The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Investing and Innovating for Grassroots Health Service Delivery (P161283) EAST ASIA AND PACIFIC | Vietnam | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2019 | Seq No: 1 | ARCHIVED on 02-Oct-2019 | ISR38650 | Implementing Agencies: Ministry of Health, Ha Giang Department of Health, Bac Kan Department of Health, Son La Department of Health, Tra Vinh Department of Health, Hoa Binh Department of Health, Ministry of Finance, Bac Lieu Department of Health, Hau Giang Department of Health, Ninh Thuan Department of Health, Quang Binh Department of Health, Quang Ngai Department of Health, Quang Tri Provincial Project Management Unit for Industrial and Civil Works, Long An Department of Health, Yen Bai Department of Health Key Dates Key Project Dates Bank Approval Date: 19-Jun-2019 Effectiveness Date: -- Planned Mid Term Review Date: 26-May-2023 Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to improve the quality and utilization of grassroots health services, with a focus on the commune level, in the Project Provinces. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Upgrading of CHS Infrastructure:(Cost $81.25 M) Component 2: Improving the Readiness of CHS to Manage Tracer Conditions:(Cost $22.00 M) Component 3: Creating an Enabling Policy Environment, Piloting Innovations, Evaluation, and Project Management:(Cost $6.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Moderate Implementation Status and Key Decisions The project was approved on June 19, 2019. The signing of the Financing Agreement and Grant Agreement is expected to take place in November 2019. Project effectiveness is expected by February 2020. The Ministry of Health and World Bank task team are working closely with project provinces to ensure implementation readiness. 10/2/2019 Page 1 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate Macroeconomic Substantial -- Substantial Sector Strategies and Policies Moderate -- Moderate Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Sustainability Substantial -- Substantial Fiduciary Substantial -- Substantial Environment and Social Moderate -- Moderate Stakeholders Moderate -- Moderate Other -- -- -- Overall Moderate -- Moderate Results PDO Indicators by Objectives / Outcomes Improve the quality and utilization of grassroots health services, with a focus on the commune level IN00746891 ►Percentage of CHS in the project provinces meeting national standards/benchmarks for structural quality (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 78.00 -- 78.00 85.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 Number of CHS in the project provinces who fully meet (11 points) of the infrastructure criteria (Criteria 3) Comments: of the National Benchmarks on health stipulated in the Decision 4667/QD-BYT dated November 07, 2014/Total number of communes in the project provinces IN00746892 ►Number of NCD cases screened or being managed at the CHS level in project provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 180,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 10/2/2019 Page 2 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) This indicator counts the number of NCDs patients that are registered for management and/or screening Comments: at the CHS in the project provinces. “Management” means the patient has a disease profile at the CHS, is IN00746893 monitored regularly, and receives treatment. Number of hypertension cases being managed at CHS level (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746894 Number of diabetes cases being managed at CHS level (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746895 Number of eligible women screened for cervical cancer at the CHS level (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 30,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746896 ►Percentage of project provinces maintaining a full immunization rate above 90% (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 -- 100.00 100.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 Comments: Project provinces are able to maintain the EPI immunization rates above 90% IN00746897 ►Number of presumptive TB cases referred for GeneXpert testing in project provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7,860.00 -- 7,860.00 10,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of cases that are referred for tested using GeneXpert in project Comments: provinces. IN00746898 ►Population utilization rate of CHS in the project provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.56 -- 0.56 0.65 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 The indicator is calculated as the number of consultations at the CHS level per person per year. The data Comments: are taken from CHS A1 book. IN00746899 10/2/2019 Page 3 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) ►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,220,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746900 People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 892,154.00 IN00746901 Number of children immunized (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 330,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746902 Number of women and children who have received basic nutrition services (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 580,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746903 Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 310,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 Overall Comments PDO Since the values of the outcome indicators become available on an annual basis, as part of the annual health statistics reporting, the baseline values of December 2018 remain the latest available. By definition, the corporate results indicators are zero at baseline since it is measured as people receiving services as a result of the project. Intermediate Results Indicators by Components Component 1: Upgrading of CHS Infrastructure IN00746904 ►Number of CHS built (new) or renovated with project support (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 10/2/2019 Page 4 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Value 0.00 -- 0.00 440.