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Health Sector Reform Second Phase APL (PARSS 2)

Abstract*

The objectives of the Second Phase Adaptable Program Loan for the Health Sector Reform Project for Dominican Republic are to: (i) improve the capacity of Regional Health Services (RHS) to deliver, in a timely fashion, quality services known to improve the health of mothers, children and people with chronic conditions by public providers at the first level of care; and (ii) improve health system responsiveness, defined here as the institutional capacity...

* 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 Project's Development Objectives are to: (i) Improve the capacity of Regional Health Services (RHS) to deliver, in a timely fashion, quality services known to improve the health of mothers, children and people with chronic conditions by public providers at the first level of care; (ii) improve health system responsiveness, defined here as the institutional capacity of public sector health organizations to conduct strategic purchasing of health care services and goods, and to respond to public health emergencies.

Key Details

Project Details

  • P106619

  • Closed

  • Christine Pena

  • Secretaria de Estado de Hacienda (Ministry of Finance)

  • Dominican Republic

  • March 24, 2009

  • (as of board presentation)

    September 17, 2009

  • January 19, 2010

  • US$ 30.50 million

  • C

  • April 25, 2024

  • February 29, 2016

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 30.50

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 30.50
IDA Commitment N/A
IBRD + IDA Commitment 30.50
Lending Instrument
Grant Amount N/A
Total Project Cost** 30.50

