HN- HEALTH SYSTEM REFORM PROJECT

Abstract*

The Health System Reform Project aims to extend, and improve health care coverage, and quality, through implementation of the country's health reform strategy. The project components will: 1) develop strategies, programs, and systems needed to achieve regulatory, and institutional development, resource allocation objectives, financial sustainability, and health service delivery. Local and foreign technical assistance will be financed, as will information... Show More

Development Objective

The proposed project will support Honduras' reform program aimed at extending and improving health care coverage and quality by implementing its health reform strategy. The project will improve access and quality of health care services for the low income population served by the Ministry of Health (MOH). It will also support the ongoing efforts to improve the performance of the Honduran Social Security Institute (IHSS) and to ensure that increased social security contributions, as mandated by the Law amending the 1959 Social Security Law recently approved by the Honduran Congress, result in expanded membership and quality of services to the insured population.

Key Details

Project Details

Project ID
P053575
Status
Closed
Team Leader
Carlos Bortman
Borrower 2
N/A

Country
Honduras
Disclosure Date
June 23, 2000
Approval Date
(as of board presentation)
May 7, 2002
Effective Date
February 24, 2003

Total Project Cost 1
US$ 31.00 million
Implementing Agency
N/A
Region
Latin America and Caribbean
Fiscal Year 3
2002

Commitment Amount
US$ 27.10 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
May 31, 2010

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 Control22%
- FY17 - HIV/AIDS22%
FY17 - Health Systems and Policies45%
- FY17 - Health System Strengthening23%
- FY17 - Reproductive and Maternal Health22%

FY17 - Private Sector Development

FY17 - Business Enabling Environment22%
- FY17 - Regulation and Competition Policy22%

FY17 - Social Development and Protection

FY17 - Social Inclusion11%
- FY17 - Indigenous People and Ethnic Minorities11%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	3.90
IDA Credit	27.10

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	27.10
IBRD + IDA Commitment	27.10

Lending Instrument
Grant Amount	N/A
Total Project Cost**	31.00

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

No data available.

