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Health System Improvement Project

Abstract*

The objectives of the Health System Improvement Project for Albania is to contribute to improving the efficiency of care in selected hospitals in Albania, improving the management of information in the health system, and increasing financial access to health services. The project is also directly aligned with the Government’s health sector reform strategy and will support the implementation of the Government’s reform agenda. To improve access and...

* 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 objective of the Project is to contribute to the modernization of selected public hospital services and to support the reconstruction of selected medical facilities damaged by the 2019 earthquake.

Key Details

Project Details

  • P144688

  • Active

  • Lorena Kostallari

  • Republic of Albania

  • Albania

  • April 23, 2014

  • (as of board presentation)

    February 27, 2015

  • August 28, 2015

  • US$ 44.00 million

  • Ministry of Health and Social Protection

  • Europe and Central Asia

  • 2015

  • US$ 40.00 million

  • B

  • Not Applicable

  • June 30, 2025

  • TBD

  • BANK APPROVED

  • June 7, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Borrower/Recipient 4.00
International Bank for Reconstruction and Development 40.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 40.00
IDA Commitment N/A
IBRD + IDA Commitment 40.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 44.00

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

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No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of April 30, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jul 22, 2022 IBRD-93060 Loan Disb 63,578.13
Jul 22, 2022 IBRD-93060 Fee Charges 63,578.13
Apr 8, 2024 IBRD-84660 Loan Disb 711,381.90
Apr 8, 2024 IBRD-84660 Loan Disb 97,863.96
Apr 8, 2024 IBRD-84660 Loan Disb 1,813,276.80
Mar 12, 2024 IBRD-84660 Loan Disb 1,381,370.90
May 15, 2024 IBRD-84660 Int Charges 6,384.30
May 15, 2024 IBRD-84660 Int Charges 10,503.76
May 15, 2024 IBRD-84660 Int Charges 592,301.10
May 15, 2024 IBRD-84660 Loan Repay 886,789.70
May 15, 2024 IBRD-84660 Int Charges 359.11
May 15, 2023 IBRD-84660 Int Charges 15,400.04
May 15, 2023 IBRD-84660 Int Charges 345,538.60
May 15, 2023 IBRD-84660 Loan Repay 726,734.10
May 15, 2019 IBRD-84660 Int Charges 37,058.19
May 15, 2019 IBRD-84660 Int Charges 22,497.84
Sep 30, 2019 IBRD-84660 Loan Disb 922,102.25
May 3, 2018 IBRD-84660 Loan Disb 1,219,605.50
May 15, 2018 IBRD-84660 Int Charges 44,993.38
May 15, 2018 IBRD-84660 Int Charges 6,817.72
Jul 24, 2018 IBRD-84660 Loan Disb 375,101.80
Jul 24, 2018 IBRD-84660 Loan Disb 637,953.80
Nov 1, 2018 IBRD-84660 Loan Disb 282,922.90
Dec 12, 2018 IBRD-84660 Loan Disb 944,243.25
Nov 15, 2018 IBRD-84660 Int Charges 181.74
Nov 15, 2018 IBRD-84660 Int Charges 41,098.12
Nov 15, 2018 IBRD-84660 Int Charges 13,229.10
Nov 15, 2018 IBRD-84660 Int Charges 94.65
Nov 15, 2017 IBRD-84660 Int Charges 45,567.40
Nov 15, 2017 IBRD-84660 Int Charges 7,176.49
Nov 15, 2016 IBRD-84660 Int Charges 7,477.80
May 15, 2016 IBRD-84660 Int Charges 43,853.15
May 15, 2016 IBRD-84660 Int Charges 211.78
May 15, 2016 IBRD-84660 Int Charges 43,286.50
May 15, 2016 IBRD-84660 Int Charges 8,130.93
May 15, 2017 IBRD-84660 Int Charges 41,474.89
May 15, 2017 IBRD-84660 Int Charges 6,885.19
Dec 3, 2015 IBRD-84660 Loan Disb 1,581,975.00
