Chongqing Urban Rural Integration Project II-Health

Abstract*

The development objective of the Second Health Chongqing Urban-Rural Integration Project is to improve the access of populations in selected non-metropolitan areas to county/district level hospital-based services, raising the efficiency of service production and improving the quality of care in targeted hospitals. The project comprises two components: the first component of the project is strengthening service delivery performance. This component... Show More

Development Objective

The Project Development Objective is to improve the access of populations in selected non-metropolitan areas to County/District level hospital-based services, raising the efficiency of service production and improving the quality of care in targeted hospitals.

Key Details

Project Details

Project ID
P126210
Status
Closed
Team Leader
Wei Han
Borrower 2
People's Republic of China

Country
China
Disclosure Date
December 22, 2011
Approval Date
(as of board presentation)
June 14, 2012
Effective Date
October 5, 2012

Total Project Cost 1
US$ 155.51 million
Implementing Agency
Chongqing PMO
Region
East Asia and Pacific
Fiscal Year 3
2012

Commitment Amount
US$ 100.00 million
Environmental Category
B
Environmental and Social Risk
N/A
Closing Date
January 31, 2021

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED
Last Update Date
October 16, 2023

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 Control0%
- FY17 - Pandemic Response1%
FY17 - Health Systems and Policies100%
- FY17 - Health System Strengthening100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Borrower/Recipient	55.51
International Bank for Reconstruction and Development	100.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	100.00
IDA Commitment	N/A
IBRD + IDA Commitment	100.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	155.51

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$)
Mar 15, 2024	IBRD-81710	Int Charges	34,882.14
Sep 15, 2021	IBRD-81710	Int Charges	11,826.14
Sep 15, 2021	IBRD-81710	Int Charges	365,946.70
Sep 15, 2021	IBRD-81710	Loan Repay	2,426,956.00
Mar 15, 2022	IBRD-81710	Int Charges	333,016.00
Mar 15, 2022	IBRD-81710	Loan Repay	2,426,956.00
Sep 15, 2022	IBRD-81710	Int Charges	683,612.44
Sep 15, 2022	IBRD-81710	Loan Repay	2,426,956.00
Oct 9, 2020	IBRD-81710	Loan Disb	3,785,504.00
Sep 15, 2020	IBRD-81710	Int Charges	428,501.03
Sep 15, 2020	IBRD-81710	Loan Repay	1,766,236.20
Jul 16, 2020	IBRD-81710	Loan Disb	3,894,604.00
Mar 15, 2021	IBRD-81710	Int Charges	9,370.86
Mar 15, 2021	IBRD-81710	Int Charges	343,971.70
Mar 15, 2021	IBRD-81710	Loan Repay	2,249,653.00
Jan 15, 2021	IBRD-81710	Loan Disb	7,363,213.50
Dec 9, 2020	IBRD-81710	Loan Disb	6,065,660.00
Dec 14, 2020	IBRD-81710	Loan Disb	2,208,580.00
Jul 1, 2021	IBRD-81710	Loan Cancel	3,091,415.20
Jul 1, 2021	IBRD-81710	Loan Disb	-1,678,415.00
Jan 8, 2019	IBRD-81710	Loan Disb	2,252,385.20
Mar 15, 2019	IBRD-81710	Int Charges	691,085.90
Mar 15, 2019	IBRD-81710	Loan Repay	1,197,091.90
Mar 15, 2019	IBRD-81710	Loan Disb	5,495,746.50
Oct 15, 2019	IBRD-81710	Loan Cancel	10,000,000.00
Oct 29, 2019	IBRD-81710	Loan Disb	3,982,443.20
Sep 15, 2019	IBRD-81710	Loan Repay	1,349,873.60
Sep 15, 2019	IBRD-81710	Int Charges	839,941.70
Mar 15, 2020	IBRD-81710	Loan Repay	1,586,367.80
Mar 15, 2020	IBRD-81710	Int Charges	718,161.50
Jan 9, 2020	IBRD-81710	Loan Disb	4,286,584.00
Apr 15, 2020	IBRD-81710	Loan Disb	6,117,973.00
Sep 15, 2017	IBRD-81710	Int Charges	204,313.42
Oct 26, 2017	IBRD-81710	Loan Disb	1,064,189.10
Oct 26, 2017	IBRD-81710	Loan Disb	4,263,354.50
Mar 15, 2018	IBRD-81710	Int Charges	328,782.12
Mar 15, 2018	IBRD-81710	Int Charges	4,346.98
Jan 30, 2018	IBRD-81710	Loan Disb	2,243,440.20
Jun 14, 2018	IBRD-81710	Loan Disb	6,056,028.50
Sep 15, 2018	IBRD-81710	Int Charges	5,785.59
Sep 15, 2018	IBRD-81710	Int Charges	567,381.25
Sep 15, 2018	IBRD-81710	Loan Repay	1,065,104.40
Oct 26, 2018	IBRD-81710	Loan Disb	2,636,039.00
Sep 15, 2015	IBRD-81710	Int Charges	899.17
Sep 15, 2015	IBRD-81710	Int Charges	29,708.34
Dec 18, 2015	IBRD-81710	Loan Disb	500,000.00
Mar 15, 2016	IBRD-81710	Int Charges	35,773.20
Sep 15, 2016	IBRD-81710	Int Charges	51,060.00
Jan 23, 2017	IBRD-81710	Loan Disb	3,654,749.50
Feb 9, 2017	IBRD-81710	Loan Disb	3,146,429.20
Sep 6, 2016	IBRD-81710	Loan Disb	2,000,000.00
Dec 16, 2016	IBRD-81710	Loan Disb	3,760,108.20
Mar 15, 2017	IBRD-81710	Int Charges	740.00
Mar 15, 2017	IBRD-81710	Int Charges	99,117.32
Sep 5, 2017	IBRD-81710	Loan Disb	7,559,967.50
Sep 15, 2017	IBRD-81710	Int Charges	15,157.48
Sep 15, 2013	IBRD-81710	Int Charges	18,850.00
Mar 15, 2014	IBRD-81710	Int Charges	22,436.46
Sep 15, 2014	IBRD-81710	Int Charges	0.01
Sep 15, 2014	IBRD-81710	Int Charges	21,466.66
Mar 15, 2015	IBRD-81710	Int Charges	21,908.54
Feb 4, 2015	IBRD-81710	Loan Disb	1,000,000.00
Jun 14, 2012	IBRD-81710	Loan Commitment	100,000,000.00
Mar 15, 2023	IBRD-81710	Int Charges	83,081.40
Mar 15, 2023	IBRD-81710	Int Charges	1,776,520.40
Mar 15, 2023	IBRD-81710	Loan Repay	2,426,956.00
Sep 15, 2023	IBRD-81710	Loan Repay	2,426,956.00
Sep 15, 2023	IBRD-81710	Int Charges	26,893.52
Sep 15, 2023	IBRD-81710	Int Charges	1,984,262.90
Mar 15, 2024	IBRD-81710	Int Charges	2,124,874.50
Mar 15, 2024	IBRD-81710	Loan Repay	2,426,956.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2021-01-30
Procurement	Satisfactory	2021-01-30
Financial Management	Moderately Satisfactory	2021-01-30
Project Management	Moderately Satisfactory	2021-01-30
Counterpart Funding	Satisfactory	2021-01-30
Monitoring and Evaluation	Satisfactory	2021-01-30
Overall Implementation Progress (IP)	Moderately Satisfactory	2021-01-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 10-27-2021
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Moderately Satisfactory
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW:	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	High	N/a
M&e Quality	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percent of inpatient referred to upper level hospitals, disaggregated by gender Value 8.50 4.40 5.20
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment
percentage of female inpatient referred to upper level hospital Value 8.50 4.30 5.50
Date February 29, 2012 January 14, 2021 December 31, 2019
Comment
percentage of male inpatient referred to upper level hospitals Value 8.50 4.50 5.00
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment
Average length of stay in project hospitals Value 10.60 7.50 8.00
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment

