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
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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
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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
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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
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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
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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
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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
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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
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