| Financier | Commitments |
|---|---|
| Borrowing Agency | 4219.00 |
| International Bank for Reconstruction and Development | 200.00 |
Sri Lanka: Primary Health Care System Strengthening Project
Abstract*
The development objective of the Primary Health Care System Strengthening Project for Sri Lanka is to increase the utilization and quality of primary health care services, with an emphasis on detection and management of non-communicable diseases in high-risk population groups, in selected areas of the country. It has three components. First component, Implementation of the Primary Health Care (PHC) system reorganization and strengthening strategies... Show More
Development Objective
The project development objective is to increase the utilization and quality of primary health care services, with an emphasis on detection and management of non-communicable diseases in high-risk population groups, in selected areas of the country and to provide immediate and effective response to an Eligible Crisis or Health Emergency.
Key Details
Project Details
P163721
Closed
Bushra Alam
Democratic Socialist Republic of Sri Lanka
September 1, 2017
(as of board presentation)
June 27, 2018
January 23, 2019
US$ 4419.00 million
Ministry of Health, Nutrition and Indigenous Medicine
2018
US$ 200.00 million
C
March 5, 2024
June 30, 2024
Yes
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 200.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 200.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 4419.00 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Jun 22, 2021 | IBRD-88780 | Loan Disb | 14,184,000.00 |
| Mar 13, 2019 | IBRD-88780 | Loan Disb | 142,136.70 |
| Mar 1, 2021 | IBRD-88780 | Int Charges | 5,986.97 |
| Mar 1, 2021 | IBRD-88780 | Int Charges | 182,535.80 |
| Mar 1, 2021 | IBRD-88780 | Int Charges | 345,693.66 |
| Mar 1, 2021 | IBRD-88780 | Int Charges | 512.45 |
| Sep 1, 2020 | IBRD-88780 | Int Charges | 200,978.66 |
| Sep 1, 2020 | IBRD-88780 | Int Charges | 509,090.70 |
| Mar 12, 2021 | IBRD-88780 | Loan Disb | 800,000.00 |
| Mar 1, 2020 | IBRD-88780 | Int Charges | 218,041.28 |
| Mar 1, 2020 | IBRD-88780 | Int Charges | 380,630.84 |
| Mar 3, 2020 | IBRD-88780 | Loan Disb | 8,725,000.00 |
| Jun 4, 2020 | IBRD-88780 | Loan Disb | 262,235.00 |
| Jun 23, 2020 | IBRD-88780 | Loan Disb | 15,000,000.00 |
| Mar 29, 2019 | IBRD-88780 | Loan Disb | 694,622.20 |
| Jun 18, 2019 | IBRD-88780 | Loan Disb | 23,575,000.00 |
| Jan 23, 2019 | IBRD-88780 | Loan Disb | 500,000.00 |
| Jan 23, 2019 | IBRD-88780 | Fee Charges | 500,000.00 |
| Sep 1, 2019 | IBRD-88780 | Int Charges | 207,143.94 |
| Sep 1, 2019 | IBRD-88780 | Int Charges | 203,753.42 |
| Dec 27, 2019 | IBRD-88780 | Loan Disb | 450,000.00 |
| Jun 3, 2024 | IBRD-88780 | Loan Disb | 263,495.00 |
| Jun 27, 2018 | IBRD-88780 | Loan Commitment | 200,000,000.00 |
| Mar 1, 2024 | IBRD-88780 | Int Charges | 2,386,148.50 |
| Mar 1, 2024 | IBRD-88780 | Int Charges | 59,741.14 |
| Mar 1, 2024 | IBRD-88780 | Int Charges | 59,432.56 |
| Mar 1, 2024 | IBRD-88780 | Int Charges | 1,433,310.80 |
| Mar 1, 2024 | IBRD-88780 | Int Charges | 2,085.63 |
| Jul 6, 2021 | IBRD-88780 | Loan Disb | -450,000.00 |
| Nov 19, 2021 | IBRD-88780 | Loan Disb | 20,003,724.00 |
| Sep 1, 2021 | IBRD-88780 | Int Charges | 170,344.48 |
| Sep 1, 2021 | IBRD-88780 | Int Charges | 404,042.16 |
| Nov 12, 2021 | IBRD-88780 | Loan Disb | 2,353,240.00 |
| Oct 12, 2021 | IBRD-88780 | Loan Disb | 960,049.00 |
| Dec 10, 2020 | IBRD-88780 | Loan Disb | 7,010,000.00 |
| Mar 19, 2021 | IBRD-88780 | Loan Disb | 1,693,453.90 |
| Jul 22, 2021 | IBRD-88780 | Loan Disb | 800,000.00 |
| Jun 8, 2021 | IBRD-88780 | Loan Disb | 1,481,453.50 |
| Dec 11, 2023 | IBRD-88780 | Loan Disb | 34,021,000.00 |
| Jun 14, 2024 | IBRD-88780 | Loan Disb | 161,193.00 |
| Jun 10, 2024 | IBRD-88780 | Loan Disb | 25,865,000.00 |
| Sep 1, 2023 | IBRD-88780 | Int Charges | 2,215,556.50 |
| Sep 1, 2023 | IBRD-88780 | Int Charges | 383.56 |
| Sep 1, 2023 | IBRD-88780 | Int Charges | 21,123.73 |
| Sep 1, 2023 | IBRD-88780 | Int Charges | 83,893.38 |
| Sep 1, 2023 | IBRD-88780 | Int Charges | 663,926.70 |
| Jul 5, 2023 | IBRD-88780 | Loan Disb | 5,250,000.00 |
| Dec 13, 2023 | IBRD-88780 | Loan Disb | 197,656.00 |
| Sep 1, 2022 | IBRD-88780 | Int Charges | 121,829.97 |
| Nov 10, 2022 | IBRD-88780 | Loan Disb | 19,981,124.00 |
| Jan 25, 2023 | IBRD-88780 | Loan Disb | 1,600,000.00 |
| Apr 6, 2023 | IBRD-88780 | Loan Disb | 219,421.80 |
