Health 2 Project

Abstract*

The Second Health Project for Uzbekistan aims to improve the quality and overall cost-effectiveness of health care services. The project has the following four components: Component 1) will extend further support for development of Primary Health Care (PHC) services. In concert with the Asian Development Bank, all Primary Care Centers (SVPs), as well as some remaining SVPs not covered under Health I, will be supplied with a package of equipment. More... Show More

Development Objective

The Project Development Objective is to improve the quality and overall cost-effectiveness of health care services in Uzbekistan. This will be achieved through: (a) completion of the primary care program in 8 regions (Samarkand, Sukhandarya, Namangan, Andijon, Djizzak, Ferghana, Navoiy, and Syr Darya) and other regions as agreed, and institutionalization of general practitioners nationally; (b) extending financing and management reforms related to efficiency and effectiveness of service delivery; (c) improving public health services, including surveillance, training in public health and control of communicable disease; and (d) building capacity in the Ministry of Health to better monitor and evaluate the reforms, and better manage the restructuring process.

Key Details

Project Details

Project ID
P051370
Status
Closed
Team Leader
Susanna Hayrapetyan
Borrower 2
N/A

Country
Uzbekistan
Disclosure Date
May 28, 2003
Approval Date
(as of board presentation)
September 9, 2004
Effective Date
November 15, 2004

Total Project Cost 1
US$ 118.09 million
Implementing Agency
N/A
Region
Europe and Central Asia
Fiscal Year 3
2005

Commitment Amount
US$ 40.00 million
Environmental Category
C
Environmental and Social Risk
Not Applicable
Closing Date
December 31, 2011

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 - Disease Control34%
- FY17 - HIV/AIDS17%
- FY17 - Tuberculosis17%
FY17 - Health Systems and Policies49%
- FY17 - Child Health16%
- FY17 - Health System Strengthening33%
FY17 - Nutrition and Food Security18%
- FY17 - Food Security9%
- FY17 - Nutrition9%

FY17 - Private Sector Development

FY17 - Jobs100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	78.09
IDA Credit	39.48
IDA GRANT FOR HIV/AIDS	0.52

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	40.00
IBRD + IDA Commitment	40.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	118.09

