Financier | Commitments |
---|---|
Borrower/Recipient | 1.24 |
International Bank for Reconstruction and Development | 10.00 |
P086670
Closed
Nedim Jaganjac
N/A
October 28, 2003
(as of board presentation)
May 13, 2004
September 15, 2004
US$ 11.24 million
N/A
2004
US$ 10.00 million
C
Not Applicable
December 31, 2010
BANK APPROVED
January 15, 2013
Financier | Commitments |
---|---|
Borrower/Recipient | 1.24 |
International Bank for Reconstruction and Development | 10.00 |
Product Line | IBRD/IDA |
---|---|
IBRD Commitment | 10.00 |
IDA Commitment | N/A |
IBRD + IDA Commitment | 10.00 |
Lending Instrument | |
---|---|
Grant Amount | N/A |
Total Project Cost** | 11.24 |
Period | Financier | Transaction Type | Amount (US$) |
---|---|---|---|
Nov 15, 2014 | IBRD-47330 | Int Charges | 16,434.54 |
Nov 15, 2014 | IBRD-47330 | Loan Repay | 376,849.44 |
May 13, 2004 | IBRD-47330 | Loan Commitment | 10,000,000.00 |
Nov 15, 2019 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2019 | IBRD-47330 | Int Charges | 25,361.38 |
May 15, 2020 | IBRD-47330 | Loan Repay | 393,283.97 |
May 15, 2020 | IBRD-47330 | Int Charges | 14,775.49 |
Nov 15, 2020 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2020 | IBRD-47330 | Int Charges | 4,888.22 |
May 15, 2021 | IBRD-47330 | Int Charges | 1,604.27 |
May 15, 2021 | IBRD-47330 | Loan Repay | 431,190.78 |
May 15, 2018 | IBRD-47330 | Loan Repay | 393,283.97 |
May 15, 2018 | IBRD-47330 | Int Charges | 29,046.23 |
Nov 15, 2018 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2018 | IBRD-47330 | Int Charges | 36,518.30 |
May 15, 2019 | IBRD-47330 | Loan Repay | 393,283.97 |
May 15, 2019 | IBRD-47330 | Int Charges | 33,658.19 |
Nov 15, 2017 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2017 | IBRD-47330 | Int Charges | 30,596.42 |
May 15, 2016 | IBRD-47330 | Loan Repay | 393,283.97 |
May 15, 2016 | IBRD-47330 | Int Charges | 20,738.85 |
Nov 15, 2016 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2016 | IBRD-47330 | Int Charges | 25,774.58 |
May 15, 2017 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2014 | IBRD-47330 | Loan Repay | 16,434.54 |
May 15, 2014 | IBRD-47330 | Int Charges | 18,507.48 |
May 15, 2014 | IBRD-47330 | Loan Repay | 374,776.50 |
May 15, 2014 | IBRD-47330 | Loan Repay | 18,507.48 |
Nov 15, 2013 | IBRD-47330 | Int Charges | 22,001.84 |
Nov 15, 2013 | IBRD-47330 | Loan Repay | 371,282.12 |
Nov 15, 2013 | IBRD-47330 | Loan Repay | 22,001.84 |
Nov 15, 2015 | IBRD-47330 | Loan Repay | 393,283.97 |
Nov 15, 2015 | IBRD-47330 | Int Charges | 17,750.06 |
May 15, 2015 | IBRD-47330 | Int Charges | 16,055.56 |
May 15, 2015 | IBRD-47330 | Loan Repay | 393,283.97 |
May 15, 2017 | IBRD-47330 | Int Charges | 29,857.89 |
Name | Review | Date |
---|---|---|
Counterpart Funding | Satisfactory | 2010-11-08 |
Progress towards achievement of PDO | Moderately Satisfactory | 2010-11-08 |
Monitoring and Evaluation | Moderately Satisfactory | 2010-11-08 |
Overall Implementation Progress (IP) | Moderately Satisfactory | 2010-11-08 |
Project Management | Moderately Satisfactory | 2010-11-08 |
Financial Management | Satisfactory | 2010-11-08 |
Procurement | Moderately Satisfactory | 2010-11-08 |
INDICATOR | IMPLEMENTATION COMPLETION & RESULTS REPORT: 06-03-2011 |
---|---|
Outcomes | Moderately Satisfactory |
Risk to Development Outcome | Modest |
Bank Performance | Moderately Satisfactory |
Borrower Performance | Moderately Satisfactory |
Government Performance | Moderately Satisfactory |
Implementing Agency | Moderately Satisfactory |
INDICATOR | ICR REVIEW: 03-15-2012 | PROJECT PERFORMANCE ASSESSMENT REPORT: 09-25-2013 |
---|---|---|
Outcome Rating | Moderately Satisfactory | Moderately Satisfactory |
Risk To Development Outcome | Moderate | Moderate |
Bank Performance | Moderately Satisfactory | Moderately Satisfactory |
Borrower Performance | Moderately Satisfactory | Moderately Satisfactory |
Government Performance | Moderately Satisfactory | Not Rated |
Implementing Agency | Moderately Satisfactory | Not Rated |
Icr Quality | Satisfactory | Not Rated |
M&e Quality | Modest | Not Rated |
INDICATOR | BASELINE | CURRENT | TARGET |
---|
Increase the amount of revenue collected (contributions) by 5% over the base year. | Value | 14,107,883,876 Denars - Year 2003 14,887,336,977 | 13.2% increase | 5% |
Date | January 9, 2004 | December 15, 2010 | January 5, 2008 | |
Comment | Target met | OVER-ACHIEVED. Actual value is calculated on the basis of 2009 data of 19.7 billion denars over baseline of 14.9 billion denars. |