Number of project hospitals with standardized cost accounting system producing departmental level unit cost data on a quarterly basis	Value	0.00	8.00	8.00
	Date	February 29, 2012	January 14, 2021	August 31, 2019
	Comment

Number of high volume inpatient conditions or diseases treated using clinical pathways in project hospitals. Value 0.00 20.00 16.00
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Number of Community Health Centers and Township Health Centers having signed coordination and referral agreements with each project/county hospital implementing coordinated care package	Value	0.00	98.00	42.00
	Date	February 29, 2012	January 14, 2021	August 31, 2019
	Comment

Number of project hospital buildings that meet or exceed the National Energy Saving Standard Value 0.00 6.00 8.00
Date February 29, 2012 January 14, 2021 August 31, 2020
Comment
Increase in quality assessment scores in project hospitals implementing continuous quality improvement program Value n/a increased increased
Date February 29, 2012 January 14, 2021 April 14, 2017
Comment
Percent of the construction area with central heating/air conditioning system out of the total hospital construction area Value 0.00 60.00 60.00
Date February 29, 2012 January 14, 2021 August 31, 2020
Comment
Number of trainees who complete the training as evidenced by completion certificate or accreditation Value 0.00 637.00 600.00
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment

Number of project hospitals with a cooling system that meets national standard (GB19577, GB19576, GB21454 and GB 29540) on energy consumption cap and energy efficiency category	Value	0.00	6.00	8.00
	Date	February 29, 2012	January 14, 2021	August 31, 2020
	Comment

Health personnel receiving training (number) Value 0.00 1863.00 1400.00
Date December 31, 2011 January 14, 2021 August 31, 2019
Comment
Health facilities constructed, renovated, and/or equipped (number) Value 0.00 6.00 8.00
Date February 29, 2012 January 14, 2021 August 31, 2020
Comment
Number of county hospitals included in annual hospital performance assessment report Value 0.00 8.00 8.00
Date February 29, 2012 January 14, 2021 August 31, 2019
Comment
Number of evaluations conducted on pre-reform packages Value 0.00 6.00 1.00
Date February 29, 2012 January 14, 2021 August 31, 2020
Comment
Number of project hospitals using telemedicine technology for tele-diagnosis according to established protocols Value 0.00 8.00 8.00
Date February 29, 2012 January 14, 2021 August 31, 2020
Comment
Patients’ satisfaction Value 89.00 92.85 0.00
Date December 31, 2019 January 14, 2021
Comment

Percent of inpatient referred to upper level hospitals, disaggregated by gender	Value	8.50	4.40	5.20
	Date	February 29, 2012	January 14, 2021	August 31, 2019
	Comment

Average length of stay in project hospitals	Value	10.60	7.50	8.00
	Date	February 29, 2012	January 14, 2021	August 31, 2019
	Comment

Increase in quality assessment scores in project hospitals implementing continuous quality improvement program	Value	n/a	increased	increased
	Date	February 29, 2012	January 14, 2021	April 14, 2017
	Comment

Patients’ satisfaction	Value	89.00	92.85	0.00
	Date	December 31, 2019	January 14, 2021
	Comment