Northern Upland Health Support Project

Abstract*

The development objective of the Northern Uplands Health Support Project in Vietnam is to increase utilization of district health services especially among Decision 139 beneficiaries in the Northern Upland Provinces through: (i) strengthening of district hospitals, and (ii) reducing financial constraints to accessing health services. The first project component will strengtheni district-level health services. This component aims to improve the quality... Show More

Development Objective

The project development objective is: Increase utilization of district health services especially among Decision 139 beneficiaries in the Northern Upland Provinces through (i) strengthening of district hospitals and (ii) reducing financial constraints to accessing health services.

Key Details

Project Details

Project ID
P082672
Status
Closed
Team Leader
Anh Nguyen
Borrower 2
Socialist Republic of Vietnam

Country
Viet Nam
Disclosure Date
October 13, 2003
Approval Date
(as of board presentation)
March 13, 2008
Effective Date
October 8, 2008

Total Project Cost 1
US$ 66.00 million
Implementing Agency
Ministry of Health, Vietnam,Ministry of Agriculture and Rural Development
Region
East Asia and Pacific
Fiscal Year 3
2008

Commitment Amount
US$ 60.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
February 29, 2016

Last Stage Reached
BANK APPROVED
Last Update Date
October 16, 2023

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	6.00
IDA Credit	60.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	60.00
IBRD + IDA Commitment	60.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	66.00

