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The World Bank Report No: ISR16499 Implementation Status & Results El Salvador STRENGTHENING PUBLIC HEALTH CARE SYSTEM (P117157) Operation Name: STRENGTHENING PUBLIC HEALTH CARE SYSTEM Project Stage: Implementation Seq.No: 6 Status: ARCHIVED Archive Date: 01-Dec-2014 (P117157) Public Disclosure Authorized Country: El Salvador Approval FY: 2012 Product Line:IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Specific Investment Loan Implementing Agency(ies): Ministry of Health Key Dates Public Disclosure Copy Board Approval Date 21-Jul-2011 Original Closing Date 30-Jun-2016 Planned Mid Term Review Date 16-Sep-2015 Last Archived ISR Date 03-May-2014 Effectiveness Date 11-Dec-2012 Revised Closing Date 30-Jun-2016 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are to: (i) expand the coverage, quality, and equity in utilization of priority health services provided under the RIISS; and (ii) strengthen MINSAL stewardship capacity to manage essential public health functions. Has the Project Development Objective been changed since Board Approval of the Project? Public Disclosure Authorized Yes No Component(s) Component Name Component Cost Component 1: Expansion of Priority Health Services and Programs. 54.41 Component 2: Institutional Strengthening 22.74 Component 3: Project Management and Monitoring 2.65 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Public Disclosure Authorized Overall Risk Rating Moderate Moderate Implementation Status Overview The Board approved the Project on July 21, 2011. The loan agreement in the amount of US$80 million was signed on April 30, 2012, and the Project was declared effective on Public Disclosure Copy December 11, 2012. The main objectives of the last supervision mission, held on September 2014, were to supervise implementation progress, socialize the Project with the new technical staff in the Page 1 of 8 Public Disclosure Authorized The World Bank Report No: ISR16499 technical and administrative dependencies of the Ministry of Health (after government elections), and to discuss a request for Project restructuring from the Government. All Project activities are currently underway and several key procurement processes are expected to be finalized by December 2014. Disbursements are expected to increase significantly over the next 9 months. Locations Country First Administrative Division Location Planned Actual El Salvador Not Entered Zaragoza El Salvador Not Entered Zacatecoluca El Salvador Not Entered Yucuaiquín Public Disclosure Copy El Salvador Not Entered Municipio de Usulután El Salvador Not Entered Usulután El Salvador Not Entered Texistepeque El Salvador Not Entered Tepecoyo El Salvador Not Entered Tecoluca El Salvador Not Entered Tamanique El Salvador Not Entered Talnique El Salvador Not Entered Suchitoto El Salvador Not Entered Soyapango El Salvador Not Entered Sociedad El Salvador Not Entered Sensuntepeque El Salvador Not Entered San Vicente El Salvador Not Entered Santo Tomás El Salvador Not Entered Santiago Texacuangos El Salvador Not Entered Santiago Nonualco El Salvador Not Entered Municipio de Santiago de María El Salvador Not Entered Santiago de María Public Disclosure Copy El Salvador Not Entered Santa Rosa de Lima Page 2 of 8 The World Bank Report No: ISR16499 Country First Administrative Division Location Planned Actual El Salvador Not Entered Santa Cruz Michapa El Salvador Not Entered Santa Ana El Salvador Not Entered San Sebastián Salitrillo El Salvador Not Entered San Sebastián El Salvador Not Entered San Ramón El Salvador Not Entered San Rafael Obrajuelo Public Disclosure Copy El Salvador Not Entered San Rafael Cedros El Salvador Not Entered San Pedro Perulapán El Salvador Not Entered San Pedro Masahuat El Salvador Not Entered San Pablo Tacachico El Salvador Not Entered San Juan Opico El Salvador Not Entered San Juan Nonualco El Salvador Not Entered San José Guayabal El Salvador Not Entered San Isidro El Salvador Not Entered San Francisco Menéndez El Salvador Not Entered San Francisco Chinameca El Salvador Not Entered San Francisco El Salvador Not Entered San Dionisio El Salvador Not Entered San Cayetano Istepeque El Salvador Not Entered San Buenaventura El Salvador Not Entered San Bartolomé Perulapía El Salvador Not Entered San Alejo El Salvador Not Entered Rosario de Mora Public Disclosure Copy El Salvador Not Entered Puerto El Triunfo El Salvador Not Entered Pasaquina Page 3 of 8 The World Bank Report No: ISR16499 El Salvador Not Entered Osicala El Salvador Not Entered Olocuilta El Salvador Not Entered Santa Tecla El Salvador Not Entered Nejapa El Salvador Not Entered Metapán El Salvador Not Entered Mercedes La Ceiba El Salvador Not Entered Meanguera del Golfo Public