1. What We Do

India: Rajasthan Health Systems Development Project

Abstract*

The Rajasthan Health Systems Development Project for India will assist Rajasthan in improving the health status of it s population, in particular the poor and underserved population. Specifically, the project will increase access to and improve the quality of health care. The project has three main components, one of which mainly focuses on the poor and tribal population. Component 1 improves the state's institutional capacity for health policy development...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

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Development Objective

PDO1: Increase access to health care of poor (BPL) and underserved population by upgrading health care facilities in the remote areas, promoting public private partnership and improving health care seeking behavior through demand side interventions.PDO2: Improve the effectiveness of health care through strengthened institutional framework for policy development, program implementation and management capacity, and increase in the quality of health care.

Key Details

Project Details

  • P050655

  • Closed

  • Patrick Mullen

  • N/A

  • India

  • November 19, 2001

  • (as of board presentation)

    March 11, 2004

  • July 21, 2004

  • US$ 105.98 million

  • N/A

  • South Asia

  • 2004

  • US$ 78.00 million

  • B

  • Not Applicable

  • September 30, 2011

  • BANK APPROVED

  • January 15, 2013

  • Notes

Sectors

Created with Highstock 5.0.14FY17 - Sub-National GovernmentFY17 - Insurance and PensionFY17 - Public Administration -HealthFY17 - Public Administration - HealthFY17 - HealthFY17 - Social Protection

Themes

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 78.00
Borrower/Recipient 16.98

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 78.00
IBRD + IDA Commitment 78.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 105.98