Detailed Financial Activity as of July 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Oct 15, 2019	IDA-36400	Int Charges	85,415.70
Apr 15, 2022	IDA-36400	Loan Repay	2,139.82
Apr 15, 2022	IDA-36400	Loan Repay	261,878.44
Apr 15, 2022	IDA-36400	Int Charges	80,195.52
Apr 15, 2022	IDA-36400	Int Charges	80,195.52
Oct 15, 2022	IDA-36400	Int Charges	73,994.29
Oct 15, 2022	IDA-36400	Int Charges	73,994.29
Apr 15, 2021	IDA-36400	Int Charges	473.18
Apr 15, 2021	IDA-36400	Int Charges	473.18
Apr 15, 2021	IDA-36400	Int Charges	85,916.40
Apr 15, 2021	IDA-36400	Int Charges	85,916.40
Apr 15, 2021	IDA-36400	Loan Repay	276,036.66
Oct 15, 2021	IDA-36400	Loan Repay	3,082.37
Oct 15, 2021	IDA-36400	Loan Repay	269,723.62
Oct 15, 2021	IDA-36400	Int Charges	83,887.87
Oct 15, 2021	IDA-36400	Int Charges	83,887.87
Apr 15, 2020	IDA-36400	Loan Repay	937.95
Apr 15, 2020	IDA-36400	Loan Repay	263,120.88
Apr 15, 2020	IDA-36400	Int Charges	84,168.77
Apr 15, 2020	IDA-36400	Int Charges	84,168.77
May 7, 2002	IDA-36400	Loan Commitment	24,220,164.00
May 7, 2002	IDA-3640A	Loan Commitment	2,879,837.00
Oct 15, 2023	IDA-36400	Loan Repay	506,210.20
Oct 15, 2023	IDA-36400	Int Charges	72,134.96
Oct 15, 2023	IDA-36400	Int Charges	72,134.96
Oct 15, 2023	IDA-36400	Int Charges	7,371.97
Oct 15, 2023	IDA-36400	Int Charges	7,371.97
Apr 15, 2024	IDA-36400	Loan Repay	10,029.34
Apr 15, 2024	IDA-36400	Loan Repay	498,673.40
Apr 15, 2024	IDA-36400	Int Charges	70,582.52
Apr 15, 2024	IDA-36400	Int Charges	70,582.52
Oct 15, 2022	IDA-36400	Loan Repay	8,675.89
Oct 15, 2022	IDA-36400	Loan Repay	484,619.38
Apr 15, 2023	IDA-36400	Loan Repay	503,967.47
Apr 15, 2023	IDA-36400	Int Charges	68,934.52
Apr 15, 2023	IDA-36400	Int Charges	68,934.52
Apr 15, 2023	IDA-36400	Loan Repay	19,505.16
Oct 15, 2013	IDA-36400	Loan Repay	289,743.25
Oct 15, 2013	IDA-36400	Int Charges	18.47
Oct 15, 2013	IDA-36400	Int Charges	18.47
Oct 15, 2013	IDA-36400	Loan Repay	5,889.96
Apr 15, 2015	IDA-36400	Loan Repay	253,439.05
Oct 15, 2013	IDA-36400	Int Charges	105,508.65
Oct 15, 2013	IDA-36400	Int Charges	105,508.65
Apr 15, 2014	IDA-36400	Int Charges	107,759.47
Apr 15, 2014	IDA-36400	Int Charges	107,759.47
Oct 15, 2015	IDA-36400	Int Charges	92,843.67
Oct 15, 2015	IDA-36400	Loan Repay	11,239.62
Oct 15, 2015	IDA-36400	Loan Repay	262,733.40
Apr 15, 2016	IDA-36400	Int Charges	3,699.37
Apr 15, 2016	IDA-36400	Int Charges	3,699.37
Apr 15, 2016	IDA-36400	Loan Repay	271,590.62
Apr 15, 2016	IDA-36400	Int Charges	94,717.26
Apr 15, 2016	IDA-36400	Int Charges	94,717.26
Oct 15, 2018	IDA-36400	Loan Repay	1,080.33
Oct 15, 2018	IDA-36400	Loan Repay	269,014.75
Oct 15, 2018	IDA-36400	Int Charges	85,412.81
Oct 15, 2018	IDA-36400	Int Charges	85,412.81
Apr 15, 2018	IDA-36400	Int Charges	1,981.28
Apr 15, 2018	IDA-36400	Int Charges	1,981.28
Apr 15, 2018	IDA-36400	Loan Repay	281,025.62
Apr 15, 2018	IDA-36400	Int Charges	93,792.32
Apr 15, 2018	IDA-36400	Int Charges	93,792.32
Apr 15, 2017	IDA-36400	Loan Repay	4,399.82
Apr 15, 2017	IDA-36400	Loan Repay	258,109.38
Apr 15, 2017	IDA-36400	Int Charges	87,331.78
Apr 15, 2017	IDA-36400	Int Charges	87,331.78
Oct 15, 2020	IDA-36400	Loan Repay	229.34
Oct 15, 2020	IDA-36400	Loan Repay	272,507.10
Oct 15, 2020	IDA-36400	Int Charges	85,444.42
Oct 15, 2020	IDA-36400	Int Charges	85,444.42
Apr 15, 2019	IDA-36400	Int Charges	86,635.68
Apr 15, 2019	IDA-36400	Int Charges	86,635.68
Apr 15, 2019	IDA-36400	Int Charges	3,699.05
Apr 15, 2019	IDA-36400	Int Charges	3,699.05
Apr 15, 2019	IDA-36400	Loan Repay	268,676.84
Oct 15, 2019	IDA-36400	Int Charges	1,005.64
Oct 15, 2019	IDA-36400	Int Charges	1,005.64
Oct 15, 2019	IDA-36400	Loan Repay	264,854.90
Oct 15, 2019	IDA-36400	Int Charges	85,415.70
Apr 15, 2014	IDA-36400	Int Charges	3,173.51
Apr 15, 2014	IDA-36400	Int Charges	3,173.51
Apr 15, 2014	IDA-36400	Loan Repay	299,115.06
Oct 15, 2014	IDA-36400	Loan Repay	286,806.84
Oct 15, 2014	IDA-36400	Int Charges	103,250.48
Oct 15, 2014	IDA-36400	Int Charges	103,250.48
Oct 15, 2014	IDA-36400	Int Charges	1,000.68
Oct 15, 2014	IDA-36400	Int Charges	1,000.68
Oct 15, 2017	IDA-36400	Int Charges	2,342.51
Oct 15, 2017	IDA-36400	Int Charges	2,342.51
Oct 15, 2017	IDA-36400	Loan Repay	273,364.38
Oct 15, 2017	IDA-36400	Int Charges	90,333.22
Oct 15, 2017	IDA-36400	Int Charges	90,333.22
Oct 15, 2016	IDA-36400	Loan Repay	266,322.75
Oct 15, 2016	IDA-36400	Int Charges	91,902.21
Oct 15, 2016	IDA-36400	Int Charges	91,902.21
Oct 15, 2016	IDA-36400	Loan Repay	60.54
Apr 15, 2015	IDA-36400	Int Charges	94,483.94
Apr 15, 2015	IDA-36400	Int Charges	94,483.94
Apr 15, 2015	IDA-36400	Loan Repay	11,779.12
Oct 15, 2015	IDA-36400	Int Charges	92,843.67

