Belarus Health System Modernization Project

Abstract*

The development objective of the Health System Modernization Project for Belarus is to contribute to improving selected aspects of the quality of health care delivery in the Republic of Belarus. The project comprises of four components. The first component, establishment of e-health and clinical decision-support systems will support the government of Belarus in: (a) establishing an integrated nationwide health information system based on the available... Show More

Development Objective

The proposed project development objective (PDO) is to contribute to improving selected aspects of the quality of health care delivery in the Republic of Belarus. This PDO is expected to be achieved through the: (a) establishment of e-Health system and adoptionofICT-based clinical decision-support tools for quality improvement; (b) improvement of clinical competencies of health care providers in non-communicable disease (NCD) management; and (c) modernization of neonatal care provision at the Republic Center of Mother and Child (RCMC).

Key Details

Project Details

Project ID
P156778
Status
Closed
Team Leader
Elvira Anadolu
Borrower 2
Republic of Belarus

Country
Belarus
Disclosure Date
December 29, 2015
Approval Date
(as of board presentation)
November 18, 2016
Effective Date
May 19, 2017

Total Project Cost 1
US$ 125.00 million
Implementing Agency
Ministry of Health
Region
Europe and Central Asia
Fiscal Year 3
2017

Commitment Amount
US$ 125.00 million
Environmental Category
B
Last Update Date
March 28, 2024
Closing Date
December 31, 2023

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED

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 - Disease Control39%
- FY17 - Non-communicable diseases39%
FY17 - Health Systems and Policies100%
- FY17 - Child Health11%
- FY17 - Health Service Delivery39%
- FY17 - Health System Strengthening91%

FY17 - Public Sector Management

FY17 - Public Administration54%
- FY17 - E-Government, incl. e-services54%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
International Bank for Reconstruction and Development	125.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	125.00
IDA Commitment	N/A
IBRD + IDA Commitment	125.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	125.00

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

No data available.

Detailed Financial Activity as of March 31, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Jun 14, 2019	IBRD-86630	Loan Disb	980,000.00
Apr 26, 2019	IBRD-86630	Loan Disb	237,500.00
Sep 24, 2019	IBRD-86630	Loan Disb	3,000,000.00
Nov 26, 2019	IBRD-86630	Loan Disb	3,000,000.00
Sep 15, 2019	IBRD-86630	Int Charges	111,915.46
Sep 15, 2019	IBRD-86630	Int Charges	42,517.10
Sep 15, 2018	IBRD-86630	Int Charges	17,927.73
Jul 13, 2018	IBRD-86630	Loan Disb	800,000.00
Mar 15, 2019	IBRD-86630	Int Charges	152,755.94
Mar 15, 2019	IBRD-86630	Int Charges	29,126.52
Jun 28, 2017	IBRD-86630	Loan Disb	500,000.00
May 19, 2017	IBRD-86630	Loan Disb	312,500.00
May 19, 2017	IBRD-86630	Fee Charges	312,500.00
Sep 15, 2017	IBRD-86630	Int Charges	199,817.20
Sep 15, 2017	IBRD-86630	Int Charges	4,409.52
Mar 15, 2018	IBRD-86630	Int Charges	153,958.48
Mar 15, 2018	IBRD-86630	Int Charges	8,619.50
Jun 5, 2018	IBRD-86630	Loan Disb	170,000.00
Sep 15, 2018	IBRD-86630	Int Charges	156,040.83
Nov 18, 2016	IBRD-86630	Loan Commitment	125,000,000.00
May 13, 2022	IBRD-86630	Loan Disb	337,529.44
Mar 15, 2023	IBRD-86630	Int Charges	-28,982.30
Mar 15, 2023	IBRD-86630	Int Charges	28,982.30
Jul 22, 2022	IBRD-86630	Loan Cancel	76,934,824.00
Mar 15, 2022	IBRD-86630	Int Charges	181,280.00
May 18, 2022	IBRD-86630	Loan Disb	219,785.17
Mar 15, 2022	IBRD-86630	Loan Repay	2,300,000.00
Mar 15, 2022	IBRD-86630	Int Charges	104,171.22
Dec 15, 2021	IBRD-86630	Loan Disb	10,000,000.00
May 13, 2022	IBRD-86630	Loan Disb	299,260.20
Jun 17, 2021	IBRD-86630	Loan Disb	12,000,000.00
Sep 15, 2021	IBRD-86630	Int Charges	138,926.67
Sep 15, 2021	IBRD-86630	Int Charges	119,890.41
Mar 31, 2022	IBRD-86630	Loan Disb	1,057,670.60
May 6, 2022	IBRD-86630	Loan Disb	150,932.34
Mar 15, 2021	IBRD-86630	Int Charges	84,334.43
Jan 14, 2021	IBRD-86630	Loan Disb	10,000,000.00
Jun 24, 2020	IBRD-86630	Loan Disb	1,000,000.00
Sep 15, 2020	IBRD-86630	Int Charges	145,225.40
Sep 15, 2020	IBRD-86630	Int Charges	68,593.89
Sep 24, 2020	IBRD-86630	Loan Disb	4,000,000.00
Mar 15, 2021	IBRD-86630	Int Charges	133,521.55
Sep 15, 2019	IBRD-86630	Int Charges	42,517.10
Mar 15, 2020	IBRD-86630	Int Charges	106,175.01
Mar 15, 2020	IBRD-86630	Int Charges	146,106.48