Increase the number of contributors. | Value | 91,957 total contributors (2004 value): a. 45,731 | 12% increase | 5% |
Date | December 23, 2005 | December 15, 2010 | December 31, 2010 | |
Comment | Target on track. Positive trend since 2007 | OVER-ACHIEVED. Actual value is calculated on the basis of 110,451 over the baseline of 91,957. The actual total number ofcontributors includes 90,146 paying contributors and 20,805 people whose contributions are being paid by the government, i.e.unemployed, people with disability, etc. |
Reduction in the number of drugs reimbursed by HIF and increase of patients' satisfaction. | Value | 105,334 number of drugs | 86% decreaseYear 2008 :42,359 drugs | Decrease |
Date | January 5, 2005 | December 15, 2010 | December 31, 2010 | |
Comment | Target met. | ACHIEVED. Actual value represents 2009 data of 14,500 prescription drugs over the baseline of 105,334. |
18 guidelines developed, according to international standards, and distributed. | Value | 15 PHC and develop 3 new Clinical Guidelines. | Clinical Protocols and therapeutic Guidelines have | 18 guidelines |
Date | January 5, 2005 | December 15, 2010 | December 31, 2010 | |
Comment | Target surpassed | OVER-ACHIEVED. The original 18 were updated (new methodology according to Cochran data base) and 14 additional clinical guidelineswere developed and distributed in soft and hard copies and available on line. |
Improved results from the annual HIF audit reports acceptable to the WB. | Value | Reduction in the number of SAO recommendations to | 9 recommendations (Year 2007) | Unqualified audit reports |
Date | December 6, 2006 | December 7, 2009 | December 31, 2010 | |
Comment | Target met. Audits satisfactory with minor comments | ACHIEVED. Audits have been satisfactory and include minor comments for improvement. From 2004 comments in management letters havedecreased in substance and in number. |
Average length of drugs registration process, for all drugs, decreased by 25% | Value | 8 months in year 2003 | 38% decrease | decreased by 25% compared to baseline |
Date | January 1, 2005 | May 5, 2009 | December 31, 2009 | |
Comment | Target met. Positive trend during the entire period | OVER-ACHIEVED. Actual value is 15 days for centralized procedure, 3 months for decentralized and mutual recognition procedure 3months, (2009 data). |
All practicing doctors, dentists and pharmacists licensed in accordance with the new procedure. | Value | 0 (Year 2004) Authorization for Licensing activiti | All doctors, dentists and pharmacists | 100% |
Date | January 1, 2005 | January 1, 2010 | January 1, 2009 | |
Comment | Target met and new procedures in place. | ACHIEVED. All are licensed following new procedures. |
Decrease by 15% ALOS in all hospitals | Value | 11.5 days (year 2002) | 6.13 days | 15% reduction or 9.7 days |
Date | January 1, 2002 | May 5, 2009 | January 1, 2009 | |
Comment | Target met. 2009 data shows target surpassed | OVER-ACHIEVED. ALOS has been reduced by 53% |
Increase out-patient surgery by 20 % of total surgeries for indications selected by January 2006 | Value | 0. Draft list of indications for one-day surgical | 32% increase | 20% increase |
Date | December 31, 2005 | December 11, 2009 | December 31, 2010 | |
Comment | On track. Despite that data on outpatient surgeries are not available reduction of in hospital surgeries used as proxy. | OVER-ACHIEVED. Actual value is calculated on the basis of 2009 data of 41,500 out-patient surgeries over baseline data of 13,151(2005 data). |
Reduction in the number of referral to out-patient specialist and to hospitals by 10% | Value | 2,139,361 (public & private ) (year 2004) Number h | Hospital referrals 216,000;out-pat 2.3 mill. | reduction by 10% |
Date | January 1, 2005 | December 11, 2009 | December 31, 2010 | |
Comment | This indicator may be misleading as it does not directly reflect efficiency at PHC and could be result of greater access to healthservices and efficiency at hopital care | Indicator misleading. |
30% of contracted health care providers complying with newly developed clinical guidelines | Value | 0 | 30% of contractred providers | 30% |
Date | January 1, 2005 | May 5, 2009 | December 31, 2010 | |
Comment | Target met.Follow-up methodology is being developed. WG for Clinical Guidelines implementation is established, 10 guidelinesselected and action plan developed for their update and training completed | ACHIEVED. Guidelines are being used by all providers. In some cases full utilization of guidelines may be limited due to lack ofnecessary medical equipment. The IHIS will include a module to capture the adherence to clinical guidelines and prescriptionpractices. |
