Health Sector Technology Transfer and Institutional Reform

Abstract*

The Kazakhstan Health Sector Technology Transfer and Institutional Reform Project aims to introduce international standards and build long-term institutional capacity in the Ministry of Health and related healthcare institutions in support of key health sector reforms pursued by the Government of Kazakhstan in the context of the State Health Care Reform and Development Program. The project includes the following components: health finance and management;... Show More

Development Objective

To introduce international standards and build long-term institutional capacity in MOH and related healthcare institutions in support of key health sector reforms pursued by the Government of Kazakhstan in the context of the State Health Care Reform and Development Program.

Key Details

Project Details

Project ID
P101928
Status
Closed
Team Leader
Carlos Bortman
Borrower 2
REPUBLIC OF KAZAKHSTAN

Country
Kazakhstan
Disclosure Date
October 17, 2006
Approval Date
(as of board presentation)
January 15, 2008
Effective Date
December 15, 2008

Total Project Cost 1
US$ 296.70 million
Implementing Agency
Ministry of Health (MoH)
Region
Europe and Central Asia
Fiscal Year 3
2008

Commitment Amount
US$ 117.70 million
Environmental Category
C
Last Update Date
March 28, 2024
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 Policies67%
- FY17 - Health System Strengthening67%

FY17 - Public Sector Management

FY17 - Public Administration33%
- FY17 - Administrative and Civil Service Reform33%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	179.00
International Bank for Reconstruction and Development	117.70

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	117.70
IDA Commitment	N/A
IBRD + IDA Commitment	117.70

