The World Bank Report No: ISR10561 Implementation Status & Results Brazil QUALISUS-REDE Brazil Health Network Formation and Quality Improvement Project (P088716) Public Disclosure Copy Operation Name: QUALISUS-REDE Brazil Health Network Formation and Project Stage: Implementation Seq.No: 8 Status: ARCHIVED Archive Date: 05-Jun-2013 Quality Improvement Project (P088716) Country: Brazil Approval FY: 2009 Product Line: IBRD/IDA Region: LATIN AMERICA AND CARIBBEAN Lending Instrument: Adaptable Program Loan Implementing Agency(ies): Key Dates Board Approval Date 29-Jan-2009 Original Closing Date 30-Jun-2014 Planned Mid Term Review Date 31-May-2012 Last Archived ISR Date 09-Nov-2012 Effectiveness Date 19-Feb-2010 Revised Closing Date 30-Jun-2014 Actual Mid Term Review Date 28-May-2012 Project Development Objectives Project Development Objective (from Project Appraisal Document) (a) Improve the quality and efficiency of SUS# Regional Health Care Networks (RHCN) with emphasis on secondary-level health care, specialty, diagnostic and emergency centers, and logistical systems serving the Project#s targeted regions and populations. (b) Improve the effectiveness of the SUS# RHCNs delivery system to prevent, detect and treat priority health conditions in the Project#s targeted regions and populations. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost A. Development of Regional Healthcare Networks and strengthening of health care facilities 205.00 B. System Development for Performance Enhancement 26.30 C. Project Management 3.10 Public Disclosure Copy Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Unsatisfactory Overall Risk Rating Implementation Status Overview The project was approved in January 2009 and has been effective since February 2010. The delay in effectiveness was due to a management transition in the Ministry of Health Page 1 of 4 The World Bank Report No: ISR10561 (MOH) following national elections. Once effective, there was a one-year delay in it is launching due to a MOH request to change implementation arrangements. This ISR is based on regular interaction with the MOH since the last ISR (January 2012). Public Disclosure Copy Although there have been no additional disbursements over the last six months, there has been progress in finalizing procurement plans for sub-projects and implementation of many sub-projects is now starting. Implementation of federal "systemic interventions", in particular on pharmaceutical assistance, is also proceeding. Locations No Location data has been entered Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Number of RHCNs with at least 20% of Text Value 0 RHCN's 10 RHCN's population identified with a targeted priority Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 condition registered by risk classification Comments Project activities are just andreceiving preventive and treatment care. beginning. Indicator may be adjusted in next ISR based on revised results framework (to be finalized) Number of RHCNs with an increase of at least Text Value 0 RHCN's 10 RHCN's 10% of hospitals which have achieved at least Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 level 1 accreditation from a MOH recognized Comments Project activities are just accreditation organization. beginning. Indicator may be adjusted in next ISR based on revised results framework (to be finalized) Number RHCNs subprojects with 50% of Text Value 0 RHCN's 10 RHCN's emergency departments and call centers that Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 are operating with a risk classification system. Public Disclosure Copy Comments Project activities are just beginning. Indicator may be adjusted in next ISR based on revised results framework (to be finalized) Intermediate Results Indicators Page 2 of 4 The World Bank Report No: ISR10561 Indicator Name Core Unit of Measure Baseline Current End Target Number of RNCNs with all municipalities Text Value 0 RHCN's 10 RHCN's integrated into Regional Governance/ Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 Public Disclosure Copy Management structures and planning Comments Project activities are just instruments beginning. Indicator may be adjusted in next ISR based on revised results framework (to be finalized) Number of RHCNs with at least 60% of the Text Value 0 RHCN's 10 RHCN's SUS user population (usuarios do SUS) which Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 have digital unique patient identification card Comments Subprojects to establish linked to clinical activities in the regional network regional networks are currently being developed; process expected to be concluded by March Number of RHCNs with 60% of municipalities Text Value 0 RHCN's 10 RHCN's covered by an organized transport system for Date 29-Jan-2009 01-Jun-2012 29-Jun-2014 patients, links with Referral and support for Comments Subprojects to establish emergency and elective patients. regional networks are currently being developed; process expected to be concluded by March Data on Financial Performance (as of 14-May-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P088716 IBRD-76320 Effective 29-Jan-2009 22-Dec-2009 19-Feb-2010 30-Jun-2014 30-Jun-2014 Disbursements (in Millions) Public Disclosure Copy Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P088716 IBRD-76320 Effective USD 235.00 235.00 0.00 12.59 222.41 5.00 Disbursement Graph Page 3 of 4 The World Bank Report No: ISR10561 Public Disclosure Copy Key Decisions Regarding Implementation Proceed with implementation of sub-projects and activities under the federal component. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Public Disclosure Copy Page 4 of 4