Document Type: Implementation Status and Results Report Report No.: ISR17424 Document Date: MAR 05, 2015

Author: 0000A8056

Document Type: Implementation Status and Results Report Report No.: ISR18341 Document Date: FEB 27, 2015

Author: 0000A8056

The objective of the Disease Prevention and Control Project for Armenia is to improve: (i) Maternal and Child Health (MCH) services and the prevention, early detection, and management of selected Non-Communicable Diseases (NCD) at the Primary Health Care (PHC) level; and (ii) the efficiency and quality of selected hospitals in Armenia. ... See More + The changes aim at reallocating an amount of US$8.1 million that became available as a consequence of the mis-procurement without cancellation declared in September, 2014, and related to the Vanadzor Medical Center (MC) civil works. The restructuring includes: (a) modifications of the Project results framework consisting of revision of some Project Development Objective (PDO) indicators and intermediate results indicators, including baseline and target values; (b) revision of activities in component one ‘Performance-Based Financing (PBF)’ and sub-component 2.1 of component two ‘improving efficiency and quality of selected hospitals’, respectively; and (c) revision of certain legal covenants related to the PBF component.  See Less -

Document Type: Project Paper Report No.: RES17320 Document Date: FEB 27, 2015

The Health Services and Social Assistance Project for Moldova received a moderately satisfactory outcome rating with moderate risk to development outcome. ... See More + Both the Bank and the Borrower received moderately satisfactory performance ratings. The project was restricted twice. Due to a lack of progress on implementation the following changes were made to the project: (a) revision of the RF to provide more effective monitoring; and (b) extension of the credit closing date. A component was also added to the project as part of the additional financing grant. Component 4: Protecting health and nutritional status, provided financing to cover expenses related to (a) procurement of commodities (food and nutritional supplements) for pregnant or lactating women and children under 3 years of age; and (b) cash transfers to specialized institutions, which provided food to children, handicapped people, the homeless, orphans, the elderly, and victims of domestic violence, and other vulnerable groups to compensate for food price increases. The following lessons were learned from this project: (1) Health and social sector reforms are costly, but long lasting. (2) Strong government ownership is important, mainly with reform-oriented projects. Reforms in health and social sectors are not purely about technical issues, but depend profoundly on ownership, institutional capacity, and the political process. (3) Elections and changes in the cabinet of ministries influenced the government’s decisions and attitudes toward the ongoing reforms. (4) Reaching agreement among stakeholders is crucial. This applies not only during preparation but also during implementation, as it can affect the success and sustainability of any reform. (5) It is difficult to institute a results-centered attitude.  See Less -

Document Type: Implementation Completion and Results Report Report No.: ICR3378 Document Date: FEB 25, 2015

Document Type: Implementation Status and Results Report Report No.: ISR18120 Document Date: FEB 22, 2015

Author: 0000A8056

Document Type: Implementation Status and Results Report Report No.: ISR18137 Document Date: FEB 20, 2015

Author: 0000A8056

Document Type: Procurement Plan Report No.: 94422 Document Date: FEB 18, 2015

Document Type: Agreement Report No.: Document Date: FEB 16, 2015

Author: Goldstein,Daria

Document Type: Implementation Status and Results Report Report No.: ISR16454 Document Date: FEB 13, 2015

Author: 0000A8056

Document Type: Integrated Safeguards Data Sheet Report No.: ISDSA12203 Document Date: FEB 11, 2015

Author: 0000A8056