Lending Instrument
Grant Amount	N/A
Total Project Cost**	296.70

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$)
Oct 15, 2013	IBRD-48830	Loan Disb	218,094.50
Oct 15, 2013	IBRD-48830	Loan Disb	298,788.00
Oct 15, 2013	IBRD-48830	Loan Disb	858,017.60
Jan 15, 2014	IBRD-48830	Int Charges	104,650.56
Jan 15, 2014	IBRD-48830	Loan Repay	5,885,000.00
Jan 15, 2014	IBRD-48830	Int Charges	504.84
Jan 15, 2017	IBRD-48830	Int Charges	174,618.95
Jan 26, 2017	IBRD-48830	Loan Disb	10,000.00
Jan 15, 2017	IBRD-48830	Loan Repay	5,883,201.00
Dec 22, 2016	IBRD-48830	Loan Disb	2,959,217.00
Oct 20, 2015	IBRD-48830	Loan Disb	520,000.00
Sep 14, 2015	IBRD-48830	Loan Disb	133,088.75
Sep 14, 2015	IBRD-48830	Loan Disb	139,749.06
Dec 18, 2015	IBRD-48830	Loan Disb	367,126.00
Dec 18, 2015	IBRD-48830	Loan Disb	89,042.88
Dec 18, 2015	IBRD-48830	Loan Disb	45,329.12
Dec 16, 2015	IBRD-48830	Loan Disb	174,046.30
Oct 2, 2015	IBRD-48830	Loan Disb	374,317.56
Dec 11, 2015	IBRD-48830	Loan Disb	60,372.91
Dec 11, 2015	IBRD-48830	Loan Disb	342,076.12
Feb 3, 2016	IBRD-48830	Loan Disb	75,930.37
Dec 4, 2015	IBRD-48830	Loan Disb	647,799.80
Dec 4, 2015	IBRD-48830	Loan Disb	399,749.06
Nov 30, 2015	IBRD-48830	Loan Disb	106,128.80
Jan 15, 2016	IBRD-48830	Int Charges	214.34
Jan 15, 2016	IBRD-48830	Int Charges	103,664.17
Jan 15, 2016	IBRD-48830	Loan Repay	5,883,201.00
Dec 14, 2016	IBRD-48830	Loan Disb	3,916,805.20
Jul 26, 2016	IBRD-48830	Loan Disb	13,000.00
Jul 15, 2016	IBRD-48830	Int Charges	1,393.32
Jul 15, 2016	IBRD-48830	Int Charges	158,792.72
Jul 15, 2016	IBRD-48830	Loan Repay	5,883,201.00
Jul 15, 2016	IBRD-48830	Loan Disb	383,205.03
Oct 24, 2016	IBRD-48830	Loan Disb	60,000.00
May 31, 2016	IBRD-48830	Loan Disb	31,000.00
Dec 21, 2016	IBRD-48830	Loan Disb	420,865.60
Nov 28, 2016	IBRD-48830	Loan Disb	105,216.40
Jul 15, 2015	IBRD-48830	Int Charges	881.85
Jul 15, 2015	IBRD-48830	Int Charges	86,675.77
Jul 15, 2015	IBRD-48830	Loan Repay	5,885,000.00
Aug 28, 2015	IBRD-48830	Loan Disb	74,533.43
Jul 8, 2015	IBRD-48830	Loan Disb	809,749.75
Jul 8, 2015	IBRD-48830	Loan Disb	357,208.06
Aug 28, 2015	IBRD-48830	Loan Disb	260,000.00
Jul 16, 2015	IBRD-48830	Loan Disb	410,491.30
Jul 30, 2015	IBRD-48830	Loan Disb	129,429.92
Jul 22, 2015	IBRD-48830	Loan Cancel	26,983.07
May 13, 2015	IBRD-48830	Loan Disb	149,908.45
Apr 17, 2015	IBRD-48830	Loan Disb	282,300.50
Apr 17, 2015	IBRD-48830	Loan Disb	159,706.50
Aug 12, 2015	IBRD-48830	Loan Disb	149,908.47
Aug 25, 2015	IBRD-48830	Loan Disb	120,689.10
Apr 27, 2015	IBRD-48830	Loan Disb	273,660.88
Jun 23, 2015	IBRD-48830	Loan Disb	79,596.60
Jun 23, 2015	IBRD-48830	Loan Disb	101,608.80
Apr 30, 2015	IBRD-48830	Loan Disb	126,566.20
Sep 29, 2015	IBRD-48830	Loan Disb	390,000.00
Dec 11, 2013	IBRD-48830	Loan Disb	982,224.56
Apr 1, 2014	IBRD-48830	Loan Disb	370,513.70
Mar 27, 2014	IBRD-48830	Loan Disb	134,324.72
May 23, 2014	IBRD-48830	Loan Disb	254,250.06
Jun 30, 2014	IBRD-48830	Loan Disb	282,241.84
Jun 30, 2014	IBRD-48830	Loan Disb	647,799.80
Jun 23, 2014	IBRD-48830	Loan Disb	135,478.40
Jun 2, 2014	IBRD-48830	Loan Disb	323,899.90
Jun 30, 2014	IBRD-48830	Loan Disb	74,954.23
Jul 15, 2014	IBRD-48830	Int Charges	85,033.69
Jul 15, 2014	IBRD-48830	Loan Repay	5,885,000.00
Jul 15, 2014	IBRD-48830	Int Charges	975.04
Dec 12, 2014	IBRD-48830	Loan Disb	124,923.72
Jan 15, 2008	IBRD-48830	Loan Commitment	117,700,000.00
Jan 15, 2023	IBRD-48830	Int Charges	12,117.69
Jan 15, 2023	IBRD-48830	Int Charges	99,368.59
Jan 15, 2023	IBRD-48830	Loan Repay	5,338,699.00
Aug 15, 2023	IBRD-48830	Int Charges	7,018.75
Jan 15, 2022	IBRD-48830	Int Charges	39,292.84
Jan 15, 2022	IBRD-48830	Loan Repay	5,338,699.00
Jul 15, 2022	IBRD-48830	Int Charges	39,663.92
Jul 15, 2022	IBRD-48830	Loan Repay	5,338,699.00
Jul 15, 2021	IBRD-48830	Int Charges	61,199.30
Jul 15, 2021	IBRD-48830	Loan Repay	5,338,699.00
Jul 15, 2020	IBRD-48830	Loan Repay	5,338,699.00