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$)
Sep 15, 2019	IDA-39790	Int Charges	120,108.57
Mar 15, 2020	IDA-39790	Loan Repay	454,351.90
Mar 15, 2020	IDA-39790	Int Charges	118,822.97
Mar 15, 2020	IDA-39790	Int Charges	118,822.97
Mar 15, 2020	IDA-39790	Loan Repay	4,867.26
Mar 15, 2019	IDA-39790	Int Charges	302.53
Mar 15, 2019	IDA-39790	Int Charges	302.53
Mar 15, 2019	IDA-39790	Loan Repay	463,950.78
Mar 15, 2019	IDA-39790	Int Charges	123,526.87
Mar 15, 2019	IDA-39790	Int Charges	123,526.87
Sep 15, 2013	IDA-39790	Int Charges	3,391.32
Sep 15, 2013	IDA-39790	Int Charges	3,391.32
Sep 15, 2013	IDA-39790	Int Charges	146,439.05
Sep 15, 2013	IDA-39790	Int Charges	146,439.05
Mar 15, 2015	IDA-39790	Loan Repay	437,118.72
Mar 15, 2015	IDA-39790	Loan Repay	19,684.66
Mar 15, 2015	IDA-39790	Int Charges	135,327.98
Mar 15, 2015	IDA-39790	Int Charges	135,327.98
Sep 15, 2014	IDA-39790	Int Charges	1,615.22
Sep 15, 2014	IDA-39790	Int Charges	1,615.22
Sep 15, 2014	IDA-39790	Loan Repay	499,731.06
Sep 15, 2014	IDA-39790	Int Charges	149,919.31
Sep 15, 2014	IDA-39790	Int Charges	149,919.31
Mar 15, 2014	IDA-39790	Int Charges	2,056.49
Mar 15, 2014	IDA-39790	Int Charges	2,056.49
Mar 15, 2014	IDA-39790	Int Charges	153,358.19
Mar 15, 2014	IDA-39790	Int Charges	153,358.19
Mar 15, 2016	IDA-39790	Loan Repay	464,410.60
Mar 15, 2016	IDA-39790	Int Charges	129,682.66
Mar 15, 2016	IDA-39790	Int Charges	129,682.66
Mar 15, 2016	IDA-39790	Int Charges	5,481.19
Mar 15, 2016	IDA-39790	Int Charges	5,481.19
Sep 15, 2015	IDA-39790	Int Charges	131,926.48
Sep 15, 2015	IDA-39790	Int Charges	131,926.48
Sep 15, 2015	IDA-39790	Loan Repay	24,459.96
Sep 15, 2015	IDA-39790	Loan Repay	445,535.28
Mar 15, 2017	IDA-39790	Int Charges	126,478.84
Sep 15, 2017	IDA-39790	Loan Repay	473,722.60
Sep 15, 2017	IDA-39790	Loan Repay	707.68
Sep 9, 2004	IDA-39790	Loan Commitment	39,480,000.00
Mar 15, 2024	IDA-39790	Loan Repay	429,006.44
Mar 15, 2024	IDA-39790	Int Charges	101,497.48
Mar 15, 2024	IDA-39790	Int Charges	101,497.48
Mar 15, 2024	IDA-39790	Loan Repay	14,698.37
Sep 15, 2020	IDA-39790	Loan Repay	73,890.64
Sep 15, 2020	IDA-39790	Loan Repay	1,384.11
Sep 15, 2020	IDA-39790	Loan Repay	11,793.26
Sep 15, 2020	IDA-39790	Loan Repay	7.75
Sep 15, 2020	IDA-39790	Loan Repay	384,965.38
Sep 15, 2020	IDA-39790	Int Charges	111,031.48
Sep 15, 2020	IDA-39790	Int Charges	111,031.48
Mar 15, 2021	IDA-39790	Loan Repay	475,986.38
Mar 15, 2021	IDA-39790	Int Charges	119,591.55
Sep 15, 2021	IDA-39790	Loan Repay	5,048.40
Mar 15, 2022	IDA-39790	Loan Repay	457,318.40
Mar 15, 2022	IDA-39790	Int Charges	75.79
Mar 15, 2022	IDA-39790	Int Charges	75.79
Mar 15, 2022	IDA-39790	Int Charges	112,029.71
Mar 15, 2022	IDA-39790	Int Charges	112,029.71
Mar 15, 2022	IDA-39790	Loan Repay	2,290.60
Sep 23, 2021	IDA-39790	Loan Repay	467,807.22
Sep 23, 2021	IDA-39790	Int Charges	117,025.67
Sep 23, 2021	IDA-39790	Int Charges	117,025.67
Mar 15, 2021	IDA-39790	Int Charges	119,591.55
Mar 15, 2021	IDA-39790	Int Charges	9,417.05
Mar 15, 2021	IDA-39790	Int Charges	9,417.05
Sep 15, 2023	IDA-39790	Loan Repay	432,340.16
Sep 15, 2023	IDA-39790	Int Charges	102,163.56
Sep 15, 2023	IDA-39790	Int Charges	102,163.56
Sep 15, 2023	IDA-39790	Loan Repay	7,072.89
Mar 15, 2023	IDA-39790	Loan Repay	437,635.03
Mar 15, 2023	IDA-39790	Int Charges	104,796.92
Mar 15, 2023	IDA-39790	Int Charges	104,796.92
Mar 15, 2023	IDA-39790	Loan Repay	5,949.84
Sep 15, 2022	IDA-39790	Loan Repay	11,841.90
Sep 15, 2022	IDA-39790	Loan Repay	419,637.38
Sep 15, 2022	IDA-39790	Int Charges	103,555.01
Sep 15, 2022	IDA-39790	Int Charges	103,555.01
Sep 9, 2004	IDA-H1240	Loan Commitment	520,000.00
Mar 15, 2017	IDA-39790	Int Charges	126,478.84
Mar 15, 2017	IDA-39790	Int Charges	2,656.49
Mar 15, 2017	IDA-39790	Int Charges	2,656.49
Mar 15, 2017	IDA-39790	Loan Repay	449,702.62
Sep 15, 2016	IDA-39790	Int Charges	4,436.74
Sep 15, 2016	IDA-39790	Int Charges	4,436.74
Sep 15, 2016	IDA-39790	Loan Repay	466,599.80
Sep 15, 2016	IDA-39790	Int Charges	130,224.64
Sep 15, 2016	IDA-39790	Int Charges	130,224.64
Sep 15, 2018	IDA-39790	Loan Repay	467,396.20
Sep 15, 2018	IDA-39790	Int Charges	125,892.18
Sep 15, 2018	IDA-39790	Int Charges	125,892.18
Sep 15, 2018	IDA-39790	Int Charges	8,528.04
Sep 15, 2018	IDA-39790	Int Charges	8,528.04
Mar 15, 2018	IDA-39790	Loan Repay	484,253.38
Mar 15, 2018	IDA-39790	Int Charges	123,728.74
Mar 15, 2018	IDA-39790	Int Charges	123,728.74
Mar 15, 2018	IDA-39790	Int Charges	14,485.96
Mar 15, 2018	IDA-39790	Int Charges	14,485.96
Sep 15, 2017	IDA-39790	Int Charges	117,462.30
Sep 15, 2017	IDA-39790	Int Charges	117,462.30
Sep 15, 2019	IDA-39790	Loan Repay	456,306.88
Sep 15, 2019	IDA-39790	Loan Repay	1,249.54
Sep 15, 2019	IDA-39790	Int Charges	120,108.57