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Overall Safeguards Rating	Satisfactory	2010-06-28
Monitoring and Evaluation	Moderately Satisfactory	2010-06-28
Procurement	Moderately Satisfactory	2010-06-28
Progress towards achievement of PDO	Satisfactory	2010-06-28
Project Management	Satisfactory	2010-06-28
Financial Management	Satisfactory	2010-06-28
Counterpart Funding	Satisfactory	2010-06-28
Overall Implementation Progress (IP)	Satisfactory	2010-06-28

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 11-29-2010
Outcomes	Substantial
Risk to Development Outcome	Modest
Bank Performance	Substantial
Borrower Performance	Substantial
Government Performance	Substantial
Implementing Agency	Moderately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 06-28-2011	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	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

MOH has established a regulatory framework to permit contracting of health and support services Value Not established. Completed Completed
Date May 7, 2002 May 15, 2009 July 31, 2009
Comment
IHSS coverage for direct insured increase from 376,000 to at least 600,000 Value 376,000 direct insured completed At least 600,000 direct insured
Date May 7, 2002 May 15, 2009 July 31, 2009
Comment

Agreed debt payment of Government debt made to IHSS as scheduled	Value	No payments has been made	Debt payment were made as scheduled	Payment were made as scheduled
	Date	May 27, 2002	May 15, 2009	July 31, 2009
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

At least ten (10) contracts for assisting MOH in the provision of health services have been executed between: (a) MOH and IHSS; and/or (b) MOH and private health service providers	Value	0%	The project has transferred at least 7 contracts t	10 contracts for assisting MOH in the provision of
	Date	May 7, 2002	May 15, 2009	July 31, 2009
	Comment

The Govt. informed that indicators 1-1(a), 1-1 (b), and 1-1 (d) of the Policy Activity Schedules (IHSS) - Annex 2.A of PAD.	Value	Achieved	Documentation to be sent by 4/15/06.
	Date	March 10, 2006	July 31, 2009
	Comment

Indicator 1-1 (c) of the Policy Activity Schedules (IHSS) - Annex 2.A of PAD: partially completed.	Value	376000 employees with health insurance coverage	Completed	IHSS has increased health insurance coverage to in
	Date	May 7, 2002	May 15, 2009	July 31, 2009
	Comment

Project beneficiaries	Value	0.00	1686132.00	1686132.00
	Date	May 7, 2002	October 23, 2009	July 31, 2009
	Comment		436132 (New Models), 1100000 (IHSS afiliates and famity), 150,000 (health facilities pother than new models)

People with access to a basic package of health, nutrition, or population services Value 0.00 436132.00 436132.00
Date May 7, 2002 October 23, 2009 July 31, 2009
Comment
Health personnel receiving training Value 0.00 430.00 430.00
Date May 7, 2002 October 23, 2009 July 31, 2009
Comment
Health facilities constructed, renovated, and/or equipped Value 0.00 31.00 31.00
Date May 7, 2002 October 23, 2009 July 31, 2009
Comment 5 CESAMOS, 22 Maternal Clínics 4 regionals hospitales
Value 0.00 0.00 0.00
Date May 7, 2002 October 23, 2009 July 31, 2009
Comment 436132 (New Models), 1100000 (IHSS afiliates and famity), 150,000 (health facilities pother than new models)

MOH has established a regulatory framework to permit contracting of health and support services	Value	Not established.	Completed	Completed
	Date	May 7, 2002	May 15, 2009	July 31, 2009
	Comment

IHSS coverage for direct insured increase from 376,000 to at least 600,000	Value	376,000 direct insured	completed	At least 600,000 direct insured
	Date	May 7, 2002	May 15, 2009	July 31, 2009
	Comment

Health personnel receiving training	Value	0.00	430.00	430.00
	Date	May 7, 2002	October 23, 2009	July 31, 2009
	Comment