Improving Quality and Efficiency of Health Services Program for Results

Abstract*

The development objective of the Improving Quality and Efficiency of Health Services Project for Croatia is to improve the quality of health care and efficiency of health services in Croatia. The Government's reform program defines the following eight main priorities: (i) developing a health information system and eHealth; (ii) strengthening and better using human resources in health care; (iii) strengthening management capacity in health care; (iv)... Show More

Development Objective

The objective of the Program is to improve the quality of health care and efficiency of health services in the Republic of Croatia.

Key Details

Project Details

Project ID
P144871
Status
Closed
Team Leader
Huihui Wang , Baktybek Zhumadil
Borrower 2
Government of Croatia

Country
Croatia
Disclosure Date
May 14, 2013
Approval Date
(as of board presentation)
May 8, 2014
Effective Date
September 8, 2014

Total Project Cost 1
US$ 88.40 million
Implementing Agency
Ministry of Health
Region
Europe and Central Asia
Fiscal Year 3
2014

Commitment Amount
US$ 88.40 million
Environmental Category
N/A
Environmental and Social Risk
Not Applicable
Closing Date
October 31, 2019

Last Stage Reached
BANK APPROVED
Last Update Date
March 28, 2024

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 Policies100%
- FY17 - Health System Strengthening100%

FY17 - Private Sector Development

FY17 - Public Private Partnerships10%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	88.40

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	88.40
IDA Commitment	N/A
IBRD + IDA Commitment	88.40

Lending Instrument
Grant Amount	N/A
Total Project Cost**	88.40

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

No data available.

Detailed Financial Activity as of July 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Nov 15, 2020	IBRD-83650	Int Charges	4,691.27
Nov 15, 2020	IBRD-83650	Int Charges	157,893.84
Nov 15, 2021	IBRD-83650	Int Charges	24,632.48
Nov 15, 2021	IBRD-83650	Loan Repay	2,414,596.80
Nov 15, 2020	IBRD-83650	Loan Repay	2,491,983.80
Apr 17, 2020	IBRD-83650	Loan Disb	4,380,453.00
Apr 6, 2020	IBRD-83650	Loan Disb	12,087,301.00
May 15, 2020	IBRD-83650	Int Charges	61,290.02
May 15, 2020	IBRD-83650	Loan Repay	1,668,418.80
Nov 15, 2019	IBRD-83650	Int Charges	93,218.25
Nov 15, 2019	IBRD-83650	Loan Repay	1,702,838.20
May 15, 2018	IBRD-83650	Int Charges	79,209.10
May 15, 2018	IBRD-83650	Loan Repay	1,540,967.10
Nov 15, 2018	IBRD-83650	Int Charges	76,359.17
Nov 15, 2018	IBRD-83650	Loan Repay	1,462,806.80
Dec 10, 2018	IBRD-83650	Loan Disb	8,557,125.00
May 15, 2019	IBRD-83650	Int Charges	86,483.58
May 15, 2019	IBRD-83650	Loan Repay	1,728,074.10
Nov 15, 2017	IBRD-83650	Int Charges	87,546.21
Mar 27, 2018	IBRD-83650	Loan Cancel	13,595,518.00
Nov 18, 2014	IBRD-83650	Loan Disb	9,386,625.00
Sep 12, 2014	IBRD-83650	Fee Charges	242,409.38
May 15, 2015	IBRD-83650	Int Charges	32,857.35
Nov 15, 2015	IBRD-83650	Int Charges	27,297.44
May 13, 2016	IBRD-83650	Loan Disb	32,543,536.00
May 15, 2016	IBRD-83650	Int Charges	25,380.83
May 18, 2016	IBRD-83650	Loan Disb	5,777,412.50
Nov 15, 2016	IBRD-83650	Int Charges	1,012.17
Nov 15, 2016	IBRD-83650	Int Charges	104,345.48
May 15, 2024	IBRD-83650	Loan Repay	2,282,596.20
May 15, 2024	IBRD-83650	Int Charges	1,079,686.40
May 15, 2017	IBRD-83650	Int Charges	88,853.20
May 8, 2014	IBRD-83650	Loan Commitment	103,500,000.00
Nov 15, 2023	IBRD-83650	Int Charges	1,037,756.06
Nov 15, 2023	IBRD-83650	Loan Repay	2,291,241.80
May 15, 2023	IBRD-83650	Int Charges	731,651.00
May 15, 2023	IBRD-83650	Loan Repay	2,294,088.50
Nov 15, 2022	IBRD-83650	Loan Repay	2,195,509.80
Nov 15, 2022	IBRD-83650	Int Charges	100,434.76
May 15, 2022	IBRD-83650	Int Charges	18,462.88
May 15, 2022	IBRD-83650	Loan Repay	2,190,449.00
May 15, 2021	IBRD-83650	Int Charges	33,327.87
May 15, 2021	IBRD-83650	Loan Repay	2,554,504.80