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

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Mar 1, 2017 IDA-38670 Int Charges 226,333.95
Mar 1, 2017 IDA-38670 Int Charges 651.66
Mar 1, 2017 IDA-38670 Int Charges 651.66
Mar 1, 2018 IDA-38670 Int Charges 39,308.59
Mar 1, 2018 IDA-38670 Int Charges 39,308.59
Mar 1, 2018 IDA-38670 Loan Repay 1,896,190.50
Mar 1, 2018 IDA-38670 Int Charges 205,384.48
Mar 1, 2018 IDA-38670 Int Charges 205,384.48
Sep 1, 2017 IDA-38670 Int Charges 6,452.79
Sep 1, 2017 IDA-38670 Int Charges 6,452.79
Sep 1, 2017 IDA-38670 Loan Repay 1,861,737.00
Sep 1, 2017 IDA-38670 Int Charges 198,777.12
Sep 1, 2015 IDA-38670 Loan Repay 1,786,882.90
Sep 1, 2015 IDA-38670 Int Charges 254,963.60
Sep 1, 2015 IDA-38670 Int Charges 254,963.60
Sep 1, 2015 IDA-38670 Loan Repay 62,362.65
Mar 1, 2016 IDA-38670 Int Charges 251,891.70
Mar 1, 2016 IDA-38670 Int Charges 251,891.70
Mar 1, 2016 IDA-38670 Int Charges 8,397.54
Mar 1, 2016 IDA-38670 Int Charges 8,397.54
Mar 1, 2016 IDA-38670 Loan Repay 1,815,435.60
Sep 1, 2016 IDA-38670 Loan Repay 1,062,296.20
Sep 6, 2016 IDA-38670 Int Charges 247,128.62
Sep 6, 2016 IDA-38670 Loan Repay 766,306.20
Sep 1, 2014 IDA-38670 Int Charges 299,164.75
Sep 1, 2014 IDA-38670 Int Charges 299,164.75
Sep 8, 2014 IDA-38670 Loan Disb -634.55
Mar 1, 2015 IDA-38670 Int Charges 270,361.94
Mar 1, 2015 IDA-38670 Int Charges 270,361.94
Mar 1, 2015 IDA-38670 Loan Repay 1,803,298.10
Mar 1, 2015 IDA-38670 Loan Repay 45,330.05
Sep 1, 2014 IDA-38670 Int Charges 1,443.02
Sep 1, 2014 IDA-38670 Int Charges 1,443.02
Sep 1, 2014 IDA-38670 Loan Repay 1,994,431.60
Sep 8, 2014 IDA-38670 Loan Cancel 634.55
Mar 1, 2014 IDA-38670 Int Charges 2,631.77
Mar 1, 2014 IDA-38670 Int Charges 2,631.77
Mar 1, 2014 IDA-38670 Int Charges 303,411.90
Sep 1, 2013 IDA-38670 Int Charges 5,811.78
Sep 1, 2013 IDA-38670 Int Charges 5,811.78
Sep 1, 2013 IDA-38670 Int Charges 290,165.03
Sep 1, 2013 IDA-38670 Int Charges 290,165.03
Mar 1, 2014 IDA-38670 Int Charges 303,411.90
Sep 1, 2023 IDA-38670 Int Charges 4,340.49
Sep 1, 2023 IDA-38670 Int Charges 4,340.49
Mar 1, 2024 IDA-38670 Loan Repay 1,742,503.20
Mar 1, 2024 IDA-38670 Int Charges 150,297.08
Mar 1, 2024 IDA-38670 Int Charges 150,297.08
Mar 1, 2024 IDA-38670 Loan Repay 71.75
Mar 11, 2004 IDA-38670 Loan Commitment 89,000,000.00
Sep 1, 2022 IDA-38670 Loan Repay 3,818.35
Mar 1, 2023 IDA-38670 Int Charges 159,902.47
Mar 1, 2023 IDA-38670 Loan Repay 40,335.50
Sep 1, 2022 IDA-38670 Int Charges 166,732.66
Mar 1, 2023 IDA-38670 Loan Repay 1,711,723.00
Mar 1, 2023 IDA-38670 Int Charges 159,902.47
Sep 1, 2023 IDA-38670 Int Charges 157,230.16
Sep 1, 2023 IDA-38670 Int Charges 157,230.16
Sep 1, 2023 IDA-38670 Loan Repay 1,747,001.50
Sep 1, 2021 IDA-38670 Loan Repay 2,912.65
Sep 1, 2021 IDA-38670 Loan Repay 931,810.50
Sep 1, 2021 IDA-38670 Int Charges 189,281.56
Sep 1, 2021 IDA-38670 Int Charges 189,281.56
Mar 1, 2022 IDA-38670 Loan Repay 915,460.56
Mar 1, 2022 IDA-38670 Loan Repay 0.01
Mar 1, 2022 IDA-38670 Int Charges 182,056.25
Mar 1, 2022 IDA-38670 Int Charges 182,056.25
Mar 1, 2022 IDA-38670 Int Charges -0.01
Mar 1, 2022 IDA-38670 Int Charges -0.01
Mar 1, 2022 IDA-38670 Loan Repay 544.94
Sep 1, 2022 IDA-38670 Int Charges 166,732.66
Sep 1, 2022 IDA-38670 Loan Repay 1,706,260.20
Sep 1, 2020 IDA-38670 Loan Repay 921,011.90
Sep 1, 2020 IDA-38670 Int Charges 159,404.78
Sep 1, 2020 IDA-38670 Int Charges 159,404.78
Sep 1, 2020 IDA-38670 Loan Repay 13,908.24
Mar 1, 2021 IDA-38670 Int Charges 194,611.33
Mar 1, 2021 IDA-38670 Int Charges 194,611.33
Mar 1, 2021 IDA-38670 Int Charges 37,270.25
Mar 1, 2021 IDA-38670 Int Charges 37,270.25
Mar 1, 2021 IDA-38670 Loan Repay 943,569.60
Mar 1, 2019 IDA-38670 Int Charges 207,521.42
Mar 1, 2019 IDA-38670 Int Charges 207,521.42
Mar 1, 2019 IDA-38670 Loan Repay 745,287.30
Mar 1, 2019 IDA-38670 Loan Repay 1,078,657.90
Mar 1, 2019 IDA-38670 Loan Repay 7,725.52
Sep 1, 2019 IDA-38670 Int Charges 5,308.90
Sep 1, 2019 IDA-38670 Int Charges 5,308.90
Sep 1, 2019 IDA-38670 Loan Repay 1,797,335.40
Sep 1, 2019 IDA-38670 Int Charges 202,200.23
Sep 1, 2019 IDA-38670 Int Charges 202,200.23
Mar 1, 2020 IDA-38670 Int Charges 196,165.84
Mar 1, 2020 IDA-38670 Int Charges 196,165.84
Mar 1, 2020 IDA-38670 Loan Repay 28,937.01
Mar 1, 2020 IDA-38670 Loan Repay 1,774,887.10
Sep 1, 2017 IDA-38670 Int Charges 198,777.12
Sep 1, 2018 IDA-38670 Loan Repay 1,840,747.10
Sep 1, 2018 IDA-38670 Int Charges 220,889.61
Sep 1, 2018 IDA-38670 Int Charges 220,889.61
Sep 1, 2018 IDA-38670 Int Charges 28,413.28
Sep 1, 2018 IDA-38670 Int Charges 28,413.28
Sep 1, 2016 IDA-38670 Loan Repay 5,421.65
Sep 6, 2016 IDA-38670 Int Charges 247,128.62
Mar 1, 2017 IDA-38670 Loan Repay 1,771,222.80
Mar 1, 2017 IDA-38670 Int Charges 77.02
Mar 1, 2017 IDA-38670 Int Charges 77.02
Mar 1, 2017 IDA-38670 Int Charges 226,333.95
Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Satisfactory 2012-01-03
Overall Implementation Progress (IP) Moderately Satisfactory 2012-01-03
Financial Management Satisfactory 2012-01-03
Monitoring and Evaluation Satisfactory 2012-01-03
Counterpart Funding Satisfactory 2012-01-03
Procurement Moderately Satisfactory 2012-01-03
Project Management Moderately Satisfactory 2012-01-03