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$)
Feb 15, 2018	IDA-43980	Int Charges	196,452.20
Feb 15, 2018	IDA-43980	Int Charges	196,452.20
Feb 15, 2019	IDA-43980	Int Charges	186,962.03
Feb 15, 2019	IDA-43980	Loan Repay	499,757.12
Feb 15, 2019	IDA-43980	Loan Repay	14,222.69
Feb 15, 2019	IDA-43980	Int Charges	186,962.03
Aug 15, 2018	IDA-43980	Int Charges	192,298.98
Aug 15, 2018	IDA-43980	Int Charges	192,298.98
Aug 15, 2018	IDA-43980	Loan Repay	512,797.30
Aug 15, 2018	IDA-43980	Int Charges	5,976.53
Aug 15, 2018	IDA-43980	Int Charges	5,976.53
Feb 15, 2020	IDA-43980	Loan Repay	502,357.94
Feb 15, 2020	IDA-43980	Loan Repay	4,556.63
Feb 15, 2020	IDA-43980	Int Charges	184,390.19
Feb 15, 2020	IDA-43980	Int Charges	184,390.19
Aug 15, 2019	IDA-43980	Int Charges	3,819.09
Aug 15, 2019	IDA-43980	Int Charges	3,819.09
Aug 15, 2019	IDA-43980	Loan Repay	509,464.88
Aug 15, 2019	IDA-43980	Int Charges	187,228.34
Aug 15, 2019	IDA-43980	Int Charges	187,228.34
Feb 15, 2021	IDA-43980	Int Charges	188,837.47
Feb 15, 2021	IDA-43980	Int Charges	188,837.47
Aug 15, 2020	IDA-43980	Loan Repay	0.01
Aug 15, 2020	IDA-43980	Int Charges	-0.01
Aug 15, 2020	IDA-43980	Int Charges	-0.01
Aug 15, 2020	IDA-43980	Int Charges	172,826.38
Aug 15, 2015	IDA-43980	Int Charges	5,245.88
Aug 15, 2015	IDA-43980	Int Charges	186,142.33
Aug 15, 2015	IDA-43980	Int Charges	186,142.33
Feb 15, 2016	IDA-43980	Int Charges	103.62
Feb 15, 2016	IDA-43980	Int Charges	103.62
Feb 15, 2016	IDA-43980	Int Charges	192,519.12
Feb 15, 2016	IDA-43980	Int Charges	192,519.12
Jun 30, 2016	IDA-43980	Loan Cancel	1,722,763.00
Feb 5, 2016	IDA-43980	Loan Disb	324,281.12
Jun 29, 2016	IDA-43980	Loan Disb	-343,982.22
Aug 15, 2016	IDA-43980	Int Charges	1,712.32
Aug 15, 2016	IDA-43980	Int Charges	1,712.32
Aug 15, 2016	IDA-43980	Int Charges	194,953.56
Aug 15, 2016	IDA-43980	Int Charges	194,953.56
Aug 15, 2017	IDA-43980	Int Charges	192,108.69
Aug 15, 2017	IDA-43980	Int Charges	192,108.69
Aug 15, 2017	IDA-43980	Int Charges	1,468.06
Aug 15, 2017	IDA-43980	Int Charges	1,468.06
Feb 15, 2017	IDA-43980	Int Charges	1,831.49
Feb 15, 2017	IDA-43980	Int Charges	1,831.49
Feb 15, 2017	IDA-43980	Int Charges	184,406.80
Feb 15, 2017	IDA-43980	Int Charges	184,406.80
Feb 15, 2018	IDA-43980	Int Charges	3,651.93
Feb 15, 2018	IDA-43980	Int Charges	3,651.93
Aug 15, 2020	IDA-43980	Int Charges	172,826.38
Aug 15, 2020	IDA-43980	Loan Repay	8,381.53
Aug 15, 2020	IDA-43980	Loan Repay	514,164.78
Feb 15, 2021	IDA-43980	Int Charges	15,627.30
Feb 15, 2021	IDA-43980	Int Charges	15,627.30
Feb 15, 2021	IDA-43980	Loan Repay	534,063.50
Aug 15, 2022	IDA-43980	Int Charges	165,188.62
Aug 15, 2022	IDA-43980	Int Charges	3,523.13
Aug 15, 2022	IDA-43980	Int Charges	3,523.13
Aug 15, 2022	IDA-43980	Loan Repay	978,895.80
Aug 15, 2022	IDA-43980	Int Charges	165,188.62
Feb 15, 2022	IDA-43980	Int Charges	175,410.17
Feb 15, 2022	IDA-43980	Int Charges	175,410.17
