Health Care Quality Improvement Project

Abstract*

The objective of the Health Insurance Systems Development Project (HISDP) for Arab Republic Egypt is to assist the Borrower in improving the financial sustainability and efficiency of its social health insurance operations. The HISDP consists of a single component, entitled health insurance payor operations and management information system, which will finance three tightly integrated contracts. These are: (a) main business system contract - delivering... Show More

Development Objective

To assist primary healthcare facilities in Egypt's poorest 1,000 villages in meeting national healthcare quality standards.

Key Details

Project Details

Project ID
P080228
Status
Closed
Team Leader
Amr Elshalakani , Alaa Mahmoud Hamed Abdel-Hamid, Sami Ali
Borrower 2
Government of Egypt, Ministry of International Cooperation

Country
Egypt, Arab Republic of
Disclosure Date
November 3, 2009
Approval Date
(as of board presentation)
December 22, 2009
Effective Date
September 9, 2015

Total Project Cost 1
US$ 76.00 million
Implementing Agency
Ministry of Health and Population
Region
Middle East and North Africa
Fiscal Year 3
2010

Commitment Amount
US$ 75.00 million
Environmental Category
C
Last Update Date
September 7, 2023
Closing Date
June 30, 2017

Last Stage Reached
BANK APPROVED

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 - Health Systems and Policies100%
- FY17 - Health System Strengthening100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	1.00
International Bank for Reconstruction and Development	75.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	75.00
IDA Commitment	N/A
IBRD + IDA Commitment	75.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	76.00

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

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
May 1, 2019	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2019	IBRD-78280	Int Charges	994,048.44
Nov 1, 2019	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2018	IBRD-78280	Int Charges	41,275.68
May 1, 2018	IBRD-78280	Int Charges	664,031.50
May 1, 2018	IBRD-78280	Loan Repay	1,690,455.50
Nov 1, 2018	IBRD-78280	Int Charges	1,007,328.50
Nov 1, 2018	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2018	IBRD-78280	Int Charges	26.20
Nov 1, 2017	IBRD-78280	Loan Repay	797,163.30
Dec 6, 2017	IBRD-78280	Loan Disb	8,394,940.00
Mar 1, 2018	IBRD-78280	Loan Disb	-7,618.23
Mar 12, 2018	IBRD-78280	Loan Cancel	6,304,062.50
Feb 12, 2018	IBRD-78280	Loan Disb	-226,170.45
Dec 29, 2017	IBRD-78280	Loan Disb	3,299,429.50
Jul 28, 2017	IBRD-78280	Loan Disb	5,940,025.50
Aug 18, 2017	IBRD-78280	Loan Disb	6,522,018.50
Oct 3, 2017	IBRD-78280	Loan Disb	7,296,926.00
Sep 13, 2017	IBRD-78280	Loan Disb	10,139,881.00
Oct 20, 2017	IBRD-78280	Loan Disb	6,826,692.50
Nov 1, 2017	IBRD-78280	Int Charges	366.29
Nov 1, 2017	IBRD-78280	Int Charges	238,557.89
Jun 14, 2017	IBRD-78280	Loan Disb	2,354,311.80
Apr 21, 2017	IBRD-78280	Loan Disb	789,616.90
May 17, 2017	IBRD-78280	Loan Disb	3,383,857.00
Jun 1, 2017	IBRD-78280	Loan Disb	1,732,048.50
May 1, 2017	IBRD-78280	Int Charges	102,855.59
May 1, 2017	IBRD-78280	Loan Repay	291,549.50
Mar 31, 2016	IBRD-78280	Loan Disb	249,979.00
May 1, 2016	IBRD-78280	Int Charges	51,300.00
Nov 1, 2016	IBRD-78280	Int Charges	193.73
Nov 1, 2016	IBRD-78280	Int Charges	79,515.96
Nov 12, 2015	IBRD-78280	Loan Disb	12,000,000.00
Dec 22, 2009	IBRD-78280	Loan Commitment	75,000,000.00
May 1, 2023	IBRD-78280	Int Charges	44,534.31
May 1, 2023	IBRD-78280	Int Charges	1,241,792.50
May 1, 2023	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2023	IBRD-78280	Int Charges	21,802.38
Nov 1, 2023	IBRD-78280	Int Charges	1,466,739.10
Nov 1, 2023	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2024	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2024	IBRD-78280	Int Charges	1,505,446.00
May 1, 2024	IBRD-78280	Int Charges	9,415.27
May 1, 2022	IBRD-78280	Int Charges	195,787.52
May 1, 2022	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2022	IBRD-78280	Int Charges	747,458.75
Nov 1, 2022	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2021	IBRD-78280	Int Charges	213,803.45
May 1, 2021	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2021	IBRD-78280	Int Charges	210,954.22
Nov 1, 2021	IBRD-78280	Loan Repay	1,690,260.10
Nov 1, 2020	IBRD-78280	Int Charges	390,033.47
Nov 1, 2020	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2020	IBRD-78280	Loan Repay	1,690,260.10
May 1, 2020	IBRD-78280	Int Charges	741,340.75
May 1, 2019	IBRD-78280	Int Charges	1,062,395.60