Jul 15, 2020	IBRD-48830	Int Charges	348,172.12
Jan 15, 2021	IBRD-48830	Int Charges	87,317.38
Jan 15, 2021	IBRD-48830	Loan Repay	5,338,699.00
Jul 15, 2019	IBRD-48830	Int Charges	682,709.20
Jul 15, 2019	IBRD-48830	Loan Repay	5,371,339.50
Aug 6, 2019	IBRD-48830	Loan Disb	-195,844.00
Jan 15, 2020	IBRD-48830	Int Charges	478,233.20
Jan 15, 2020	IBRD-48830	Loan Repay	5,371,339.50
Aug 6, 2019	IBRD-48830	Loan Cancel	195,844.00
Jul 15, 2018	IBRD-48830	Int Charges	577,926.30
Jul 15, 2018	IBRD-48830	Loan Repay	5,371,339.50
Jan 15, 2019	IBRD-48830	Int Charges	691,828.56
Jan 15, 2019	IBRD-48830	Loan Repay	5,371,339.50
May 25, 2017	IBRD-48830	Loan Disb	379,946.78
Jun 28, 2017	IBRD-48830	Loan Disb	173,208.06
May 17, 2017	IBRD-48830	Loan Disb	1,222,990.00
Jul 10, 2017	IBRD-48830	Loan Disb	324,800.00
Apr 11, 2017	IBRD-48830	Loan Disb	682,107.90
Feb 23, 2017	IBRD-48830	Loan Disb	2,456,742.50
Jul 11, 2017	IBRD-48830	Loan Disb	2,492,885.20
Apr 11, 2017	IBRD-48830	Loan Disb	47,892.00
Jun 30, 2017	IBRD-48830	Loan Disb	994,000.00
Jun 30, 2017	IBRD-48830	Loan Disb	388,689.00
Apr 4, 2017	IBRD-48830	Loan Disb	406,840.90
Sep 12, 2017	IBRD-48830	Loan Disb	537,946.75
Feb 22, 2017	IBRD-48830	Loan Disb	65,000.00
Jul 15, 2017	IBRD-48830	Loan Repay	5,883,201.00
Oct 17, 2017	IBRD-48830	Loan Disb	425,351.72
Jul 15, 2017	IBRD-48830	Int Charges	36,245.11
Jul 15, 2017	IBRD-48830	Int Charges	407,944.34
Oct 30, 2017	IBRD-48830	Loan Disb	240,352.00
Aug 30, 2017	IBRD-48830	Loan Disb	5,694,828.50
Oct 30, 2017	IBRD-48830	Loan Disb	-143,550.25
Dec 18, 2014	IBRD-48830	Loan Disb	342,076.06
Dec 18, 2014	IBRD-48830	Loan Disb	397,720.00
Dec 18, 2014	IBRD-48830	Loan Disb	87,172.80
Sep 25, 2014	IBRD-48830	Loan Disb	351,644.00
Jan 15, 2015	IBRD-48830	Loan Repay	5,885,000.00
Sep 11, 2014	IBRD-48830	Loan Disb	195,000.00
Mar 27, 2015	IBRD-48830	Loan Disb	120,689.10
Jan 15, 2015	IBRD-48830	Int Charges	517.70
Jan 15, 2015	IBRD-48830	Int Charges	83,092.90
Sep 23, 2014	IBRD-48830	Loan Disb	199,890.00
Jun 18, 2015	IBRD-48830	Loan Disb	133,088.75
Dec 15, 2014	IBRD-48830	Loan Disb	195,000.00
Dec 15, 2014	IBRD-48830	Loan Disb	106,471.00
Dec 15, 2014	IBRD-48830	Loan Disb	809,749.75
Dec 19, 2014	IBRD-48830	Loan Disb	304,425.10
Jul 10, 2013	IBRD-48830	Loan Disb	449,872.50
Jul 15, 2013	IBRD-48830	Int Charges	3,769.44
Jul 15, 2013	IBRD-48830	Int Charges	128,612.78
Jul 15, 2013	IBRD-48830	Loan Repay	5,885,000.00
Dec 9, 2014	IBRD-48830	Loan Disb	101,608.80
Aug 28, 2013	IBRD-48830	Loan Disb	260,758.02
Aug 21, 2013	IBRD-48830	Loan Disb	99,596.00
Feb 25, 2014	IBRD-48830	Loan Disb	192,905.75
Dec 16, 2013	IBRD-48830	Loan Disb	192,905.75
Nov 26, 2013	IBRD-48830	Loan Disb	215,117.25
Dec 16, 2013	IBRD-48830	Loan Disb	134,810.00
Oct 15, 2013	IBRD-48830	Loan Disb	254,527.40
Dec 16, 2013	IBRD-48830	Loan Disb	179,949.00
Dec 19, 2013	IBRD-48830	Loan Disb	137,936.00
Dec 18, 2013	IBRD-48830	Loan Disb	177,968.10
Dec 19, 2013	IBRD-48830	Loan Disb	134,324.73
Dec 19, 2013	IBRD-48830	Loan Disb	73,500.00
Oct 31, 2017	IBRD-48830	Loan Cancel	5,118,617.00
Jan 15, 2018	IBRD-48830	Int Charges	5,530.51
Jan 15, 2018	IBRD-48830	Int Charges	504,532.28
Jan 15, 2018	IBRD-48830	Loan Repay	5,883,201.00
Dec 21, 2016	IBRD-48830	Loan Disb	351,000.00
Dec 13, 2016	IBRD-48830	Loan Disb	401,790.75
Nov 16, 2016	IBRD-48830	Loan Disb	144,215.00
Nov 29, 2016	IBRD-48830	Loan Disb	15,667,221.00
Jun 17, 2016	IBRD-48830	Loan Disb	40,000.00
Jun 17, 2016	IBRD-48830	Loan Disb	3,472,000.00
Dec 21, 2016	IBRD-48830	Loan Disb	305,948.40
Nov 28, 2016	IBRD-48830	Loan Disb	76,487.10
Nov 16, 2016	IBRD-48830	Loan Disb	1,607,163.00
Nov 16, 2016	IBRD-48830	Loan Disb	117,000.00
Aug 16, 2016	IBRD-48830	Loan Disb	25,000.00
Dec 8, 2016	IBRD-48830	Loan Disb	72,180.80
Sep 27, 2016	IBRD-48830	Loan Disb	144,215.00
Sep 27, 2016	IBRD-48830	Loan Disb	30,000.00
Jan 15, 2017	IBRD-48830	Int Charges	2,853.42

