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Health & Social Protection Project

Abstract*

The Kyrgyz Republic Health and Social Protection Project aims to improve the health status in the Kyrgyz Republic by improving access, financial protection, efficiency, equity, and fiduciary performance in the Kyrgyz health sector; ensuring sufficient and reliable financing for the health sector; and strengthening the targeting of social benefits by developing effective administration and information management systems. The Project will support implementation...

* 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 original project development objectives were amended to include two additional specific objectives (objectives [d] and [e] below) under the proposed additional financing. The revised objectives are to improve health status in the Kyrgyz Republic: (a) by improving access, financial protection, efficiency, equity and fiduciary performance in the Kyrgyz health sector; (b) to ensure sufficient and reliable financing for the health sector; (c) to strengthen the targeting of social benefits by developing effective administration and information management systems to improve access to social services in general; (d) protecting and improving health and nutritional status of particularly vulnerable populations in the Kyrgyz Republic in the face of food price shocks, by providing nutritional supplements and nutrition education to pregnant/lactating women and infants/young children; and (e) helping poor Kyrgyz families manage and mitigate the impact of food price shocks and protect consumption (general and food consumption) by scaling up and strengthening targeted cash transfers.

Key Details

Project Details

  • P084977

  • Closed

  • Susanna Hayrapetyan

  • Ministry of Finance

  • Kyrgyz Republic

  • January 12, 2005

  • (as of board presentation)

    December 15, 2005

  • June 8, 2006

  • US$ 52.13 million

  • Ministry of Social Development,Ministry of Health

  • Europe and Central Asia

  • 2006

  • US$ 52.13 million

  • B

  • Not Applicable

  • June 30, 2015

  • BANK APPROVED

  • March 28, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
IDA Credit 50.93
International Bank for Reconstruction and Development 1.20

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 1.20
IDA Commitment 50.93
IBRD + IDA Commitment 52.13
Lending Instrument
Grant Amount N/A
Total Project Cost** 52.13

