Tajikistan Health Services Improvement Project (HSIP)

Abstract*

The objective of the Health Services Improvement Project for Tajikistan is to contribute to the improvement of the coverage and quality of basic primary health care (PHC) services in rural health facilities in selected districts. The project has three components. The first component is performance-based financing (PBF). This component will support a PBF pilot at the PHC level in eight rayons (or districts) in Khatlon and Sogd oblasts (regions). Under... Show More

Development Objective

The revised PDO is to contribute to the improvement of the coverage and quality of basic primary health care (PHC) services in selected districts.

Key Details

Project Details

Project ID
P126130
Status
Closed
Team Leader
Mirja Sjoblom , Baktybek Zhumadil, Mutriba Latypova
Borrower 2
Republic of Tajikistan

Country
Tajikistan
Disclosure Date
January 10, 2012
Approval Date
(as of board presentation)
July 30, 2013
Effective Date
December 11, 2013

Total Project Cost 1
US$ 33.00 million
Implementing Agency
Ministry of Health & Social Protection,Ministry of Health & Social Protection Project Coordination Group
Region
Europe and Central Asia
Fiscal Year 3
2014

Commitment Amount
US$ 29.80 million
Environmental Category
B
Last Update Date
March 28, 2024
Closing Date
June 30, 2023

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED

Associated Projects
P170358
P153975

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 - Disease Control12%
- FY17 - Non-communicable diseases12%
FY17 - Health Systems and Policies80%
- FY17 - Child Health32%
- FY17 - Health System Strengthening36%
- FY17 - Reproductive and Maternal Health12%

FY17 - Urban and Rural Development

FY17 - Rural Development8%
- FY17 - Rural Infrastructure and service delivery8%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	5.50
IDA Grant	19.50
Health Results-based Financing	4.80
Borrower/Recipient	3.20

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	N/A
IDA Commitment	25.00
IBRD + IDA Commitment	25.00

Lending Instrument
Grant Amount	4.80
Total Project Cost**	33.00

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

No data available.

