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India - Karnataka Health System Development and Reform Project : restructuring : Main report (Inglês)

The objective of the Karnataka Health System Development and Reform Project for India is to increase utilization of essential health services (public health, preventive, and curative), particularly in underserved areas and among vulnerable groups, to accelerate achievement of the health-related millennium development goals. The closing date for the Project will be extended from September 30, 2012 to March 31, 2013. The project combines capital investment activities with support for policy reforms and innovative health financing and service delivery mechanisms. The Project performance is satisfactory and objectives continue to be achievable. The project development objective (PDO) indicators have shown significant progress: the proportion of births delivered in a health facility has risen from 65 percent in 2005-06 to 86 percent in 2009 (with an end project target of 90 percent); the proportion of children fully immunized has increased from 55 percent in 2005-06 to 78 percent in 2009 (against a target of 80 percent); 96 mobile health clinics are operational (against a target of 97); and the number of claims paid by a health insurance pilot program benefiting poor households is 19,199 (far exceeding the target of 7,500). The extension is necessary to allow time for processing and clearances of the government's request for additional financing and extension of the project. The Project activities will continue during this period. This will be the second extension of the project, with the total extension period being 12 months.

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