1. What We Do

Health System Strengthening and Support Project

Abstract*

The development objective of the Health System strengthening and support project for Turkey is to improve primary and secondary prevention of selected non-communicable diseases (NCDs), increase the efficiency of hospital management, and enhance the capacity of the Ministry of Health (MoH) for evidence-based policy making. The project comprises of three components. The first component, primary and secondary prevention aims to raise awareness (among...

* 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 (PDO) of the HSSSP is to improve primary and secondary prevention of selected NCDs, increase the efficiency of hospital management, enhance the capacity of the MoH for evidence-based policy making, and strengthen the Government’s capacity to respond to emergencies.

Key Details

Project Details

  • P152799

  • Closed

  • Nadwa Rafeh

  • Türkiye

  • Turkiye

  • January 25, 2015

  • (as of board presentation)

    September 21, 2015

  • November 26, 2015

  • US$ 135.02 million

  • Ministry of Health

  • Europe and Central Asia

  • 2016

  • US$ 134.40 million

  • B

  • April 29, 2024

  • December 31, 2023

  • TBD

  • BANK APPROVED

  • Notes

Sectors

Created with Highstock 5.0.14FY17 - Public Administration -HealthFY17 - Public Administration - HealthFY17 - Health

Themes

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 134.40

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 134.40
IDA Commitment N/A
IBRD + IDA Commitment 134.40
Lending Instrument
Grant Amount N/A
Total Project Cost** 135.02

