| Financier | Commitments |
|---|---|
| IDA Credit | 100.00 |
Emergency Medical Services Project
Abstract*
The development objective of the Emergency Medical Services Project for Uzbekistan is to increase the effectiveness and efficiency of the emergency medical services (EMS) system. It has four components.1) First component, EMS enabling environment, system management, and quality improvement will support a series of related interventions that are essential in reorienting the EMS system toward the provision of high‐quality emergency and urgent care... Show More
Development Objective
The Project Development Objective (PDO) is to increase the effectiveness and efficiency of the emergency medical services (EMS) system.
Key Details
Project Details
P159544
Active
Elvira Anadolu , Takahiro Hasumi
Republic of Uzbekistan
April 7, 2017
(as of board presentation)
April 25, 2018
September 12, 2018
US$ 100.00 million
Ministry of Health
2018
US$ 100.00 million
B
Not Applicable
August 31, 2025
No
BANK APPROVED
December 6, 2023
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | N/A |
| IDA Commitment | 100.00 |
| IBRD + IDA Commitment | 100.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 100.00 |
Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Apr 6, 2020 | IDA-62100 | Loan Disb | 500,000.00 |
| Apr 30, 2020 | IDA-62100 | Loan Disb | 1,199,005.00 |
| Nov 10, 2020 | IDA-62100 | Loan Disb | 306,777.50 |
| Oct 15, 2020 | IDA-62100 | Int Charges | 529.33 |
| Oct 8, 2020 | IDA-62100 | Loan Disb | 1,225,524.20 |
| Jul 7, 2020 | IDA-62100 | Loan Disb | 900,000.00 |
| Oct 15, 2020 | IDA-62100 | Int Charges | 46,945.00 |
| Oct 15, 2020 | IDA-62100 | Int Charges | 46,945.00 |
| Oct 15, 2020 | IDA-62100 | Int Charges | 42,609.01 |
| Jan 13, 2021 | IDA-62100 | Loan Disb | 2,228,863.20 |
| Jan 13, 2021 | IDA-62100 | Loan Disb | 402,827.88 |
| Dec 16, 2020 | IDA-62100 | Loan Disb | 151,401.33 |
| Nov 25, 2020 | IDA-62100 | Loan Disb | 306,751.66 |
| Mar 8, 2021 | IDA-62100 | Loan Disb | 259,160.56 |
| Feb 25, 2021 | IDA-62100 | Loan Disb | 302,603.40 |
| Oct 6, 2020 | IDA-62100 | Loan Disb | 3,282,720.00 |
| Nov 9, 2020 | IDA-62100 | Loan Disb | 500,000.00 |
| Jun 4, 2021 | IDA-62100 | Loan Disb | 322,951.12 |
| Feb 4, 2021 | IDA-62100 | Loan Disb | 373,063.78 |
| Mar 22, 2021 | IDA-62100 | Loan Disb | 457,287.10 |
| Feb 22, 2021 | IDA-62100 | Loan Disb | 319,613.00 |
| Dec 1, 2020 | IDA-62100 | Loan Disb | 553,362.44 |
| Dec 21, 2020 | IDA-62100 | Loan Disb | 666,472.00 |
| Feb 26, 2021 | IDA-62100 | Loan Disb | 523,010.38 |
| Dec 9, 2020 | IDA-62100 | Loan Disb | 513,388.88 |
| Jun 9, 2021 | IDA-62100 | Loan Disb | 1,190,022.20 |
| Apr 21, 2021 | IDA-62100 | Loan Disb | 1,177,154.80 |
| Jun 3, 2021 | IDA-62100 | Loan Disb | 1,195,550.90 |
| Apr 15, 2022 | IDA-62100 | Int Charges | 6,472.27 |
| Apr 15, 2022 | IDA-62100 | Int Charges | 223,700.98 |
| Apr 15, 2022 | IDA-62100 | Int Charges | 223,700.98 |
| Apr 15, 2022 | IDA-62100 | Int Charges | 215,531.48 |
| Jun 28, 2022 | IDA-62100 | Loan Disb | 47,000.00 |
| Apr 13, 2022 | IDA-62100 | Loan Disb | 204,486.42 |
| Apr 13, 2022 | IDA-62100 | Loan Disb | 543,600.06 |
| Jul 19, 2022 | IDA-62100 | Loan Disb | 10,600.00 |
