The World Bank Report No: ISR9809 Implementation Status & Results Egypt, Arab Republic of Health Insurance Systems Development Project (P080228) Public Disclosure Copy Operation Name: Health Insurance Systems Development Project (P080228) Project Stage: Implementation Seq.No: 7 Status: ARCHIVED Archive Date: 25-Mar-2013 Country: Egypt, Arab Republic of Approval FY: 2010 Product Line: IBRD/IDA Region: MIDDLE EAST AND NORTH AFRICA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Ministry of Health and Population Key Dates Board Approval Date 22-Dec-2009 Original Closing Date 30-Jun-2015 Planned Mid Term Review Date 15-Dec-2013 Last Archived ISR Date 14-Dec-2012 Effectiveness Date 12-Aug-2010 Revised Closing Date 30-Jun-2015 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) To assist the Borrower in improving the financial sustainability and efficiency of its social health insurance operations. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Health Insurance Payor Operations & Management Information System 75.00 Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Unsatisfactory Unsatisfactory Overall Implementation Progress (IP) Unsatisfactory Unsatisfactory Public Disclosure Copy Overall Risk Rating Implementation Status Overview The Project has been experiencing major delays in implementation. After a number of missions and meetings to discuss different proposals for a revised project description, a consensus was reached to restructure the project to respond to the post-January 25th revolution demand for social justice, in the form of support to expand health insurance coverage to the poor. The project is proposed to be restructured to provide funding to cover the cost of premiums for the first year of enrollment of 750,000 poor beneficiaries in the South Upper Egypt region, to be funded in the following years by the Ministry of Finance. A revised project description including a revised project development objective and components as well as change of the implementing agency has been agreed upon. Following the restructuring mission, a senior health policy seminary supported by the World Bank was organized with the Ministry of Health from March 1-3, 2013. The Successful country experiences from Turkey, Mexico, and South America were presented and discussed for expanding health insurance for the poor. Page 1 of 3 The World Bank Report No: ISR9809 Locations Country First Administrative Division Location Planned Actual Egypt Qina Muhafazat Qina ✔ Public Disclosure Copy Egypt Aswan Muhafazat Aswan ✔ Egypt Al Bahr al Ahmar Muhafazat al Bahr al Ahmar ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target New operational procedures formally approved Percentage Value 0.00 0.00 100.00 Date 31-Dec-2009 11-Mar-2013 30-Jun-2015 Comments Interim procedures formulated Expected to retain this for Suez by Ministerial Decree indicator but to be for the regional payer fund Percentage of beneficiary claims that are Percentage Value 0.00 0.00 100.00 captured and processed through the payor's Date 31-Dec-2009 11-Mar-2013 30-Jun-2015 new business management systems Comments Interim operations instituted in Expected to retain this Suez by Ministerial Decree indicator but to be for the regional payer fund Annual Reports to the Government's SHI Percentage Value 0.00 0.00 75.00 Steering Committee well sustained by systems- Date 31-Dec-2009 11-Mar-2013 30-Jun-2015 generated data Comments Expected to retain this indicator but to be for the regional payer fund and to change the organization receiving the reports. Public Disclosure Copy Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of all system design documentation Percentage Value 0.00 0.00 100.00 that has been completed and approved Date 31-Dec-2009 11-Mar-2013 30-Jun-2015 Comments Expected to be dropped. Data on Financial Performance (as of 26-Aug-2010) Financial Agreement(s) Key Dates Page 2 of 3 The World Bank Report No: ISR9809 Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P080228 IBRD-78280 Effective 22-Dec-2009 15-Mar-2010 12-Aug-2010 30-Jun-2015 30-Jun-2015 Disbursements (in Millions) Public Disclosure Copy Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P080228 IBRD-78280 Effective USD 75.00 75.00 0.00 0.00 75.00 0.00 Disbursement Graph Key Decisions Regarding Implementation A project restructuring is planned to be finalized by June 30, 2013. Public Disclosure Copy Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 3 of 3