Aug 28, 2015 IBRD-84660 Loan Disb 90,517.99
Aug 28, 2015 IBRD-84660 Fee Charges 90,517.99
Nov 15, 2016 IBRD-84660 Int Charges 41,294.50
Nov 15, 2023 IBRD-84660 Int Charges 409.69
Nov 15, 2023 IBRD-84660 Int Charges 5,056.63
Nov 15, 2023 IBRD-84660 Int Charges 14,261.32
Nov 15, 2023 IBRD-84660 Int Charges 503,406.34
Nov 15, 2023 IBRD-84660 Loan Repay 760,936.20
Nov 1, 2023 IBRD-84660 Loan Disb 568,745.94
Oct 31, 2023 IBRD-84660 Loan Disb 84,880.05
Oct 16, 2023 IBRD-84660 Loan Disb 1,393,523.80
Dec 29, 2022 IBRD-84660 Loan Disb 350,843.66
Dec 29, 2022 IBRD-84660 Loan Disb 271,588.44
Nov 15, 2022 IBRD-84660 Int Charges 17,050.55
Nov 15, 2022 IBRD-84660 Int Charges 78,098.52
Nov 15, 2022 IBRD-84660 Loan Repay 674,488.10
Nov 15, 2022 IBRD-84660 Int Charges 113.46
Nov 15, 2022 IBRD-84660 Int Charges 102.79
Sep 14, 2022 IBRD-84660 Loan Disb 1,121,984.80
Mar 15, 2023 IBRD-84660 Loan Disb 958,941.90
May 15, 2022 IBRD-84660 Int Charges 153.11
May 15, 2022 IBRD-84660 Int Charges 144.94
May 15, 2022 IBRD-84660 Int Charges 20,554.11
May 23, 2022 IBRD-84660 Loan Disb 1,844,812.80
Mar 24, 2022 IBRD-84660 Loan Disb 336,139.80
May 20, 2022 IBRD-84660 Loan Disb 409,587.25
Dec 23, 2021 IBRD-84660 Loan Disb 728,891.94
Dec 28, 2021 IBRD-84660 Loan Disb 411,385.60
Jan 21, 2022 IBRD-84660 Loan Disb 367,558.06
May 15, 2021 IBRD-84660 Int Charges 313.50
May 15, 2021 IBRD-84660 Int Charges 782.94
May 15, 2021 IBRD-84660 Int Charges 31,413.66
May 15, 2021 IBRD-84660 Int Charges 33,871.65
Jun 9, 2021 IBRD-84660 Loan Disb 534,009.60
Sep 29, 2021 IBRD-84660 Loan Disb 533,856.40
Nov 15, 2021 IBRD-84660 Int Charges 66.56
Nov 15, 2021 IBRD-84660 Int Charges 25,851.95
Nov 15, 2021 IBRD-84660 Int Charges 39,525.22
Nov 15, 2021 IBRD-84660 Int Charges 64.74
May 15, 2022 IBRD-84660 Int Charges 39,403.01
May 15, 2022 IBRD-84660 Loan Repay 550,047.10
Oct 23, 2020 IBRD-84660 Loan Disb 372,870.78
Oct 26, 2020 IBRD-84660 Loan Disb 945,120.10
Dec 18, 2020 IBRD-84660 Loan Disb 192,863.38
Dec 16, 2020 IBRD-84660 Loan Disb 130,478.51
Feb 12, 2021 IBRD-84660 Loan Disb 1,566,127.50
Dec 28, 2020 IBRD-84660 Loan Disb 1,159,316.10
Nov 19, 2020 IBRD-84660 Loan Disb 556,682.10
Nov 15, 2020 IBRD-84660 Int Charges 9.86
Nov 15, 2020 IBRD-84660 Int Charges 16.60
Nov 15, 2020 IBRD-84660 Int Charges 36,590.43
Nov 15, 2020 IBRD-84660 Int Charges 37,710.30
Jun 30, 2021 IBRD-84660 Loan Disb 2,261,110.50
Apr 8, 2021 IBRD-84660 Loan Disb 264,679.80
Nov 15, 2019 IBRD-84660 Int Charges 36,523.11
Nov 15, 2019 IBRD-84660 Int Charges 24,404.99
May 15, 2020 IBRD-84660 Int Charges 287.53
May 15, 2020 IBRD-84660 Int Charges 610.40
May 15, 2020 IBRD-84660 Int Charges 34,463.62
May 15, 2020 IBRD-84660 Int Charges 23,318.15
May 13, 2020 IBRD-84660 Loan Disb 663,645.10
Jul 20, 2020 IBRD-84660 Loan Disb 327,708.12
Oct 21, 2020 IBRD-84660 Loan Disb 695,378.94
Dec 27, 2018 IBRD-84660 Loan Disb 469,158.47
Oct 12, 2018 IBRD-84660 Loan Disb 768,970.00
May 15, 2019 IBRD-84660 Int Charges 199.86
May 15, 2019 IBRD-84660 Int Charges 391.80
Feb 27, 2015 IBRD-84660 Loan Commitment 40,000,000.00
Dec 1, 2021 IBRD-93060 Loan Commitment 29,500,000.00
Oct 1, 2023 IBRD-93060 Int Charges 32,114.47
Oct 1, 2023 IBRD-93060 Int Charges 17,177.46
Apr 1, 2024 IBRD-93060 Int Charges 30,953.71
Apr 1, 2024 IBRD-93060 Int Charges 51,542.61
Jul 21, 2023 IBRD-93060 Loan Disb 2,225,100.00
Apr 1, 2023 IBRD-93060 Int Charges 33,789.44
Apr 1, 2023 IBRD-93060 Int Charges 783.06
Oct 1, 2022 IBRD-93060 Int Charges 15,849.48
Oct 1, 2022 IBRD-93060 Int Charges 15.65