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

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

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Mar 9, 2020 IBRD-85310 Loan Disb 357,574.00
Feb 18, 2020 IBRD-85310 Loan Disb 2,329,042.20
Feb 15, 2020 IBRD-85310 Int Charges 116,745.26
Feb 15, 2020 IBRD-85310 Int Charges 16,919.47
Dec 16, 2019 IBRD-85310 Loan Disb 1,780,457.00
Apr 27, 2020 IBRD-85310 Loan Disb 1,666,536.50
Mar 23, 2018 IBRD-85310 Loan Disb 1,397,777.90
Jun 26, 2018 IBRD-85310 Loan Disb 456,616.25
Feb 15, 2018 IBRD-85310 Int Charges 342.62
Feb 15, 2018 IBRD-85310 Int Charges 79.76
Feb 15, 2018 IBRD-85310 Int Charges 164,357.62
Feb 15, 2018 IBRD-85310 Int Charges 17,139.25
Aug 31, 2018 IBRD-85310 Loan Disb 529,275.06
Aug 8, 2018 IBRD-85310 Loan Disb 869,667.20
Sep 20, 2018 IBRD-85310 Loan Disb 1,424,314.10
May 16, 2024 IBRD-85310 Loan Cancel 1,961,026.10
May 16, 2024 IBRD-85310 Loan Disb -562.25
Sep 21, 2015 IBRD-85310 Loan Commitment 134,300,000.00
Apr 21, 2024 IBRD-85310 Loan Disb 5,323,750.00
May 16, 2024 IBRD-85310 Loan Disb -1,960,463.90
Apr 21, 2024 IBRD-85310 Loan Disb -5,323,750.00
Feb 15, 2024 IBRD-85310 Int Charges 554.54
Feb 15, 2024 IBRD-85310 Int Charges 24,839.06
Feb 15, 2024 IBRD-85310 Int Charges 1,586,758.80
Feb 15, 2024 IBRD-85310 Loan Repay 18,212,744.00
Feb 15, 2024 IBRD-85310 Int Charges 41.14
Oct 17, 2023 IBRD-85310 Loan Disb 140,372.44
Oct 31, 2023 IBRD-85310 Loan Disb 6,894,443.00
Nov 6, 2023 IBRD-85310 Loan Disb 141,613.44
Dec 14, 2023 IBRD-85310 Loan Disb 14,755,446.00
Nov 30, 2023 IBRD-85310 Loan Disb 164,532.73
Nov 30, 2023 IBRD-85310 Loan Disb 164,532.75
Aug 15, 2024 IBRD-85310 Int Charges 0.01
Aug 15, 2024 IBRD-85310 Int Charges -0.01
Aug 15, 2024 IBRD-85310 Loan Repay 18,181,724.00
Oct 5, 2023 IBRD-85310 Loan Disb 140,467.38
Aug 15, 2024 IBRD-85310 Int Charges 1,629,011.00
Sep 20, 2023 IBRD-85310 Loan Disb 140,577.92
Sep 13, 2023 IBRD-85310 Loan Disb 140,052.17
Aug 3, 2023 IBRD-85310 Loan Disb 139,381.73
Jul 14, 2023 IBRD-85310 Loan Disb 142,540.83
Mar 17, 2023 IBRD-85310 Loan Disb 120,566.95
Aug 31, 2023 IBRD-85310 Loan Disb 140,828.94
Aug 31, 2023 IBRD-85310 Loan Disb 2,184,249.80
Aug 15, 2023 IBRD-85310 Loan Repay 9,337,996.00
Aug 15, 2023 IBRD-85310 Int Charges 60.41
Aug 15, 2023 IBRD-85310 Int Charges 240.85
Aug 15, 2023 IBRD-85310 Int Charges 63,673.69
Aug 15, 2023 IBRD-85310 Int Charges 910,032.60
Sep 7, 2023 IBRD-85310 Loan Disb 5,353,000.00
Sep 22, 2023 IBRD-85310 Loan Disb 7,459,672.50
Aug 18, 2023 IBRD-85310 Loan Disb 139,256.48
Dec 1, 2023 IBRD-85310 Loan Disb 163,812.40
Dec 1, 2023 IBRD-85310 Loan Disb 162,959.60
May 22, 2023 IBRD-85310 Loan Disb 4,200,629.00
Dec 8, 2023 IBRD-85310 Loan Disb 6,856,235.00
Aug 31, 2022 IBRD-85310 Loan Disb 129,843.84
Nov 17, 2022 IBRD-85310 Loan Disb 124,310.35
Oct 28, 2022 IBRD-85310 Loan Disb 124,151.27
Dec 16, 2022 IBRD-85310 Loan Disb 109,903.90
Dec 9, 2022 IBRD-85310 Loan Disb 3,205,160.00
