1. What We Do

India: Tamil Nadu Health Systems Project

Abstract*

The Tamil Nadu Health Systems Project aims to significantly improve the effectiveness o f the health system, both public and private through: (1) increased access to and utilization o f health services, particularly by poor, disadvantaged and tribal groups; (2) development and pilot testing o f effective interventions to address key health challenges, specifically non- communicable diseases; (3) improved health outcomes, access and quality o f service...

* 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

The PDO is to significantly improve the effectiveness of the health system in Tamil Nadu as measured by (i) increased access to andutilization of maternal and neo-natal care services, particularly by poor, disadvantaged and tribal groups; (ii) effective non-communicable disease interventions scaled-up throughout the state; (iii) improved health outcomes, access and quality of service delivery through strengthened oversight of the public sector health systems and greater engagement of the non-government sector; and (iv) increased effectiveness of public sector hospital services, primarily at district and sub-district levels.

Key Details

Project Details

  • P075058

  • Closed

  • Bushra Alam

  • Government of India

  • India

  • January 28, 2004

  • (as of board presentation)

    December 16, 2004

  • January 27, 2005

  • US$ 131.59 million

  • Tamil Nadu Health Systems Project

  • South Asia

  • 2005

  • US$ 110.83 million

  • B

  • September 14, 2023

  • September 15, 2015

  • BANK APPROVED

  • Notes

Sectors

Created with Highstock 5.0.14FY17 - Sub-National GovernmentFY17 - HealthFY17 - Social Protection

Themes

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 110.83
Borrower/Recipient 20.76

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 110.83
IBRD + IDA Commitment 110.83
Lending Instrument
Grant Amount N/A
Total Project Cost** 131.59

