Health Sector Development Project

Abstract*

The Primary Health Care Development Project aims to improve the coverage and utilization of quality primary health care (PHC) based on the model of family medicine/general practice, with an emphasis on reaching the poor and disadvantages. The project is an integral part of the Government of Georgia's health sector strategy and builds upon the investments in preventive health care supported through the Bank-funded First Health Project. The project... Show More

Development Objective

The revised PDOs are to: (i) improve coverage, utilization and quality of health care services in the territory of the Recipient, and (ii) strengthen the Government's stewardship functions in the health sector.

Key Details

Project Details

Project ID
P040555
Status
Closed
Team Leader
Claudia Rokx
Borrower 2
N/A

Country
Georgia
Disclosure Date
May 5, 2000
Approval Date
(as of board presentation)
August 1, 2002
Effective Date
May 6, 2003

Total Project Cost 1
US$ 28.81 million
Implementing Agency
N/A
Region
Europe and Central Asia
Fiscal Year 3
2003

Commitment Amount
US$ 24.35 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
June 30, 2012

Last Stage Reached
BANK APPROVED
Last Update Date
January 15, 2013

Notes
1. Total project cost includes funding from World Bank and non-bank sources in US$ millions. Active and Closed projects show current commitments. Proposed (pipeline) and dropped projects show the forecast amount. The commitment amount for projects in the pipeline is indicative and may be modified during the project preparation.
2. Borrower refers to the Borrower of a Loan or Recipient of a Grant.
3. ”Fiscal Year” is the fiscal year in which the project was approved (or dropped if the status is dropped). The World Bank's fiscal year is from July 1 - June 30. For example, a fiscal year of 1996 corresponds to July 1, 1995 - June 30, 1996.

Sectors

Themes

FY17 - Human Development and Gender

FY17 - Health Systems and Policies56%
- FY17 - Child Health14%
- FY17 - Health System Strengthening28%
- FY17 - Reproductive and Maternal Health14%

FY17 - Public Sector Management

FY17 - Rule of Law15%
- FY17 - Judicial and other Dispute Resolution Mechanisms5%
- FY17 - Legal Institutions for a Market Economy5%
- FY17 - Personal and Property Rights5%

FY17 - Urban and Rural Development

FY17 - Rural Development28%
- FY17 - Rural Infrastructure and service delivery28%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	4.46
IDA Credit	24.35

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	24.35
IBRD + IDA Commitment	24.35