Dec 9, 2022 IBRD-85310 Loan Disb 100,304.13
May 3, 2023 IBRD-85310 Loan Disb 1,441,110.40
Jan 30, 2023 IBRD-85310 Loan Disb 119,933.96
May 2, 2023 IBRD-85310 Loan Disb 5,478,500.00
Apr 21, 2023 IBRD-85310 Loan Disb 120,290.72
Feb 15, 2023 IBRD-85310 Int Charges 84.70
Feb 15, 2023 IBRD-85310 Int Charges 959.58
Feb 15, 2023 IBRD-85310 Int Charges 76,104.87
Feb 15, 2023 IBRD-85310 Int Charges 287,048.10
Feb 23, 2023 IBRD-85310 Loan Disb 124,337.51
Feb 15, 2023 IBRD-85310 Loan Repay 6,842,555.50
Feb 24, 2023 IBRD-85310 Loan Disb 2,301,657.80
Aug 15, 2021 IBRD-85310 Int Charges 878.67
Aug 15, 2021 IBRD-85310 Int Charges 97,260.56
Aug 15, 2021 IBRD-85310 Loan Repay 5,955,583.00
Dec 1, 2016 IBRD-85310 Loan Disb 914,397.80
Oct 12, 2016 IBRD-85310 Loan Disb 208,927.69
Oct 12, 2016 IBRD-85310 Loan Disb 262,897.38
Oct 12, 2016 IBRD-85310 Loan Disb 400,314.16
Oct 12, 2016 IBRD-85310 Loan Disb 312,979.22
Oct 12, 2016 IBRD-85310 Loan Disb 386,566.72
Dec 12, 2016 IBRD-85310 Loan Disb 260,307.05
Apr 21, 2017 IBRD-85310 Loan Disb 273,682.10
Apr 21, 2017 IBRD-85310 Loan Disb 1,323,672.40
Feb 15, 2017 IBRD-85310 Int Charges 153,035.05
Feb 15, 2017 IBRD-85310 Int Charges 5,591.63
Jun 3, 2016 IBRD-85310 Loan Disb 1,113,950.00
Jul 11, 2017 IBRD-85310 Loan Disb 834,178.25
Mar 29, 2017 IBRD-85310 Loan Disb 997,176.00
Jun 28, 2017 IBRD-85310 Loan Disb 563,781.10
Aug 15, 2017 IBRD-85310 Int Charges 159,324.92
Aug 15, 2017 IBRD-85310 Int Charges 12,227.68
Nov 20, 2017 IBRD-85310 Loan Disb 1,000,084.94
Nov 22, 2017 IBRD-85310 Loan Disb 585,930.10
Aug 16, 2017 IBRD-85310 Loan Disb 1,031,479.10
Oct 18, 2017 IBRD-85310 Loan Disb 555,814.75
Aug 15, 2017 IBRD-85310 Int Charges 3.28
Aug 15, 2017 IBRD-85310 Int Charges 26.98
Dec 11, 2017 IBRD-85310 Loan Disb 594,090.80
Aug 17, 2017 IBRD-85310 Loan Disb 936,173.94
Dec 21, 2017 IBRD-85310 Loan Disb 389,048.00
Dec 22, 2017 IBRD-85310 Loan Disb 677,258.00
Jun 16, 2022 IBRD-85310 Loan Disb 89,724.08
Dec 8, 2021 IBRD-85310 Loan Disb 109,941.50
Dec 6, 2021 IBRD-85310 Loan Disb 2,604,917.20
May 18, 2022 IBRD-85310 Loan Disb 100,780.95
Feb 15, 2022 IBRD-85310 Int Charges 91,343.20
Feb 15, 2022 IBRD-85310 Loan Repay 6,070,765.00
Aug 15, 2022 IBRD-85310 Int Charges 14.14
Aug 15, 2022 IBRD-85310 Int Charges 77,494.14
Aug 15, 2022 IBRD-85310 Int Charges 4,422.96
Aug 15, 2022 IBRD-85310 Loan Repay 5,510,411.00
Mar 4, 2022 IBRD-85310 Loan Disb 98,954.20
Jun 28, 2022 IBRD-85310 Loan Disb 120,518.38
Jan 27, 2022 IBRD-85310 Loan Disb 118,828.64
Jun 12, 2020 IBRD-85310 Loan Disb 1,761,630.00
Aug 11, 2020 IBRD-85310 Loan Disb 448,990.94
Aug 15, 2020 IBRD-85310 Int Charges 30,777.69
Aug 15, 2020 IBRD-85310 Int Charges 287.73
Aug 15, 2020 IBRD-85310 Int Charges 498.96
Aug 15, 2020 IBRD-85310 Int Charges 112,594.23
Dec 17, 2020 IBRD-85310 Loan Disb 3,112,860.50
Dec 10, 2020 IBRD-85310 Loan Disb 349,171.10
Feb 15, 2021 IBRD-85310 Int Charges 6.16
Feb 15, 2021 IBRD-85310 Int Charges 6.47