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Moderately Satisfactory	2022-12-23
Project Management	Moderately Satisfactory	2022-12-23
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2022-12-23
Financial Management	Satisfactory	2022-12-23
Monitoring and Evaluation	Satisfactory	2022-12-23
Progress towards achievement of PDO	Moderately Unsatisfactory	2022-12-23

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 11-27-2023
Outcomes	Moderately Unsatisfactory
Risk to Development Outcome
Bank Performance	Substantial
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 04-10-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Moderately Unsatisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	Moderately Satisfactory	N/a
Borrower Performance		N/a
Government Performance		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

Percentage increase in survival rate of newborns at the Intensive Neonatal Department of the RCMC Value 78.00 86.00 0.00
Date October 26, 2016 December 31, 2023
Comment

Percentage of trained PHC doctors in clinical skills at BelMapo Simulation Training Center and at Medical Universities skills labs according to standards (emergency services among others)-cumulative	Value	0.00	50.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Percentage of selected health facilities (PHC centers/ambulatories, polyclinics, hospitals, and diagnostic centers) that can electronically exchange patient summaries	Value	0.00	100.00	20.00
	Date	October 26, 2016	December 31, 2023
	Comment

Percentage of diabetes patients who received A1C blood sugar test once a year Value 30.00 80.00 0.00
Date October 26, 2016 December 31, 2023
Comment
Number of oblasts using e-prescription (cumulative) Value 1.00 7.00 1.00
Date October 26, 2016 December 31, 2023
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Establishment of CHIS implementation unit at the RSPC MT and fully functional Value 0.00 1.00 1.00
Date October 26, 2016 December 31, 2023
Comment
BelMapo Simulation Center constructed and equipped Value 0.00 1.00 0.00
Date October 26, 2016 December 31, 2023
Comment
Construction of a nursing and breast milk pumping room in the new neonatal department (y/n) Value No Yes
Date October 26, 2016 December 31, 2023
Comment
Grievances registered related to delivery of project benefits addressed (%) Value 0.00 100.00 0.00
Date October 26, 2016 December 31, 2023
Comment
Central database operational Value 0.00 1.00 0.00
Date October 26, 2016 December 31, 2023
Comment

Percentage of participants in training institutions: BelMapo new Simulation Center, medical universities and medical colleges satisfied with the technical effectiveness and quality of training	Value	0.00	80.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Clinical decision making tool on quality of neonatal care developed and used Value 0 1.00 1 developed
Date June 22, 2022 December 31, 2023
Comment
Percentage of PHC doctors in selected health facilities using clinical decision making tools Value 0.00 100.00 0.00
Date October 26, 2016 December 31, 2023
Comment

Training modules for core specialties at BelMapo new Simulation Center developed and approved by MoH (GP, ER, surgery, obstetrics-gynecology, dentistry, anesthesiology, neonatal)	Value	0	7 modules approved and implemented	7 developedand approved
	Date	October 26, 2016	December 31, 2023	December 17, 2018
	Comment

Neonatal department constructed and equipped Value 0.00 1.00 0.00
Date October 26, 2016 December 31, 2023
Comment
Increase in patients' satisfaction with e-prescription Value 1.00 70.00 0.00
Date October 26, 2016 December 31, 2023
Comment

Number of departments in each of the training institutions (BelMapo, medical universities and medical colleges) offering trainings on reproductive health	Value	2.00	22.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Reduction in average length of stay of infants at the Intensive Neonatal Department (days) Value 11.50 10.00 0.00
Date October 26, 2016 December 31, 2023
Comment
Percentage of PHC doctors in selected health facilities receiving patients' summaries from so Value 0.00 100.00 20.00
Date October 26, 2016 December 31, 2023
Comment
Clinical skill labs in (a) Medical Universities; and (b) Colleges rehabilitated and equipped Value a) 0; b) 0 a) 4; b) 17
Date October 26, 2016 December 31, 2023
Comment

Number of health care specialists trained in emergency medical care at BelMapo, including using simulation equipment (cumulative) (disaggregated by gender)	Value	0.00	7500.00	3000.00
	Date	October 26, 2016	December 31, 2023
	Comment

Percentage increase in survival rate of newborns at the Intensive Neonatal Department of the RCMC	Value	78.00	86.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Percentage of diabetes patients who received A1C blood sugar test once a year	Value	30.00	80.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Number of oblasts using e-prescription (cumulative)	Value	1.00	7.00	1.00
	Date	October 26, 2016	December 31, 2023
	Comment

Central database operational	Value	0.00	1.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Reduction in average length of stay of infants at the Intensive Neonatal Department (days)	Value	11.50	10.00	0.00
	Date	October 26, 2016	December 31, 2023
	Comment

Clinical skill labs in (a) Medical Universities; and (b) Colleges rehabilitated and equipped	Value	a) 0; b) 0	a) 4; b) 17
	Date	October 26, 2016	December 31, 2023
	Comment