Lending Instrument
Grant Amount	N/A
Total Project Cost**	28.81

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Oct 15, 2023	IDA-37020	Loan Repay	793,332.90
Oct 15, 2023	IDA-37020	Int Charges	47,344.62
Oct 15, 2023	IDA-37020	Int Charges	47,344.62
Oct 15, 2023	IDA-37020	Int Charges	11,335.14
Oct 15, 2023	IDA-37020	Int Charges	11,335.14
Oct 15, 2023	IDA-37020	Loan Repay	48,349.41
Apr 15, 2023	IDA-37020	Loan Repay	29,999.12
Apr 15, 2023	IDA-37020	Loan Repay	840,385.70
Apr 15, 2023	IDA-37020	Int Charges	18,940.92
Apr 15, 2023	IDA-37020	Int Charges	18,940.92
Apr 15, 2023	IDA-37020	Int Charges	21,560.49
Apr 15, 2023	IDA-37020	Int Charges	21,560.49
Aug 1, 2002	IDA-37020	Loan Commitment	20,300,000.00
Apr 15, 2024	IDA-37020	Int Charges	44,405.90
Apr 15, 2024	IDA-37020	Int Charges	44,405.90
Apr 15, 2024	IDA-37020	Loan Repay	801,203.25
Oct 15, 2020	IDA-37020	Int Charges	60,844.77
Oct 15, 2020	IDA-37020	Int Charges	60,844.77
Apr 15, 2022	IDA-37020	Loan Repay	1,717.76
Apr 15, 2022	IDA-37020	Loan Repay	161,267.90
Apr 15, 2022	IDA-37020	Int Charges	56,793.90
Apr 15, 2022	IDA-37020	Int Charges	56,793.90
Apr 15, 2022	IDA-37020	Loan Repay	56,507.64
Oct 15, 2021	IDA-37020	Loan Repay	57,417.31
Oct 15, 2021	IDA-37020	Loan Repay	166,907.12
Oct 15, 2021	IDA-37020	Loan Repay	2,474.60
Oct 15, 2021	IDA-37020	Int Charges	59,534.74
Oct 15, 2022	IDA-37020	Int Charges	17,123.21
Oct 15, 2022	IDA-37020	Int Charges	17,123.21
Oct 15, 2022	IDA-37020	Loan Repay	813,244.70
Oct 15, 2022	IDA-37020	Int Charges	35,165.09
Oct 15, 2022	IDA-37020	Int Charges	35,165.09
Oct 15, 2022	IDA-37020	Loan Repay	6,963.81
Apr 15, 2024	IDA-37020	Loan Repay	29,206.41
Apr 15, 2024	IDA-37020	Loan Repay	15,417.08
Oct 15, 2019	IDA-37020	Int Charges	62,753.83
Oct 15, 2019	IDA-37020	Int Charges	1,445.16
Oct 15, 2019	IDA-37020	Int Charges	1,445.16
Oct 15, 2019	IDA-37020	Loan Repay	62,925.25
Oct 15, 2019	IDA-37020	Loan Repay	377,452.47
Apr 15, 2019	IDA-37020	Int Charges	5,318.08
Apr 15, 2019	IDA-37020	Int Charges	5,318.08
Apr 15, 2019	IDA-37020	Loan Repay	440,148.60
Apr 15, 2019	IDA-37020	Loan Repay	6,583.90
Apr 15, 2019	IDA-37020	Int Charges	63,868.57
Apr 15, 2019	IDA-37020	Int Charges	63,868.57
Oct 15, 2018	IDA-37020	Loan Repay	444,441.80
Oct 15, 2018	IDA-37020	Loan Repay	3,094.97
Oct 15, 2018	IDA-37020	Int Charges	62,017.45
Oct 15, 2018	IDA-37020	Int Charges	62,017.45
Oct 15, 2018	IDA-37020	Loan Repay	1,553.85
Oct 15, 2020	IDA-37020	Loan Repay	60,811.08
Apr 15, 2020	IDA-37020	Loan Repay	1,347.29
Apr 15, 2020	IDA-37020	Loan Repay	59,611.56
Apr 15, 2020	IDA-37020	Int Charges	60,918.72
Apr 15, 2020	IDA-37020	Int Charges	60,918.72
Apr 15, 2020	IDA-37020	Loan Repay	378,095.22
Oct 15, 2021	IDA-37020	Int Charges	59,534.74
Apr 15, 2021	IDA-37020	Int Charges	59,528.52
Apr 15, 2021	IDA-37020	Int Charges	59,528.52
Apr 15, 2021	IDA-37020	Int Charges	379.91
Apr 15, 2021	IDA-37020	Int Charges	379.91
Apr 15, 2021	IDA-37020	Loan Repay	229,484.88