Detailed Financial Activity as of February 28, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Oct 27, 2017	IDA-H8790	Loan Disb	566,500.06
Oct 27, 2017	IDA-56660	Loan Disb	231,522.70
Aug 23, 2017	IDA-56660	Loan Disb	178,065.06
Sep 6, 2017	IDA-56660	Loan Disb	63,620.06
Aug 23, 2017	IDA-56660	Loan Disb	99,999.99
Aug 23, 2017	IDA-56660	Loan Disb	18,753.03
Sep 25, 2017	IDA-H8790	Loan Disb	486,340.66
Aug 23, 2017	IDA-56660	Loan Disb	43,486.61
Aug 23, 2017	IDA-56660	Loan Disb	27,590.86
Sep 20, 2017	IDA-56660	Loan Disb	71,495.38
Mar 1, 2018	IDA-56660	Loan Disb	150,000.00
Apr 15, 2018	IDA-56660	Int Charges	511.29
Apr 15, 2018	IDA-56660	Int Charges	511.29
Dec 29, 2017	IDA-H8790	Loan Disb	734,796.60
Dec 8, 2017	IDA-56660	Loan Disb	236,803.22
Feb 6, 2018	IDA-56660	Loan Disb	216,820.67
Feb 6, 2018	IDA-D0700	Loan Disb	122,344.57
Apr 15, 2023	IDA-56660	Loan Repay	3,380.89
Jan 23, 2023	IDA-D5470	Loan Disb	670,261.60
Oct 15, 2023	IDA-56660	Int Charges	18,296.98
Oct 15, 2023	IDA-56660	Int Charges	18,296.98
Oct 15, 2023	IDA-56660	Int Charges	123.77
Oct 15, 2023	IDA-56660	Int Charges	123.77
Oct 15, 2023	IDA-56660	Int Charges	1,278.09
Oct 15, 2023	IDA-56660	Int Charges	1,278.09
Oct 15, 2023	IDA-56660	Loan Repay	81,870.00
Apr 15, 2024	IDA-56660	Loan Repay	1,739.17
Apr 15, 2024	IDA-56660	Loan Repay	80,533.95
Apr 15, 2024	IDA-56660	Int Charges	18,202.95
Apr 15, 2024	IDA-56660	Int Charges	18,202.95
Dec 18, 2019	IDA-D5470	Loan Commitment	10,000,000.00
Jun 22, 2015	IDA-56660	Loan Commitment	5,500,000.00
Jun 22, 2015	IDA-D0700	Loan Commitment	4,500,000.00
Jul 30, 2013	IDA-H8790	Loan Commitment	15,000,000.00
Jan 30, 2021	IDA-D0700	Loan Cancel	16.66
Feb 23, 2021	IDA-D5470	Loan Disb	1,000,000.00
Apr 15, 2021	IDA-56660	Int Charges	27.93
Apr 15, 2021	IDA-56660	Int Charges	27.93
Apr 15, 2021	IDA-56660	Int Charges	21,429.00
Apr 15, 2021	IDA-56660	Int Charges	21,429.00
Apr 15, 2018	IDA-56660	Int Charges	5,474.71
Apr 15, 2018	IDA-56660	Int Charges	5,474.71
May 4, 2018	IDA-56660	Loan Disb	115,289.11
May 4, 2018	IDA-H8790	Loan Disb	631,219.80
May 4, 2018	IDA-D0700	Loan Disb	395,916.50
Jul 17, 2018	IDA-D0700	Loan Disb	411,623.47
Jul 1, 2019	IDA-D0700	Loan Disb	177,239.92
Jun 23, 2019	IDA-H8790	Loan Disb	977,810.75
Jun 14, 2021	IDA-D5470	Loan Disb	216,841.55
Sep 7, 2021	IDA-D5470	Loan Disb	315,065.70
Oct 15, 2021	IDA-56660	Loan Repay	182.49
Oct 15, 2021	IDA-56660	Loan Repay	21,122.76
Oct 15, 2021	IDA-56660	Loan Repay	66,937.26
Oct 15, 2021	IDA-56660	Int Charges	21,178.20
Oct 15, 2021	IDA-56660	Int Charges	21,178.20
Sep 23, 2021	IDA-D5470	Loan Disb	1,000,000.00
Sep 23, 2021	IDA-D5470	Loan Disb	523,948.16
Jun 14, 2022	IDA-D5470	Loan Disb	1,065,994.00
Apr 15, 2022	IDA-56660	Loan Repay	84,743.58
Apr 15, 2022	IDA-56660	Int Charges	20,175.77
Apr 15, 2022	IDA-56660	Int Charges	20,175.77
Apr 15, 2022	IDA-56660	Loan Repay	656.42
Jul 28, 2022	IDA-D5470	Loan Disb	720,853.94
Feb 23, 2022	IDA-D5470	Loan Disb	396,396.16
Aug 2, 2022	IDA-D5470	Loan Disb	563,304.50
Oct 14, 2022	IDA-D5470	Loan Disb	1,385,090.60
Dec 27, 2022	IDA-D5470	Loan Disb	1,260,619.40
Jan 28, 2022	IDA-D5470	Loan Disb	624,655.00
Oct 15, 2022	IDA-56660	Loan Repay	77,120.22
Oct 15, 2022	IDA-56660	Int Charges	18,549.13
Oct 15, 2022	IDA-56660	Int Charges	18,549.13
Oct 15, 2022	IDA-56660	Loan Repay	2,661.03
Feb 15, 2023	IDA-D5470	Loan Disb	169,345.52
Apr 15, 2023	IDA-56660	Loan Repay	81,280.98
Apr 15, 2023	IDA-56660	Int Charges	18,044.71
Apr 15, 2023	IDA-56660	Int Charges	18,044.71
Jan 16, 2019	IDA-56660	Loan Disb	600,000.00
Nov 1, 2018	IDA-56660	Loan Disb	320,364.25
Feb 12, 2019	IDA-56660	Loan Disb	494,881.12
Feb 19, 2019	IDA-D0700	Loan Disb	154,702.19