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

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No data available.
Period Financier Transaction Type Amount (US$)
Apr 28, 2014 IBRD-77770 Loan Disb 350,478.80
Mar 7, 2014 IBRD-77770 Loan Disb 108,851.51
Feb 7, 2014 IBRD-77770 Loan Disb 159,146.27
Mar 6, 2014 IBRD-77770 Loan Disb 73,398.46
Jan 15, 2014 IBRD-77770 Loan Disb 151,135.10
Oct 1, 2014 IBRD-77770 Loan Disb 175,239.40
Oct 10, 2014 IBRD-77770 Loan Disb 29,454.00
Sep 29, 2014 IBRD-77770 Loan Disb 797,986.40
Nov 14, 2014 IBRD-77770 Loan Disb 26,915.60
Oct 3, 2014 IBRD-77770 Loan Disb 247,869.78
Nov 18, 2014 IBRD-77770 Loan Disb 286,503.16
Dec 16, 2014 IBRD-77770 Loan Disb 32,926.51
Nov 6, 2014 IBRD-77770 Loan Disb 63,937.72
Feb 10, 2015 IBRD-77770 Loan Disb 14,077.93
Jan 13, 2015 IBRD-77770 Loan Disb 24,648.05
Dec 3, 2014 IBRD-77770 Loan Disb 57,552.62
Nov 15, 2014 IBRD-77770 Int Charges 808.73
Nov 15, 2014 IBRD-77770 Int Charges 128,654.27
Aug 12, 2013 IBRD-77770 Loan Disb 89,323.37
Dec 19, 2014 IBRD-77770 Loan Disb 101,746.83
Jan 14, 2015 IBRD-77770 Loan Disb 274,275.12
Jul 9, 2013 IBRD-77770 Loan Disb 149,546.48
Jul 3, 2013 IBRD-77770 Loan Disb 300,000.00
Jul 3, 2013 IBRD-77770 Loan Disb 41,975.71
Aug 20, 2013 IBRD-77770 Loan Disb 134,441.19
Jul 9, 2013 IBRD-77770 Loan Disb 80,538.54
Aug 4, 2015 IBRD-77770 Loan Disb 132,901.88
May 7, 2015 IBRD-77770 Loan Disb 24,813.67
Jun 22, 2015 IBRD-77770 Loan Disb 664,366.60
Jun 22, 2015 IBRD-77770 Loan Disb 71,200.62
Jun 22, 2015 IBRD-77770 Loan Disb 30,005.43
Nov 15, 2015 IBRD-77770 Int Charges 654.58
Nov 15, 2015 IBRD-77770 Int Charges 181,355.45
Aug 10, 2015 IBRD-77770 Loan Disb 48,798.31
Aug 13, 2015 IBRD-77770 Loan Disb 175,239.40
Aug 5, 2015 IBRD-77770 Loan Disb 65,712.79
Jan 15, 2016 IBRD-77770 Loan Disb 156,551.84
Sep 14, 2015 IBRD-77770 Loan Disb 191,192.10
Sep 8, 2015 IBRD-77770 Loan Disb 38,869.95
Oct 7, 2015 IBRD-77770 Loan Disb 32,458.92
Sep 3, 2015 IBRD-77770 Loan Disb 385,112.00
Sep 8, 2015 IBRD-77770 Loan Disb 72,605.83
Mar 20, 2015 IBRD-77770 Loan Disb 238,404.66
Aug 5, 2014 IBRD-77770 Loan Disb 53,961.63
Aug 18, 2014 IBRD-77770 Loan Disb 61,182.78
Mar 6, 2015 IBRD-77770 Loan Disb 72,827.84
Sep 4, 2014 IBRD-77770 Loan Disb 108,071.99
Jul 24, 2014 IBRD-77770 Loan Disb 481,390.00
Sep 10, 2014 IBRD-77770 Loan Disb 18,285.62
Jul 28, 2014 IBRD-77770 Loan Disb 264,854.30
Sep 3, 2014 IBRD-77770 Loan Disb 175,239.40
Feb 5, 2015 IBRD-77770 Loan Disb 175,239.40
Mar 9, 2015 IBRD-77770 Loan Disb 14,895.04
Feb 9, 2015 IBRD-77770 Loan Disb 213,607.31
Jun 16, 2015 IBRD-77770 Loan Disb 31,649.06
Apr 8, 2015 IBRD-77770 Loan Disb 84,082.98
Apr 14, 2015 IBRD-77770 Loan Disb 13,418.19
Apr 3, 2014 IBRD-77770 Loan Disb 94,727.60
Apr 3, 2014 IBRD-77770 Loan Disb 189,868.98
May 6, 2014 IBRD-77770 Loan Disb 111,723.27
May 9, 2014 IBRD-77770 Loan Disb 47,482.10
May 27, 2014 IBRD-77770 Loan Disb 175,239.40
May 29, 2014 IBRD-77770 Loan Disb 478,066.38
Apr 10, 2014 IBRD-77770 Loan Disb 41,333.03
May 15, 2014 IBRD-77770 Int Charges 1,036.36
May 15, 2014 IBRD-77770 Int Charges 106,757.28
Jun 9, 2014 IBRD-77770 Loan Disb 34,007.76
Jun 9, 2014 IBRD-77770 Loan Disb 340,755.66
Jul 3, 2014 IBRD-77770 Loan Disb 70,214.47
Jul 11, 2014 IBRD-77770 Loan Disb 175,239.40
Jul 7, 2014 IBRD-77770 Loan Disb 55,744.70
Jan 30, 2015 IBRD-77770 Loan Disb 805,851.30
Aug 18, 2014 IBRD-77770 Loan Disb 120,760.45
Sep 5, 2013 IBRD-77770 Loan Disb 120,955.14
Sep 6, 2013 IBRD-77770 Loan Disb 69,809.40
Jul 30, 2013 IBRD-77770 Loan Disb 385,112.00