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$)
Dec 15, 2021 IDA-40180 Int Charges 214,347.90
Dec 15, 2021 IDA-40180 Int Charges 9,553.70
Dec 15, 2021 IDA-40180 Int Charges 9,553.70
Dec 15, 2021 IDA-40180 Loan Repay 1,058,506.10
Dec 16, 2004 IDA-40180 Loan Commitment 110,830,000.00
Apr 29, 2010 IDA-47560 Loan Commitment 117,700,000.00
Jun 15, 2024 IDA-40180 Int Charges 170,168.31
Jun 15, 2024 IDA-40180 Int Charges 170,168.31
Jun 15, 2024 IDA-40180 Int Charges 50,125.94
Jun 15, 2024 IDA-40180 Int Charges 50,125.94
Jun 15, 2024 IDA-40180 Loan Repay 1,997,377.50
Apr 15, 2024 IDA-47560 Loan Repay 2,169,743.80
Apr 15, 2024 IDA-47560 Int Charges 237,826.38
Apr 15, 2024 IDA-47560 Int Charges 237,826.38
Apr 15, 2024 IDA-47560 Loan Repay 319,026.20
Apr 15, 2024 IDA-47560 Loan Repay 48,044.77
Oct 15, 2023 IDA-47560 Int Charges 35,319.50
Oct 15, 2023 IDA-47560 Int Charges 35,319.50
Oct 15, 2023 IDA-47560 Loan Repay 2,524,384.50
Oct 15, 2023 IDA-47560 Int Charges 246,127.47
Oct 15, 2023 IDA-47560 Int Charges 246,127.47
Dec 15, 2023 IDA-40180 Loan Repay 1,998,051.80
Dec 15, 2023 IDA-40180 Int Charges 131,918.10
Dec 15, 2023 IDA-40180 Int Charges 131,918.10
Apr 15, 2020 IDA-47560 Loan Repay 2,625,711.20
Apr 15, 2020 IDA-47560 Int Charges 306,159.88
Apr 15, 2020 IDA-47560 Int Charges 306,159.88
Dec 15, 2019 IDA-40180 Loan Repay 12,149.42
Dec 15, 2019 IDA-40180 Loan Repay 2,085,989.90
Dec 15, 2019 IDA-40180 Int Charges 213,510.30
Dec 15, 2019 IDA-40180 Int Charges 213,510.30
Oct 15, 2019 IDA-47560 Int Charges 8,498.48
Oct 15, 2019 IDA-47560 Int Charges 8,498.48
Oct 15, 2019 IDA-47560 Loan Repay 2,641,573.20
Oct 15, 2019 IDA-47560 Int Charges 316,988.80
Oct 15, 2019 IDA-47560 Int Charges 316,988.80
Oct 15, 2021 IDA-47560 Int Charges 295,895.12
Oct 15, 2021 IDA-47560 Loan Repay 14,316.25
Oct 15, 2021 IDA-47560 Loan Repay 1,346,121.10
Apr 15, 2021 IDA-47560 Int Charges 2,198.16
Apr 15, 2021 IDA-47560 Int Charges 2,198.16
Apr 15, 2021 IDA-47560 Loan Repay 1,376,548.10
Apr 15, 2021 IDA-47560 Int Charges 0.01
Apr 15, 2021 IDA-47560 Int Charges 0.01
Jun 15, 2017 IDA-40180 Int Charges 234,517.31
Jun 15, 2017 IDA-40180 Loan Repay 66,889.92
Apr 15, 2017 IDA-47560 Loan Repay 20,865.50
Jun 15, 2019 IDA-40180 Loan Repay 2,064,966.60
Jun 15, 2019 IDA-40180 Loan Repay 32,020.60
Jun 15, 2019 IDA-40180 Int Charges 243,775.17
Jun 15, 2019 IDA-40180 Int Charges 243,775.17
Apr 15, 2019 IDA-47560 Int Charges 322,990.75
Apr 15, 2019 IDA-47560 Int Charges 322,990.75
Apr 15, 2019 IDA-47560 Int Charges 31,275.88
Apr 15, 2019 IDA-47560 Int Charges 31,275.88
Apr 15, 2019 IDA-47560 Loan Repay 2,679,692.00
Oct 15, 2018 IDA-47560 Loan Repay 9,138.95
Oct 15, 2018 IDA-47560 Loan Repay 2,684,698.00
Oct 15, 2018 IDA-47560 Int Charges 312,023.25
Oct 15, 2018 IDA-47560 Int Charges 312,023.25
Dec 15, 2018 IDA-40180 Loan Repay 73,880.40
Dec 15, 2018 IDA-40180 Loan Repay 2,016,527.80
Dec 15, 2018 IDA-40180 Int Charges 250,849.40
Dec 15, 2018 IDA-40180 Int Charges 250,849.40
Jun 15, 2018 IDA-40180 Loan Repay 1,234.32
Jun 15, 2018 IDA-40180 Loan Repay 2,137,773.50
Jun 15, 2018 IDA-40180 Int Charges 264,702.66
Jun 15, 2018 IDA-40180 Int Charges 264,702.66
Jun 15, 2020 IDA-40180 Int Charges 205,771.47
Jun 15, 2020 IDA-40180 Int Charges 205,771.47
Jun 15, 2020 IDA-40180 Loan Repay 2,090,953.90
Jun 15, 2020 IDA-40180 Int Charges 22,453.64
Jun 15, 2020 IDA-40180 Int Charges 22,453.64
Apr 15, 2020 IDA-47560 Loan Repay 7,922.39
Feb 20, 2014 IDA-47560 Loan Disb 2,238,952.50
