The World Bank Report No: ISR10483 Implementation Status & Results Kyrgyz Republic Kyrgyz Health Results Based Financing (P120435) Public Disclosure Copy Operation Name: Kyrgyz Health Results Based Financing (P120435) Project Stage: Implementation Seq.No: 1 Status: ARCHIVED Archive Date: 02-Jul-2013 Country: Kyrgyz Republic Approval FY: 2013 Product Line: Recipient Executed Activities Region: EUROPE AND CENTRAL ASIA Lending Instrument: Specific Investment Loan Implementing Agency(ies): Ministry of Health Key Dates Board Approval Date 18-Apr-2013 Original Closing Date Planned Mid Term Review Date 15-Jul-2015 Last Archived ISR Date Effectiveness Date Revised Closing Date Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to (1) pilot performance-based payments and/or enhanced supervision for quality of maternal and neonatal care in randomly selected rayon hospitals; and (2) strengthen the Government’s and providers’ capacity in performance-based contracting and monitoring and evaluating for results. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Component 1: Pilot Performance-Based Payments and Enhanced Supervision for Quality of Care 9.59 Component 2: Strengthen the Government's and Providers' Capacity in Performance-Based Payment 1.41 Reform and Monitoring and Evaluation f or Results Overall Ratings Previous Rating Current Rating Public Disclosure Copy Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Satisfactory Overall Risk Rating Moderate Implementation Status Overview The Project documents are currently being reviewed by the Parliament before Government can provide clearance, issues a delegation of authority for signature of the legal document and proceed with signing of the Grant Agreement. This process normally takes at least two months. Locations Page 1 of 4 The World Bank Report No: ISR10483 Country First Administrative Division Location Planned Actual Kyrgyz Republic Osh Osh Oblasty ✔ Public Disclosure Copy Kyrgyz Republic Batken Batken Oblasty ✔ Kyrgyz Republic Talas Talas Oblasty ✔ Kyrgyz Republic Naryn Naryn Oblasty ✔ Kyrgyz Republic Ysyk-Koel Issyk-Kul'skaya Oblast' ✔ Kyrgyz Republic Bishkek Gorod Bishkek ✔ Kyrgyz Republic Jalal-Abad Jalal-Abad Oblasty ✔ Kyrgyz Republic Chuy Chuy Oblasty ✔ Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Proportion of quarterly peer verification records Percentage Value 0.00 100.00 for Groups 1 and 2 rayon hospitals submitted Date 31-Dec-2015 to MHIF within one week after the end of each Comments No peer verification Yr1: 80% quarter Yr2: 100% Yr3: 100% Proportion of eligible rayon hospitals that Percentage Value 0.00 100.00 received the authorized performance-based Date 31-Dec-2015 payments within two weeks after the MHIF’s Comments No performance based Yr1: 80% receipt of payment invoices payments Yr2: 100% Yr3: 100% Number of counter-verification carried out for a Number Value 0.00 8.00 Public Disclosure Copy subset of Group 1 rayon hospitals and Group 2 Date 31-Dec-2015 rayon hospitals every six months Comments No counterverification Yr1: 8 Yr2: 8 Yr3: 8 Impact Evaluation Surveys completed on Text Value No surveys Atleast 2 round of serveys schedule to generate evidence for policy implmented by the end of the project Date 31-Dec-2015 Page 2 of 4 The World Bank Report No: ISR10483 Comments Yr1: Baseline survey completed before pilot start YR3: Follow-up survey completed at the end of the Public Disclosure Copy project Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Performance Contracts signed with the Group Number Value 0.00 20.00 1 rayon hospitals (20) and updated annually Date 31-Dec-2015 based on any modifications introduced to the Comments No contract signed Yr1: Contracts signed with 20 Balanced Scorecard rayon hospitals. Yr2: Contracts renewed and adjusted if needed with 20 rayon hospitals. Yr3: Contracts renewed and adjusted if needed with 20 rayon hospitals Proportion of Group 1 rayon hospitals (20) that Percentage Value 0.00 100.00 received quarterly performance-based Date 31-Dec-2015 payments in accordance to their level of Comments No performance based Yr1: 100% performance as per agreed Performance Contracts payments disbursed Yr2: 100% Yr3: 100% MOH/MHIF produce quarterly monitoring Number Value 0.00 4.00 reports within 2 weeks after the end of each Date 31-Dec-2015 quarter Comments No quarterly reports Yr1: 4 Yr2: 4 Yr3: 4 National RBF Steering Committee meets at Number Value 0.00 2.00 least twice a year Date 31-Dec-2015 Public Disclosure Copy Comments Yr1: 2 Yr2: 2 Yr3: 2 Extended RBF team meets at least every 2 Number Value 0.00 6.00 months Date 31-Dec-2015 Comments Yr1: 6 Yr2: 6 Yr3: 6 Data on Financial Performance (as of 00000000) Page 3 of 4 The World Bank Report No: ISR10483 Financial Agreement(s) Key Dates Public Disclosure Copy Disbursements (in Millions) 0.00 0.00 0.00 0.00 0.00 Disbursement Graph Key Decisions Regarding Implementation This is the initial ISR for the operation. Public Disclosure Copy The Project documents have been submitted to Government on April 18, 2013. The package requires Parliament approval prior to receiving Government’s clearance, issuance of delegation of signature authority of the GA and proceeding with countersignature of the GA. This process normally takes at least two months and and given the Parliament’s summer break, it is expected that the Project will not become effective before September 30, 2013. Restructuring History There has been no restructuring to date. Related Projects There are no related projects. Page 4 of 4