The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) North East and Red River Delta Regions Health System Support Project (P122629) EAST ASIA AND PACIFIC | Vietnam | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2013 | Seq No: 11 | ARCHIVED on 22-Feb-2019 | ISR36057 | Implementing Agencies: Ministry of Health, Socialist Republic of Vietnam Key Dates Key Project Dates Bank Approval Date: 31-May-2013 Effectiveness Date: 17-Oct-2013 Planned Mid Term Review Date: 17-Jul-2017 Actual Mid-Term Review Date: 14-Jul-2017 Original Closing Date: 31-Dec-2019 Revised Closing Date: 31-Dec-2019 pdoTable 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 ofthe North East and Red River Delta Regions. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening capacity of lower-level hospitals to deliver quality services:(Cost $127.50 M) Reducing the financial barriers to access by the economically vulnerable:(Cost $11.00 M) Project management, monitoring and evaluation:(Cost $7.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions The mission recognized significant effort of the project team to improve implementation and disbursement despite the difficulty of limited budget allocation last year. The mission assessed that (i) the objectives and design of the Project remain highly relevant to the Government policy priorities; (ii) project implementation has contributed to expanding the provincial and district capacity for service delivery, as well as reducing the financial barriers to access. The project is on-track to attain its development objectives and is highly appreciated by the Ministry of Health leaders and project provinces. Disbursement increased from 55% in the last mission in June 2018 to 61.3% by the mission, though it is still lower than expected. 2/22/2019 Page 1 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) 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 Substantial Technical Design of Project or Program -- Moderate Moderate Institutional Capacity for Implementation and Sustainability -- Moderate Moderate Fiduciary -- Moderate Moderate Environment and Social -- Substantial Substantial Stakeholders -- Moderate Moderate Other -- Moderate Moderate Overall -- Moderate Moderate Results 2/22/2019 Page 2 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) PDO Indicators by Objectives / Outcomes Increase the efficiency and equity in the use of hospital services in selected provinces of the Nor IN00626114 ►Number of patients benefiting new clinical techniques in five intervention areas (cardiology (internal medicine); obstetrics/gynecology; pediatric; oncology; and trauma (surgical)) tranferred by the p (Number (Thousand), Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7,144.00 7,224.00 12,500.00 Date 31-May-2013 31-Mar-2018 31-Dec-2018 31-Dec-2019 IN00626115 ►Number of patients benefiting new clinical techniques in three intervention areas (obstetrics/gynecology; pediatric; and injury (surgical) transferred by the Project at district hospitals (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17,907.00 23,075.00 29,000.00 Date 31-May-2013 31-Mar-2018 31-Dec-2018 31-Dec-2019 IN00626099 ►At least fifteen percent increase in the use of inpatient and outpatient health services by the poor and insured near poor in the local hospitals. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 22-Feb-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 This is just the name of the indicators so no value is expected. The indicator values are for the sub- Comments: indicators below. IN00626116 Use of Inpatient services by the insured poor and near poor in the local hospitals (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.05 0.12 0.12 0.06 Date 30-Jun-2015 31-Mar-2017 31-Dec-2018 30-Sep-2019 IN00626117 Use of Outpatient services by the insured poor and near poor in the local hospitals (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.21 0.55 0.55 0.25 Date 30-Jun-2015 31-Mar-2017 31-Dec-2018 30-Sep-2019 Intermediate Results Indicators by Components Strengthening capacity of lower-level hospitals to deliver quality services IN00626111 ►Number of new technical services is transferred from central to provincial hospitals and district hospitals (Number, Custom) 2/22/2019 Page 3 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,432.00 1,981.00 2,200.00 Date 22-Feb-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626100 ►Increase in the percent of project hospitals implementing Continuous Quality Improvement (CQI) or equivalent quality improvement process (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 25.00 100.00 100.00 75.00 Date 22-Feb-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626106 ►Health facilities constructed, renovated, and/or equipped (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 81.00 81.00 57.00 Date 01-Nov-2013 31-Mar-2018 31-Dec-2018 30-Jun-2019 IN00626107 ►Health personnel receiving training (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1,192.00 4,401.00 4,401.00 4,050.00 Date 22-Feb-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626112 ►Increase of patient satisfied with (a) the overall quality of care, (b) reduction of waiting time, and (c) availability of services and (d) diagnostic facilities at provincial and district hospita (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 This is just the name of the indicators so no value is expected. The indicator values are for the sub- Comments: indicators below. IN00626123 Provincial Level: Overall Quality (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 76.20 84.80 84.80 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626122 District Level: Overall Quality (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 82.10 89.50 89.50 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626124 2/22/2019 Page 4 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Provincial Level: Waiting Time (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 67.50 80.30 80.30 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626125 District Level: Waiting Time (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 74.90 89.40 89.40 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626126 Provincial Level: Availability of services (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 77.20 88.30 88.30 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626127 District Level: Availability of services (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 58.80 79.00 79.00 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626128 Provincial level: Availability of diagnostic facilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 67.20 77.10 77.10 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626129 District level: Avalability of diagnostic facilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 52.50 57.50 57.50 63.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 Reducing the financial barriers to access by the economically vulnerable IN00626108 ►At least seventy percent of near poor have health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 95.40 99.00 100.00 70.00 Date 22-Feb-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626113 2/22/2019 Page 5 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) ►People with access to a basic package of health, nutrition, or reproductive health services (number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 11,942,834.00 13,034,660.00 13,034,660.00 10,882,272.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Jun-2019 IN00626110 ►Increase in the knowledge on health insurance (a) benefit package; (b) rights, (c) responsibility; and (d) operation mechanism among near poor people (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 0.00 Date 18-Apr-2013 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626118 Knows at least 3 benefits (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 16.40 21.50 21.50 50.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626119 Knows at least 3 responsibilities (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 6.30 17.10 17.10 50.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626120 Knows operation mechanism among near poor people (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.20 6.50 6.50 50.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 IN00626121 Knows rights (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 3.20 7.80 7.80 50.00 Date 30-Jun-2015 31-Mar-2018 31-Dec-2018 30-Sep-2019 Project management, monitoring and evaluation IN00626109 ►Complete and Timely Project reporting, including Progress Reports, Monitoring and Evaluation Updates, Year 1, Midterm and End of Project surveys, Annual Plans (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Satifactory Value Not applicable Satisfactory Satisfactory assessment 2/22/2019 Page 6 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Date 18-Apr-2013 31-Mar-2018 31-Dec-2018 31-Dec-2019 Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P122629 IDA-52590 Effective USD 150.00 150.00 0.00 85.45 53.71 61% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P122629 IDA-52590 Effective 31-May-2013 01-Aug-2013 17-Oct-2013 31-Dec-2019 31-Dec-2019 Cumulative Disbursements 2/22/2019 Page 7 of 8 The World Bank Implementation Status & Results Report North East and Red River Delta Regions Health System Support Project (P122629) Restructuring History Level 2 Approved on 26-Jun-2018 Related Project(s) There are no related projects. 2/22/2019 Page 8 of 8