Nov 5, 2013 IBRD-77770 Loan Disb 138,204.38
Jan 7, 2014 IBRD-77770 Loan Disb 102,745.64
Dec 10, 2013 IBRD-77770 Loan Disb 385,112.00
Oct 8, 2013 IBRD-77770 Loan Disb 424,507.00
Feb 6, 2014 IBRD-77770 Loan Disb 597,665.06
Feb 6, 2014 IBRD-77770 Loan Disb 37,495.49
Dec 12, 2013 IBRD-77770 Loan Disb 91,846.43
Oct 11, 2013 IBRD-77770 Loan Disb 34,271.23
Nov 12, 2013 IBRD-77770 Loan Disb 42,318.15
Oct 9, 2013 IBRD-77770 Loan Disb 172,131.90
Nov 15, 2013 IBRD-77770 Int Charges 250.95
Nov 15, 2013 IBRD-77770 Int Charges 92,282.16
Nov 19, 2013 IBRD-77770 Loan Disb 249,852.48
Dec 11, 2013 IBRD-77770 Loan Disb 91,979.96
Sep 17, 2009 IBRD-77770 Loan Commitment 30,500,000.00
Nov 15, 2023 IBRD-77770 Int Charges 966,911.80
May 15, 2024 IBRD-77770 Int Charges 1,020,580.70
Nov 15, 2022 IBRD-77770 Int Charges 454,750.72
May 15, 2023 IBRD-77770 Int Charges 911,020.44
Nov 15, 2021 IBRD-77770 Int Charges 187,339.19
May 15, 2022 IBRD-77770 Int Charges 190,229.39
Nov 15, 2020 IBRD-77770 Int Charges 261,368.31
May 15, 2021 IBRD-77770 Int Charges 193,201.73
Nov 15, 2019 IBRD-77770 Int Charges 549,931.06
May 15, 2020 IBRD-77770 Int Charges 443,830.25
May 15, 2018 IBRD-77770 Int Charges 396,806.60
Nov 15, 2018 IBRD-77770 Int Charges 539,355.50
May 15, 2019 IBRD-77770 Int Charges 581,091.30
Nov 15, 2017 IBRD-77770 Int Charges 376,189.12
Jul 1, 2016 IBRD-77770 Loan Cancel 940,875.50
Nov 15, 2016 IBRD-77770 Int Charges 504.86
Nov 15, 2016 IBRD-77770 Int Charges 296,375.10
May 15, 2017 IBRD-77770 Int Charges 343,304.62
Feb 16, 2016 IBRD-77770 Loan Disb 2,430.00
Feb 16, 2016 IBRD-77770 Loan Disb 164,779.69
Feb 16, 2016 IBRD-77770 Loan Disb 165,048.00
Feb 16, 2016 IBRD-77770 Loan Disb 16,200.00
Feb 18, 2016 IBRD-77770 Loan Disb 3,240.00
Jun 13, 2016 IBRD-77770 Loan Disb 250,342.00
Jul 1, 2016 IBRD-77770 Loan Disb -255,441.45
May 15, 2016 IBRD-77770 Int Charges 1,071.39
May 15, 2016 IBRD-77770 Int Charges 232,482.27
Feb 11, 2016 IBRD-77770 Loan Disb 35,000.00
Feb 11, 2016 IBRD-77770 Loan Disb 26,395.85
Nov 18, 2015 IBRD-77770 Loan Disb 10,500.00
Nov 18, 2015 IBRD-77770 Loan Disb 5,670.00
Nov 18, 2015 IBRD-77770 Loan Disb 37,800.00
Nov 25, 2015 IBRD-77770 Loan Disb 5,670.00
Sep 8, 2015 IBRD-77770 Loan Disb 111,644.65
Dec 7, 2015 IBRD-77770 Loan Disb 35,000.00
Feb 12, 2016 IBRD-77770 Loan Disb 15,954.01
Dec 7, 2015 IBRD-77770 Loan Disb 241,677.12
Oct 13, 2015 IBRD-77770 Loan Disb 547,821.50
Oct 13, 2015 IBRD-77770 Loan Disb 48,560.33
Feb 12, 2016 IBRD-77770 Loan Disb 19,592.94
Feb 12, 2016 IBRD-77770 Loan Disb 77,848.96
Feb 12, 2016 IBRD-77770 Loan Disb 219,619.05
Dec 3, 2015 IBRD-77770 Loan Disb 36,007.20
Jan 27, 2016 IBRD-77770 Loan Disb 647,303.25
Feb 29, 2016 IBRD-77770 Loan Disb 412,620.00
Oct 13, 2015 IBRD-77770 Loan Disb 157,242.95
Dec 23, 2015 IBRD-77770 Loan Disb 51,690.51
Nov 6, 2015 IBRD-77770 Loan Disb 31,367.89
Mar 3, 2016 IBRD-77770 Loan Disb 32,234.41
Feb 29, 2016 IBRD-77770 Loan Disb 4,500.00
Mar 7, 2016 IBRD-77770 Loan Disb 25,213.28
Apr 1, 2016 IBRD-77770 Loan Disb 250,342.00
Mar 1, 2016 IBRD-77770 Loan Disb 149,755.20
Feb 22, 2016 IBRD-77770 Loan Disb 56,957.94
Feb 19, 2016 IBRD-77770 Loan Disb 47,704.94
Feb 22, 2016 IBRD-77770 Loan Disb 67,093.65
Feb 22, 2016 IBRD-77770 Loan Disb 21,600.00
Feb 18, 2016 IBRD-77770 Loan Disb 300,410.40
Feb 24, 2016 IBRD-77770 Loan Disb 150,205.20
May 15, 2015 IBRD-77770 Int Charges 2,196.27
May 15, 2015 IBRD-77770 Int Charges 151,625.40
Jul 9, 2015 IBRD-77770 Loan Disb 253,229.56
Jul 7, 2015 IBRD-77770 Loan Disb 53,378.84

