| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 338.80 |
Health Sector Reform
Abstract*
The development objective of the Health Sector Reform : Improving Health System Quality and Efficiency Project for Romania is to improve access to, and quality and efficiency of public health services in Romania. The project focuses on four components. The first component, hospital network rationalization will support the rationalization of the health care service delivery network by strengthening key hospitals that will become the backbone of the... Show More
Development Objective
The Project Development Objective is to contribute to improving access to, and quality of selected public health services.
Key Details
Project Details
P145174
Active
Ana Mercado , Adina Voda
ROMANIA
Romania
July 17, 2013
(as of board presentation)
March 28, 2014
January 22, 2015
US$ 338.80 million
Ministry of Health
2014
US$ 338.80 million
B
May 10, 2024
June 30, 2026
Yes
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 338.80 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 338.80 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 338.80 |
Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Oct 6, 2016 | IBRD-83620 | Loan Disb | 797,540.06 |
| Mar 6, 2017 | IBRD-83620 | Loan Disb | 3,949,397.50 |
| Mar 2, 2015 | IBRD-83620 | Fee Charges | 701,531.25 |
| Mar 1, 2024 | IBRD-83620 | Int Charges | 4,430,670.00 |
| Mar 1, 2024 | IBRD-92530 | Int Charges | 200,813.98 |
| Jun 24, 2024 | IBRD-83620 | Loan Disb | 1,983,658.60 |
| Jun 6, 2024 | IBRD-83620 | Loan Disb | 13,553,433.00 |
| Jun 21, 2023 | IBRD-83620 | Loan Disb | 6,109,883.00 |
| Sep 1, 2023 | IBRD-83620 | Int Charges | 3,710,453.80 |
| Sep 1, 2023 | IBRD-92530 | Int Charges | 205,034.00 |
| Sep 27, 2023 | IBRD-83620 | Loan Disb | 2,418,406.00 |
| Mar 1, 2023 | IBRD-92530 | Int Charges | 198,418.17 |
| May 21, 2018 | IBRD-83620 | Loan Disb | 8,651,071.00 |
| Nov 16, 2018 | IBRD-83620 | Loan Disb | 32,439,526.00 |
| Mar 1, 2017 | IBRD-83620 | Int Charges | 1,279.13 |
| Sep 1, 2017 | IBRD-83620 | Int Charges | 10,581.93 |
| Jul 18, 2017 | IBRD-83620 | Loan Disb | 5,967,436.00 |
| Jul 6, 2017 | IBRD-83620 | Loan Disb | 1,171,867.90 |
| Jun 4, 2021 | IBRD-92530 | Loan Commitment | 176,000,000.00 |
| Mar 28, 2014 | IBRD-83620 | Loan Commitment | 338,800,000.00 |
| Feb 2, 2024 | IBRD-92530 | Loan Disb | 6,860,532.50 |
| Jan 30, 2024 | IBRD-83620 | Loan Disb | 7,852,612.50 |
| Mar 1, 2023 | IBRD-83620 | Int Charges | 1,626,439.00 |
| Mar 17, 2023 | IBRD-83620 | Loan Disb | 3,820,564.50 |
| Feb 22, 2022 | IBRD-83620 | Loan Disb | 5,112,406.00 |
| Apr 11, 2022 | IBRD-83620 | Loan Disb | 3,843,065.50 |
| Mar 1, 2022 | IBRD-83620 | Int Charges | 164,655.56 |
| Mar 1, 2022 | IBRD-92530 | Int Charges | 233,088.52 |
| Nov 22, 2022 | IBRD-83620 | Loan Disb | 5,823,206.50 |
| Feb 9, 2022 | IBRD-92530 | Fee Charges | 428,606.25 |
| Sep 1, 2022 | IBRD-83620 | Int Charges | 175.56 |
| Sep 1, 2022 | IBRD-83620 | Int Charges | 151,068.05 |
| Sep 1, 2022 | IBRD-92530 | Int Charges | 189,400.30 |
| Sep 19, 2022 | IBRD-83620 | Loan Disb | 1,477,519.80 |
| Mar 1, 2021 | IBRD-83620 | Int Charges | 183,206.98 |
| Dec 28, 2020 | IBRD-83620 | Loan Disb | 11,138,744.00 |
| Mar 16, 2021 | IBRD-83620 | Loan Disb | 16,220,911.00 |
| Jun 21, 2021 | IBRD-83620 | Loan Disb | 7,443,410.00 |
| Sep 1, 2021 | IBRD-83620 | Int Charges | 171,097.48 |
| Jun 24, 2022 | IBRD-83620 | Loan Disb | 4,239,228.00 |
| Jun 25, 2020 | IBRD-83620 | Loan Disb | 5,437,582.50 |
| Oct 20, 2020 | IBRD-83620 | Loan Disb | 19,017,710.00 |
| Sep 1, 2020 | IBRD-83620 | Int Charges | 180,206.11 |
| Feb 22, 2019 | IBRD-83620 | Loan Disb | 5,182,842.00 |
| Mar 1, 2019 | IBRD-83620 | Int Charges | 109,201.21 |
| Mar 1, 2019 | IBRD-83620 | Int Charges | 1,090.67 |
| Jun 13, 2019 | IBRD-83620 | Loan Disb | 9,132,233.00 |
| Nov 25, 2019 | IBRD-83620 | Loan Disb | 6,624,880.00 |
| Aug 16, 2019 | IBRD-83620 | Loan Disb | 5,986,514.50 |
| Sep 1, 2019 | IBRD-83620 | Int Charges | 402.33 |
| Sep 1, 2019 | IBRD-83620 | Int Charges | 176,762.08 |
| Oct 29, 2019 | IBRD-83620 | Loan Disb | 7,629,053.00 |
| Mar 10, 2020 | IBRD-83620 | Loan Disb | 8,035,599.00 |