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2019-10-30
Overall Implementation Progress (IP)	Moderately Satisfactory	2019-10-30
Monitoring and Evaluation	Satisfactory	2019-10-30

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 11-06-2020
Outcomes	Moderately Satisfactory
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-02-2020	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	Substantial	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Quality control procedures in place: Percentage of best-performing rationalized hospitals which are publicly disclosed (including results) based on the technical audit in the preceding 12 months	Value	0.00	90.00	40.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

First phase of the hospital master plan achieved: Total number of hospital beds in Rationalized Hospitals classified as acute care beds	Value	15930.00	12315.00	12800.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

Quality control procedures in place: Percentage of acute hospitals meeting mandatory quality standards, as defined in the ordinanceof Quality Standards and their Implementation from 2011.	Value	0.00	100.00	80.00
	Date	June 30, 2018	October 30, 2019	October 31, 2019
	Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

5. Percentage of Primary Health Care group practices achieving performance indicators and accessing to payment incentives.	Value	0.00	99.43	60.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

1. Ratio between primary health care/secondary outpatient care/ and hospital inpatient care services Value 58 / 18 / 1 83 / 22 / 1 90 / 19 / 1
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment
8. Number of counties implementing specialized services on palliative care. Value 1.00 19.00 15.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment
2. Number of “hospital reshaping scheme” projects implemented Value 0.00 2.00 2.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment
10. Percentage of Nosocomial Infections Surveillance system in place in tertiary hospitals and secondary hospitals. Value 0.00 100.00 30.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment

3. Percentage of all surgeries included in the elective surgeries list performed as outpatient surgeries in the preceding six months.	Value	5.00	60.94	60.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

11. Percentage of hospitals with surgery wards that have established quality-and safety-related sentinel surveillance schemes that are reporting the rates of specific events.	Value	0.00	82.00	60.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

4. Percentage of primary care doctors working in group practices. Value 0.00 70.33 50.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment
12. Percentage of patients’ satisfaction by a perception of increased responsiveness. Value 38.00 38.60 75.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment

6. Percentage of identified doctors with whom a corrective course of action has been discussed on a person-to-person basis in preceding six months.	Value	20.00	93.10	90.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

13. Ordinance approving accreditation standards and procedure issued. Value No Yes
Date June 30, 2018 October 31, 2019
Comment

7. Percentage of total public spending per fiscal year on medical consumables, drugs, and devices for hospital (inpatient and outpatient) services made through centralized procurement/ framework cntrc	Value	0.00	44.53	32.34
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

9. Number of proposals for EU structural funds accepted by the relevant authority after being correctly submitted. Value 0.00 137.00 8.00
Date December 31, 2012 October 30, 2019 October 31, 2019
Comment

1. Ratio between primary health care/secondary outpatient care/ and hospital inpatient care services	Value	58 / 18 / 1	83 / 22 / 1	90 / 19 / 1
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

8. Number of counties implementing specialized services on palliative care.	Value	1.00	19.00	15.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment

12. Percentage of patients’ satisfaction by a perception of increased responsiveness.	Value	38.00	38.60	75.00
	Date	December 31, 2012	October 30, 2019	October 31, 2019
	Comment