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

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No data available.
Period Financier Transaction Type Amount (US$)
Feb 15, 2021 IDA-49570 Int Charges 976.44
Aug 15, 2020 IDA-49570 Int Charges 522.27
Aug 15, 2020 IDA-49570 Int Charges 522.27
Aug 15, 2020 IDA-49570 Int Charges 42,927.27
Aug 15, 2020 IDA-49570 Int Charges 42,927.27
Aug 15, 2021 IDA-49570 Loan Repay 119,309.40
Aug 15, 2021 IDA-49570 Int Charges 44,741.03
Aug 15, 2021 IDA-49570 Int Charges 44,741.03
Aug 15, 2021 IDA-49570 Int Charges 87.88
Aug 15, 2021 IDA-49570 Int Charges 87.88
Aug 15, 2022 IDA-49570 Int Charges 40,760.44
Aug 15, 2022 IDA-49570 Int Charges 466.85
Aug 15, 2022 IDA-49570 Int Charges 466.85
Aug 15, 2022 IDA-49570 Loan Repay 110,912.76
Aug 15, 2022 IDA-49570 Int Charges 40,760.44
Feb 15, 2022 IDA-49570 Loan Repay 2,174.87
Feb 15, 2022 IDA-49570 Loan Repay 115,495.69
Feb 15, 2022 IDA-49570 Int Charges 43,189.90
Feb 15, 2022 IDA-49570 Int Charges 43,189.90
Aug 15, 2023 IDA-49570 Int Charges 749.79
Aug 15, 2023 IDA-49570 Int Charges 749.79
Aug 15, 2023 IDA-49570 Loan Repay 111,917.40
Aug 15, 2023 IDA-49570 Int Charges 40,290.26
Aug 15, 2023 IDA-49570 Int Charges 40,290.26
Feb 15, 2023 IDA-49570 Loan Repay 111,022.91
Feb 15, 2023 IDA-49570 Int Charges 40,111.02
Feb 15, 2023 IDA-49570 Int Charges 40,111.02
Feb 15, 2023 IDA-49570 Loan Repay 1,317.01
Jun 9, 2011 IDA-49570 Loan Commitment 13,200,000.00
Jun 9, 2011 IDA-H7000 Loan Commitment 10,800,000.00
Jun 12, 2008 IDA-H3910 Loan Commitment 6,000,000.00
Dec 15, 2005 IDA-H1970 Loan Commitment 15,000,000.00
Feb 15, 2024 IDA-49570 Loan Repay 110,855.12
Feb 15, 2024 IDA-49570 Int Charges 39,585.39
Feb 15, 2024 IDA-49570 Int Charges 39,585.39
Feb 15, 2024 IDA-49570 Loan Repay 261.76
Aug 15, 2024 IDA-49570 Int Charges 37,254.95
Aug 15, 2024 IDA-49570 Int Charges 37,254.95
Aug 15, 2024 IDA-49570 Loan Repay 110,392.64
Aug 15, 2024 IDA-49570 Loan Repay 2,047.24
Dec 4, 2013 IDA-49570 Loan Disb 5,200,000.00
Aug 15, 2013 IDA-49570 Loan Disb 104,000.00
Aug 15, 2013 IDA-49570 Int Charges 755.22
Aug 15, 2013 IDA-49570 Int Charges 755.22
Nov 26, 2014 IDA-49570 Loan Disb 22,000.00
Aug 15, 2015 IDA-49570 Int Charges 1,088.05
Aug 15, 2015 IDA-49570 Int Charges 40,303.11
Aug 15, 2015 IDA-49570 Int Charges 40,303.11
Aug 19, 2014 IDA-49570 Loan Disb 3,894,160.00
Aug 15, 2014 IDA-49570 Int Charges 94.62
Aug 15, 2014 IDA-49570 Int Charges 94.62
Aug 15, 2014 IDA-49570 Int Charges 21,920.43
Aug 15, 2014 IDA-49570 Int Charges 21,920.43
Feb 15, 2015 IDA-49570 Int Charges 150.74
Feb 15, 2015 IDA-49570 Int Charges 150.74
Feb 15, 2015 IDA-49570 Int Charges 33,410.53
Feb 15, 2015 IDA-49570 Int Charges 33,410.53
Feb 15, 2014 IDA-49570 Int Charges 3.12
Feb 15, 2014 IDA-49570 Int Charges 3.12
Jan 27, 2014 IDA-49570 Loan Disb 150,000.00
Feb 15, 2014 IDA-49570 Int Charges 9,647.78
Feb 15, 2014 IDA-49570 Int Charges 9,647.78
Apr 3, 2015 IDA-49570 Loan Disb 2,758,738.80
Apr 1, 2015 IDA-49570 Loan Disb 24,000.00
Aug 15, 2015 IDA-49570 Int Charges 1,088.05
Feb 15, 2016 IDA-49570 Int Charges 43,883.23
Feb 15, 2016 IDA-49570 Int Charges 43,883.23
Aug 15, 2016 IDA-49570 Int Charges 374.93
Aug 15, 2016 IDA-49570 Int Charges 374.93
Aug 15, 2016 IDA-49570 Int Charges 43,960.46
Aug 15, 2016 IDA-49570 Int Charges 43,960.46
Feb 15, 2016 IDA-49570 Int Charges 22.41
Feb 15, 2016 IDA-49570 Int Charges 22.41
Feb 15, 2017 IDA-49570 Int Charges 41,865.04
Feb 15, 2017 IDA-49570 Int Charges 41,865.04
Feb 15, 2017 IDA-49570 Int Charges 338.02
Feb 15, 2017 IDA-49570 Int Charges 338.02
Feb 15, 2018 IDA-49570 Int Charges 827.56
Feb 15, 2018 IDA-49570 Int Charges 827.56
Feb 15, 2018 IDA-49570 Int Charges 44,517.63
Feb 15, 2018 IDA-49570 Int Charges 44,517.63
Aug 15, 2017 IDA-49570 Int Charges 332.69
Aug 15, 2017 IDA-49570 Int Charges 332.69
Aug 15, 2017 IDA-49570 Int Charges 43,533.35
Aug 15, 2017 IDA-49570 Int Charges 43,533.35
Feb 15, 2019 IDA-49570 Int Charges 898.69
Feb 15, 2019 IDA-49570 Int Charges 898.69
Feb 15, 2019 IDA-49570 Int Charges 42,539.50
Feb 15, 2019 IDA-49570 Int Charges 42,539.50
Aug 15, 2018 IDA-49570 Int Charges 1,354.33
Aug 15, 2018 IDA-49570 Int Charges 1,354.33
Aug 15, 2018 IDA-49570 Int Charges 43,576.47
Aug 15, 2018 IDA-49570 Int Charges 43,576.47
Feb 15, 2020 IDA-49570 Int Charges 283.14
Feb 15, 2020 IDA-49570 Int Charges 283.14
Feb 15, 2020 IDA-49570 Int Charges 42,793.42
Feb 15, 2020 IDA-49570 Int Charges 42,793.42
Aug 15, 2019 IDA-49570 Int Charges 236.67
Aug 15, 2019 IDA-49570 Int Charges 236.67
Aug 15, 2019 IDA-49570 Int Charges 43,293.29
Aug 15, 2019 IDA-49570 Int Charges 43,293.29
Feb 15, 2021 IDA-49570 Int Charges 976.44
Feb 15, 2021 IDA-49570 Int Charges 45,294.49
Feb 15, 2021 IDA-49570 Int Charges 45,294.49

