closing date (currently December 2015). Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 5 of 5