SV - Earthquake Emergency Recovery & Health Services Extension Project

Abstract*

The Earthquake Emergency Reconstruction and Health Services Extension Project seeks to restore hospital operations, and improve the provision of health assistance, specifically to vulnerable groups in the country's earthquake-damaged areas, in particular the underserved populations of the poverty-stricken Northern Region. The components will support: 1) an emergency reconstruction of the Ministry of Health (MOH) hospital network in the earthquake... Show More

Development Objective

The proposed project seeks to restore hospital operations and minimize losses in health status to vulnerable populations living in the country's earthquake-damaged Central and Para-Central Regions and to improve the health status of underserved populations elsewhere, with special emphasis on the poverty-stricken Northern Region. This will be achieved by: (i) rebuilding and improving health sector infrastructure damaged or destroyed by the earthquakes; (ii) extending the coverage of essential health and nutrition services through a community-based outreach approach; and (iii) strengthening the institutional capacity of the Ministry of Health (MOH) to develop and implement policies and priority programs for the health sector.

Key Details

Project Details

Project ID
P067986
Status
Closed
Team Leader
Rafael A. Cortez
Borrower 2
N/A

Country
El Salvador
Disclosure Date
January 3, 2001
Approval Date
(as of board presentation)
December 4, 2001
Effective Date
September 11, 2003

Total Project Cost 1
US$ 165.70 million
Implementing Agency
N/A
Region
Latin America and Caribbean
Fiscal Year 3
2002

Commitment Amount
US$ 142.60 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
June 30, 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 - Finance

FY17 - Finance for Development6%
- FY17 - Disaster Risk Finance6%

FY17 - Human Development and Gender

FY17 - Health Systems and Policies38%
- FY17 - Health System Strengthening25%
- FY17 - Reproductive and Maternal Health13%
FY17 - Nutrition and Food Security14%
- FY17 - Food Security7%
- FY17 - Nutrition7%

FY17 - Private Sector Development

FY17 - Jobs100%

FY17 - Public Sector Management

FY17 - Public Administration24%
- FY17 - Municipal Institution Building24%

FY17 - Urban and Rural Development

FY17 - Disaster Risk Management18%
- FY17 - Disaster Preparedness6%
- FY17 - Disaster Response and Recovery6%
- FY17 - Disaster Risk Reduction6%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	142.60
Borrower/Recipient	23.10

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	142.60
IDA Commitment	N/A
IBRD + IDA Commitment	142.60

Lending Instrument
Grant Amount	N/A
Total Project Cost**	165.70

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$)
Nov 15, 2015	IBRD-70840	Int Charges	173,889.55
May 15, 2016	IBRD-70840	Int Charges	186,794.77
May 15, 2015	IBRD-70840	Int Charges	173,523.44
May 15, 2015	IBRD-70840	Loan Repay	6,864,332.00
May 15, 2014	IBRD-70840	Int Charges	227,342.72
May 15, 2014	IBRD-70840	Loan Repay	6,864,332.00
Nov 15, 2013	IBRD-70840	Int Charges	281,234.20
Nov 15, 2013	IBRD-70840	Loan Repay	6,864,332.00
Nov 15, 2014	IBRD-70840	Int Charges	195,351.83
Nov 15, 2014	IBRD-70840	Loan Repay	6,668,980.00
Nov 15, 2014	IBRD-70840	Loan Repay	195,351.83
Dec 4, 2001	IBRD-70840	Loan Commitment	142,600,000.00
Nov 15, 2018	IBRD-70840	Loan Repay	6,732,133.00
Nov 15, 2018	IBRD-70840	Int Charges	97,032.47
May 15, 2018	IBRD-70840	Loan Repay	6,864,332.00
May 15, 2018	IBRD-70840	Int Charges	131,251.20
Nov 15, 2017	IBRD-70840	Int Charges	181,964.70
Nov 15, 2017	IBRD-70840	Loan Repay	6,864,332.00
May 15, 2017	IBRD-70840	Loan Repay	214,320.08
May 15, 2017	IBRD-70840	Int Charges	214,320.08
May 15, 2017	IBRD-70840	Loan Repay	6,650,011.50
May 15, 2016	IBRD-70840	Loan Repay	6,677,537.00
May 15, 2016	IBRD-70840	Loan Repay	186,794.77
Nov 15, 2016	IBRD-70840	Int Charges	211,442.81
Nov 15, 2016	IBRD-70840	Loan Repay	6,652,889.00
Nov 15, 2016	IBRD-70840	Loan Repay	211,442.81
Nov 15, 2015	IBRD-70840	Loan Repay	6,864,332.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Moderately Satisfactory	2011-07-13
Counterpart Funding	Satisfactory	2011-07-13
Progress towards achievement of PDO	Satisfactory	2011-07-13
Project Management	Moderately Unsatisfactory	2011-07-13
Financial Management	Satisfactory	2011-07-13
Monitoring and Evaluation	Satisfactory	2011-07-13
Overall Implementation Progress (IP)	Moderately Satisfactory	2011-07-13

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 03-28-2012
Outcomes	Moderately Satisfactory
Risk to Development Outcome	Modest
Bank Performance	Moderately Unsatisfactory
Borrower Performance	Moderately Unsatisfactory
Government Performance	Moderately Unsatisfactory
Implementing Agency	Moderately Unsatisfactory

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-24-2012	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Unsatisfactory	N/a
Risk To Development Outcome	Negligible To Low	N/a
Bank Performance	Moderately Unsatisfactory	N/a
Borrower Performance	Moderately Unsatisfactory	N/a
Government Performance	Moderately Unsatisfactory	N/a
Implementing Agency	Moderately Unsatisfactory	N/a
Icr Quality	Satisfactory	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Seven rehabilitated and reconstructed hospitals functioning fully	Value	0	6 of 6 hospitals completed and fully functioning	Six hospitals rehabilitated and constructed
	Date	December 31, 2003	June 29, 2011	June 30, 2011
	Comment		The 7th hospital (maternity hospital) is being built using other external funds.	The 7th hospital (maternity hospital) is being built using other external funds.

