UY Non Communicable Diseases Prevention Project

Abstract*

The Uruguay Second Health Sector Development Project aims to support the Government's efforts to further strengthen its health delivery services and the current health policy framework for non-communicable diseases (NCDs). In this context, the specific development objectives of the proposed operation would be: (i) to expand accessibility and quality of primary health care services related to selected NCD's early detection and medical care; and (ii)... Show More

Development Objective

The operation would seek to support the Government's efforts to further strengthen its health delivery services and the current health policy framework for NCD. In this context, the specific development objectives of the proposed operation would be: (i) To expand accessibility and quality of primary health care services related to selected NCD s early detection and medical care; and (ii) To avoid and reduce exposure to selected NCDs risk factors as well as their health effects

Key Details

Project Details

Project ID
P050716
Status
Closed
Team Leader
Luis Perez
Borrower 2
Ministerio de Economia

Country
Uruguay
Disclosure Date
May 24, 2006
Approval Date
(as of board presentation)
August 28, 2007
Effective Date
January 9, 2008

Total Project Cost 1
US$ 25.30 million
Implementing Agency
Ministerio de Salud
Region
Latin America and Caribbean
Fiscal Year 3
2008

Commitment Amount
US$ 25.30 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
December 31, 2015

Last Stage Reached
BANK APPROVED
Last Update Date
April 25, 2024

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 - Disease Control67%
- FY17 - Non-communicable diseases67%
FY17 - Health Systems and Policies33%
- FY17 - Health System Strengthening33%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	25.30

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	25.30
IDA Commitment	N/A
IBRD + IDA Commitment	25.30

Lending Instrument
Grant Amount	N/A
Total Project Cost**	25.30

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Jul 12, 2013	IBRD-74860	Loan Disb	165,992.05
Apr 15, 2014	IBRD-74860	Int Charges	26,943.24
Apr 15, 2014	IBRD-74860	Loan Repay	772,995.40
Dec 11, 2013	IBRD-74860	Loan Disb	455,116.90
Aug 19, 2014	IBRD-74860	Loan Disb	697,649.90
Apr 15, 2015	IBRD-74860	Int Charges	408.70
Apr 15, 2015	IBRD-74860	Int Charges	28,693.03
Apr 15, 2015	IBRD-74860	Loan Repay	1,040,120.20
Apr 20, 2015	IBRD-74860	Loan Disb	652,436.44
Apr 15, 2016	IBRD-74860	Int Charges	40,931.00
Apr 15, 2016	IBRD-74860	Loan Repay	1,086,704.10
Oct 15, 2015	IBRD-74860	Int Charges	35,531.44
Oct 15, 2015	IBRD-74860	Loan Repay	1,086,704.10
Aug 31, 2016	IBRD-74860	Loan Disb	-572,938.75
Oct 15, 2016	IBRD-74860	Loan Repay	1,086,704.10
Oct 15, 2016	IBRD-74860	Int Charges	62,290.10
Apr 15, 2017	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2017	IBRD-74860	Int Charges	74,686.64
Apr 15, 2017	IBRD-74860	Int Charges	680.36
Dec 19, 2014	IBRD-74860	Loan Disb	350,934.38
Aug 28, 2007	IBRD-74860	Loan Commitment	25,300,000.00
Aug 31, 2016	IBRD-74860	Loan Cancel	6,051,437.00
Oct 15, 2017	IBRD-74860	Int Charges	76,253.88
Oct 15, 2017	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2018	IBRD-74860	Int Charges	525.88
Apr 15, 2018	IBRD-74860	Int Charges	74,372.12
Apr 15, 2018	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2019	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2019	IBRD-74860	Int Charges	98,480.49
Oct 15, 2018	IBRD-74860	Loan Repay	1,034,615.10
Oct 15, 2018	IBRD-74860	Int Charges	106,437.85
Oct 15, 2019	IBRD-74860	Int Charges	84,558.57
Oct 15, 2019	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2020	IBRD-74860	Int Charges	53,373.60
Apr 15, 2020	IBRD-74860	Loan Repay	1,034,615.10
Oct 15, 2020	IBRD-74860	Int Charges	26,922.40
Oct 15, 2020	IBRD-74860	Loan Repay	1,034,615.10
Oct 15, 2021	IBRD-74860	Int Charges	2,838.94
Oct 15, 2021	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2021	IBRD-74860	Int Charges	4,706.28
Apr 15, 2021	IBRD-74860	Loan Repay	1,034,615.10
Apr 15, 2022	IBRD-74860	Loan Repay	1,033,817.30
Apr 15, 2022	IBRD-74860	Int Charges	1,097.58
Dec 19, 2014	IBRD-74860	Loan Disb	208,676.83
Aug 31, 2016	IBRD-74860	Loan Disb	-0.23
Oct 23, 2014	IBRD-74860	Loan Disb	1,400,000.00
Oct 15, 2014	IBRD-74860	Loan Repay	862,880.90
Oct 15, 2014	IBRD-74860	Int Charges	769.82
Oct 15, 2014	IBRD-74860	Int Charges	25,967.40
Oct 15, 2013	IBRD-74860	Int Charges	31,911.38
Oct 15, 2013	IBRD-74860	Loan Repay	746,234.50
Feb 27, 2014	IBRD-74860	Loan Disb	1,438,168.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Financial Management	Moderately Satisfactory	2015-12-22
Monitoring and Evaluation	Satisfactory	2015-12-22
Overall Implementation Progress (IP)	Moderately Satisfactory	2015-12-22
Project Management	Satisfactory	2015-12-22
Progress towards achievement of PDO	Moderately Satisfactory	2015-12-22
Procurement	Satisfactory	2015-12-22

