Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Kosovo Health Project (P147402) EUROPE AND CENTRAL ASIA | Kosovo | Health, Nutrition and Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2014 | Seq No: 2 | ARCHIVED on 10-Dec-2014 | ISR17139 | Implementing Agencies: Ministry of Health, Ministry of Health Key Dates Key Project Dates Board Approval date:13-May-2014 Effectiveness Date:-- Planned Mid Term Review Date:24-Apr-2017 Actual Mid-Term Review Date:-- Original Closing Date:30-Oct-2019 Revised Closing Date:30-Oct-2019 Project Development Objectives Project Development Objective (from Project Appraisal Document) To contribute to improving financial protection from health spending for the poor and quality of care for priority maternal and child health and non communicable disease services. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improving financial protection and quality of care:(Cost $11.20 M) Strengthening primary care:(Cost $12.50 M) Project management:(Cost $1.80 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Moderately Satisfactory Overall Risk Rating  --  Substantial 12/10/2014 Page 1 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Implementation Status and Key Decisions The Project is pending Parliamentary ratification and not yet effective. Nevertheless, additional steps that will facilitate Project implementation have been taken. Since the last report, the Ministry of Health has also recruited a Procurement Specialist and Financial Management Specialist for the Kosovo Health Project. The Project Operational Manual for the Kosovo Health Project has also been finalized. During a recent visit to Kosovo from November 9-14, 2014, the World Bank team noted that preparations to implement mandatory health insurance are considerably behind schedule given the Ministry of Health’s stated intent to begin collecting premium contributions from the general public in April 2015. Risks Systematic Operations Risk-rating Tool 12/10/2014 Page 2 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  --  --  Substantial Macroeconomic  --  --  High Sector Strategies and Policies  --  --  Substantial Technical Design of Project or Program  --  --  Moderate Institutional Capacity for Implementation and Sustainability  --  --  Moderate Fiduciary  --  --  Moderate Environment and Social  --  --  Low Stakeholders  --  --  Substantial Other  --  --  -- Overall  --  --  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Percentage of the poor enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDPDOTBL  Outpatient (OP) drug benefit scheme established and functional based on pre-defined operational criteria (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDPDOTBL  Percentage of participating municipalities where at least 75 percent of the agreed quality targets were achieved in the preceding one year (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 75.00 12/10/2014 Page 3 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 Overall Comments Intermediate Results Indicators PHINDIRITBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1170000.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 48.00 0.00 0.00 48.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Female project beneficiaries, as % of number of project beneficiaries (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 48.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 12/10/2014 Page 4 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Percentage of resident population enrolled in mandatory health insurance (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 65.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Achievement of key benchmarks for functioning health insurance system (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value N N N Y Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Health personnel receiving training (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1000.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Number of municipalities who have entered into performance agreements with the MoH/ HFA/ HIF and MoF (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 12/10/2014 Page 5 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) PHINDIRITBL  Percentage of participating municipalities with a performance improvement action plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Percentage of capitation-based performance payment budget spent at municipality level (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 95.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 PHINDIRITBL  Health facilities constructed, renovated, and/or equipped (number) (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8.00 Date 13-May-2014 28-Jul-2014 24-Nov-2014 30-Oct-2019 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed Not P147402 IDA-54420 XDR 16.50 16.50 0.00 0.00 16.50 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date 12/10/2014 Page 6 of 7 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Kosovo Health Project (P147402) Not P147402 IDA-54420 13-May-2014 -- -- 30-Oct-2019 30-Oct-2019 Effective Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/10/2014 Page 7 of 7 Public Disclosure Copy