150,000 people in the Northern Region and 200,000 in earthquake affected areas reached by basic health and nutrition services	Value	0	284,000 in North Region 352,000 in Paracentral Re	2006 Original target. (2009 target in parentheses)
	Date	December 31, 2003	June 29, 2011	October 31, 2009
	Comment		Number of beneficiaries reached was exceeded by 82%. It covers the universe of the population of those areas. Furthermore, it isnow reaching a total of 1,234,081 (in 141 municipalities, across the country with emphasis in the poorest municipalities)	This component was completed in 2009. All objectives achieved.

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Proportion of hospital designs completed	Value	0	7 out of 7	7 out of 7
	Date	December 31, 2003	February 7, 2011	June 30, 2011
	Comment		Design of the maternity hospital was financed by the project but construction is being financed with other external funds.	Achieved

Proportion of hospitals rehabilitated and constructed	Value	0	6 out of 6	6 out of 6
	Date	December 31, 2003	June 10, 2011	June 30, 2011
	Comment		Cojutepeque, San Rafael, San Vicente, San Miguel, Zacatecoluca and Usulutan hospitals completed.	Achieved

Number of pregnant women received at least two prenatal ckeckups, iron supplements and tetanus vaccination increased by 20% in targeted communities	Value	76.6% (with 5 prenatal checkups, Red solidaria 200	79.6% of pregnant women receiving 5 prenatal chech	96.6%
	Date	December 31, 2007	November 30, 2010	October 31, 2009
	Comment	Red Solidaria measures 5 pre-natal checkups.The baseline was carried out in 2007. However, this was two years after initiationofactual project implementation; therefore baseline values do not necessarily reflect actual coverage prior to the projectintervention.	Red Solidaria measures 5 prenatal checkups.Data show there is clear indication of progress in terms of increased coverage,howeverachievement of target value for this indicator is difficult to assess because it measures a different number of checkups.(Nov 2010)	(original indicator, for which the end target value of 96.6% was established, measured only 2 prenatal checkups, not 5)

Attendance at growth promotion sessions of at least 90% of eligible children in participating communities	Value	86.3% (Red solidaria 2007)	93.1%	90%
	Date	June 1, 2008	November 30, 2010	October 31, 2009
	Comment		Red Solidaria (Nov 2010) - Value measures % of children with an adequate number of growth controls during the first year of theirlives.	Achieved

Community knowledge of Aedes Aegypti mosquito breeding control mechanisms increased by 25%	Value	72.7% (Red Solidaria Survey 2007) 10.0 (infestatio	n/a	97.7%
	Date	June 1, 2008	November 1, 2009	October 31, 2009
	Comment		At the time of this ISR the value was not available

Solid waste management and disposal policy approved and implemented in at least seven hospitals and seven PHC units	Value	0/2 y 0/4 (2004)	All public hospitals and 102 primary healthcare un	4 and 6
	Date	January 1, 2004	June 10, 2011	October 31, 2009
	Comment		The project set standards that were implemented in all public hospitals and 102 PHC Units	Achieved and surpassed

25% of pregnant women identified as HIV infected receive treatment	Value	100% (2005)	100%	100%
	Date	January 1, 2005	November 1, 2009	October 31, 2009
	Comment		Since 2005, through the Global Fund, 100% of HIV+ pregnant women receive treatment.	Achieved

Voluntary HIV testing for 50% of women seeking STD treatment	Value	0.22% for Index of positive HIV of pregnant women	0.08%	0.10%
	Date	January 1, 2004	November 1, 2009	October 31, 2009
	Comment	Starting in 2005, through Global Fund, 100% of women seeking STD treatment were offered to take voluntary HIV test. Therefore, theproject began to measure HIV+ prevalence rate in pregnant women.	Since 2005, through the Global Fund, 100% of women seeking STD treatment are offered to take a voluntary HIV test.	Since target was already achieved though Global Fund since 2005, the project started measuring prevalence of HIV+ pregnant womenand set a target of 0.10% for this new indicator.

Implementation of total quality improvement strategy in obstetrics, gynecology and pediatrics in at least five hospitals	Value	0/5 (2004)	5/5	5/5
	Date	January 1, 2004	June 1, 2010	October 31, 2008
	Comment			Achieved

Vaccination coverage for children under two years increased by 20% in targeted communities Value 73.6% (Red Solidaria, 2007) 86.2%
Date
Comment Red Solidaria (Nov 2010)

Vaccination coverage for children under two years increased by 20% in targeted communities	Value	73.6% (Red Solidaria, 2007)	86.2%
	Date
	Comment		Red Solidaria (Nov 2010)