Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Kosovo Health Project (P147402) EUROPE AND CENTRAL ASIA | Kosovo | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 7 | ARCHIVED on 06-Oct-2016 | ISR25310 | Implementing Agencies: Ministry of Health, Ministry of Health Key Dates Key Project Dates Bank Approval Date:13-May-2014 Effectiveness Date:20-May-2015 Planned Mid Term Review Date:24-Apr-2017 Actual Mid-Term Review Date:-- Original Closing Date:30-Oct-2019 Revised Closing Date:30-Oct-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to improving financial protection from health spending for the poor and quality of care for priority maternal and child health and non communicable disease services. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improving financial protection and quality of care:(Cost $11.20 M) Strengthening primary care:(Cost $12.50 M) Project management:(Cost $1.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Implementation Progress (IP)  Moderately Unsatisfactory  Moderately Unsatisfactory Overall Risk Rating  Substantial  Substantial 10/6/2016 Page 1 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Implementation Status and Key Decisions Overall, project implementation has suffered delays since May, 2016. Limited progress has been achieved in implementing a few key activities, including: (i) contracting an international Technical Assistance (TA) firm to support the Ministry of Health (MoH) with the outpatient drug benefit scheme design, (ii) procurement of medical equipment expected to be completed by end of this calendar year, and (iii) hiring a local communications firm responsible for developing a communications strategy and campaign on the reforms in the sector. Very slow progress is noted concerning the implementation of performance payments at the municipality level. Despite discussions held so far on the implementation of the performance payment scheme, an agreement between the Ministry of Health (MoH) and the Ministry of Finance (MoF) on the detailed fiduciary arrangements, including flow of funds, has yet to be reached. Agreement on this is expected to lead to the signature of a Memorandum of Understanding (MoU) between the two ministries by the end of October 2016 and open the way for the implementation of the performance payment scheme. 10/6/2016 Page 2 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) 10/6/2016 Page 3 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  Substantial  Substantial Macroeconomic  --  High  High Sector Strategies and Policies  --  Substantial  Substantial Technical Design of Project or Program  --  Substantial  Substantial Institutional Capacity for Implementation and Sustainability  --  Moderate  Moderate Fiduciary  --  Moderate  Moderate Environment and Social  --  Low  Low Stakeholders  --  Substantial  Substantial Other  --  --  -- Overall  --  Substantial  Substantial Results Project Development Objective Indicators 10/6/2016 Page 4 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDPDOTBL  Percentage of the poor enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDPDOTBL  Outpatient (OP) drug benefit scheme established and functional based on pre-defined operational criteria (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDPDOTBL  Percentage of participating municipalities where at least 75 percent of the agreed quality targets were achieved in the preceding one year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 Overall Comments Intermediate Results Indicators PHINDIRITBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1170000.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 10/6/2016 Page 5 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 48.00 0.00 0.00 48.00 PHINDIRITBL  Female project beneficiaries, as % of number of project beneficiaries (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDIRITBL  Percentage of resident population enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 65.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDIRITBL  Achievement of key benchmarks for functioning health insurance system (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 10/6/2016 Page 6 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1000.00 Date 13-May-2014 14-Mar-2016 14-Mar-2016 30-Oct-2019 PHINDIRITBL  Number of municipalities who have entered into performance agreements with the MoH/ HFA/ HIF and MoF (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDIRITBL  Percentage of participating municipalities with a performance improvement action plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 PHINDIRITBL  Percentage of capitation-based performance payment budget spent at municipality level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 95.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 10/6/2016 Page 7 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 13-May-2014 14-Mar-2016 20-Sep-2016 30-Oct-2019 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P147402 IDA-54420 Effective XDR 16.50 16.50 0.00 0.07 16.43 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P147402 IDA-54420 Effective 13-May-2014 15-Jan-2015 20-May-2015 30-Oct-2019 30-Oct-2019 Cumulative Disbursements 10/6/2016 Page 8 of 9 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/6/2016 Page 9 of 9 Public Disclosure Copy