The World Bank Report No: ISR15974 Implementation Status & Results Tajikistan Tajikistan Health Services Improvement Project (HSIP) (P126130) Public Disclosure Copy Operation Name: Tajikistan Health Services Improvement Project (HSIP) Project Stage: Implementation Seq.No: 2 Status: ARCHIVED Archive Date: 30-Aug-2014 (P126130) Country: Tajikistan Approval FY: 2014 Product Line: IBRD/IDA Region: EUROPE AND CENTRAL ASIA Lending Instrument: Investment Project Financing Implementing Agency(ies): Ministry of Health Key Dates Board Approval Date 30-Jul-2013 Original Closing Date 31-Jan-2019 Planned Mid Term Review Date Last Archived ISR Date 07-Jan-2014 Effectiveness Date 11-Dec-2013 Revised Closing Date 31-Jan-2019 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to contribute to the improvement of the coverage and quality of basic primary health care (PHC) services in rural health facilities in selected districts. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1: Performance Based Financing 12.80 Component 2: Primary Health Care Strengthening 6.00 Component 3: Project Management, Coordination, and Monitoring & Evaluation 4.20 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status Overview Implementation of Project activities started in January, 2014 following Project effectiveness on December 11, 2013. The Ministry of Health and Social Protection held a workshop on May 6, 2014 to officially launch the Project. The testing of the Performance Based Financing scheme in the primary health care facilities of Spitamen district is ongoing since mid- April, and is expected to go on till the end of the year. Page 1 of 4 The World Bank Report No: ISR15974 Locations Country First Administrative Division Location Planned Actual Tajikistan Region of Republican Subordination Region of Republican Subordination ✔ Public Disclosure Copy Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of pregnant women receiving Percentage Value 79.20 79.20 85.00 antenatal care four or more times from a skilled Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 health provider Comments 39.2 Khatlon 39.2 Khatlon. 45 Khatlon Contraceptive Prevalence Rate Percentage Value 30.70 30.70 35.00 Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments 22.9 Khatlon 22.9 Khatlon. 27 Khatlon Average Health Facility Quality of Care Score Number Value 0.00 0.00 0.00 Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments Data will be available in October 2014 Percentage of children under-five with diarrhea Percentage Value 79.20 79.20 85.00 treated with any Oral Rehydration Therapy Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments 68.2 Khatlon 68.2 Khatlon. 74 Khatlon Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of eligible health facilities in which PBF Number Value 0.00 18.00 0.00 is initiated Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments 18 PHC facilities in Spitamen Public Disclosure Copy district Percentage of Primary Health Care facilities Percentage Value 0.00 0.00 100.00 eligible for PBF payments who received timely Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 PBF payments in the preceding quarter Comments Will be updated in October after first quarter payments made Number of independent verification visits Number Value 0.00 0.00 8.00 completed per schedule Date 01-Oct-2013 27-Nov-2013 31-Jan-2019 Page 2 of 4 The World Bank Report No: ISR15974 Comments Will be updated after PBF pilot beings in 2014 Number of pregnant/lactating women and/or Percentage Value 0.00 0.00 0.00 Public Disclosure Copy children under age 5 reached by basic nutrition Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 services Comments to be updated in October 2014 Percentage of hypertensive patients who are Number Value 0.00 0.00 0.00 receiving correct anti-hypertensive treatment Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 per protocols. Comments Will be updated in October 2014 Number of Primary Health Care facilities Number Value 0.00 0.00 12.00 constructed, renovated or equipped Date 01-Oct-2013 17-Jun-2014 31-Mar-2018 Comments Architectural designs of facilities being developed Number of project districts in which PBF MIS is Number Value 0.00 0.00 8.00 operational Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments Update in October 2014 Report on evaluation of pilot experience Yes/No Value No No Yes completed and action plan for the roll-out Date 01-Oct-2013 27-Nov-2013 31-Dec-2014 prepared Comments will be done in mid-2014 after pre-testing of PBF scheme Health personnel receiving training (number) Number Value 0.00 0.00 500.00 Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments Training of first group of personnel started in May/June 2014. Update of actual numbers in October Health facilities constructed, renovated, and/or Number Value 0.00 0.00 12.00 Public Disclosure Copy equipped (number) Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments Architectural design of facilities ongoing Percentage of hypertensive adults who are Percentage Value 0.00 0.00 currently receiving anti-hypertensive treatment Date 01-Oct-2013 17-Jun-2014 31-Jan-2019 Comments will be updated in October Data on Financial Performance (as of 15-Apr-2014) Financial Agreement(s) Key Dates Page 3 of 4 The World Bank Report No: ISR15974 Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P126130 IDA-H8790 Effective 30-Jul-2013 20-Sep-2013 11-Dec-2013 31-Jan-2019 31-Jan-2019 P126130 TF-14871 Effective 20-Sep-2013 20-Sep-2013 11-Dec-2013 31-Jan-2019 31-Jan-2019 Public Disclosure Copy Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P126130 IDA-H8790 Effective USD 15.00 15.00 0.00 1.00 14.52 7.00 P126130 TF-14871 Effective USD 4.80 4.80 0.00 0.35 4.45 7.00 Disbursement Graph Key Decisions Regarding Implementation Public Disclosure Copy N/A Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 4 of 4