| Apr 15, 2020 | IDA-62100 | Int Charges | 8,836.72 |
| May 19, 2020 | IDA-62100 | Loan Disb | 2,322,737.80 |
| Apr 15, 2020 | IDA-62100 | Int Charges | 8,836.72 |
| Apr 15, 2020 | IDA-62100 | Int Charges | 8,065.30 |
| Jul 16, 2024 | IDA-62100 | Loan Cancel | 3,500,000.00 |
| Jun 11, 2024 | IDA-62100 | Loan Disb | 424,000.00 |
| Jul 31, 2024 | IDA-62100 | Loan Disb | 318,000.00 |
| Jul 31, 2024 | IDA-62100 | Loan Disb | 14,570.00 |
| Mar 22, 2024 | IDA-62100 | Loan Disb | 202,240.00 |
| Mar 22, 2024 | IDA-62100 | Loan Disb | 402,528.00 |
| Feb 14, 2024 | IDA-62100 | Loan Disb | 151,000.00 |
| Feb 14, 2024 | IDA-62100 | Loan Disb | 1,900.00 |
| Mar 4, 2024 | IDA-62100 | Loan Disb | 493,736.00 |
| Aug 19, 2024 | IDA-62100 | Loan Disb | 33,500.00 |
| Aug 19, 2024 | IDA-62100 | Loan Disb | 18,520.00 |
| Jun 24, 2024 | IDA-62100 | Loan Disb | -746,757.94 |
| Apr 13, 2023 | IDA-62100 | Loan Disb | 173,200.00 |
| Apr 15, 2023 | IDA-62100 | Int Charges | 1,657.16 |
| Apr 15, 2023 | IDA-62100 | Int Charges | 322,302.10 |
| Apr 15, 2023 | IDA-62100 | Int Charges | 322,302.10 |
| Apr 15, 2023 | IDA-62100 | Int Charges | 307,048.97 |
| Feb 13, 2023 | IDA-62100 | Loan Disb | 5,200.00 |
| Feb 14, 2023 | IDA-62100 | Loan Disb | 53,406.00 |
| Jul 14, 2023 | IDA-62100 | Loan Disb | 21,300.00 |
| Mar 31, 2023 | IDA-62100 | Loan Disb | 435,500.00 |
| Apr 18, 2023 | IDA-62100 | Loan Disb | 528,415.80 |
| May 12, 2023 | IDA-62100 | Loan Disb | 26,400.00 |
| Feb 27, 2023 | IDA-62100 | Loan Disb | 19,000.00 |
| Jun 22, 2023 | IDA-62100 | Loan Disb | 15,500.00 |
| Jul 26, 2023 | IDA-62100 | Loan Disb | 15,700.00 |
| Jul 27, 2023 | IDA-62100 | Loan Disb | 352,806.56 |
| Aug 7, 2023 | IDA-62100 | Loan Disb | 12,200.00 |
| Aug 7, 2023 | IDA-62100 | Loan Disb | 4,900.00 |
| May 26, 2023 | IDA-62100 | Loan Disb | 14,000.00 |
| Aug 7, 2023 | IDA-62100 | Loan Disb | 6,600.00 |
| Aug 7, 2023 | IDA-62100 | Loan Disb | 623,976.00 |
| Aug 7, 2023 | IDA-62100 | Loan Disb | 102,500.00 |
| Jul 6, 2023 | IDA-62100 | Loan Disb | 191,440.00 |
| Jun 16, 2023 | IDA-62100 | Loan Disb | 949,256.00 |
| Sep 27, 2023 | IDA-62100 | Loan Disb | 3,484,000.00 |
| Nov 17, 2023 | IDA-62100 | Loan Disb | 20,400.00 |
| Nov 1, 2023 | IDA-62100 | Loan Disb | 16,400.00 |
| Dec 7, 2023 | IDA-62100 | Loan Disb | 61,162.00 |
| Dec 7, 2023 | IDA-62100 | Loan Disb | 22,300.00 |
| Oct 15, 2023 | IDA-62100 | Int Charges | 355,739.03 |
| Oct 15, 2023 | IDA-62100 | Int Charges | 340,975.78 |
| Jan 17, 2024 | IDA-62100 | Loan Disb | 14,400.00 |
| Jan 2, 2024 | IDA-62100 | Loan Disb | 219,310.80 |
| Jan 10, 2024 | IDA-62100 | Loan Disb | 5,512,000.00 |
| Jan 11, 2024 | IDA-62100 | Loan Disb | 1,895,267.90 |
| Jan 11, 2024 | IDA-62100 | Loan Disb | 1,642,984.40 |
| Jan 11, 2024 | IDA-62100 | Loan Disb | 220,893.05 |
| Nov 7, 2023 | IDA-62100 | Loan Disb | 25,200.00 |
| Nov 7, 2023 | IDA-62100 | Loan Disb | 21,050.00 |
| Nov 7, 2023 | IDA-62100 | Loan Disb | 370,121.00 |
| Jul 19, 2022 | IDA-62100 | Loan Disb | 15,000.00 |
| Sep 2, 2022 | IDA-62100 | Loan Disb | 71,841.60 |
| Aug 25, 2022 | IDA-62100 | Loan Disb | 20,000.00 |
| Feb 8, 2022 | IDA-62100 | Loan Disb | 185,000.00 |
