The World Bank Report No: ISR14488 Implementation Status & Results Serbia Second Serbia Health Project (P129539) Public Disclosure Copy Operation Name: Second Serbia Health Project (P129539) Project Stage: Implementation Seq.No: 1 Status: ARCHIVED Archive Date: 25-May-2014 Country: Serbia Approval FY: 2014 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 25-Feb-2014 Original Closing Date 30-Sep-2019 Planned Mid Term Review Date 02-Oct-2017 Last Archived ISR Date Effectiveness Date Revised Closing Date 30-Sep-2019 Actual Mid Term Review Date Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDO is to contribute to improving the efficiency and quality of the public health system of the Republic of Serbia through the strengthening of: (i) health financing, purchasing, and maintenance systems; and (ii) quality improvement systems and management of selected priority non-communicable diseases. Has the Project Development Objective been changed since Board Approval of the Project? Yes No Component(s) Component Name Component Cost Strengthening Health Financing 7.60 Efficient Purchasing of Pharmaceuticals and Medical Products 7.00 Strengthening Quality of Service Delivery 22.40 Monitoring and Evaluation and Project Management 3.00 Overall Ratings Public Disclosure Copy Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Overall Implementation Progress (IP) Satisfactory Overall Risk Rating Moderate Implementation Status Overview This is the initial Implementation Status Report (ISR) for this project, which was approved by the World Bank Board of Executive Directors on February 25, 2014. The Government of Serbia, which resigned after the Board approval, is replaced by a technical Government. Parliamentary elections took place on March 16, 2014. It is expected that the new Government will be in place by mid-May with Parliament thereafter. By that time the steps and timeline leading to Project effectiveness will be clarified. Page 1 of 5 The World Bank Report No: ISR14488 Locations No Location data has been entered Public Disclosure Copy Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of total acute care hospitalization Percentage Value 0.00 95.00 cases in public hospitals reported accurately Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 based on DRGs Comments Percent reduction in average unit price relative Percentage Value 0.00 30.00 to baseline for the 50 most frequently Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 dispensed multi-source pharmaceuticals Comments thatare procured through centralized framework contracts. Number of patients who started radiotherapy Number Value 3000.00 4200.00 treatment at public hospitals within 28 days Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 from the day of medical prescription Comments Percentage of registered adult patients in Dom Percentage Value 35.00 50.00 Zdravljas with recorded blood pressure value, Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 BMI, smoking status and recommended tips for Comments healthy behavior in the preceding 5 years in their med records Intermediate Results Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percentage of pilot Dom Zdravljas who meet Percentage Value 0.00 80.00 grant agreement performance criteria in the Date 16-Oct-2013 30-Sep-2019 preceding one year Public Disclosure Copy Comments DRGs payment system developed and Yes/No Value No Yes financing for a portion of acute hospital care Date 16-Oct-2013 30-Sep-2019 based on DRGS initiated. Comments Begin payments based on DRGs Number of pharmaceuticals and health Number Value 0.00 700.00 products that are procured through centralized Date 16-Oct-2013 30-Sep-2019 framework contracts Comments Page 2 of 5 The World Bank Report No: ISR14488 Percentage of Dom Zdravljas, hospital Percentage Value 0.00 85.00 outpatient departments and pharmacies Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 implementing e-prescription system. Comments Public Disclosure Copy Percentage of health institutions implementing Percentage Value 0.00 85.00 e-procurement system for pharmaceuticals Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 Comments Strengthen systems for medical equipment Text Value No national systems or Budget allocated to expand maintenance policies in place, Medical maintenance system equipment database in the IPH Date 16-Jan-2014 14-Apr-2014 30-Sep-2019 Comments Percentage of pharmaceuticals newly Percentage Value 0.00 50.00 approved for public financing in the preceding Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 12-month period recommended for inclusion on Comments thebasis of a Health Technology Assessment Number of clinical pathways developed Number Value 14.00 30.00 Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 Comments Number of Dom Zdravljas that have completed Number Value 50.00 157.00 staff training on priority clinical pathways Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 Comments Percentage of adult diabetic patients in Dom Percentage Value 45.00 65.00 Zdravljas with at least one determined value of Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 glycosylated hemoglobin (HbA1c) in thelast Comments year Ranking of health institutions according to Text Value Existing quality indicators Ranking of health institutions quality criteria in place based on quality according to quality criteria Public Disclosure Copy indicators in health care based on data from previous year Date 16-Jan-2014 14-Apr-2014 30-Sep-2019 Comments Percentage of registered adult patients in DZs Percentage Value 45.00 65.00 with hypertension under treatment whom in the Date 16-Jan-2014 14-Apr-2014 30-Sep-2019 last recorded blood pressure (measuredin the Comments preceding one year) is ≤ 140/90 mm Hg Health personnel receiving training (number) Number Value 500.00 3000.00 Page 3 of 5 The World Bank Report No: ISR14488 Date 16-Jan-2014 14-Apr-2014 30-Sep-2019 Comments Number of new linear accelerators installed at Number Value 0.00 6.00 Public Disclosure Copy national level Date 16-Oct-2013 14-Apr-2014 30-Sep-2019 Comments Data on Financial Performance (as of 26-Feb-2014) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P129539 IBRD-83380 Not Effective 25-Feb-2014 30-Sep-2019 30-Sep-2019 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P129539 IBRD-83380 Not Effective USD 40.00 40.00 0.00 0.00 40.00 0.00 Disbursement Graph Public Disclosure Copy Key Decisions Regarding Implementation n/a Page 4 of 5 The World Bank Report No: ISR14488 Restructuring History There has been no restructuring to date. Public Disclosure Copy Related Projects There are no related projects. Public Disclosure Copy Page 5 of 5