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 The indicator counts the number of CHS that are newly built or renovated with the project support in the Comments: project provinces. IN00746909 Number of new CHS built (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 135.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746910 Number of CHS renovated (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 305.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 Component 2: Improving Readiness of CHS to Manage Tracer Conditions IN00746905 ►Number of CHS in the project provinces with the basic package of equipment needed to manage the tracer conditions (provided by the project) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 1,100.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of CHS in the project provinces which receive the basic package of Comments: equipment from the project to manage the tracer conditions. The list of equipment is identified in the project document. IN00746907 ►Number of grassroots facilities in the project provinces with a functioning vaccine cold chain (fridges) (provided by the project) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 710.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of CHS and DH in the project provinces which receive and operate the Comments: functioning cold chain (fridge) provided by the project. IN00746911 Number of CHS in the project provinces with a functioning vaccine cold chain (fridges) (provided by the project) (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 600.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746912 Number of DHC/DH in the project provinces with a functioning vaccine cold chain (fridges) (provided by the project) (Number, Custom Breakdown) 10/2/2019 Page 5 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 110.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 IN00746913 ►Number of DHC/DH in the project provinces with a GeneXpert machine (provided by the project) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 35.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of DHC/DH in the project provinces which receive and operate a Comments: GeneXpert machine provided by the project. IN00746914 ►Number of health professionals at CHS level who have received in-service training (through the project) on the management of the tracer conditions. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 7,000.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of health staff at the CHSs who have received in-service training Comments: (through the project) on the management of the tracer conditions. The list of training courses is defined in the POM. IN00746915 ►Number of CHS in the project provinces authorized by the provincial DOH and provincial VSS to manage at least one of the new NCD tracer conditions (hypertension or diabetes) in the project provinces (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 300.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 The indicator measures the number of CHSs in the project provinces which are authorized by the provincial DOH and provincial VSS to provide services to manage at least one of the new NCD tracer conditions (hypertension or diabetes) in the project provinces. This is a comprehensive assessment on the Comments: conditions and capacity of the CHS, including infrastructure, equipment, human resources, etc to provide health care services for NCD management and control. The authorization procedure will be developed during the project implementation. IN00746916 ►Percentage of CHS using quality monitoring and management practices (in the form of a quality scorecard) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator measures the percentage of the CHS that apply the Balanced Scorecard to manage the Comments: quality of care among the total number of CHSs in the project provinces. IN00746917 ►Percentage of beneficiaries in project provinces reporting that they are satisfied with the quality of services at the CHS (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 -- 0.00 55.00 10/2/2019 Page 6 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator measures the percentage of the patients in project provinces reporting that they are Comments: satisfied with the quality of services at the CHS. This indicator is collected through patient satisfaction survey. Component 3: Creating Enabling Policy Environment, Piloting Innovations, Evaluation and Management IN00746906 ►Satisfactory progress on policy development and implementation (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator measures the policy development progress qualitatively. It is assessed by comparing the Comments: progress in policy development against the project plan. The unit of measurement is yes/no to evaluate whether it is achieved or not. IN00746908 ►Number of districts in project provinces piloting at least one innovation (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Date 31-Dec-2018 -- 30-Aug-2019 31-Dec-2024 This indicator counts the number of districts in project provinces piloting at least one innovation as Comments: stipulated in the Project Document. Overall Comments IR Since the project is not yet under implementation, the actual values of the intermediate indicators are the same as at baseline. Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P161283 IDA-64390 USD 80.00 80.00 0.00 0.00 80.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P161283 IDA-64390 19-Jun-2019 -- -- 31-Dec-2024 31-Dec-2024 Effective Cumulative Disbursements 10/2/2019 Page 7 of 8 The World Bank Implementation Status & Results Report Investing and Innovating for Grassroots Health Service Delivery (P161283) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/2/2019 Page 8 of 8