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Counterpart Funding Moderately Satisfactory 2015-06-29
Progress towards achievement of PDO Moderately Satisfactory 2015-06-29
Financial Management Moderately Satisfactory 2015-06-29
Monitoring and Evaluation Moderately Satisfactory 2015-06-29
Overall Implementation Progress (IP) Moderately Satisfactory 2015-06-29
Procurement Moderately Satisfactory 2015-06-29
Project Management Moderately Satisfactory 2015-06-29

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 12-29-2015
OutcomesModerately Satisfactory
Risk to Development OutcomeSubstantial
Bank PerformanceModerately Satisfactory
Borrower PerformanceModerately Satisfactory
Government PerformanceModerately Satisfactory
Implementing AgencyModerately Satisfactory

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 07-08-2016PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Unsatisfactory N/a
Risk To Development OutcomeSubstantialN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately UnsatisfactoryN/a
Government PerformanceModerately UnsatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualitySubstantialN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Maintain or increase total spending on the UMB as a share of the poverty gapValueUMB targeting improvements18.5%Sustain
    DateMay 11, 2011September 8, 2014June 30, 2015
    Comment
  • Health statistics show improvements on overall health statusValueAnnual health statisticsIMR reduced from 25.7 to 20.2; U5MR from 31.8 to 2IMR reduced to 22.3; U5MR reduced to 27.2; MMR red
    DateMay 11, 2004May 15, 2015June 30, 2015
    Comment
  • Nutritional status measured a) as a percentage of anemic children age 6-24 by nutritional supplement; and b) children under 5 with Vitamin A defficiency improvedValueNot availablea) Anemic children (6-24 month) – 34.5% (2013)b) >60%>75%
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Decreased percent of anemic pregnant womenValue40%34.5%20%
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percent of population not seeking care when needed due to geographic and financial reasonsValue3.1%4.4%
    DateDecember 31, 2006May 15, 2015June 30, 2015
    Comment
  • Improved fiduciary performance in measured by timely submission of financial statements and auditsValuen/aFMRs received and FY14 Audit expected my mid June.Financial audit in time of good quality; FMRs time
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Decreased percent of out-of-pocket health expenditures as a share of total household consumptionin two poorest quintilesValue7.1/5.5 percent4.8/2.94.0/4.0 percent
    DateDecember 14, 2004September 8, 2014June 30, 2015
    Comment
  • Government spending on non-salary recurrent costs as a percentage of GDPValue1.26%1.06%Sustain
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment
  • Immunization coverage by age 2+ with basic vaccinesValue95.0%95.8>97%
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment
  • Pilot community based mental health to contribute to strengthening social cohesionValueInitiatedContract ongoing.Piloted
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment
  • Establish unified perinatal Center for all communities in the 3 south oblasts to increase efficiency and social reconcilationValuen/aMaster plan finalized and adoptedCompleted
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment
  • Maintain or increase in total coverage of the UMB programValue352,146310,717Sustained
    DateDecember 1, 2011January 1, 2015June 30, 2015
    Comment
  • Increased percent of anemic pregnant women who are prescribed and receive iron-containing tabletsValuen/a66.8%80%
    DateMay 11, 2011May 15, 2015June 30, 2015
    Comment
  • Automated management information system (national beneficiary database) designed, effectively implemented, and providing timely andaccurate data to analyze, design and monitor social policyValueNoReporting system developed and implemented. MechanImproved
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Reduced turn-around time for registering families for potential eligibility under the UMB programValuen/a3 days5 days
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Health personnel receiving training (number)Value0.009416.000.00
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Health facilities constructed, renovated, and/or equipped (number)Value0.0029.000.00
    DateDecember 14, 2004May 15, 2015June 30, 2015
    Comment
  • Percent of adults and children with HIV receiving antiretroviral combination therapyValue42.5075.80100.00
    DateMay 28, 2008May 15, 2015June 30, 2015
    Comment
  • Increased percentage of pregnant women living with HIV who received antiretroviral (ARV) to reduce the risk of MTCTValue28.5097.40100.00
    DateMay 28, 2008May 15, 2015June 30, 2015
    Comment