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 03-28-2012
OutcomesModerately Satisfactory
Risk to Development OutcomeModest
Bank PerformanceModerately Satisfactory
Borrower PerformanceModerately Satisfactory
Government PerformanceModerately Satisfactory
Implementing AgencyModerately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 10-19-2012PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeModerateN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceModerately SatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySatisfactoryN/a
M&e QualityModestN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of BPL populations among out patients seen at all project facilities ie district hospital (DH) and sub district hospitals (SDH and CHC).Value8.7%16.6%17%
    DateJanuary 1, 2006June 30, 2011September 30, 2011
    Commentdata available from 234 facilities for June 2011Revision of legal agreement of December 2009 indicates target of 17%;Aide Memoire of September 2010 indicates revised target of 27%
  • Percentage of ST populations among inpatients seen at all project facilities in six tribal districts i.e. DH, SDH, & CHC in sixtribal districtsValue8.3%24.9%15%
    DateJanuary 1, 2006June 30, 2011September 30, 2011
    Commentdata from 49 facilities in six tribal districtsdata from 47 facilities in six tribal districtsRevision of legal agreement of Dec. 2009 indicates target of 15%;Aide Memiore of September 2010 indicates target of23%(aide-memoire Sep. 2010)
  • Percentage of CHCs conducting > 10 deliveries a monthValue60%96.6%90%
    DateJanuary 1, 2006June 30, 2011September 30, 2011
    Comment185 CHCs reporting178 CHCs reporting
  • Percentage of clients (patients and non patients) satisfied with the services received at project facilities.Value92% respondents from project facilities satisfied 94% respondents from project facilities were satisIncreasing
    DateJuly 30, 2008August 31, 2011September 30, 2011
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of project facilities reporting (paper based) monthly HMIS reportsValue20%90.34%100%
    DateApril 15, 2006June 30, 2011September 30, 2011
    Comment215 of 238 facilities reported
  • Percentage of clinical trainings completed according to planValue0%64%100%
    DateApril 15, 2006June 30, 2011September 30, 2011
    CommentOf the total training load of 4503 trainees for 23 trainings, 2866 was successfully completed.Complete all planned trainings
  • Percentage of facilities renovated/ upgraded out of the planned 238 facilitiesValue0100%100%
    DateOctober 1, 2009September 27, 2011September 30, 2011
    CommentOriginal phase: 238 health facilities renovated + 1 PMU building constructed;Extension phase: 14 Trauma centers, 6 ICUs, 19rehabilitation centers and 24 burns ward proposedAll 302 (238 health facilities+ PMU building + 63 works from extension phase) completed and handed over.All 302 works completed
  • Percentage of project facilities that have a social worker/counselorValue0%100%90%
    DateApril 15, 2006June 30, 2011September 30, 2011
    Comment131 patient counselors placed in 113 fifty bedded and above project facilities
  • Percentage of project facilities (MRSs) receiving payment form equity fundValue0%86.5%90%
    DateApril 15, 2006March 31, 2011March 31, 2011
    CommentAt extension phase of project decisions were taken to # not provide equity funds to district hospitals which were selfsufficient;# provide equity funds to only those RMRS#s which submitted audited statement of accounts for the previous financialyear. # equity funds would be suspended after March 2011.
  • Percentage of CHCs/BPHCs staffed according to agreed norms in tribal areasValueDoctors: 49.6% (49 facilities reporting) Nurses/ANDoctors: 47.31%; Nurses/ANMs: 108% and Laboratry T90%
    DateMay 31, 2006June 30, 2011September 30, 2011
    Comment47 of 49 facilities reporting.It is now understood that the target for 90% staffing in tribal areas is too ambitious to be achieved within the project lifetime.Meeting this target calls for substantive reforms in the health and medical education sector which were/are beyond the scope of theproject. It is evident that this target will likely not be met in the coming future as well.
  • Percentage of facilities: (i) implementing their health care waste management (HCWM) plan; (ii) completing the implementation of their HCWM planValue(i) Training in 10 facilities and civil works in a(i) 100%(ii) 100%100%
    DateApril 15, 2006June 30, 2011September 30, 2011
    Comment(i) Training of project facilities completed. Additional training of PHCs: completed in 9 of 17 planned districts; all IECmaterials developed and disseminated to encourage positive behaviours; 281 of 343 secondary health facilities connected to CommonTreatment Facilities; all 343 secondary health facilities authorized by State Pollution Control Board. Moreover, study on impactevaluation ofHCWM implementation and a CTF audit successfully completed. A national level workshop conducted on May 5-6, 2011 forexperience sharing on HCWM(ii) 100% of project facilities implementing HCWM plan. 82% of all secondary health facilitiesimplementing HCWM plans.Completion of all planned activities