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Counterpart Funding	Satisfactory	2011-12-27
Project Management	Satisfactory	2011-12-27
Monitoring and Evaluation	Satisfactory	2011-12-27
Overall Implementation Progress (IP)	Moderately Satisfactory	2011-12-27
Financial Management	Satisfactory	2011-12-27
Progress towards achievement of PDO	Moderately Satisfactory	2011-12-27
Procurement	Moderately Satisfactory	2011-12-27

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-27-2012
Outcomes	Moderately Satisfactory
Risk to Development Outcome	Negligible
Bank Performance	Moderately Satisfactory
Borrower Performance	Moderately Satisfactory
Government Performance	Moderately Satisfactory
Implementing Agency	Moderately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 05-10-2013	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome	Negligible To Low	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	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

% of women who receive antenatal care in the early stage of pregnancy (up to 12-week pregnancy period) Value 79.1% 87.7% 85%
Date September 9, 2004 November 30, 2011 December 31, 2011
Comment Target exceeded.
Number of visits to PHC facilities (SVPs, FAPs) per capita of rural population Value 4.1 4.6 5
Date September 9, 2004 November 30, 2011 December 31, 2011
Comment Target substantially met.

Hospitalization rate among rural population	Value	11.0%	12.1%	10.0%
	Date	September 9, 2004	November 30, 2011	December 31, 2011
	Comment		Actual includes admissions and specialist consultations and diagnostic tests at hospitals; related data cannot be dissociated fromtreatment care in hospitals registries

% of SVPs stocked with (for at least 75% of) essential medicines	Value	38.9 %	6%	at least 50 %
	Date	September 9, 2004	November 30, 2011	December 31, 2011
	Comment		Target not met. Survey coincided with major transition in procurement of medicine since 2010 though the change was aimed atincreasing cost-efficiency, the administration of the new system was not properly implemented; hence delay in the supply of anumber of drugs. However, 64% of SVPs have 50% of the drugs on the list.

% of health budget expenditures on PHC and outpatient care Value 41.7% 43.8% at least 40%
Date September 9, 2004 May 17, 2011 December 31, 2011
Comment Target on track. Represents the period Jan.-Sept. 2010
% of rural PHC facilities converted to per capita financing and management system Value 21.5% 100% 100%
Date September 9, 2004 May 17, 2011 December 31, 2011
Comment Target met
% of urban PHC facilities converted to per capita financing and management system in pilot areas Value 0 100% 100%
Date September 9, 2004 May 17, 2011 December 31, 2011
Comment Target met.
% of patients referred from SVP to hospital Value 20% 12% 15%
Date December 31, 2004 November 30, 2011 December 31, 2011
Comment Target exceeded.