Feb 15, 2021 IBRD-85310 Int Charges 110,466.82
Feb 15, 2021 IBRD-85310 Int Charges 20,302.93
Feb 15, 2021 IBRD-85310 Loan Repay 5,359,808.00
Nov 30, 2020 IBRD-85310 Loan Disb 3,387,408.00
Jun 3, 2021 IBRD-85310 Loan Disb 398,968.72
Jun 9, 2021 IBRD-85310 Loan Disb 4,442,252.00
Aug 15, 2021 IBRD-85310 Int Charges 348.68
May 31, 2019 IBRD-85310 Loan Disb 299,757.97
May 31, 2019 IBRD-85310 Loan Disb 1,738,649.20
May 17, 2019 IBRD-85310 Loan Disb 662,364.00
May 17, 2019 IBRD-85310 Loan Disb 227,846.23
May 17, 2019 IBRD-85310 Loan Disb 355,453.84
May 17, 2019 IBRD-85310 Loan Disb 346,788.97
Aug 29, 2019 IBRD-85310 Loan Disb 517,260.30
Nov 19, 2019 IBRD-85310 Loan Disb 1,157,904.50
Nov 20, 2019 IBRD-85310 Loan Disb 499,841.78
Oct 28, 2019 IBRD-85310 Loan Disb 674,571.60
Aug 15, 2019 IBRD-85310 Int Charges 43,770.11
Aug 15, 2019 IBRD-85310 Int Charges 353.84
Aug 15, 2019 IBRD-85310 Int Charges 61.63
Aug 15, 2019 IBRD-85310 Int Charges 125,900.51
Sep 13, 2019 IBRD-85310 Loan Disb 201,224.60
Oct 9, 2019 IBRD-85310 Loan Disb 657,385.80
Dec 5, 2019 IBRD-85310 Loan Disb 1,109,100.00
Sep 19, 2019 IBRD-85310 Loan Disb 740,032.44
Mar 27, 2020 IBRD-85310 Loan Disb 2,203,000.00
Nov 9, 2021 IBRD-85310 Loan Disb 150,630.84
Jul 5, 2022 IBRD-85310 Loan Disb 3,307,824.50
May 2, 2022 IBRD-85310 Loan Disb 110,403.81
May 30, 2018 IBRD-85310 Loan Disb 476,079.78
Aug 15, 2018 IBRD-85310 Int Charges 469.98
Aug 15, 2018 IBRD-85310 Int Charges 173.83
Aug 15, 2018 IBRD-85310 Int Charges 141,528.40
Aug 15, 2018 IBRD-85310 Int Charges 18,878.37
Jul 13, 2018 IBRD-85310 Loan Disb 2,881,286.20
May 24, 2018 IBRD-85310 Loan Disb 289,705.97
Jan 4, 2019 IBRD-85310 Loan Disb 364,053.84
Nov 5, 2018 IBRD-85310 Loan Disb 491,172.53
Dec 4, 2018 IBRD-85310 Loan Disb 405,529.16
Dec 19, 2018 IBRD-85310 Loan Disb 348,243.16
Feb 15, 2019 IBRD-85310 Int Charges 600.87
Feb 15, 2019 IBRD-85310 Int Charges 222.25
Dec 10, 2018 IBRD-85310 Loan Disb 100,617.31
Jan 3, 2019 IBRD-85310 Loan Disb 613,847.56
Feb 15, 2019 IBRD-85310 Int Charges 135,102.94
Feb 15, 2019 IBRD-85310 Int Charges 29,580.27
Mar 20, 2019 IBRD-85310 Loan Disb 200,088.14
Mar 20, 2019 IBRD-85310 Loan Disb 1,293,691.40
Dec 21, 2015 IBRD-85310 Fee Charges 325,935.00
Feb 15, 2016 IBRD-85310 Int Charges 71,638.36
Dec 13, 2016 IBRD-85310 Loan Disb 3,594,158.80
Dec 12, 2016 IBRD-85310 Loan Disb 277,963.88
Oct 11, 2016 IBRD-85310 Loan Disb 32,714.12
Aug 15, 2016 IBRD-85310 Int Charges 164,856.69
Aug 15, 2016 IBRD-85310 Int Charges 1,879.65
Mar 8, 2016 IBRD-85310 Loan Disb 1,101,500.00
Feb 7, 2017 IBRD-85310 Loan Disb 501,390.06
Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Procurement Satisfactory 2024-01-15
Financial Management Satisfactory 2024-01-15
Monitoring and Evaluation Moderately Satisfactory 2024-01-15
Progress towards achievement of PDO Satisfactory 2024-01-15
Project Management Moderately Satisfactory 2024-01-15
Overall Implementation Progress (IP) Moderately Satisfactory 2024-01-15

