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Timor-Leste - Second Health Sector Rehabilitation and Development Project (Inglês)

Ratings for the Second Health Sector Rehabilitation and Development Project for East Timor were as follows: outcomes were moderately satisfactory, the risk to development outcome was moderate, Bank performance was moderately satisfactory, and Borrower performance was also moderately satisfactory. Some lessons learned included: 1) the capacity to mobilize financial resources through one funding mechanism ensured good donor coordination and reduced transaction costs; 2) the health strategy in Timor-Leste (TL) gives evidence of a balanced choice between visible results in terms of reconstruction and service delivery and the development of a customized policy framework and medium-term planning; 3) providing continuous guidance in the context of a limited institutional capacity is essential. The Bank should make all efforts to post the TL or a sector staff in the field to provide day-to-day guidance and help resolve bottlenecks. Bank supervision must be continuous and intensive. Adequate supervision resources must be allocated; 4) there should have been a Mid-term evaluation by the World Bank, as Trustee, of the interim achievements with a view to addressing emerging problems; and 5) for planned civil works/medical equipment procurement, it is important to begin the process early, especially in small countries where competition and capacity is limited.

Detalhes

  • Data do documento

    2009/02/12

  • TIpo de documento

    Conclusão da Implementação e Relatórios sobre Resultados

  • No. do relatório

    ICR971

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Timor-Leste,

  • Região

    Leste Asiático e Pacífico,

  • Data de divulgação

    2009/03/23

  • Disclosure Status

    Disclosed

  • Nome do documento

    Timor-Leste - Second Health Sector Rehabilitation and Development Project

  • Palavras-chave

    average life expectancy at birth;health sector strategic plan;human resource development strategy;Policy and Institutional Framework;infant and child mortality;quality health care;quality of health care;economic and financial analysis;Financial Management and Accounting;health sector policy;hospital equipment;construction and equipment;population with access;community health center;construction of hospitals;formulation of policies;outputs by components;standard treatment guidelines;quality of delivery;central medical stores;delay in procurement;medical equipment;warehouse management system;acute respiratory infection;annual recurrent budget;health care infrastructure;quality assurance system;cycle of violence;indicators of progress;primary health care;health service provision;Secondary Health Care;intermediate outcome;Financial Management System;rehabilitation of facility;payment to supplier;medical equipment maintenance;curative health services;direct financial support;budget for health;impact on health;good quality standard;health sector development;Internally Displaced Person;household survey data;delivering health services;human resource strategy;health facility;regional hospital;Health policies;sustainable policy;civil unrest;health information;support system;skilled attendance;Management Systems;health post;hospital plan;petroleum fund;Essential Drugs;political tension;future need;health needs;health program;results framework;local capacity;health indicator;Waste Management;laboratory services;grace period;fiscal space;health coverage;risk assessment;financial sustainability;referral hospitals;civil works;pharmaceutical procurement;political crisis;health infrastructure;drug list;policy formulation;donor assistance;referral system;procurement delay;administrative infrastructure;project finance;medical training;outpatient visits;procurement performance;land issue;Indicator Target;sustainable construction;medical supply;responsive bidder;septic tank;health problem;fiduciary safeguard;consultative process;solar penetration;roof overhangs;treatment practices;project engineer;hospital sector;strategic guidance;pharmaceutical policy;infrastructure maintenance;procurement management;limited capacity;civil engineer;adequate financing;drug prescriptions;productive employment;health outcome;fiscal situation;medical doctor;sustainable services;construction company;basic package;land acquisition;government's budget;procurement cycle;budget line;communal land;international consultant;environmental safeguard;integrated system;government procedure;formal approval;financial allocation;district authority;hospital infrastructure;social analysis;reproductive age;political transition;health managers;international community;Conflict Prevention;baseline indicator;inpatient service;regional tensions;maternity care;Child Health;pending completion;mutual agreement;bilateral agreement;live birth;strategy development;hospital expenditure;budget resource;external partner;health workforce;adequate mitigation;job training;operational research;professional standard;environmental issue;primary author;urban youth;Armed Forces;running cost;public subsidy;quality service;stock data;financial compensation;public health;health situation;resource availability;government budget;construction phase;hospital rationalization;adequate information;environmental concern;significant attention;disbursement profile;Civil War;basic healthcare;international ngos;health status;health teams;grant funds;social concern;primary care;individual activity;pharmaceutical regulation;support policy;stakeholder workshop;budget review;budgetary resource;working level;fragile environment;internal displacement;national budget;expenditure limit;procurement responsibility;procurement capacity;fundamental problem;stock management;qualified personnel;drug management;effective operations;oversight arrangement;logistical support;beneficiary survey;management responsibility

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