| Oct 15, 2022 | IDA-62100 | Int Charges | 255,378.17 |
| Nov 28, 2022 | IDA-62100 | Loan Disb | 33,800.00 |
| Dec 27, 2022 | IDA-62100 | Loan Disb | 139,700.00 |
| Sep 27, 2022 | IDA-62100 | Loan Disb | 127,000.00 |
| Oct 14, 2022 | IDA-62100 | Loan Disb | 3,873,000.80 |
| Sep 27, 2022 | IDA-62100 | Loan Disb | 24,000.00 |
| Sep 27, 2022 | IDA-62100 | Loan Disb | 82,700.00 |
| Oct 11, 2022 | IDA-62100 | Loan Disb | 109,142.00 |
| Oct 14, 2022 | IDA-62100 | Loan Disb | 1,456,909.50 |
| Jul 29, 2022 | IDA-62100 | Loan Disb | 67,000.00 |
| Jan 27, 2022 | IDA-62100 | Loan Disb | 194,146.84 |
| Dec 28, 2021 | IDA-62100 | Loan Disb | 221,885.81 |
| Feb 7, 2022 | IDA-62100 | Loan Disb | 6,000.00 |
| Nov 2, 2022 | IDA-62100 | Loan Disb | 121,800.00 |
| Oct 15, 2022 | IDA-62100 | Int Charges | 264,275.75 |
| Oct 15, 2022 | IDA-62100 | Int Charges | 264,275.75 |
| Nov 15, 2022 | IDA-62100 | Loan Disb | 2,400.00 |
| Oct 15, 2022 | IDA-62100 | Int Charges | 2,040.75 |
| Dec 12, 2022 | IDA-62100 | Loan Disb | 11,600.00 |
| Dec 12, 2022 | IDA-62100 | Loan Disb | 116,960.00 |
| Dec 12, 2022 | IDA-62100 | Loan Disb | 387,520.00 |
| Jan 30, 2023 | IDA-62100 | Loan Disb | 167,825.00 |
| May 6, 2019 | IDA-62100 | Loan Disb | 111,796.62 |
| Dec 5, 2019 | IDA-62100 | Loan Disb | 393,902.56 |
| Oct 15, 2019 | IDA-62100 | Int Charges | 4,605.21 |
| Oct 15, 2019 | IDA-62100 | Int Charges | 4,605.21 |
| Oct 15, 2019 | IDA-62100 | Int Charges | 4,479.06 |
| Apr 7, 2020 | IDA-62100 | Loan Disb | 83,309.00 |
| Feb 6, 2020 | IDA-62100 | Loan Disb | 335,844.00 |
| Mar 16, 2020 | IDA-62100 | Loan Disb | 50,000.00 |
| May 15, 2020 | IDA-62100 | Loan Disb | 731,233.60 |
| Oct 15, 2023 | IDA-62100 | Int Charges | 6,422.94 |
| Oct 15, 2023 | IDA-62100 | Loan Repay | 1,650,000.00 |
| Oct 15, 2023 | IDA-62100 | Int Charges | 355,739.03 |
| Dec 9, 2022 | IDA-62100 | Loan Disb | 475,600.00 |
| Sep 14, 2022 | IDA-62100 | Loan Disb | 214,581.39 |
| Dec 15, 2022 | IDA-62100 | Loan Disb | 39,000.00 |
| Jan 9, 2023 | IDA-62100 | Loan Disb | 6,700.00 |
| Mar 13, 2023 | IDA-62100 | Loan Disb | 7,700.00 |
| Feb 15, 2023 | IDA-62100 | Loan Disb | 437,252.40 |
| Feb 15, 2023 | IDA-62100 | Loan Disb | 490,320.00 |
| Mar 28, 2023 | IDA-62100 | Loan Disb | 2,600.00 |
| Mar 28, 2023 | IDA-62100 | Loan Disb | 14,100.00 |
| Mar 28, 2023 | IDA-62100 | Loan Disb | 68,200.00 |
| Feb 15, 2023 | IDA-62100 | Loan Disb | 252,528.00 |
| May 3, 2023 | IDA-62100 | Loan Disb | 548,386.00 |
| Sep 13, 2021 | IDA-62100 | Loan Disb | 12,000.00 |
| Aug 30, 2021 | IDA-62100 | Loan Disb | 1,052,316.60 |
| Oct 15, 2021 | IDA-62100 | Int Charges | 6,224.30 |
| Oct 15, 2021 | IDA-62100 | Int Charges | 177,737.86 |
| Oct 15, 2021 | IDA-62100 | Int Charges | 177,737.86 |
| Oct 15, 2021 | IDA-62100 | Int Charges | 166,396.06 |
| Sep 21, 2021 | IDA-62100 | Loan Disb | 30,000.00 |
| Jul 12, 2021 | IDA-62100 | Loan Disb | 262,764.00 |
| Jul 16, 2021 | IDA-62100 | Loan Disb | 34,000.00 |
| Sep 14, 2021 | IDA-62100 | Loan Disb | 882,146.40 |
| Nov 22, 2021 | IDA-62100 | Loan Disb | 300,000.00 |
| Oct 22, 2021 | IDA-62100 | Loan Disb | 57,000.00 |
| Nov 8, 2021 | IDA-62100 | Loan Disb | 65,000.00 |
| Oct 14, 2021 | IDA-62100 | Loan Disb | 2,198,617.20 |
