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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...

* 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 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

  • Europe and Central Asia

  • 2014

  • US$ 338.80 million

  • B

  • May 10, 2024

  • June 30, 2026

  • Yes

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 338.80

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

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

Detailed Financial Activity as of February 28, 2025

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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

Footnotes

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

INDICATORBASELINECURRENTTARGET
  • Average number of modern and safe radiotherapy unit available per 1 million populationValue1.403.832.20
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Advanced Surveillance and Treatment Unit of Critical Cardiac Patients (USTACC) mortality rateValue6.854.945.83
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Percentage of diagnosed COVID-19 cases treated per approved protocolValue0.0098.7580.00
    DateJanuary 1, 2020December 31, 2023June 30, 2026
    Comment
  • Number of burn centers for the treatment of severe burns completedValue0.000.002.00
    DateMarch 31, 2014December 31, 2023June 30, 2026
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Average waiting time (days) of radiotherapy treatment (LINAC) from prescription to treatment at Public Radiotherapy CentersValue60-9016.1<45
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Number of hospitals with functional emergency telemedicine systemValue38.0038.00120.00
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Comprehensive communication campaign implemented (Cumulative)Value0.002.002.00
    DateJuly 10, 2015December 31, 2023June 30, 2026
    Comment
  • Number of Cardiology Care Unit (USTACC) equipped according to the national regulationsValue0.0013.0011.00
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Number of contracts signed for construction works for burn centers for the treatment of severe burnsValue0.003.003.00
    DateDecember 19, 2013January 15, 2024June 30, 2026
    Comment
  • Number of burn centers for the treatment of severe burns equippedValue0.000.002.00
    DateDecember 31, 2020December 31, 2023June 30, 2026
    Comment
  • Number of health professionals trained (burn centers, radiotherapy, emergency, intensive care)Value0.00117.0075.00
    DateDecember 19, 2013December 31, 2023June 30, 2026
    Comment
  • First phase of Grigore Alexandrescu Bucure?ti Burn Center completedValue0.000.001.00
    DateFebruary 27, 2023December 31, 2023June 30, 2026
    Comment
  • Number of health workers trained in HTAValue0.0034.0018.00
    DateDecember 19, 2013December 31, 2023June 30, 2026
    Comment
  • Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagentsValue0.00104.0050.00
    DateJanuary 1, 2020December 31, 2023June 30, 2026
    Comment
  • Number of regional pathology and cytology laboratories fully operationalValue0.000.006.00
    DateDecember 19, 2013December 31, 2023June 30, 2026
    Comment
  • Number of international evidence-based standards and protocols implemented on selected public health servicesValue0.0045.006.00
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Activation of public health Emergency Operations Centre or a coordination mechanism for COVID-19ValueNoYesYes
    DateJanuary 1, 2020December 31, 2023June 30, 2026
    Comment
  • Number of mobile units for cancer screening fully functional for campaining activitiesValue0.008.008.00
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment
  • Number of women using mobile cancer screening units and cancer screening centers (cumulative)Value0.00102950.0024000.00
    DateDecember 31, 2019December 31, 2023June 30, 2026
    Comment
  • Development of annual action plan to improve patients' satisfaction based on patients' satisfaction survey with hospital servicesValueNoNoYes
    DateJuly 11, 2018December 31, 2023June 30, 2026
    Comment