Feb 19, 2019	IDA-H8790	Loan Disb	473,081.88
Oct 15, 2018	IDA-56660	Int Charges	116.69
Oct 15, 2018	IDA-56660	Int Charges	116.69
Oct 15, 2018	IDA-56660	Int Charges	7,379.26
Oct 15, 2018	IDA-56660	Int Charges	7,379.26
May 3, 2019	IDA-D0700	Loan Disb	200,137.47
Jul 16, 2019	IDA-56660	Loan Disb	301,181.40
Aug 6, 2019	IDA-56660	Loan Disb	-598,091.20
Aug 6, 2019	IDA-H8790	Loan Disb	598,091.20
Nov 7, 2019	IDA-H8790	Loan Disb	376,000.62
Sep 27, 2019	IDA-56660	Loan Disb	401,303.60
Oct 15, 2019	IDA-56660	Int Charges	16,408.25
Oct 15, 2019	IDA-56660	Int Charges	16,408.25
Oct 15, 2019	IDA-56660	Int Charges	33.12
Oct 15, 2019	IDA-56660	Int Charges	33.12
Sep 5, 2019	IDA-56660	Loan Disb	224,444.42
Nov 14, 2019	IDA-56660	Loan Disb	54,880.24
Jul 30, 2019	IDA-H8790	Loan Disb	496,380.53
Oct 21, 2019	IDA-56660	Loan Disb	127,989.27
Oct 21, 2019	IDA-D0700	Loan Disb	228,198.06
Jul 18, 2019	IDA-56660	Loan Disb	977,810.80
Dec 23, 2019	IDA-D0700	Loan Disb	70,111.79
Apr 20, 2020	IDA-D0700	Loan Disb	17,334.57
Apr 16, 2020	IDA-56660	Int Charges	293.28
Apr 16, 2020	IDA-56660	Int Charges	293.28
Apr 16, 2020	IDA-56660	Int Charges	20,423.93
Apr 16, 2020	IDA-56660	Int Charges	20,423.93
Oct 15, 2020	IDA-56660	Int Charges	21,104.84
Oct 15, 2020	IDA-56660	Int Charges	21,104.84
Oct 15, 2020	IDA-56660	Int Charges	40.37
Oct 15, 2020	IDA-56660	Int Charges	40.37
May 24, 2017	IDA-56660	Loan Disb	86,927.94
May 31, 2017	IDA-H8790	Loan Disb	633,881.06
Mar 20, 2017	IDA-56660	Loan Disb	250,000.00
May 26, 2017	IDA-56660	Loan Disb	30,742.88
Jun 20, 2017	IDA-H8790	Loan Disb	131,323.62
May 26, 2017	IDA-56660	Loan Disb	33,708.32
Jul 13, 2017	IDA-H8790	Loan Disb	525,080.75
Mar 9, 2017	IDA-D0700	Loan Disb	69,600.00
Mar 9, 2017	IDA-H8790	Loan Disb	877,346.25
Mar 16, 2017	IDA-56660	Loan Disb	28,743.25
Oct 25, 2017	IDA-H8790	Loan Disb	58,479.00
Oct 15, 2017	IDA-56660	Int Charges	153.81
Oct 15, 2017	IDA-56660	Int Charges	153.81
Oct 15, 2017	IDA-56660	Int Charges	1,532.93
Oct 15, 2017	IDA-56660	Int Charges	1,532.93
Sep 5, 2018	IDA-D0700	Loan Disb	292,507.53
Jul 13, 2018	IDA-56660	Loan Disb	256,572.11
Sep 6, 2018	IDA-D0700	Loan Disb	224,425.39
Aug 28, 2018	IDA-D0700	Loan Disb	155,006.33
Aug 28, 2018	IDA-56660	Loan Disb	211,599.52
Jul 30, 2018	IDA-D0700	Loan Disb	620,025.30
Aug 13, 2018	IDA-H8790	Loan Disb	578,958.25
Nov 28, 2018	IDA-D0700	Loan Disb	134,038.22
Nov 28, 2018	IDA-H8790	Loan Disb	512,735.97
Dec 5, 2014	IDA-H8790	Loan Disb	771,986.40
Nov 21, 2014	IDA-H8790	Loan Disb	154,107.27
Apr 10, 2014	IDA-H8790	Loan Disb	1,000,000.00
Feb 17, 2015	IDA-H8790	Loan Disb	98,216.00
Feb 23, 2015	IDA-H8790	Loan Disb	99,440.74
Feb 19, 2015	IDA-H8790	Loan Disb	612,705.00
Mar 2, 2015	IDA-H8790	Loan Disb	99,683.00
Jun 26, 2015	IDA-H8790	Loan Disb	380,629.53
May 6, 2015	IDA-H8790	Loan Disb	127,500.00
Jun 22, 2015	IDA-H8790	Loan Disb	97,420.00
Aug 11, 2015	IDA-H8790	Loan Disb	170,612.00
Aug 25, 2015	IDA-H8790	Loan Disb	555,044.60
Dec 3, 2015	IDA-H8790	Loan Disb	499,620.88
May 3, 2016	IDA-D0700	Loan Disb	500,000.00
Apr 6, 2016	IDA-D0700	Loan Disb	500,000.00
Sep 1, 2016	IDA-H8790	Loan Disb	571,825.60
May 13, 2016	IDA-H8790	Loan Disb	853,495.10
Oct 18, 2016	IDA-D0700	Loan Disb	69,600.00
Jun 27, 2016	IDA-H8790	Loan Disb	312,200.80
Aug 29, 2016	IDA-H8790	Loan Disb	95,132.28
Oct 31, 2016	IDA-H8790	Loan Disb	883,574.94
Jun 23, 2019	IDA-H8790	Loan Disb	-977,810.75
Apr 29, 2019	IDA-56660	Loan Disb	314,753.00
Apr 15, 2019	IDA-56660	Int Charges	283.41
Apr 15, 2019	IDA-56660	Int Charges	283.41
Apr 15, 2019	IDA-56660	Int Charges	11,542.51
Apr 15, 2019	IDA-56660	Int Charges	11,542.51
Jul 18, 2019	IDA-H8790	Loan Disb	-977,810.80
Aug 19, 2019	IDA-D0700	Loan Disb	282,547.06