Disclosure Copy El Salvador Not Entered Meanguera El Salvador Not Entered La Unión El Salvador Not Entered La Libertad El Salvador Not Entered Jucuapa El Salvador Not Entered Jocoro El Salvador Not Entered Jiquilisco El Salvador Not Entered Jerusalén El Salvador Not Entered Jayaque El Salvador Not Entered Intipucá El Salvador Not Entered Huizúcar El Salvador Not Entered Guazapa El Salvador Not Entered Guadalupe El Salvador Not Entered Guacotecti El Salvador Not Entered Ereguayquín El Salvador Not Entered El Triunfo El Salvador Not Entered El Sauce El Salvador Not Entered El Rosario Public Disclosure Copy El Salvador Not Entered El Paisnal Page 4 of 8 The World Bank Report No: ISR16499 El Salvador Not Entered El Divisadero El Salvador Not Entered El Congo El Salvador Not Entered El Carmen El Salvador Not Entered El Carmen El Salvador Not Entered Cuyultitán El Salvador Not Entered Conchagua El Salvador Not Entered Concepción de Oriente Public Disclosure Copy El Salvador Not Entered Concepción de Ataco El Salvador Not Entered Cojutepeque El Salvador Not Entered Coatepeque El Salvador Not Entered Ciudad Arce El Salvador Not Entered Candelaria de La Frontera El Salvador Not Entered Candelaria El Salvador Not Entered Ayutuxtepeque El Salvador Not Entered Municipio de Atiquizaya El Salvador Not Entered Anamorós El Salvador Not Entered Aguilares El Salvador Not Entered San Luis la Herradura El Salvador Not Entered San Lorenzo El Salvador Not Entered San Luis Talpa El Salvador Not Entered Bolivar Results Project Development Objective Indicators Public Disclosure Copy Page 5 of 8 The World Bank Report No: ISR16499 Indicator Name Core Unit of Measure Baseline Current End Target 1. Poor people using public health care Percentage Value 50.00 70.00 services when needed. Date 30-Sep-2011 30-Jun-2016 Comments Following the review of the Results Framework during the September 2014, the Framework will be revised during the upcoming restructuring. 2. MINSAL-registered pregnant women Percentage Value 31.60 83.00 52.00 receiving prenatal care according to MINSAL Date 30-Sep-2011 30-Jun-2016 Public Disclosure Copy norms. Comments This indicator will be updated shortly 3. Eligible secondary and tertiary hospitals Percentage Value 0.00 0.00 75.00 certified by MINSAL. Date 12-Dec-2012 30-Jun-2016 Comments 4. Pharmaceutical products purchased by Percentage Value 0.00 0.00 90.00 MINSAL through a decentralized mechanism Date 12-Dec-2012 30-Jun-2016 that is subject to quality control by a MINSAL laboratory. Comments Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Hospitals integrated into the National Medical Number Value 0.00 8.00 16.00 Emergencies System Date 12-Dec-2012 30-Jun-2016 Comments Eligible hospitals that comply with the standard Number Value 0.00 0.00 14.00 bio-hazard waste management systems. Date 12-Dec-2012 30-Jun-2016 Comments Health facilities constructed, renovated, and/or Number Value 0.00 0.00 530.00 equipped (number) Date 12-Dec-2012 30-Jun-2016 Comments (i) Family community health teams. Note: Project will only equip health facilities Value Public Disclosure Copy Health personnel receiving training (number) Number 0.00 410.00 1200.00 Page 6 of 8 The World Bank Report No: ISR16499 Date 12-Dec-2012 30-Jun-2016 Comments ECOS reached by the Project supplying Number Value 0.00 0.00 480.00 medicines according to MINSAL forms Date 12-Dec-2012 30-Jun-2016 Comments Procurements processes implemented Percentage Value 0.00 12.00 95.00 according to annual procurement plan. Date 12-Dec-2012 30-Jun-2016 Comments Eligible hospitals that have an electronic Number Value 0.00 0.00 16.00 medical record system in SUIS. Date Public Disclosure Copy 12-Dec-2012 30-Jun-2016 Comments Eligible hospitals with functioning Number Value 0.00 9.00 30.00 pharmaceutical surveillance committee in Date 12-Dec-2012 30-Jun-2016 conformity with MINSAL norms. Comments Health facilities constructed, renovated, and/or Number Value 0.00 20.00 equipped (number) Date 12-Dec-2012 30-Jun-2016 Comments (ii) Hospitals - Note: Project will only equip health facilities. Data on Financial Performance (as of 06-Nov-2014) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P117157 IBRD-80760 Effective 21-Jul-2011 30-Apr-2012 11-Dec-2012 30-Jun-2016 30-Jun-2016 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P117157 IBRD-80760 Effective USD 80.00 80.00 0.00 3.77 76.23 5.00 Disbursement Graph Public Disclosure Copy Page 7 of 8 The World Bank Report No: ISR16499 Public Disclosure Copy Key Decisions Regarding Implementation The Government has requested a Level 2 Project restructuring which is currently underway. Restructuring History Level two Approved on 21-Dec-2012 Related Projects There are no related projects. Public Disclosure Copy Page 8 of 8.