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Overall Safeguards Rating Satisfactory 2016-02-29
Overall Safeguards Rating Satisfactory 2016-02-29
Progress towards achievement of PDO Satisfactory 2016-02-29
Financial Management Moderately Satisfactory 2016-02-29
Monitoring and Evaluation Moderately Satisfactory 2016-02-29
Overall Implementation Progress (IP) Moderately Satisfactory 2016-02-29
Procurement Moderately Satisfactory 2016-02-29
Project Management Moderately Satisfactory 2016-02-29

COMPLETION RATINGS

INDICATORIMPLEMENTATION COMPLETION & RESULTS REPORT: 08-30-2016
Outcomes
Risk to Development OutcomeSubstantial
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 12-29-2016PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingSatisfactory N/a
Risk To Development OutcomeModestN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceModerately SatisfactoryN/a
Government PerformanceModerately SatisfactoryN/a
Implementing AgencyModerately SatisfactoryN/a
Icr QualityModestN/a
M&e QualityHighN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of pregnant women from target population with risk evaluation completed before the 15th week of pregnancy.Value0.4350.0040.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of children from target population under 15 months with vaccination scheme completed according to national protocolsValue0.0068.0060.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of individuals from target population diagnosed with hypertension under treatment according to national protocolsValue37.2038.0035.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Studies on risk factors and burden of disease has been conducted, disseminated and used by corresponding MOH units (salud colectiva) to develop operational plans for health promotion and preventionValue0Study results used by regional health services in Study results used by MOH to develop annual plans
    DateAugust 20, 2009December 31, 2015February 29, 2016
    Comment
  • At least 1 region is producing reports every 4 months on no. of poor individuals who were prescribed a medicine (from essential medicines list) at the 1st level of care & received medication in 48 hrsValue2 regions (regions VI and VIII) are producing reguAt least one region producing report monthly repor
    DateAugust 20, 2009January 31, 2016February 29, 2016
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percentage of children under 24 months with growth and development monitor controls according to national protocolValue0.2762.0050.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of children over 14 months and under 24 months with vaccination scheme completed according to national protocolValue0.0063.0045.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of individuals older than 18 years screened for hypertension based on national protocolsValue0.8964.0060.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • percentage of individuals diagnosed with diabetes type II under treatmentValue0.7934.0030.00
    DateOctober 31, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of individuals symptomatic of TB with results of sputum smears in clinical file of corresponding health centerValue0.0045.0025.00
    DateDecember 31, 2013December 31, 2015December 31, 2015
    Comment
  • Percentage of clinical files with complete information for external audit to verify RHS reported MRI resultsValue0.0099.0085.00
    DateAugust 20, 2009December 31, 2015December 31, 2015
    Comment
  • Studies on risk factors and burden of disease surveys designed, implemented, results disseminated and used for planning public health interventions with an emphasis on health promotion and prevention.ValueNo StudiesRegional health services used results for planningStudies' results completed and disseminated and us
    DateAugust 20, 2009August 30, 2015February 29, 2016
    Comment
  • The Health Management System of the MOH includes an automated/electronic module for M&I with all the information needed for monitoring results on a quarterly basis at the first level of careValueNo moduleModule implemented in three participating Project Results-adjusted Capitation Module used in regions
    DateAugust 20, 2009December 31, 2015February 29, 2016
    Comment
  • Percentage of accredited health centers from participating RHS that do not have a PROMESE/CAL pharmacy and receive on a regular basis medicines procured and distributed by PROMESE/CALValue010080
    DateAugust 20, 2009December 31, 2015February 29, 2016
    Comment
  • percentage of post-partum women referred from hospital to their corresponding first level of care units with proper documentation included in their clinical files at the health centerValue0.4463.0050.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment
  • Percentage of individuals from target population screened for diabetes according to national protocolValue0.0743.0035.00
    DateJune 27, 2011December 31, 2015December 31, 2015
    Comment