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Counterpart Funding	Moderately Satisfactory	2023-06-29
Project Management	Satisfactory	2023-06-29
Financial Management	Satisfactory	2023-06-29
Progress towards achievement of PDO	Satisfactory	2023-06-29
Monitoring and Evaluation	Satisfactory	2023-06-29
Procurement	Satisfactory	2023-06-29
Overall Implementation Progress (IP)	Satisfactory	2023-06-29

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 03-18-2024
Outcomes	Substantial
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 09-03-2024	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		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

Average Health Facility Quality of Care Score in existing project districts	Value	180 (Spitamen pre-pilot Rural Health Center - RHC)	1144 (average among 10 participating districts, RH	Revision 1 (introduction of new manual): RHC: 1040
	Date	February 15, 2015	June 30, 2023	June 30, 2023
	Comment

Mothers receiving timely postnatal counselling in existing districts Value 90.00 99.70 95.00
Date October 11, 2019 June 30, 2023 June 30, 2023
Comment
Average Health Facility Quality of Care Score in new project districts Value RHC 55%HH 50% Rural health center 55 percentHealth House 50 per
Date
Comment
Mothers receiving timely postnatal counselling in new districts Value 60.00 60.00 63.00
Date
Comment
Number of mothers counselled on nutrition Value 182452.00 326730.00 290512.00
Date October 11, 2019 June 30, 2023 June 30, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of eligible health facilities in which PBF is initiated Value 0.00 720.00 720.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Health personnel receiving training Value 0.00 13867.00 13700.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Number of new project districts in which PBF MIS is operational Value 0.00 6.00 6.00
Date October 11, 2019 June 30, 2023 March 31, 2021
Comment
Percentage of Primary Health Care facilities eligible for PBF payments who received timely PBF payments in the preceding quarter Value 0.00 100.00 0.00
Date October 1, 2013 June 30, 2023
Comment
Health facilities rehabilitated and/or equipped Value 0.00 481.00 425.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Number of independent verification visits completed per schedule Value 0.00 14.00 14.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Percentage of hypertension patient charts with treatment according to protocol in existing districts Value 80% 98% 97%
Date October 11, 2019 June 30, 2023 December 31, 2021
Comment
Percentage of hypertension patient charts with treatment according to protocol in new districts Value 20% 20%
Date
Comment
Number of citizen scorecard exercises/sessions conducted in the project districts. Value 0.00 816.00 816.00
Date March 13, 2015 June 30, 2023 December 31, 2022
Comment
Average proportion of women attending citizen scorecard exercises Value 0.00 0.00 20.00
Date
Comment
Percentage of PHC facilities that act on community action plans Value 0.00 99.24 15.00
Date October 11, 2019 June 30, 2023 December 31, 2021
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 2176204.00 2230685.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 793854.00 0.00
Date October 1, 2013 April 13, 2018
Comment
Number of children immunized Value 0.00 262577.00 262256.00
Date October 11, 2019 June 30, 2023 June 30, 2023
Comment
Number of women and children who have received basic nutrition services Value 0.00 1814084.00 1878990.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Number of deliveries attended by skilled health personnel Value 0.00 82800.00 80000.00
Date October 1, 2013 June 30, 2023 June 30, 2023
Comment
Percentage of PBF facilities completing household engagement exercise Value 0.00 97.10 45.00
Date October 11, 2019 June 30, 2023 June 30, 2023
Comment

Mothers receiving timely postnatal counselling in existing districts	Value	90.00	99.70	95.00
	Date	October 11, 2019	June 30, 2023	June 30, 2023
	Comment

Average Health Facility Quality of Care Score in new project districts	Value	RHC 55%HH 50%	Rural health center 55 percentHealth House 50 per
	Date
	Comment

Mothers receiving timely postnatal counselling in new districts	Value	60.00	60.00	63.00
	Date
	Comment

Number of mothers counselled on nutrition	Value	182452.00	326730.00	290512.00
	Date	October 11, 2019	June 30, 2023	June 30, 2023
	Comment

Number of eligible health facilities in which PBF is initiated	Value	0.00	720.00	720.00
	Date	October 1, 2013	June 30, 2023	June 30, 2023
	Comment

Health personnel receiving training	Value	0.00	13867.00	13700.00
	Date	October 1, 2013	June 30, 2023	June 30, 2023
	Comment

Number of children immunized	Value	0.00	262577.00	262256.00
	Date	October 11, 2019	June 30, 2023	June 30, 2023
	Comment

Percentage of hypertension patient charts with treatment according to protocol in new districts	Value	20%	20%
	Date
	Comment

Average proportion of women attending citizen scorecard exercises	Value	0.00	0.00	20.00
	Date
	Comment

People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement)	Value	0.00	793854.00	0.00
	Date	October 1, 2013	April 13, 2018
	Comment