| Oct 5, 2021 | IDA-62100 | Loan Disb | 165,000.00 |
| Aug 25, 2021 | IDA-62100 | Loan Disb | 25,000.00 |
| May 31, 2022 | IDA-62100 | Loan Disb | 529,000.00 |
| May 31, 2022 | IDA-62100 | Loan Disb | 95,000.00 |
| May 3, 2022 | IDA-62100 | Loan Disb | 1,036,854.00 |
| Mar 31, 2022 | IDA-62100 | Loan Disb | 80,000.00 |
| Apr 28, 2022 | IDA-62100 | Loan Disb | 73,000.00 |
| Apr 28, 2022 | IDA-62100 | Loan Disb | 77,997.00 |
| Apr 28, 2022 | IDA-62100 | Loan Disb | 1,120,688.00 |
| Apr 28, 2022 | IDA-62100 | Loan Disb | 958,320.00 |
| Feb 17, 2022 | IDA-62100 | Loan Disb | 233,946.81 |
| Feb 17, 2022 | IDA-62100 | Loan Disb | 106,487.44 |
| Mar 24, 2022 | IDA-62100 | Loan Disb | 146,102.40 |
| Jun 2, 2022 | IDA-62100 | Loan Disb | 459,550.84 |
| Apr 15, 2021 | IDA-62100 | Int Charges | 3,049.84 |
| Apr 15, 2021 | IDA-62100 | Int Charges | 116,448.74 |
| Apr 15, 2021 | IDA-62100 | Int Charges | 116,448.74 |
| Apr 15, 2021 | IDA-62100 | Int Charges | 107,034.06 |
| Jun 23, 2021 | IDA-62100 | Loan Disb | 431,629.94 |
| May 3, 2021 | IDA-62100 | Loan Disb | 90,000.00 |
| Jul 21, 2021 | IDA-62100 | Loan Disb | -262,674.00 |
| Jun 30, 2021 | IDA-62100 | Loan Disb | 1,101,659.60 |
| Jul 23, 2021 | IDA-62100 | Loan Disb | 262,764.00 |
| Aug 12, 2021 | IDA-62100 | Loan Disb | 32,000.00 |
| Dec 28, 2018 | IDA-62100 | Loan Disb | 500,000.00 |
| Nov 15, 2019 | IDA-62100 | Loan Disb | 77,990.65 |
| Aug 6, 2019 | IDA-62100 | Loan Disb | 83,738.15 |
| Apr 15, 2019 | IDA-62100 | Int Charges | 2,169.71 |
| Apr 15, 2019 | IDA-62100 | Int Charges | 2,169.71 |
| Apr 15, 2019 | IDA-62100 | Int Charges | 2,110.29 |
| Apr 25, 2018 | IDA-62100 | Loan Commitment | 100,000,000.00 |
| Jul 2, 2024 | IDA-62100 | Loan Disb | -383,678.30 |
| May 3, 2024 | IDA-62100 | Loan Disb | 68,660.00 |
| Aug 26, 2024 | IDA-62100 | Loan Disb | 12,700.00 |
| Jul 10, 2024 | IDA-62100 | Loan Disb | 15,278.00 |
| May 16, 2024 | IDA-62100 | Loan Disb | 424,000.00 |
| Jun 13, 2024 | IDA-62100 | Loan Disb | 743,367.00 |
| Dec 7, 2023 | IDA-62100 | Loan Disb | 15,150.00 |
| Apr 9, 2024 | IDA-62100 | Loan Disb | 17,500.00 |
| Apr 15, 2024 | IDA-62100 | Int Charges | 5,016.98 |
| Apr 15, 2024 | IDA-62100 | Loan Repay | 1,650,000.00 |
| Apr 15, 2024 | IDA-62100 | Int Charges | 406,093.38 |
| Apr 15, 2024 | IDA-62100 | Int Charges | 406,093.38 |
| Apr 15, 2024 | IDA-62100 | Int Charges | 391,831.12 |
| Jun 10, 2024 | IDA-62100 | Loan Disb | 402,000.00 |
| Mar 18, 2024 | IDA-62100 | Loan Disb | 70,965.00 |
| Jun 10, 2024 | IDA-62100 | Loan Disb | 209,240.00 |
| Mar 22, 2024 | IDA-62100 | Loan Disb | 101,736.00 |
| Jan 17, 2024 | IDA-62100 | Loan Disb | -3,759,145.20 |
| Jan 22, 2024 | IDA-62100 | Loan Disb | 732,829.10 |
| Jun 5, 2024 | IDA-62100 | Loan Disb | 802,308.00 |
| Jul 1, 2024 | IDA-62100 | Loan Disb | 380,069.56 |
| Jun 26, 2024 | IDA-62100 | Loan Disb | 424,000.00 |
| Jun 26, 2024 | IDA-62100 | Loan Disb | 141,600.00 |
| Feb 27, 2024 | IDA-62100 | Loan Disb | 14,400.00 |
| Aug 5, 2024 | IDA-62100 | Loan Disb | 588,710.50 |
| May 31, 2024 | IDA-62100 | Loan Disb | 10,000.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Satisfactory | 2025-02-24 |