Feb 15, 2022	IDA-43980	Loan Repay	16,430.28
Aug 15, 2021	IDA-43980	Int Charges	1,402.50
Aug 15, 2021	IDA-43980	Int Charges	1,402.50
Aug 15, 2021	IDA-43980	Loan Repay	1,053,003.00
Aug 15, 2021	IDA-43980	Int Charges	185,591.81
Aug 15, 2021	IDA-43980	Int Charges	185,591.81
Feb 15, 2023	IDA-43980	Loan Repay	9,934.30
Feb 15, 2023	IDA-43980	Loan Repay	981,557.40
Feb 15, 2023	IDA-43980	Int Charges	157,921.66
Feb 15, 2023	IDA-43980	Int Charges	157,921.66
Feb 15, 2022	IDA-43980	Loan Repay	1,022,108.60
Aug 15, 2023	IDA-43980	Int Charges	5,653.13
Aug 15, 2023	IDA-43980	Int Charges	5,653.13
Aug 15, 2023	IDA-43980	Loan Repay	987,762.56
Aug 15, 2023	IDA-43980	Int Charges	159,276.69
Aug 15, 2023	IDA-43980	Int Charges	159,276.69
Mar 13, 2008	IDA-43980	Loan Commitment	60,000,000.00
Feb 15, 2024	IDA-43980	Loan Repay	978,724.75
Feb 15, 2024	IDA-43980	Int Charges	154,459.84
Feb 15, 2024	IDA-43980	Int Charges	154,459.84
Feb 15, 2024	IDA-43980	Loan Repay	1,972.56
Aug 15, 2024	IDA-43980	Int Charges	134,657.80
Aug 15, 2024	IDA-43980	Int Charges	134,657.80
Aug 15, 2024	IDA-43980	Loan Repay	976,953.25
Aug 15, 2024	IDA-43980	Loan Repay	15,420.67
Jan 16, 2014	IDA-43980	Loan Disb	1,122,916.60
Dec 27, 2013	IDA-43980	Loan Disb	623,593.60
Dec 30, 2013	IDA-43980	Loan Disb	1,242,749.80
Nov 6, 2013	IDA-43980	Loan Disb	1,750,102.00
Oct 21, 2013	IDA-43980	Loan Disb	584,657.44
Aug 16, 2013	IDA-43980	Loan Disb	1,121,447.50
Dec 16, 2013	IDA-43980	Loan Disb	1,371,027.90
Nov 26, 2013	IDA-43980	Loan Disb	570,138.40
Aug 15, 2013	IDA-43980	Loan Disb	863,486.50
Aug 15, 2013	IDA-43980	Int Charges	476.50
Aug 15, 2013	IDA-43980	Int Charges	476.50
Aug 15, 2013	IDA-43980	Int Charges	113,593.65
Aug 15, 2013	IDA-43980	Int Charges	113,593.65
Jul 17, 2013	IDA-43980	Loan Disb	555,406.56
Apr 3, 2014	IDA-43980	Loan Disb	926,087.94
Dec 3, 2013	IDA-43980	Loan Disb	1,889,918.50
Feb 15, 2014	IDA-43980	Int Charges	143.26
Feb 15, 2014	IDA-43980	Int Charges	143.26
Feb 15, 2014	IDA-43980	Int Charges	150,505.03
Sep 26, 2013	IDA-43980	Loan Disb	1,373,879.40
Oct 17, 2013	IDA-43980	Loan Disb	1,172,843.00
Aug 15, 2014	IDA-43980	Int Charges	5,175.07
Aug 15, 2014	IDA-43980	Int Charges	187,884.97
Aug 15, 2014	IDA-43980	Int Charges	187,884.97
Jun 9, 2014	IDA-43980	Loan Disb	657,572.75
May 30, 2014	IDA-43980	Loan Disb	1,218,844.50
Feb 15, 2014	IDA-43980	Int Charges	150,505.03
Jan 27, 2014	IDA-43980	Loan Disb	1,202,586.60
Jul 23, 2014	IDA-43980	Loan Disb	418,938.60
Sep 10, 2014	IDA-43980	Loan Disb	1,411,111.60
Dec 12, 2014	IDA-43980	Loan Disb	995,407.25
Dec 29, 2014	IDA-43980	Loan Disb	820,046.90
Feb 15, 2015	IDA-43980	Int Charges	185,135.69
Feb 15, 2015	IDA-43980	Int Charges	185,135.69
Feb 15, 2015	IDA-43980	Int Charges	1,129.81
Feb 15, 2015	IDA-43980	Int Charges	1,129.81
Aug 15, 2014	IDA-43980	Int Charges	5,175.07
Nov 2, 2015	IDA-43980	Loan Disb	753,191.50
Apr 27, 2015	IDA-43980	Loan Disb	637,739.30
Aug 15, 2015	IDA-43980	Int Charges	5,245.88