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-27-2016
Outcomes	Moderately Satisfactory
Risk to Development Outcome	Modest
Bank Performance	Moderately Satisfactory
Borrower Performance	Moderately Satisfactory
Government Performance	Moderately Unsatisfactory
Implementing Agency	Moderately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-29-2016	PROJECT PERFORMANCE ASSESSMENT REPORT: 01-15-2019
Outcome Rating	Moderately Satisfactory	Highly Satisfactory
Risk To Development Outcome	Modest	Substantial
Bank Performance	Moderately Satisfactory	Moderately Satisfactory
Borrower Performance	Moderately Satisfactory	Moderately Satisfactory
Government Performance	Moderately Unsatisfactory	Not Rated
Implementing Agency	Moderately Satisfactory	Moderately Satisfactory
Icr Quality	Substantial	Not Rated
M&e Quality	Modest	Modest

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of cases diagnosed and under follow-up by primary health care teams for the following NCDs: a. Hypertension; b. Diabetes; c. Obesity /overweight	Value	0.00	0.00	0.00
	Date	December 29, 2006		December 31, 2015
	Comment

Percentage of women 50-69 covered by the public provider (ASSE), who has had a mammogram in any given year. Value 9.90 12.20 20.00
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment
Crude mortality rate from Diseases of the Circulatory System ( I00-I99) in the population under 70 years Value 75.18 61.50 67.50
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment
Percentage of population 45-64 years of age covered by the NIHS and screened for NCD risk factors. Value 0.00 34.59 30.00
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment
Percentage of cases diagnosed and under follow-up by primary health care teams for Hypertension Value 54.70 62.60 60.00
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment
Percentage of cases diagnosed and under follow-up by primary health care teams for Diabetes Value 63.90 77.60 73.00
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment
Percentage of cases diagnosed and under follow-up by primary health care teams for Obesity/overweight Value 13.00 34.30 20.00
Date December 29, 2006 December 31, 2014 December 31, 2015
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

BPS, RUCAF, ASSE and FNR beneficiary databases and internal MSP databases are integrated into the National Health Information System.	Value	BPS, RUCAF, ASSE andFNR beneficiarydatabases and	The main databases on beneficiaries (BPS, RUCAF, A	BPS, RUCAF, ASSE andFNR beneficiary databasesand
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Proportion of Epidemiologic Surveillance Units (ESUs) in compliance with information reporting requirements of the health surveillance system	Value	10.00	72.20	85.00
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Number of DIGESA key personnel trained in SEVES, outbreak investigation and data for decision making. Value 0.00 110.00 50.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment

Proportion of communicable disease outbreaks reported by surveillance system that are managed at local level according to norms.	Value	10.00	99.70	90.00
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Number of Health Departments that carry out “healthy municipality strategy”, including (a) health promotion subprojects related to NCDs and (b) development of healthy spaces	Value	0.00	16.00	15.00
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Proportion of public schools implementing ‘healthy school’ strategy. Value 0.00 16.20 20.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment

A National Promotion Advocacy group is conformed.	Value	The National Promotion Advocacy group does not exi	A National Promotion Advocacy is conformed and the	A National Promotion Advocacy group is conformed.
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Regulatory framework affecting essential NCDs and risk factors is reviewed to assess its effectiveness.	Value	Regulatory frameworkaffecting essential NCDsand	Regulatory framework affecting essential NCDs and	Regulatory framework affecting essential NCDs and
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Number of primary health care establishments that are certified and quality accredited on NCDs medical care ambulatory procedures.	Value	0.00	122.00	100.00
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Health personnel receiving training (number) Value 100.00 2579.00 2000.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment

Development of a National Training Network in ASSE for primary healthcare workers	Value	Technical Team and trainingcontents have not been	Technical Team and contents for 4 annual training	Technical Team andtraining contents developed and
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Percentage of ASSE beneficiaries registered in electronic medical records Value 0.00 82.20 30.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment
Percentage of population between 45 to 64 years with ASSE coverage screened for NCDs risk factor. Value 0.00 1.15 22.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment
Percentage of ASSE beneficiaries with risks for NCDS detected that is receiving follow up under Previniendo guideline Value 0.00 2.60 10.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment
5. Primary care providers under Annual Performance Agreements with DHIE Value 0.00 100.00 85.00
Date December 29, 2006 December 11, 2015 December 31, 2015
Comment

To develop and apply a methodology to assess the financial impact on public finances and household budgets of alternative health care reform strategies.	Value		Methodology has been developed.	Methodology has been developed in conjunction with
	Date	December 29, 2006	December 11, 2015	December 31, 2015
	Comment

Percentage of women 50-69 covered by the public provider (ASSE), who has had a mammogram in any given year.	Value	9.90	12.20	20.00
	Date	December 29, 2006	December 31, 2014	December 31, 2015
	Comment

Crude mortality rate from Diseases of the Circulatory System ( I00-I99) in the population under 70 years	Value	75.18	61.50	67.50
	Date	December 29, 2006	December 31, 2014	December 31, 2015
	Comment

Percentage of cases diagnosed and under follow-up by primary health care teams for Hypertension	Value	54.70	62.60	60.00
	Date	December 29, 2006	December 31, 2014	December 31, 2015
	Comment

Percentage of cases diagnosed and under follow-up by primary health care teams for Diabetes	Value	63.90	77.60	73.00
	Date	December 29, 2006	December 31, 2014	December 31, 2015
	Comment

Percentage of cases diagnosed and under follow-up by primary health care teams for Obesity/overweight	Value	13.00	34.30	20.00
	Date	December 29, 2006	December 31, 2014	December 31, 2015
	Comment