Dec 15, 2013 IDA-40180 Int Charges 3,945.53
Dec 15, 2013 IDA-40180 Int Charges 3,945.53
Dec 15, 2013 IDA-40180 Int Charges 347,883.47
Dec 15, 2013 IDA-40180 Int Charges 347,883.47
Oct 15, 2013 IDA-47560 Int Charges 133.83
Oct 15, 2013 IDA-47560 Int Charges 278,589.62
Oct 15, 2013 IDA-47560 Int Charges 278,589.62
Feb 11, 2014 IDA-47560 Loan Disb 4,479,365.50
Oct 8, 2013 IDA-47560 Loan Disb 3,297,540.20
Oct 15, 2013 IDA-47560 Int Charges 133.83
Jul 8, 2013 IDA-47560 Loan Disb 4,661,321.50
Nov 17, 2014 IDA-47560 Loan Disb 8,027,283.00
Nov 3, 2014 IDA-47560 Loan Disb 536,514.00
Oct 15, 2014 IDA-47560 Int Charges 3,257.81
Oct 15, 2014 IDA-47560 Int Charges 3,257.81
Oct 15, 2014 IDA-47560 Int Charges 336,206.75
Oct 15, 2014 IDA-47560 Int Charges 336,206.75
Mar 9, 2015 IDA-47560 Loan Disb 4,117,589.50
Dec 15, 2014 IDA-40180 Loan Repay 1,947.32
Dec 15, 2014 IDA-40180 Loan Repay 2,213,370.80
Dec 15, 2014 IDA-40180 Int Charges 332,298.16
Dec 15, 2014 IDA-40180 Int Charges 332,298.16
Jun 30, 2014 IDA-47560 Loan Disb 842,902.00
Jun 15, 2014 IDA-40180 Int Charges 1,807.04
Jun 15, 2014 IDA-40180 Int Charges 1,807.04
Jun 15, 2014 IDA-40180 Int Charges 350,063.75
Jun 15, 2014 IDA-40180 Int Charges 350,063.75
Apr 23, 2014 IDA-47560 Loan Disb 800,000.00
May 28, 2014 IDA-47560 Loan Disb 360,837.00
Apr 15, 2014 IDA-47560 Int Charges 2,689.19
Apr 15, 2014 IDA-47560 Int Charges 2,689.19
Apr 15, 2014 IDA-47560 Int Charges 320,925.56
Apr 15, 2014 IDA-47560 Int Charges 320,925.56
Dec 2, 2013 IDA-47560 Loan Disb 3,868,293.50
Apr 15, 2016 IDA-47560 Int Charges 35,634.50
Apr 15, 2016 IDA-47560 Int Charges 35,634.50
Apr 15, 2016 IDA-47560 Loan Repay 2,726,844.50
Apr 15, 2016 IDA-47560 Int Charges 387,586.62
Apr 15, 2016 IDA-47560 Int Charges 387,586.62
Mar 11, 2016 IDA-47560 Loan Disb 761,876.25
Mar 11, 2016 IDA-47560 Loan Disb 1,050,223.40
Mar 11, 2016 IDA-47560 Loan Disb 609,676.90
Oct 15, 2015 IDA-47560 Loan Repay 7,484.70
Dec 15, 2015 IDA-40180 Int Charges 301,089.28
Dec 15, 2015 IDA-40180 Int Charges 301,089.28
Dec 15, 2015 IDA-40180 Int Charges 54,822.51
Dec 15, 2015 IDA-40180 Int Charges 54,822.51
Dec 15, 2015 IDA-40180 Loan Repay 2,112,904.00
Oct 15, 2015 IDA-47560 Int Charges 346,939.53
Oct 15, 2015 IDA-47560 Int Charges 346,939.53
Oct 15, 2015 IDA-47560 Loan Repay 2,743,280.00
Jul 8, 2015 IDA-47560 Loan Disb 4,300,000.00
Aug 21, 2015 IDA-47560 Loan Disb 3,919,468.50
Apr 15, 2015 IDA-47560 Int Charges 10,225.07
Apr 15, 2015 IDA-47560 Int Charges 10,225.07
Apr 15, 2015 IDA-47560 Int Charges 330,167.94
Apr 15, 2015 IDA-47560 Int Charges 330,167.94
Jun 15, 2015 IDA-40180 Loan Repay 40,008.34
Jun 15, 2015 IDA-40180 Loan Repay 2,088,918.80
Jun 15, 2015 IDA-40180 Int Charges 256,117.73
Jun 15, 2015 IDA-40180 Int Charges 256,117.73
Dec 15, 2016 IDA-40180 Int Charges 274,181.28
Dec 15, 2016 IDA-40180 Int Charges 274,181.28
Apr 15, 2021 IDA-47560 Int Charges 304,561.28
Apr 15, 2021 IDA-47560 Int Charges 304,561.28
Jun 15, 2021 IDA-40180 Int Charges 24,702.12
Jun 15, 2021 IDA-40180 Int Charges 24,702.12
Jun 15, 2021 IDA-40180 Loan Repay 1,090,817.50
Jun 15, 2021 IDA-40180 Int Charges 215,136.23
Jun 15, 2021 IDA-40180 Int Charges 215,136.23
Dec 15, 2020 IDA-40180 Int Charges 204,200.98
Dec 15, 2020 IDA-40180 Int Charges 204,200.98
Dec 15, 2020 IDA-40180 Int Charges 22,539.14
Dec 15, 2020 IDA-40180 Int Charges 22,539.14
Dec 15, 2020 IDA-40180 Loan Repay 1,089,915.50
Oct 15, 2020 IDA-47560 Int Charges 303,848.50
