The World Bank Report No: ISR11583 Implementation Status & Results Mexico Support to the Social Protection System in Health (P116226) Public Disclosure Copy Operation Name: Support to the Social Protection System in Health (P116226) Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 25-Nov-2013 Country: Mexico Approval FY: 2010 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 25-Mar-2010 Original Closing Date 31-Dec-2013 Planned Mid Term Review Date 24-Sep-2012 Last Archived ISR Date 25-Feb-2013 Effectiveness Date 17-Dec-2010 Revised Closing Date 31-Dec-2013 Actual Mid Term Review Date 08-Nov-2012 Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to (i) initially preserve and later expand the Popular Health Insurance's coverage of people without social security and (ii) strengthen the capacity of the Commission (for social protection in health) and state health systems to effectively administer the entitlements of the Popular Health Insurance. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost PHI's coverage of people without contributory social security 1239.00 Capacity of the Commission and SHS to administer the PHI's entitlements 7.90 Overall Ratings Previous Rating Current Rating Public Disclosure Copy Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Implementation Status Overview The Project was approved on March 25, 2010, became effective on December 17, 2010 and will close on December 31, 2013.The loan amount (US$1,250.0 million) was fully disbursed on June 25, 2013. Progress towards the Project Development Objectives and Project implementation remain satisfactory. The National Commission of Social Protection in Health (CNPSS) has largely achieved its objectives; it exceeded the end-of-project targets of three out of its four outcome indicators, including Popular Health Insurance (PHI) coverage and nearly achieved a Page 1 of 4 The World Bank Report No: ISR11583 fourth outcome indicator (93%). As of June 30, 2013, 53.3 million people had been enrolled in the Popular Health Insurance (PHI), covering practically 100% of people without social security. With this, universal health coverage has been reached. Public Disclosure Copy Locations No Location data has been entered Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of individuals affiliated with the PHI Number Value 0.00 17970000.00 10000000.00 who have received a "Health Risk Screening" Date 31-Dec-2010 30-Jun-2013 31-Dec-2013 Comments End of project target has been exceeded Number of individuals affiliated with the PHI as Percentage Value 64.00 110.00 85.00 a percentage of the total number of individuals Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 that are not affiliated with a contributory social Comments End of project target has been security system exceeded. Recommeneded actions implemented by Percentage Value 60.00 92.50 85.00 federal entities resulting from the supervision Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 action plan carried out by the Commission in its Comments End of project target has been 4 action areas exceeded. Number of individuals affiliated with the PHI Percentage Value 71.20 74.30 80.00 that report having received enough information Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 to know their rights and obligations as a Comments The National Health and percentage of the total number of individuals affiliated with the Nutrition Survey (2012) shows that this indicator is slightly below the expected end of project target Public Disclosure Copy Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Federal and State expenditure on the PHI (US$ Amount(USD) Value 3407440000.00 2066400000.00 4503080000.00 constant exchange rate (2009)) Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 Comments End of project target is expected to be achieved by the project closing date Page 2 of 4 The World Bank Report No: ISR11583 Number of individuals in deciles 1 and 2 Percentage Value 48.00 126.50 77.00 affiliated with the PHI's subsidized regime as a Date 31-Dec-2008 30-Jun-2013 31-Dec-2013 percentage of total number of individualsin Comments end of project target has deciles 1 and 2 that are not affiliated with a Public Disclosure Copy contributory socia been surpassed Number of Oportunidades beneficiary families Percentage Value 60.70 113.00 80.00 affiliated with the PHI as a percentage of the Date 31-Dec-2008 30-Jun-2013 31-Dec-2013 total number of Oportunidades beneficiary Comments Base line reviewed during the End of project target has families Feb 2011 mission been surpassed Number of individuals affiliated with the Percentage Value 78.47 126.00 92.00 Popular Health Insurance residing in areas Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 where more than 40% of the population speaks Comments Base line will be modified End of project target has been an indigenous language as a percentage of total number of individuals surpassed. Number of individuals affiliated with the PHI Percentage Value 81.90 77.70 88.00 who report having received a bill of rights and Date 31-Dec-2006 30-Jun-2013 31-Dec-2013 responsibilities at the time of affiliation as a Comments The National Health and percentage of the total number of affiliated with the PHI Nutrition Survey (ENSANUT) shows that this indicator is slightly below the end of project Health risk management program guidelines Yes/No Value No Yes Yes have been designed and rolled out Date 31-Dec-2009 30-Jun-2013 31-Dec-2013 Comments End of project target has been met. Guidelines have been designed and rolled out in all federal entities Number of federal entities that contribute with Number Value 31.00 15.00 31.00 their State Solidarity Contribution (ASE) to the Date 30-Jun-2013 PHI according to the General Health Law Comments It is expected that end of Public Disclosure Copy project target will be met by the project closing date. Number of federal entities supervised by the Number Value 0.00 13.00 32.00 Commission in any of its four core action areas Date 30-Jun-2013 during a calendar year Comments It is expected that end of project target will be met by the project closing date. Data on Financial Performance (as of 25-Jun-2013) Page 3 of 4 The World Bank Report No: ISR11583 Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P116226 IBRD-78600 Effective 25-Mar-2010 30-Mar-2010 17-Dec-2010 31-Dec-2013 31-Dec-2013 Public Disclosure Copy Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P116226 IBRD-78600 Effective USD 1,250.00 1,250.00 0.00 1,250.00 0.00 100.00 Disbursement Graph Key Decisions Regarding Implementation None. Public Disclosure Copy Restructuring History Level two Approved on 22-Nov-2011, Level two Approved on 28-Feb-2013, Level two Approved on 03-Mar-2013, Level two Approved on 09-Apr-2013 Related Projects There are no related projects. Page 4 of 4