| Procurement | Satisfactory | 2025-02-24 |
| Monitoring and Evaluation | Satisfactory | 2025-02-24 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2025-02-24 |
| Project Management | Moderately Satisfactory | 2025-02-24 |
| Financial Management | Satisfactory | 2025-02-24 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Percentage of heart attack cases surviving through hospital discharge Value 80.00 87.00 87.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Share of hospitalized patients coming to EMS wards by ambulance Value 25.00 24.30 30.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Average response time for ambulance calls Value 30.00 24.00 20.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Percent of pre-hospital EMS patients hospitalized Value 10.30 20.60 20.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Percentage of polytrauma cases surviving through hospital discharge Value 92.00 93.30 95.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of newly established regional dispatch centers with relevant software Value 0.00 14.00 14.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Percent of patients reporting positive experience with the EMS system Value 0.00 85.00 80.00 Date September 30, 2018 October 20, 2023 March 31, 2024 Comment Law has been amended to allow redirecting of non-urgent cases Value No No Yes Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of dispatch protocols updated under the project Value 1.00 23.00 10.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of clinical protocols developed and/or updated for the departments of emergency and urgent medical care under the project Value 0.00 25.00 15.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Severity scoring system developed and implemented in pre-hospital level Value No Yes Yes Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of procured ambulances Value 0.00 0.00 60.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Percent of pre-hospital EMS cases that are emergency and urgent Value 0.00 71.00 60.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Severity scoring system developed and implemented in hospitals Value No Yes Yes Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of EMS (pre-hospital) related medical and other personnel who underwent training under the Project Value 0.00 3417.00 13000.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of regional EMS training departments created and/or equipped under the project Value 0.00 0.00 1.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Number of trainers trained for EMS training departments Value 0.00 31.00 50.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Percent of personnel satisfied with trainings by EMS training departments (male/female) Value 70.00 0.00 90.00 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Reduced variation in ambulance teams per capita (ratio) Value 18.10 1.70 12.10 Date October 27, 2017 October 20, 2023 March 31, 2024 Comment Medical equipment procured to Project financed hospitals as a share of all equipment in the approved list, (in percent) Value 0.00 82.00 100.00 Date November 1, 2018 October 20, 2023 August 1, 2024 Comment