Apr 15, 2021	IDA-37020	Int Charges	1,571.82
Apr 15, 2021	IDA-37020	Int Charges	1,571.82
Oct 15, 2020	IDA-37020	Loan Repay	329.27
Oct 15, 2020	IDA-37020	Loan Repay	165,600.88
Oct 15, 2017	IDA-37020	Loan Repay	383,331.25
Apr 15, 2017	IDA-37020	Int Charges	67,143.68
Apr 15, 2017	IDA-37020	Int Charges	67,143.68
Oct 15, 2017	IDA-37020	Int Charges	68,814.68
Oct 15, 2017	IDA-37020	Int Charges	68,814.68
Apr 15, 2017	IDA-37020	Loan Repay	6,336.61
Apr 15, 2017	IDA-37020	Loan Repay	63,595.72
Apr 15, 2017	IDA-37020	Loan Repay	366,545.12
Apr 15, 2018	IDA-37020	Int Charges	2,850.97
Apr 15, 2018	IDA-37020	Int Charges	2,850.97
Apr 15, 2018	IDA-37020	Loan Repay	72,056.16
Apr 15, 2018	IDA-37020	Loan Repay	395,208.84
Apr 15, 2018	IDA-37020	Int Charges	71,842.01
Apr 15, 2018	IDA-37020	Int Charges	71,842.01
Oct 15, 2019	IDA-37020	Int Charges	62,753.83
Oct 15, 2015	IDA-37020	Loan Repay	377,749.56
Oct 15, 2015	IDA-37020	Loan Repay	16,208.02
Oct 15, 2015	IDA-37020	Loan Repay	61,580.99
Oct 15, 2015	IDA-37020	Int Charges	73,201.23
Oct 15, 2015	IDA-37020	Int Charges	73,201.23
Apr 15, 2015	IDA-37020	Int Charges	77,723.05
Apr 15, 2015	IDA-37020	Loan Repay	63,177.01
Apr 15, 2015	IDA-37020	Loan Repay	360,830.00
Apr 15, 2015	IDA-37020	Loan Repay	16,974.68
Apr 15, 2015	IDA-37020	Int Charges	0.01
Apr 15, 2015	IDA-37020	Int Charges	0.01
Apr 15, 2015	IDA-37020	Int Charges	77,723.05
Oct 15, 2016	IDA-37020	Loan Repay	87.23
Oct 15, 2016	IDA-37020	Loan Repay	73,891.89
Oct 15, 2016	IDA-37020	Loan Repay	368,939.88
Oct 15, 2016	IDA-37020	Int Charges	73,081.65
Oct 15, 2016	IDA-37020	Int Charges	73,081.65
Apr 15, 2016	IDA-37020	Int Charges	5,332.39
Apr 15, 2016	IDA-37020	Int Charges	5,332.39
Apr 15, 2016	IDA-37020	Loan Repay	76,217.04
Apr 15, 2016	IDA-37020	Loan Repay	375,360.25
Apr 15, 2016	IDA-37020	Int Charges	76,203.70
Apr 15, 2016	IDA-37020	Int Charges	76,203.70
Oct 15, 2017	IDA-37020	Int Charges	3,372.23
Oct 15, 2017	IDA-37020	Int Charges	3,372.23
Oct 15, 2017	IDA-37020	Loan Repay	71,195.32
Oct 15, 2013	IDA-37020	Loan Repay	4,328.99
Oct 15, 2013	IDA-37020	Loan Repay	241,447.61
Oct 15, 2014	IDA-37020	Loan Repay	88,448.53
Oct 15, 2014	IDA-37020	Loan Repay	388,428.94
Oct 15, 2014	IDA-37020	Int Charges	85,837.93
Oct 15, 2014	IDA-37020	Int Charges	85,837.93
Oct 15, 2014	IDA-37020	Int Charges	831.93
Oct 15, 2014	IDA-37020	Int Charges	831.93
Apr 15, 2014	IDA-37020	Loan Repay	0.02
Apr 15, 2014	IDA-37020	Int Charges	-0.02
Apr 15, 2014	IDA-37020	Int Charges	-0.02
Apr 15, 2014	IDA-37020	Int Charges	2,638.22
Apr 15, 2014	IDA-37020	Int Charges	2,638.22
Apr 15, 2014	IDA-37020	Loan Repay	90,217.84
Apr 15, 2014	IDA-37020	Loan Repay	158,453.40
Apr 15, 2014	IDA-37020	Int Charges	89,586.55
Apr 15, 2014	IDA-37020	Int Charges	89,586.55
Oct 15, 2013	IDA-37020	Int Charges	85,293.18
Oct 15, 2013	IDA-37020	Int Charges	85,293.18
Oct 15, 2013	IDA-37020	Int Charges	2,422.24
Oct 15, 2013	IDA-37020	Int Charges	2,422.24