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Counterpart Funding	Moderately Satisfactory	2017-06-30
Financial Management	Moderately Satisfactory	2017-06-30
Monitoring and Evaluation	Moderately Satisfactory	2017-06-30
Progress towards achievement of PDO	Moderately Unsatisfactory	2017-06-30
Procurement	Moderately Satisfactory	2017-06-30
Project Management	Moderately Satisfactory	2017-06-30
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2017-06-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 02-12-2018
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 05-29-2018	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Satisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance		N/a
Government Performance	Not Rated	N/a
Implementing Agency		N/a
Icr Quality	High	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Targeted family healthcare facilities completing the Level 1 pre-accreditation Value 0.00 750.00 1077.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Targeted family healthcare facilities completing the Level 2 pre-accreditation Value 0.00 500.00 1077.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Direct project beneficiaries Value 0.00 250000.00 1423253.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
People with access to a basic package of health, nutrition, or reproductive health services (number) Value 0.00 1000000.00 5385000.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Targeted family healthcare facilities receiving accreditation certification Value 0.00 400.00 682.00
Date November 1, 2014 June 30, 2017 December 31, 2017
Comment
Female beneficiaries Value 0.00 50.00 62.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Quality Improvement Plans Review Committee established Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Targeted family healthcare facilities identified Value 0.00 1000.00 1142.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Targeted family healthcare facilities that have submitted Quality Improvement and Maintenance Plans to QIPRC for review Value 0.00 1000.00 1077.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
External Technical Auditor hired Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Client satisfaction and utlization survey undertaken Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Results of accrediation process published reguarly on MoHP website Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Grievance mechanism for citizens' complaints regarding service providers established Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Grievance mechanism for service providers' complaints regarding the accreditation process Value No Yes Yes
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Health personnel receiving training (number) Value 0.00 1000.00 10341.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Grievances registered related to delivery of project benefits addressed (%) Value 0.00 90.00 100.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment
Grievances related to delivery of project benefits that are addressed-(number) Value 0.00 500.00 523.00
Date November 1, 2014 June 30, 2017 June 30, 2017
Comment

Targeted family healthcare facilities completing the Level 1 pre-accreditation	Value	0.00	750.00	1077.00
	Date	November 1, 2014	June 30, 2017	June 30, 2017
	Comment

Direct project beneficiaries	Value	0.00	250000.00	1423253.00
	Date	November 1, 2014	June 30, 2017	June 30, 2017
	Comment

Female beneficiaries	Value	0.00	50.00	62.00
	Date	November 1, 2014	June 30, 2017	June 30, 2017
	Comment

External Technical Auditor hired	Value	No	Yes	Yes
	Date	November 1, 2014	June 30, 2017	June 30, 2017
	Comment