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Satisfactory	2016-02-25
Counterpart Funding	Moderately Satisfactory	2016-02-25
Monitoring and Evaluation	Moderately Satisfactory	2016-02-25
Overall Implementation Progress (IP)	Moderately Satisfactory	2016-02-25
Procurement	Satisfactory	2016-02-25
Financial Management	Moderately Satisfactory	2016-02-25
Project Management	Moderately Satisfactory	2016-02-25

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 08-26-2016
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: 03-13-2017	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Satisfactory	N/a
Risk To Development Outcome	Modest	N/a
Bank Performance	Satisfactory	N/a
Borrower Performance	Moderately Satisfactory	N/a
Government Performance	Satisfactory	N/a
Implementing Agency	Moderately Satisfactory	N/a
Icr Quality	Substantial	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Utilization rates of in-patient services in District Hospitals among Decision 139 beneficiaries. Value 0.03 0.096 0.033 (10% increase)
Date June 30, 2009 December 31, 2015 August 31, 2014
Comment

Percent of households who experience catastrophic health care expenditures in the year prior to the survey.	Value	14.7%	2.0%	13.23% (at least 10% reduction)
	Date	June 30, 2008	October 30, 2014	August 31, 2014
	Comment

Utilization rates of outpatient health services in district hospitals by Decision 139 beneficiaries	Value	0.067	0.247	0.075 (at least 15% increase)
	Date	December 31, 2009	December 31, 2015	August 31, 2014
	Comment

Percentage of health services according to the national norms that district hospitals can implement Value 39.1% 80.4% 70%
Date June 30, 2008 December 31, 2015 August 31, 2014
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percent of eligible district health staff who have successfully completed training provided by the project. Value 0 189.2 80
Date June 30, 2008 December 31, 2015 August 31, 2014
Comment
Percentage of Decision 139 Beneficiaries who have recevied HI Cards. Value 82.21% 95.2 70
Date June 30, 2009 December 31, 2015 June 3, 2013
Comment
Percent of households who identify financial barriers as a main cause for not seeing healthcare. Value 10.4% 1.2 maximum 2%
Date June 30, 2008 October 30, 2014 August 31, 2014
Comment
People with access to a basic package of health, nutrition, or reproductive health services (number) Value 20.00 270024.00 70.00
Date May 31, 2008 December 31, 2015 August 31, 2014
Comment
Health personnel receiving training (number) Value 0.00 11868.00 3185.00
Date June 30, 2008 December 31, 2015 August 31, 2014
Comment
Health facilities constructed, renovated, and/or equipped (number) Value 0.00 64.00 61.00
Date May 30, 2008 December 31, 2015 August 31, 2014
Comment
Percent of patients satisfied with health services Value 8.50 84.40 10.20
Date July 30, 2009 October 30, 2014 August 31, 2014
Comment
The proportion of district hospitals with acceptable operations and maintenance plans and budget for facility and equipment maintenance Value 0.00 0.00 0.00
Date
Comment
Proportion of Decision 139 beneficiaries having an understanding of the benefits provided by the HIC programme Value 50.00 94.70 75.00
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Adherence to treatment protocols in treatment for three common diseases Value 0.00 0.00 0.00
Date
Comment
Recently discharged patients Value 8.50 84.40 10.20
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
- The proportion of district hospitals with acceptable operations and maintenance plans and budget for facility maintenance Value 49.20 79.70 40.00
Date June 30, 2009 December 31, 2015 August 31, 2014
Comment
The proportion of district hospitals with acceptable operations and maintenance plans and budget for equipment maintenance Value 77.10 89.10 40.00
Date June 30, 2009 December 31, 2015 August 31, 2014
Comment
The proportion of health workers with knowledge of diagnosing and treating Level A/B/C dehydrated diarrhea Value 9.70 95.20 14.00
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
The proportion of health workers with knowledge of diagnosing and treating severe pneumonia Value 13.20 86.90 18.50
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
The proportion of health workers with knowledge of diagnosing and treating poisoning Value 26.80 83.00 37.50
Date June 30, 2012 October 30, 2014 August 31, 2014
Comment
Reasonable diagnoses of severe pneumonia Value 45.50 71.10 63.70
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Clinical health workers’ reasonable diagnosis of general pneumonia Value 19.60 57.00 27.44
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Reasonable diagnoses of Level A dehydrated diarrhea Value 37.20 78.90 52.10
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Reasonable diagnoses of Level B dehydrated diarrhea Value 48.90 85.10 68.50
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Reasonable diagnosis of Level C dehydrated diarrhea Value 41.20 80.00 57.70
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment
Reasonable diagnoses of poisoning Value 61.10 86.20 85.50
Date June 30, 2009 October 30, 2014 August 31, 2014
Comment