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2017-06-14
Monitoring and Evaluation	Moderately Satisfactory	2017-06-14
Financial Management	Satisfactory	2017-06-14
Overall Implementation Progress (IP)	Moderately Satisfactory	2017-06-14
Counterpart Funding	Satisfactory	2017-06-14
Project Management	Satisfactory	2017-06-14
Procurement	Moderately Satisfactory	2017-06-14

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 12-28-2017
Outcomes
Risk to Development Outcome	Substantial
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 04-26-2018	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	Substantial	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Increased funding for Primary Health Care Value 16.00 30.00 36.30
Date December 31, 2011 June 30, 2017 December 31, 2016
Comment
Improved financial risk protection as defined by reduced share of household health spending in total health expenditures Value 32.90 30.00 35.30
Date December 31, 2010 June 30, 2017 December 31, 2016
Comment

Master plans for capital investments, developed based on international best practice, used as a basis for capital investment allocations in at least 4 oblasts	Value	0.00	4.00	16.00
	Date	December 31, 2011	June 30, 2017	December 31, 2016
	Comment

At least two evidence-based disease management programs, which include incentives for health care providers and patients, developedand endorsed by the Ministry of Health	Value	0.00	2.00	3.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Number of public health facilities accredited by national accreditation body in accordance with international standards Value 20.00 40.00 746.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment

ICT standards, which conform with international standards and include interoperability standards, are endorsed by Health ICT Regulatory Body and published	Value	No standards	20	20
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Legal and regulatory documents related to post-processing food standards revised in accordance with international standards	Value	Recommendations on revision of 26 food safety norm	HACCP system implementation in food industry expan	Pilot implementation of HACCP system completed at
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Project work plans, procurement plans, and budget produced and approved on an annual basis as described in the Project Operational Manual	Value	Yes	Yes	Yes
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Functional ICT standards in line with major international functional standards developed by Health ICT Regulatory Body	Value	No functional ICT standards	5 functional ICT standards	5 functional standards developed and approved: ele
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Health personnel receiving training (number) Value 10720.00 63066.00 95546.00
Date December 31, 2011 June 30, 2017 December 31, 2016
Comment
Health facilities constructed, renovated, and/or equipped (number) Value 160.00 2058.00 336.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment
Increased capacity for health policy analysis (as measured by number of national analytical reports produced annually) Value 0.00 4.00 7.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment
NHA reports produced annually, disaggregated by national and sub-national levels, and disseminated among key stakeholders Value Yes Yes Yes
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment
Oblast-level health network master plans endorsed for at least 4 oblasts Value 0.00 4.00 16.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment

Evidence-based incentives for providers in disease management programs implemented	Value	No evidence-based incentives for providers	Optimized set of evidence-based incentives and pay	Evidence-based incentives for providers have not b
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

New network planning tools and new facility standards formally adopted by the Ministry of Health	Value	New hospital planning tools and standards develope	New tools and standards for planning hospitals, la	New tools and standards for planning hospitals, la
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Master plans for capital investments developed for 16 regions based on international best practice Value 5.00 16.00 16.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment

Incentives introduced, including revision of co-payments, for patients to comply with diseases management programs	Value	No incentives for patients	Optimized set of incentives for patients implement	Incentives for patients have not been implemented
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Criteria, procedures and standards for accreditation of health facilities developed, adopted and implemented in line with international practice	Value	Health facility accreditation standards developed	Accreditation criteria, procedures and standards r	National accreditation standards for inpatient car
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Evidence-based CPGs for selected disease management programs developed	Value	No CPGs for disease management programs	CPGs for disease management programs implemented	CPGs for three diseases (arterial hypertension, di
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Increase in share of voluntary blood donations by 2015 Value 83.00 88.00 92.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment
Decrease in absolute number of paid donations by 2015 Value 38800.00 33400.00 20467.00
Date December 31, 2011 June 30, 2017 June 9, 2017
Comment

Criteria, procedures and standards for accreditation of basic medical education programs developed, adopted and implemented in linewith international practice	Value	No educational programs accredited	Educational programs for “General Medicine” of two	National institutional accreditation was received
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

IT-infrastructure for deployment of UHMIS in selected oblasts developed by the Ministry of Health	Value	IT infrastructure developed in 140 health organiza	IT infrastructure developed in 2,000 health organi	Akmola: 140 health facilitiesKaraganda: 150 healt
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Drug price reference system for drugs included in the National Formulary Book developed and adopted by the Ministry of Health	Value	Ceiling prices for drugs set	Reference drug prices refined based on implementat	Price-setting rules for drugs and medical supplies
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Improved financial risk protection as defined by reduced share of household health spending in total health expenditures	Value	32.90	30.00	35.30
	Date	December 31, 2010	June 30, 2017	December 31, 2016
	Comment

Number of public health facilities accredited by national accreditation body in accordance with international standards	Value	20.00	40.00	746.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Health personnel receiving training (number)	Value	10720.00	63066.00	95546.00
	Date	December 31, 2011	June 30, 2017	December 31, 2016
	Comment

Health facilities constructed, renovated, and/or equipped (number)	Value	160.00	2058.00	336.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Master plans for capital investments developed for 16 regions based on international best practice	Value	5.00	16.00	16.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Increase in share of voluntary blood donations by 2015	Value	83.00	88.00	92.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment

Decrease in absolute number of paid donations by 2015	Value	38800.00	33400.00	20467.00
	Date	December 31, 2011	June 30, 2017	June 9, 2017
	Comment