Oct 15, 2020 IDA-47560 Int Charges 303,848.50
Oct 15, 2020 IDA-47560 Loan Repay 1,936.04
Oct 15, 2020 IDA-47560 Loan Repay 1,358,154.40
Apr 15, 2022 IDA-47560 Loan Repay 9,936.50
Apr 15, 2022 IDA-47560 Loan Repay 1,306,677.90
Apr 15, 2022 IDA-47560 Int Charges 281,426.30
Apr 15, 2022 IDA-47560 Int Charges 281,426.30
Jun 15, 2022 IDA-40180 Loan Repay 995,365.30
Jun 15, 2022 IDA-40180 Int Charges 200,628.90
Jun 15, 2022 IDA-40180 Int Charges 200,628.90
Jun 15, 2022 IDA-40180 Loan Repay 14,086.34
Oct 15, 2021 IDA-47560 Int Charges 295,895.12
Dec 15, 2023 IDA-40180 Loan Repay 34,449.15
Jun 15, 2023 IDA-40180 Int Charges 189,671.95
Jun 15, 2023 IDA-40180 Int Charges 189,671.95
Jun 15, 2023 IDA-40180 Int Charges 90,614.81
Jun 15, 2023 IDA-40180 Int Charges 90,614.81
Jun 15, 2023 IDA-40180 Loan Repay 2,023,163.00
Apr 15, 2023 IDA-47560 Loan Repay 93,462.75
Apr 15, 2023 IDA-47560 Loan Repay 2,517,006.80
Apr 15, 2023 IDA-47560 Int Charges 227,786.10
Apr 15, 2023 IDA-47560 Int Charges 227,786.10
Dec 15, 2022 IDA-40180 Loan Repay 1,985,953.10
Dec 15, 2022 IDA-40180 Int Charges 106,338.72
Dec 15, 2022 IDA-40180 Int Charges 106,338.72
Dec 15, 2022 IDA-40180 Loan Repay 31,419.09
Oct 15, 2022 IDA-47560 Loan Repay 2,419,701.50
Oct 15, 2022 IDA-47560 Loan Repay 40,278.50
Oct 15, 2022 IDA-47560 Int Charges 258,297.89
Oct 15, 2022 IDA-47560 Int Charges 258,297.89
Dec 15, 2021 IDA-40180 Int Charges 214,347.90
Dec 15, 2016 IDA-40180 Int Charges 1,019.71
Dec 15, 2016 IDA-40180 Int Charges 1,019.71
Dec 15, 2016 IDA-40180 Loan Repay 2,030,969.90
Oct 15, 2016 IDA-47560 Int Charges 1,190.01
Oct 15, 2016 IDA-47560 Int Charges 1,190.01
Oct 15, 2016 IDA-47560 Loan Repay 2,656,817.00
Jun 15, 2016 IDA-40180 Loan Repay 42,669.32
Jun 15, 2016 IDA-40180 Loan Repay 2,089,001.60
Jun 15, 2016 IDA-40180 Int Charges 294,699.50
Jun 15, 2016 IDA-40180 Int Charges 294,699.50
Oct 15, 2016 IDA-47560 Int Charges 378,596.40
Oct 15, 2016 IDA-47560 Int Charges 378,596.40
Mar 15, 2016 IDA-47560 Loan Cancel 681,684.20
Apr 15, 2018 IDA-47560 Int Charges 16,768.87
Apr 15, 2018 IDA-47560 Int Charges 16,768.87
Apr 15, 2018 IDA-47560 Loan Repay 2,802,854.80
Apr 15, 2018 IDA-47560 Int Charges 367,874.66
Apr 15, 2018 IDA-47560 Int Charges 367,874.66
Dec 15, 2017 IDA-40180 Int Charges 41,421.11
Dec 15, 2017 IDA-40180 Int Charges 41,421.11
Dec 15, 2017 IDA-40180 Loan Repay 2,143,570.80
Dec 15, 2017 IDA-40180 Int Charges 273,305.66
Dec 15, 2017 IDA-40180 Int Charges 273,305.66
Oct 15, 2017 IDA-47560 Int Charges 19,836.11
Oct 15, 2017 IDA-47560 Int Charges 19,836.11
Oct 15, 2017 IDA-47560 Loan Repay 2,726,444.00
Oct 15, 2017 IDA-47560 Int Charges 351,758.25
Oct 15, 2017 IDA-47560 Int Charges 351,758.25
Apr 15, 2017 IDA-47560 Int Charges 344,223.72
Apr 15, 2017 IDA-47560 Int Charges 344,223.72
Apr 15, 2017 IDA-47560 Loan Repay 16,424.66
Apr 15, 2017 IDA-47560 Loan Repay 2,580,887.80
Jun 15, 2017 IDA-40180 Loan Repay 2,028,384.20
Jun 15, 2017 IDA-40180 Int Charges 234,517.31
Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Overall Safeguards Rating Satisfactory 2015-09-02
Counterpart Funding Satisfactory 2015-09-02
Financial Management Satisfactory 2015-09-02
Overall Implementation Progress (IP) Satisfactory 2015-09-02
Progress towards achievement of PDO Satisfactory 2015-09-02
Project Management Satisfactory 2015-09-02
Monitoring and Evaluation Satisfactory 2015-09-02
Procurement Satisfactory 2015-09-02
Overall Safeguards Rating Satisfactory 2015-09-02