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

INDICATORICR REVIEW: 02-26-2025PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome RatingModerately Satisfactory N/a
Risk To Development OutcomeN/a
Bank PerformanceModerately SatisfactoryN/a
Borrower PerformanceN/a
Government PerformanceN/a
Implementing AgencyN/a
Icr QualityHighN/a
M&e QualitySubstantialN/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Percent of households that receive from health workers counselling or education related to healthy living (by gender)Value10.0047.0050.00
    DateDecember 31, 2012December 31, 2023December 31, 2023
    Comment
  • Percent of policy and decision makers that use HMIS regularly (monthly)Value0.0090.0090.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment
  • Number of patients seen by the hospitals which are supported by the Project for the earthquake responseValue0.00621811.000.00
    DateMarch 1, 2023December 31, 2023
    Comment
  • Simulation assisted trainings and implementations' coverage ratio of the targeted healthcare professionalsValue0.0010.006.00
    DateDecember 31, 2018December 31, 2023December 31, 2020
    Comment
  • Percent of households that receive from health workers counselling or education related to healthy living (males)Value7.0045.3040.00
    DateDecember 31, 2012December 31, 2023December 31, 2023
    Comment
  • Percent of households that receive from health workers counselling or education related to healthy living (females)Value13.0048.6060.00
    DateDecember 31, 2012December 31, 2023December 31, 2023
    Comment
  • Early detection of (a) cervical cancerValue25.0070.0063.60
    DateApril 25, 2015December 31, 2023December 31, 2023
    Comment
  • Early detection of (b) breast cancerValue40.0044.0049.00
    DateApril 20, 2015April 13, 2018
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Number of simulation-based medical education centers establishedValue0.002.002.00
    DateOctober 19, 2018December 31, 2023December 31, 2020
    Comment
  • Percent change in share of the general population who can state two or more negative health impacts of selected risk factors of non-communicable diseases and substance use (disaggregated by gender)Value0.004.000.00
    DateOctober 19, 2018December 31, 2023
    Comment
  • Total number of facilities receiving medical goods, supplies, and equipmentValue0.00207.000.00
    DateMarch 1, 2023December 31, 2023
    Comment
  • Percent change in share of the general population who can state two or more negative health impacts of selected risk factors of non-communicable diseases and substance use (Males)Value0.000.000.00
    Date
    Comment
  • Key information technology standards developed and integrated into updated draft regulationsValue0.0025.0025.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment
  • Percent change in share of the general population who can state two or more negative health impacts of selected risk factors of non-communicable diseases and substance use (Females)Value0.000.000.00
    Date
    Comment
  • Percent of health facilities that share data to HMS (a) public hospitalsValue1.50100.00100.00
    DateApril 20, 2015June 2, 2023December 31, 2020
    Comment
  • Number of Healthy Living Centers establishedValue80.00261.00261.00
    DateDecember 31, 2017December 31, 2023December 31, 2023
    Comment
  • Percent of health facilities that share data to HMS (b) family medicine centersValue0.0066.0050.00
    DateApril 20, 2015April 13, 2018
    Comment
  • Number of individuals in 12 project provinces who visit Substance Use Treatment Centers to receive patient-specific counselling (new and returning visitors)Value90.0022614.0022209.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment
  • Percent of health facilities that share data to HMS (c) private hospitalsValue0.0014.0030.00
    DateApril 20, 2015April 13, 2018
    Comment
  • Direct project beneficiaries (number)Value0.0012741454.0011650000.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment
  • Percent of health indicators within MoH databases meeting international standardsValue70.0095.5090.00
    DateJune 30, 2015December 31, 2023December 31, 2023
    Comment
  • Direct project beneficiaries of which female (percentage)Value0.0066.0065.00
    Date
    Comment
  • Number of Health Technology Assessments on prioritized topics prepared in line with new HTA strategy and publishedValue0.009.009.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment
  • Process mapping of all MoH unitsValueNo process mappingProcess flow chart completedProcess flow charts completed
    DateOctober 19, 2018December 31, 2023December 31, 2022
    Comment
  • Health personnel receiving trainingValue0.00560124.00103000.00
    DateJune 30, 2015December 31, 2023December 31, 2023
    Comment
  • Percent of users of Healthy Living Centers satisfied with ease of access to Healthy Living Centers and/or responsiveness of services to users’ individual needsValue0.0070.0070.00
    DateApril 20, 2015December 31, 2023December 31, 2022
    Comment
  • Percent of target population screened for 3 types of cancer: (a) cervicalValue50.0051.4028.30
    DateDecember 31, 2014December 31, 2023December 31, 2023
    Comment
  • Percent of target population screened for 3 types of cancer: (b) breastValue30.0035.6037.20
    DateApril 20, 2015April 13, 2018
    Comment
  • Percent of target population screened for 3 types of cancer: (c) colorectalValue20.0025.7024.20
    DateApril 20, 2015April 13, 2018
    Comment
  • Number of PHC-level staff who have satisfactorily completed standardized face-to-face training modules required by the staff’s job profileValue1000.006391.005366.00
    DateDecember 31, 2018December 31, 2023December 31, 2023
    Comment
  • Health facilities constructed, renovated, and/or equippedValue0.00135.00134.00
    DateApril 20, 2015December 31, 2023December 31, 2023
    Comment