Project management units at central and provincial level established, bank account opened, staff and consultants recruited, systemsestablished	Value	CPMU Director and Deputy Director appointed	CPMU/PPMU management, staff and consultants fully
	Date	June 30, 2008	December 31, 2015
	Comment

Project management units prepare adequate plans, meet annual implementation targets and provide timely fiancial and activity reporting	Value	None	The project's annual workplan, progress reports, i
	Date		December 31, 2015
	Comment

Availabilty of data for project monitoring and evaluation Value None Final project evaluation was conducted and will be
Date December 31, 2015
Comment

Utilization rates of in-patient services in District Hospitals among Decision 139 beneficiaries.	Value	0.03	0.096	0.033 (10% increase)
	Date	June 30, 2009	December 31, 2015	August 31, 2014
	Comment

Percentage of health services according to the national norms that district hospitals can implement	Value	39.1%	80.4%	70%
	Date	June 30, 2008	December 31, 2015	August 31, 2014
	Comment

Percent of eligible district health staff who have successfully completed training provided by the project.	Value	0	189.2	80
	Date	June 30, 2008	December 31, 2015	August 31, 2014
	Comment

Percentage of Decision 139 Beneficiaries who have recevied HI Cards.	Value	82.21%	95.2	70
	Date	June 30, 2009	December 31, 2015	June 3, 2013
	Comment

Percent of households who identify financial barriers as a main cause for not seeing healthcare.	Value	10.4%	1.2	maximum 2%
	Date	June 30, 2008	October 30, 2014	August 31, 2014
	Comment

People with access to a basic package of health, nutrition, or reproductive health services (number)	Value	20.00	270024.00	70.00
	Date	May 31, 2008	December 31, 2015	August 31, 2014
	Comment

Health personnel receiving training (number)	Value	0.00	11868.00	3185.00
	Date	June 30, 2008	December 31, 2015	August 31, 2014
	Comment

Percent of patients satisfied with health services	Value	8.50	84.40	10.20
	Date	July 30, 2009	October 30, 2014	August 31, 2014
	Comment

Proportion of Decision 139 beneficiaries having an understanding of the benefits provided by the HIC programme	Value	50.00	94.70	75.00
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Recently discharged patients	Value	8.50	84.40	10.20
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Adherence to treatment protocols in treatment for three common diseases	Value	0.00	0.00	0.00
	Date
	Comment

- The proportion of district hospitals with acceptable operations and maintenance plans and budget for facility maintenance	Value	49.20	79.70	40.00
	Date	June 30, 2009	December 31, 2015	August 31, 2014
	Comment

The proportion of district hospitals with acceptable operations and maintenance plans and budget for equipment maintenance	Value	77.10	89.10	40.00
	Date	June 30, 2009	December 31, 2015	August 31, 2014
	Comment

The proportion of health workers with knowledge of diagnosing and treating Level A/B/C dehydrated diarrhea	Value	9.70	95.20	14.00
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

The proportion of health workers with knowledge of diagnosing and treating severe pneumonia	Value	13.20	86.90	18.50
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

The proportion of health workers with knowledge of diagnosing and treating poisoning	Value	26.80	83.00	37.50
	Date	June 30, 2012	October 30, 2014	August 31, 2014
	Comment

Reasonable diagnoses of severe pneumonia	Value	45.50	71.10	63.70
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Clinical health workers’ reasonable diagnosis of general pneumonia	Value	19.60	57.00	27.44
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Reasonable diagnoses of Level A dehydrated diarrhea	Value	37.20	78.90	52.10
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Reasonable diagnoses of Level B dehydrated diarrhea	Value	48.90	85.10	68.50
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment

Reasonable diagnosis of Level C dehydrated diarrhea	Value	41.20	80.00	57.70
	Date	June 30, 2009	October 30, 2014	August 31, 2014
	Comment