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 07-25-2016
OutcomesHighly Satisfactory
Risk to Development OutcomeNegligible
Bank PerformanceHighly Satisfactory
Borrower PerformanceHighly Satisfactory
Government PerformanceHighly Satisfactory
Implementing AgencySubstantial

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 03-27-2017PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingSatisfactory N/a
Risk To Development OutcomeNegligibleN/a
Bank PerformanceSatisfactoryN/a
Borrower PerformanceSatisfactoryN/a
Government PerformanceHighly SatisfactoryN/a
Implementing AgencySatisfactoryN/a
Icr QualitySubstantialN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Improved access to health care, as measured by inpatient utilization of services by the poorest of the population: proportion of population reporting ailment in last 15 days (36.7 per 1000)Value8.5013.200.00
    DateSeptember 30, 2010June 30, 2015September 15, 2015
    Comment
  • Improved patient satisfaction as shown by periodic surveysValueOverall satisfaction score is 3.96Overall Patient Satisfaction Score: 3.9; Overall Maintain or increase patient satisfaction.
    DateSeptember 30, 2006June 30, 2015September 15, 2015
    Comment
  • Cancer cervix screening and cardio-vascular disease prevention and treatment pilot scaled-up based on comprehensive assessmentsValueCervical cancer screening operational in Theni andScreening, treatment and follow-up of CaCx, CaB, HScale up on the basis of pilot evaluation
    DateSeptember 30, 2010June 30, 2015September 15, 2015
    Comment
  • Proportion of C-sec deliveries amongst SC/ST mothers at secondary level CEmONCsValue28.1139.8043.00
    DateMarch 31, 2008June 30, 2015September 15, 2015
    Comment
  • No. of public hospitals accredited by the National Board of Accreditation of HospitalsValue0.009.0012.00
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment
  • Percentage of these who accessed any form of careValue76.0097.500.00
    DateSeptember 30, 2010May 31, 2015September 15, 2015
    Comment
  • No: of hospitalization cases per 1000Value33.4041.900.00
    DateSeptember 30, 2010May 31, 2015September 15, 2015
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Health personnel receiving training (number)Value0.00398285.00403309.00
    DateAugust 6, 2010June 30, 2015September 15, 2015
    Comment
  • No: of public health facilities implementing integrated health care waste management planValue267.00450.00449.00
    DateMarch 31, 2008June 30, 2015September 15, 2015
    Comment
  • Health facilities constructed, renovated, and/or equipped (number)Value0.002330.002228.00
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment
  • Total no. of complicated SC/ST maternal admissions at certified CEmONCs* (*where CEmONCs are certified to have at least 2 OBGYNs, 2pediatriciants and 1 anesthetist)Value35156.0055791.0066000.00
    DateMarch 31, 2008June 30, 2015September 15, 2015
    Comment
  • No. of health facilities where HMIS is used to submit monthly reportsValue0.002300.002228.00
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment
  • Percentage of eligible women in age group 30-60 years screened for cancer cervixValue3.4065.6040.00
    DateSeptember 30, 2010June 30, 2015September 15, 2015
    Comment
  • Number of schools where health promotion activities for prevention of cardiovascular diseases is undertakenValue50.0016369.0016369.00
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment
  • Number of performance based contracts delivering health care services through TNHSP in Tamil NaduValue0.0037.009.00
    DateSeptember 30, 2010June 30, 2015September 15, 2015
    Comment
  • No: of tribal patients provided outpatient care through Mobile Outreach VansValue137543.00187683.00200000.00
    DateMarch 31, 2008June 30, 2015September 15, 2015
    Comment
  • Percentage of calls made by pregnant women attended to by 108 servicesValue90.3099.3096.80
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment
  • Percentage of eligible persons (both men and women) in age group >30years screened for hypertensionValue3.4065.5050.00
    DateSeptember 30, 2010June 30, 2015September 15, 2015
    Comment
  • Percentage of calls made for Road Traffic Accident victims attended by 108 servicesValue66.1087.4079.40
    DateMarch 31, 2010June 30, 2015September 15, 2015
    Comment