At least 75 percent of contracted primary health care providers and hospitals are correctly collecting and analyzing data for contract compliance. | Value | 0 | 100% | 75% |
Date | January 1, 2005 | October 15, 2010 | December 31, 2009 | |
Comment | Target met. | ACHIEVED. All health providers are collecting and analyzing data. The IHIS being installed will enhance accuracy of data. |
Number of business plans prepared (and according to standard) by health care institutions (HCI's) | Value | 0 - no plans developed | All HCIs legally obliged to prepare business plans | Business plans for all HCI's |
Date | January 1, 2005 | May 5, 2009 | December 31, 2010 | |
Comment | All HCI have prepared BPs | ACHIEVED. All health institutions are obliged to have annual business plans as a basis for contracts. |
Completion of grants program and patient satisfaction with results | Value | 0 - no grants program in place | All grants implemented | 20 grants |
Date | January 1, 2005 | October 15, 2010 | January 1, 2009 | |
Comment | Achieved | ACHIEVED. All grants have been implemented (14 demonstration grants and 8 competitive grants). A patient satisfaction surveycarried out at the end of the 14 demonstration grants indicated a positive attitude by users of facilities. |
Decrease by 30% the number of re-admissions for same condition wirhin a 3-months time period | Value | 72,226 cases; 4,84% | 3488 (2008) | 30 percent |
Date | August 4, 2010 | May 5, 2009 | August 10, 2010 | |
Comment | Target surpassed | OVER ACHIEVED. Introduction of DRGs created incentives to reduce re-admissions for the same diseases. Actual value is calculatedon the basis of 2008 data of 3488 over baseline of 72,226. |
INDICATOR | BASELINE | CURRENT | TARGET |
---|
Medium term MOH health sector strategy developed and approved. | Value | No health sector strategy available | Strategy in phase of implementation | Revised National Health Strategy |
Date | May 13, 2004 | May 5, 2009 | December 31, 2010 | |
Comment | Target achieved | ACHIEVED. The strategy covering the period 2005-2015 was adopted in 2006. Strategy was then extended to 2020 and adopted in June2007. |
Public information strategy for health reforms developed and applied to health sector policy development. | Value | No strategy available | 2008: Strategy developed and in processof implemen | Strategy developed and is being implemented. |
Date | May 13, 2004 | January 7, 2010 | December 31, 2010 | |
Comment | On track. Final strategy to support reform for 2010 in progress. | ACHIEVED. Public Information Strategy was developed and adopted in February 2007 based on public opinion poll carried out at theend of 2006. PIS and implementation plan have been revised in 2009 and 2010. PR campaign supporting ongoing health reform waslaunched. |
HIF Board structure and operation revised.Internal audit unit functional. | Value | HIF Board is not performing its (financial) oversi | Board structure and operations are revised. Board | Board structure and operations was revised |
Date | May 13, 2004 | February 6, 2008 | December 31, 2010 | |
Comment | Target met. | ACHIEVED. New regulations adopted by Parliament. A new HIF Board is appointed for four years and functions according to newoperational manual. Training for Board members has taken place. |
Hospital contracts revised on the basis of evaluation study of first-phased of hospital contract implementation. | Value | 17 contracts concluded | Legal basis for changes in contracting methods fin | Contracts revised |
Date | May 13, 2004 | January 1, 2010 | December 31, 2010 | |
Comment | on track | PARTLY ACHIEVED. Contracts for all hospitals are being signed annually using a new provider payment mechanism. However, managerialauthonomy is not achieved. |
Project deliverables are implemented and evaluated in an efficient manner and on a timely basis. | Value | Most project activities completed, and pending one | activities completed and evaluated | |
Date | December 11, 2009 | December 31, 2008 | ||
Comment | on track | PARTIALLY-ACHIEVED. Although all activities have been completed, albeit with delays, quarterly progress reports for the wholeproject (as per POM) were not prepared systematically. The most important activities completed prior to project closure were thedelivery and installation of the hardware for the IHIS, and initiation of re-training of family medicine doctors. |