| Mar 1, 2020 | IBRD-83620 | Int Charges | 1,241.20 |
| Mar 1, 2020 | IBRD-83620 | Int Charges | 126,834.92 |
| Mar 1, 2018 | IBRD-83620 | Int Charges | 3,941.28 |
| Mar 1, 2018 | IBRD-83620 | Int Charges | 24,769.15 |
| Apr 11, 2018 | IBRD-83620 | Loan Disb | 12,424,972.00 |
| Jul 16, 2018 | IBRD-83620 | Loan Disb | 2,204,615.80 |
| Sep 1, 2018 | IBRD-83620 | Int Charges | 52,471.51 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Overall Safeguards Rating | Satisfactory | 2024-10-29 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-10-29 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-10-29 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2024-10-29 |
| Procurement | Moderately Satisfactory | 2024-10-29 |
| Project Management | Moderately Satisfactory | 2024-10-29 |
| Financial Management | Satisfactory | 2024-10-29 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Average number of modern and safe radiotherapy unit available per 1 million population Value 1.40 3.83 2.20 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Advanced Surveillance and Treatment Unit of Critical Cardiac Patients (USTACC) mortality rate Value 6.85 4.94 5.83 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Percentage of diagnosed COVID-19 cases treated per approved protocol Value 0.00 98.75 80.00 Date January 1, 2020 December 31, 2023 June 30, 2026 Comment Number of burn centers for the treatment of severe burns completed Value 0.00 0.00 2.00 Date March 31, 2014 December 31, 2023 June 30, 2026 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Average waiting time (days) of radiotherapy treatment (LINAC) from prescription to treatment at Public Radiotherapy Centers Value 60-90 16.1 <45 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Number of hospitals with functional emergency telemedicine system Value 38.00 38.00 120.00 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Comprehensive communication campaign implemented (Cumulative) Value 0.00 2.00 2.00 Date July 10, 2015 December 31, 2023 June 30, 2026 Comment Number of Cardiology Care Unit (USTACC) equipped according to the national regulations Value 0.00 13.00 11.00 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Number of contracts signed for construction works for burn centers for the treatment of severe burns Value 0.00 3.00 3.00 Date December 19, 2013 January 15, 2024 June 30, 2026 Comment Number of burn centers for the treatment of severe burns equipped Value 0.00 0.00 2.00 Date December 31, 2020 December 31, 2023 June 30, 2026 Comment Number of health professionals trained (burn centers, radiotherapy, emergency, intensive care) Value 0.00 117.00 75.00 Date December 19, 2013 December 31, 2023 June 30, 2026 Comment First phase of Grigore Alexandrescu Bucure?ti Burn Center completed Value 0.00 0.00 1.00 Date February 27, 2023 December 31, 2023 June 30, 2026 Comment Number of health workers trained in HTA Value 0.00 34.00 18.00 Date December 19, 2013 December 31, 2023 June 30, 2026 Comment Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents Value 0.00 104.00 50.00 Date January 1, 2020 December 31, 2023 June 30, 2026 Comment Number of regional pathology and cytology laboratories fully operational Value 0.00 0.00 6.00 Date December 19, 2013 December 31, 2023 June 30, 2026 Comment Number of international evidence-based standards and protocols implemented on selected public health services Value 0.00 45.00 6.00 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Activation of public health Emergency Operations Centre or a coordination mechanism for COVID-19 Value No Yes Yes Date January 1, 2020 December 31, 2023 June 30, 2026 Comment Number of mobile units for cancer screening fully functional for campaining activities Value 0.00 8.00 8.00 Date July 11, 2018 December 31, 2023 June 30, 2026 Comment Number of women using mobile cancer screening units and cancer screening centers (cumulative) Value 0.00 102950.00 24000.00 Date December 31, 2019 December 31, 2023 June 30, 2026 Comment Development of annual action plan to improve patients' satisfaction based on patients' satisfaction survey with hospital services Value No No Yes Date July 11, 2018 December 31, 2023 June 30, 2026 Comment