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

% of SVPs fully equipped under the Project Value 0% 100% 100%
Date December 31, 2004 November 30, 2011 December 31, 2011
Comment Target met

% of SVPs in pilot oblasts with specialists trained under the program of medical equipment maintenance	Value	0%	98.3%	100%
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target substantially met

% of SVPs equipped with modern dental equipment Value 0% 7.3% 4%
Date June 22, 2010 November 30, 2011 December 31, 2011
Comment New indicator Target exceeded. Represents 231 SVPs
% of central polyclinics equipped with modern dental equipment Value 0% 100% 100%
Date June 22, 2010 May 17, 2011 December 31, 2011
Comment New indicator Target met. 310 units delivered
% of SVP physicians retrained Value 14.5% or 898 GPs 74.9% or 3770 GPs 58% or 2700 GPs
Date December 31, 2004 November 30, 2011 December 31, 2011
Comment target exceeded

% of SVPs with one or more GP or staff who has passed a 10-month GP trg. program or has graduated from university as a GP	Value	14.5%	92.6%	at least 70%
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target exceeded

% of current expenditures not related to salary relateive to actual expenses of urban PHC facilities Value 10.8% 6.1% at least 20%
Date December 31, 2007 May 17, 2011 December 31, 2011
Comment
% of share of oblast/city health budget allocated for PHC (rural) Value 14.6% 15.9% at least 20%
Date December 31, 2004 May 17, 2011 December 31, 2011
Comment Target on track

% of Ferghana oblast central rayon hospitals involved in pilot case-based financing	Value	0%	0%	100% in pilot oblasts
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target not met. Unlikelihood that hospitals in Ferghana will convert to case-based financing scheme by project end

Strengthening and improvement of PH Strategy	Value	0	PH Strategy approved by Cabinet of Ministers	PH Strategy approved by Cabinet of Ministers
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target met.

Establish the School of PH (SPH) Value 0 SPH established under TMA SPH established
Date December 31, 2004 December 31, 2006 December 31, 2011
Comment Target met
Develop plan to improve training programs for PH specialists Value 0 Completed MoH decree endorses the plan
Date December 31, 2004 November 30, 2011 December 31, 2011
Comment Target met
No. of specialists trained in two-year PH program Value 0 54 at least 50 specialists
Date December 31, 2004 November 30, 2011 December 31, 2011
Comment Target met

Establish Info System for electronic Monitoring of Infectious Diseases (IS EMID)	Value	0	in progress	IS EMID established
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Computers expected to be delivered by closing

% of women who receive antenatal care in the early stage of pregnancy (up to 12-week pregnancy period)	Value	79.1%	87.7%	85%
	Date	September 9, 2004	November 30, 2011	December 31, 2011
	Comment		Target exceeded.

% of health budget expenditures on PHC and outpatient care	Value	41.7%	43.8%	at least 40%
	Date	September 9, 2004	May 17, 2011	December 31, 2011
	Comment		Target on track. Represents the period Jan.-Sept. 2010

% of rural PHC facilities converted to per capita financing and management system	Value	21.5%	100%	100%
	Date	September 9, 2004	May 17, 2011	December 31, 2011
	Comment		Target met

% of SVPs equipped with modern dental equipment	Value	0%	7.3%	4%
	Date	June 22, 2010	November 30, 2011	December 31, 2011
	Comment	New indicator	Target exceeded. Represents 231 SVPs

% of SVP physicians retrained	Value	14.5% or 898 GPs	74.9% or 3770 GPs	58% or 2700 GPs
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		target exceeded

% of current expenditures not related to salary relateive to actual expenses of urban PHC facilities	Value	10.8%	6.1%	at least 20%
	Date	December 31, 2007	May 17, 2011	December 31, 2011
	Comment

% of share of oblast/city health budget allocated for PHC (rural)	Value	14.6%	15.9%	at least 20%
	Date	December 31, 2004	May 17, 2011	December 31, 2011
	Comment		Target on track

Establish the School of PH (SPH)	Value	0	SPH established under TMA	SPH established
	Date	December 31, 2004	December 31, 2006	December 31, 2011
	Comment		Target met

Develop plan to improve training programs for PH specialists	Value	0	Completed	MoH decree endorses the plan
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target met

No. of specialists trained in two-year PH program	Value	0	54	at least 50 specialists
	Date	December 31, 2004	November 30, 2011	December 31, 2011
	Comment		Target met