The World Bank Report No: ISR16219 Implementation Status & Results Kyrgyz Republic Kyrgyz Second Health and Social Protection Project (P126278) Public Disclosure Copy Operation Name: Kyrgyz Second Health and Social Protection Project Project Stage: Implementation Seq.No: 3 Status: ARCHIVED Archive Date: 18-Oct-2014 (P126278) Country: Kyrgyz Republic Approval FY: 2013 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 03-May-2013 Original Closing Date 31-Dec-2018 Planned Mid Term Review Date 15-Jun-2016 Last Archived ISR Date 06-Mar-2014 Effectiveness Date 11-Jul-2014 Revised Closing Date 31-Dec-2018 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed PDO is to: (i) improve health outcomes in four health priority areas in support of the “Den Sooluk” National Health Reform Program 2012-2016; and (ii) enable the Government's efforts to enhance effectiveness and targeting performance of social assistance and services Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1 – Support for implementation of Den Sooluk program of reforms 13.50 Component 2 – Strengthening the Policy and Administrative Capacity of the MSD 3.00 Component 3: Contingency Emergency Response (no funds allocated) 0.00 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status Overview The Project became effective on July 11, 2014. Procurement plan for the remaining of calendar year of 2014 is being reviewed following Bank's comments on the draft. Locations Page 1 of 5 The World Bank Report No: ISR16219 No Location data has been entered Results Public Disclosure Copy Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target (a) Percentage of Government consolidated Percentage Value 12.90 12.90 13.00 health expenditures over total consolidated Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Government expenditures Comments Average over the last 5 years (b) Number of disease management programs Number Value 0.00 0.00 2.00 created Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Discussions have started on disease management programs Coverage of the population enrolled in disease Text Value TBD TBD TBD management programs Sub Type Supplemental (c) Access of the patients to preventive care Percentage Value 27.00 27.00 50.00 measured by % of detected cases of Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 hypertension (HT) at the primary health care Comments level (d) Financial protection of population measured Text Value Poorest quintiles: 30 Poorest quintiles: 30 Poorest quintiles: 26 by level of out-of-pocket payments in the two 2nd poorest quintiles: 22 2nd poorest quintiles: 22 2nd poorest quintiles: 18 poorest quintiles as a proportion of total Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 household consumption Comments 2 times during the project (e) Share targeting of MBPF transfers by Percentage Value 71.00 71.00 60.00 reducing exclusion errors Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Newer information not yet 60% or less Public Disclosure Copy available pending receipt of the latest survey data (f) Share of Social Assistance spending on Percentage Value 15.50 25.40 35.00 poverty-targeted program(s) Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Comments On track Greater than 35% Intermediate Results Indicators Page 2 of 5 The World Bank Report No: ISR16219 Indicator Name Core Unit of Measure Baseline Current End Target Percentage of negative deviations of the Text Value < 5% < 5% < 5% executed health budget from the initially Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Public Disclosure Copy approved budget and quarterly allocations and Comments execution of the health budget Inter-sectoral determinants of health by Number Value 0.00 0.00 2.00 conducting at least two comprehensive Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 campaigns Comments Submission of IFRs satisfactory to IDA within Yes/No Value No No Yes due dates according to Financing Agreement Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Amendment to FA and disbursement letter needed to modify submission from 45 days to 60 days which is more realistic due to limitations on the timing with Treasury reconciliation (done only within 45 days) Indicators in JAF have baseline and are up to Percentage Value 0.00 0.00 100.00 date Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Upcoming TA in mid-October to review JAF/SWAp2 RF. Indicators in JAF are disaggregated by gender Yes/No Value No No Yes and location where applicable Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Upcoming TA in mid-October to review JAF/SWAp2 RF. Health personnel receiving training (number) Number Value 0.00 0.00 0.00 Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Comments TBD Public Disclosure Copy Children immunized (number) Number Value 0.00 0.00 0.00 Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Comments TBD Children immunized - under 12 months against Number Value 114000.00 114000.00 0.00 DTP3 (number) Sub Type Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Breakdown Comments TBD Page 3 of 5 The World Bank Report No: ISR16219 Children immunized - under 5 years against Number Value 586000.00 586000.00 0.00 Polio (number) Sub Type Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Breakdown Comments TBD Public Disclosure Copy Share of social assistance (MBPF, Monthly Text Value 0% More than 90% 100% Social Benefits (MSB) and Cash Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 compensations) beneficiaries with records in Comments On track the SA Beneficiary Registry Turnaround time for processing MBPF Text Value 8 days 8 days 5 days applications Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Comments On track with measures being taken to fully implement the SA Beneficiary Registry Roadmap to reform disability certification Text Value No No New model implemented service developed and endorsed by the Date 10-Dec-2012 08-Sep-2014 31-Dec-2018 Ministry Comments On track with plans to pilot new approach to disability certification Number of beneficiaries of targeted social Number Value 414806.00 397998.00 assistance programs Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Comments Monthly Benefit for Poor Families with Children Number Value 343530.00 322028.00 (MBPF) Sub Type Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Breakdown Comments Monthly Social Benefits (MSB) Number Value 71276.00 75970.00 Sub Type Date 31-Dec-2012 08-Sep-2014 31-Dec-2018 Breakdown Comments Data on Financial Performance (as of 23-Jul-2014) Public Disclosure Copy Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P126278 IDA-52350 Effective 03-May-2013 16-Dec-2013 11-Jul-2014 31-Dec-2018 31-Dec-2018 P126278 IDA-H8390 Effective 03-May-2013 16-Dec-2013 11-Jul-2014 31-Dec-2018 31-Dec-2018 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P126278 IDA-52350 Effective XDR 5.90 5.90 0.00 0.00 5.90 0.00 Page 4 of 5 The World Bank Report No: ISR16219 P126278 IDA-H8390 Effective XDR 4.90 4.90 0.00 0.00 4.90 0.00 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation Not applicable. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 5 of 5