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Overall Implementation Progress (IP)	Satisfactory	2012-06-26
Counterpart Funding	Satisfactory	2012-06-26
Project Management	Satisfactory	2012-06-26
Procurement	Satisfactory	2012-06-26
Progress towards achievement of PDO	Moderately Satisfactory	2012-06-26
Financial Management	Satisfactory	2012-06-26
Monitoring and Evaluation	Satisfactory	2012-06-26

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 12-18-2012
Outcomes	Moderately Satisfactory
Risk to Development Outcome	Modest
Bank Performance	Moderately Satisfactory
Borrower Performance	Moderately Satisfactory
Government Performance	Moderately Satisfactory
Implementing Agency	Moderately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 05-13-2013	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome	Moderate	N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance	Moderately Satisfactory	N/a
Government Performance	Moderately Satisfactory	N/a
Implementing Agency	Moderately Satisfactory	N/a
Icr Quality	Satisfactory	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

% of population covered with re-trained family medicine providers	Value	0.60	50.00	50.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		More than 86% of the targeted doctors and 100% of the targeted nurses were trained.

Percentage of rural population with access to a PHC clinic within 30 minutes of transportation/walking Value 0.00 78.00 50.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is exceeded
Increased immunization rate of (DPT3). Value 78.00 92.00 90.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is exceeded

Increased health care service utilization as measured by number of out-patient visits per capita (by poor and by general population) (threshold score for accessing MAP - 70,000)	Value	2/pc/y for poor 2/pc/y for G. Pop (2006)	Total consultations: 2.47- for poor; 1.74 - for ge	2.6/pc/y for poor 2.3/pc/year for G. pop
	Date	March 5, 2009	December 31, 2011	June 30, 2012
	Comment		Target is partially achieved

% of trained rural physicians who manage cases according to nationally approved treatment guidelines in project target areas	Value	0.00	60.00	30.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment	0 (2008)	Target is exceeded with59.9% assuming that those trained manage cases according to guidelines. The latter was not measured.

Proportion of TB patients managed at the PHC level according to the DOT strategy. Value 3.00 52.00 40.00
Date May 3, 2011 December 31, 2011 June 30, 2012
Comment Target is exceeded

Increased satisfaction of population with PHC services in target areas, as measured by the utilization survey	Value	66% (2006)	For 77.4% the reasons of treatment were completely	70%
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is met	Increased Satisfaction

Key health laws revised & passed (health care, medical practice)	Value	0 (2008)		Law passed
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		In 2006 and 2008 the Government introduced the Medical Insurance Program for the Poor (MIP),which is one of the main pillars of anambitious social policy agenda. Set of regulations on standardization of the procedures and codes for the MIS have been submittedfor approval. A generics law is pending approval in Parliament.	Follow up to these and other policy actions is foreseen under the second DPO series

% of public health expenditure earmarked to program for poor Value 3.60 38.40 30.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment 3.6 (2006) Target is met
Increased awareness of population on health care reforms Value 46.00 93.00 70.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is exceeded

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Health facilities constructed, renovated, and/or equipped Value 0.00 128.00 120.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met Center rehabilitated, equipped, and trained staff
Regional Family Medicine Training Centers rehabilitated and equipped Value 0.00 5.00 5.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
Family Medical Faculty established, equipped, curriculum developed Value No Family medicine Completed Completed
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
Health personnel receiving training Value 5.00 59.90 50.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
90% of rehabilitated facilities have trained family medicine doctors, nurses and basic equipment Value 0.00 92.00 90.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment 95.9% doctors and 87.7% nurses
IC campaign designed and implementation Value No IC campaign Implementation in progress IC Campaign carried out
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment

Analytical studies and evaluations needed for developing health care financing reforms completed and used to revise/redefine strategies.	Value	No available		Studies and analysis carried out in accordance wit
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is met

Health Management Information System (HMIS) system developed	Value	Lack of uniform plan for the development of HMIS	Phase 3 in progress	HMIS system designed
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is on track

20 family medicine guidelines developed and adopted, and 50 guidelines distributed Value 0 20/48 20/50
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
Number of physicians trained in new clinical guidelines Value 0.00 549.00 550.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
Health Sector Performance Evaluation (HSPE) completed Value No available HSPE Report produced
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met
Health personnel receiving training Value 0.00 40.00 40.00
Date May 3, 2009 December 31, 2011 June 30, 2012
Comment Target is met

Increased immunization rate of (DPT3).	Value	78.00	92.00	90.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is exceeded

Proportion of TB patients managed at the PHC level according to the DOT strategy.	Value	3.00	52.00	40.00
	Date	May 3, 2011	December 31, 2011	June 30, 2012
	Comment		Target is exceeded

% of public health expenditure earmarked to program for poor	Value	3.60	38.40	30.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment	3.6 (2006)	Target is met

Increased awareness of population on health care reforms	Value	46.00	93.00	70.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is exceeded

Family Medical Faculty established, equipped, curriculum developed	Value	No Family medicine	Completed	Completed
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is met

Health personnel receiving training	Value	5.00	59.90	50.00
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is met

IC campaign designed and implementation	Value	No IC campaign	Implementation in progress	IC Campaign carried out
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment

20 family medicine guidelines developed and adopted, and 50 guidelines distributed	Value	0	20/48	20/50
	Date	May 3, 2009	December 31, 2011	June 30, 2012
	Comment		Target is met