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Overall Safeguards Rating Satisfactory 2025-02-13
Overall Implementation Progress (IP) Moderately Satisfactory 2025-02-13
Progress towards achievement of PDO Moderately Satisfactory 2025-02-13
Procurement Moderately Satisfactory 2025-02-13
Project Management Moderately Satisfactory 2025-02-13
Financial Management Moderately Satisfactory 2025-02-13
Monitoring and Evaluation Moderately Satisfactory 2025-02-13

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Total number of hospitals in the selected regions that have launched the implementation of the HMP recommendationsValue055
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • Number of regional hospitals with Regional Hospital Information System (HIS) established and functionalValue0411
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment
  • Number of regional hospitals and hospitals reconstructed after the 2019 earthquake meeting the minimum requirements of the accreditation agencyValue4.0038.007.00
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • Percentage of patients admitted in hospital with an implemented RHIS registered in the RHISValue0.000.0040.00
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Master Plan for eHealth/HMIS activities developedValueNoYesYes
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • Medical equipment management and maintenance strategy revised and plans adoptedValueNoNoStrategy updated and plans adopted by MoHSP
    DateJune 30, 2020June 7, 2024December 30, 2024
    Comment
  • Number of essential registries that are consolidated and available onlineValue0.00327.004.00
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment
  • Number of clinical protocols and guidelines updated and implemented for management of five main chronic diseasesValue01505
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • People using digitally enabled servicesValue19304.0019304.00100000.00
    DateMay 15, 2024May 15, 2024June 30, 2025
    Comment
  • HIF experts and selected health personnel receiving training (disaggregated by gender)Value433 (287 Females; 146 Males)Total: 463-308 Females; 155 Male533 (347 Females; 186 Males)
    DateJune 30, 2020June 7, 2024December 30, 2024
    Comment
  • Roadmap for hospital payment reforms adopted by HIFValueRoadmap developedYes. Roadmap developed and adopted by HIFRoadmap adopted by HIF
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • Number of service payment packages (10 in total) using new platform processedValue0.0022.0010.00
    DateJune 30, 2020June 7, 2024June 30, 2024
    Comment
  • Number of facilities renovated and/or equippedValue11 regional hospitals received medical equipment. 11 regional hospitals equipped; 2 regional and mu11 regional hospitals equipped; 4 regional and mun
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment
  • Number of women using mobile mammography for breast cancer screeningValue3150.003124.007000.00
    DateJune 30, 2020June 7, 2024December 31, 2024
    Comment
  • Percentage of beneficiaries who report that participatory processes in regional hospitals are effectiveValue0.000.0050.00
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment
  • Number of facilities rehabilitated or reconstructed that incorporate earthquake mitigation measures and improved climate adaptationstrategiesValue0.002.006.00
    DateJune 30, 2020June 7, 2024June 30, 2025
    Comment
  • People receiving quality health, nutrition, and population servicesValue900000.00900000.00900000.00
    DateMay 15, 2024May 15, 2024June 30, 2025
    Comment