Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) Hospital Waste Management Support Project (P119090) EAST ASIA AND PACIFIC | Vietnam | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2011 | Seq No: 14 | ARCHIVED on 07-Mar-2018 | ISR31504 | Implementing Agencies: MINISTRY OF HEALTH, SOCIALIST REPUBLIC OF VIETNAM Key Dates Key Project Dates Bank Approval Date:29-Mar-2011 Effectiveness Date:29-Aug-2011 Planned Mid Term Review Date:31-Aug-2014 Actual Mid-Term Review Date:18-Aug-2014 Original Closing Date:31-Aug-2017 Revised Closing Date:30-Aug-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) The project development objective is to reduce environmental degradation and potential risks for human health through the improved management of health care waste in Vietnam's hospitals. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Policy and Institutional Environment Strengthening:(Cost $9.00 M) Component 2: Hospital Waste Management Improvement Facility:(Cost $134.00 M) Component 3: Project Implementation Support and Coordination:(Cost $7.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Satisfactory Overall Implementation Progress (IP)  Moderately Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial Implementation Status and Key Decisions 3/7/2018 Page 1 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) The project is making progress towards the achievement of its Project Development Objective. The results from completed subprojects still show rather modest contributions of the project to the improvement of hospital wastewater and solid waste, by 9.2% and 6.7%, respectively, nationwide. Out of 225 hospitals to be financed in the project, 124 have completed the project activities and results of 102 hospitals have been verified. As with other ODA projects, this project has been faced with a lack of budget allocation due to the new regulations adopted by the Government in early 2017. Therefore, the disbursed amount was lower than expected accounting for 65% of the total budget fund as of December 31, 2017. This has substantially delayed the implementation of some grants at the provincial level. The problem has been addressed and it is expected that in 2018, there will be adequate fund for the project implementation. 3/7/2018 Page 2 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) 3/7/2018 Page 3 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) 3/7/2018 Page 4 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Low  Low Macroeconomic  --  Low  Low Sector Strategies and Policies  --  Substantial  Moderate 3/7/2018 Page 5 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) Technical Design of Project or Program  --  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Substantial  Substantial Stakeholders  --  Moderate  Moderate Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Increased share of hospitals' wastewater meeting the environmental standards (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.90 13.60 23.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 Comments By the time of the implementation mission (Jan 2018) , there was a backlog of verification reports. By the time of this report, updated data have been available and we use March 7 as the date we received the report. But it reflects the results as of December 31, 2017 PHINDPDOTBL  Increased share of properly segregated and treated infectious health care waste (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.90 17.70 28.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 Comments By the time of the implementation mission (Jan 2018) , there was a backlog of verification reports. By the time of this report, updated data have been available and we use March 7 as the date we received the report. But it reflects the results as of December 31, 2017 3/7/2018 Page 6 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDPDOTBL  Increased number of health care staff following correct occupational safety practices, including usage of personal protective equipment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 90.00 90.00 90.00 Date 29-Aug-2011 31-Jul-2017 31-Jul-2017 30-Aug-2019 PHINDPDOTBL  Improved perception among communities adjacent to project hospitals about health waste being properly managed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 Overall Comments Intermediate Results Indicators PHINDIRITBL  Effective CPMU and TAG support to Component 2 beneficiaries (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 89.60 86.20 80.00 Date 29-Aug-2011 31-Dec-2016 31-Dec-2017 30-Aug-2019 3/7/2018 Page 7 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Number of hospital grants approved (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 205.00 225.00 198.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of Health Care Waste Management Plans approved by regulatory authority (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.00 72.00 68.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Improved knowledge and skills of key health personnel in health care waste management standards and practices (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6,619.00 6,994.00 6,677.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of trainers trained passing the final test (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 310.00 310.00 290.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 3/7/2018 Page 8 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Number of leaders of health, DONRE, Environment Police, other agencies trained and passed the final test (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,118.00 2,398.00 2,545.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of HCWM administrators in DOH, health care facilities, preventive health centers trained and passed the final test (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,657.00 2,752.00 2,332.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of technical staff in environment monitoring agency trained and passed the final test (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 292.00 292.00 310.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of HCW treatment system operators trained and passed the final test (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,242.00 1,242.00 1,200.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 3/7/2018 Page 9 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20,370.00 28,211.00 50,000.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of hospital grants completed (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 39.00 102.00 185.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 Comments By the time of the implementation mission (Jan 2018) , there was a backlog of verification reports. By the time of this report, updated data have been available and we use March 7 as the date we received the report. But it reflects the results as of December 31, 2017 PHINDIRITBL  Number of hospitals meeting: (a) wastewater standards; (b) solid waste standards; (c) HCWM practice standard (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 57.00 102.00 185.00 Date 29-Aug-2011 31-Dec-2016 07-Mar-2018 31-Aug-2017 Comments By the time of the implementation mission (Jan 2018) , there was a backlog of verification reports. By the time of this report, updated data have been available and we use March 7 as the date we received the report. But it reflects the results as of December 31, 2017 3/7/2018 Page 10 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Number of hospitals meeting wastewater standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 34.00 64.00 110.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 PHINDIRITBL  Number of hospitals meeting solid waste treatment standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 21.00 70.00 114.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 PHINDIRITBL  Number of hospital meeting HCWM practice standards (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 40.00 102.00 185.00 Date 29-Aug-2011 31-Jul-2017 07-Mar-2018 30-Aug-2019 PHINDIRITBL  The number of new or revised policies, regulatory documents adopted and applied HCWM studies published and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 12.00 13.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 3/7/2018 Page 11 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Number of Policy and administrative documents (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5.00 5.00 4.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of Technical regulations (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Number of Technical guidance manuals (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 5.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 PHINDIRITBL  Reduce number of hospitals in black list issued in the Decision 1788 by Prime Minister (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 3.00 32.00 Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 3/7/2018 Page 12 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) PHINDIRITBL  Progress reports and audit reports are submitted with satisfactory quality and timely manner (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value Y Y Y Y Date 29-Aug-2011 31-Jul-2017 31-Dec-2017 30-Aug-2019 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P119090 IDA-48990 Effective USD 150.00 150.00 0.00 88.44 48.65 65% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P119090 IDA-48990 Effective 29-Mar-2011 31-May-2011 29-Aug-2011 31-Aug-2017 30-Aug-2019 Cumulative Disbursements 3/7/2018 Page 13 of 14 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Hospital Waste Management Support Project (P119090) Restructuring History Level 2 Approved on 05-Jun-2016 ,Level 2 Approved on 21-Jul-2017 Related Project(s) There are no related projects. 3/7/2018 Page 14 of 14 Public Disclosure Copy