| Mar 1, 2023 | IBRD-88780 | Int Charges | 2,450,479.80 |
| Mar 1, 2023 | IBRD-88780 | Int Charges | 24,998.98 |
| Mar 1, 2023 | IBRD-88780 | Int Charges | 95,975.96 |
| Mar 1, 2023 | IBRD-88780 | Int Charges | 340,326.47 |
| Mar 1, 2022 | IBRD-88780 | Int Charges | 193.31 |
| Mar 1, 2022 | IBRD-88780 | Int Charges | 138,476.84 |
| Mar 1, 2022 | IBRD-88780 | Int Charges | 523,866.88 |
| Mar 1, 2022 | IBRD-88780 | Int Charges | 48.98 |
| Sep 1, 2022 | IBRD-88780 | Int Charges | 562,438.00 |
| Sep 1, 2022 | IBRD-88780 | Int Charges | 787,467.50 |
| Jun 13, 2022 | IBRD-88780 | Loan Disb | 11,835,000.00 |
| Jun 28, 2022 | IBRD-88780 | Loan Disb | -110,019,912.00 |
| Jun 28, 2022 | IBRD-88780 | Loan Disb | 110,019,912.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Project Management | Satisfactory | 2024-04-05 |
| Counterpart Funding | Satisfactory | 2024-04-05 |
| Overall Implementation Progress (IP) | Satisfactory | 2024-04-05 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-04-05 |
| Procurement | Satisfactory | 2024-04-05 |
| Financial Management | Moderately Satisfactory | 2024-04-05 |
| Monitoring and Evaluation | Satisfactory | 2024-04-05 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of women at age 35 and at age 45 years who are screened for cervical cancer at a network of public health facilities (DLI 8) Value 107551.00 238000.00 213000.00 Date December 31, 2017 February 29, 2024 December 31, 2023 Comment The number of primary medical care institutions that have the required capabilities for providing comprehensive and quality care. (DLI 3) Value 0.00 550.00 550.00 Date December 31, 2017 February 29, 2024 December 31, 2023 Comment CERC implemented according to the Emergency Action Plan Value No Yes Yes Date December 1, 2020 May 30, 2023 December 31, 2023 Comment Percentage of screened adults with high risk for non-communicable diseases who are registered and actively followed-up at primary medical care institutions (DLI 9) Value 0.00 68.00 25.00 Date December 29, 2017 February 29, 2024 December 31, 2023 Comment Male Value 0.00 34.00 25.00 Date December 31, 2017 February 29, 2024 December 31, 2023 Comment Female Value 0.00 34.00 25.00 Date December 31, 2017 February 29, 2024 December 31, 2023 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Percentage of MoH and district training/capacity building plans developed and monitored Value 0.00 35.00 40.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Tele-education broadcasts available in all nine provinces Value No Yes Yes Date December 1, 2020 December 30, 2022 December 30, 2022 Comment MoH and Provinces endorse policies and standards for reorganizing PHC (DLI 1) Value Policies and standards sufficient to guide PHC Reo Completed MOH and each Province endorse circulars and standa Date September 3, 2018 May 30, 2023 June 30, 2019 Comment Number of innovative subprojects supported, evaluated and disseminated Value 0.00 8.00 11.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Number of direct project beneficiaries reached with seeds, planting material, compensation, equipment, works and services for COVID-19 recovery, segregated by gender Value 0.00 265.00 100.00 Date December 30, 2020 December 31, 2021 December 30, 2022 Comment MoH adopts and updates clinical protocols for selected health conditions (DLI 2) Value No clinical protocols targeted for the PHC level e Package of protocols adopted for defined selected MoH adopts updated package of protocols for define Date September 3, 2018 May 30, 2023 December 31, 2022 Comment Number of institutions benefiting from improved digital tools for secure and resilient continuity of operations Value 0.00 0.00 80.00 Date December 1, 2020 May 30, 2023 December 31, 2023 Comment Number of annual progress reviews on MoH Action Plan, including Project Results Indicators at the central MoH Value 0.00 5.00 3.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Number of patient-friendly services provided on the basis of 4 types of services at the PMCIs (DLI 4) Value 0.00 871.00 550.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Percentage of Medical Officers (both Medical Officers of Health in the Public Health stream and Medical Officers at PMCIs) trained on essential service package on NCDs Value 0.00 65.00 70.00 Date July 1, 2018 February 29, 2024 December 31, 2023 Comment Percentage of PMCIs with transport facilities for dispatching the samples for investigations to apex laboratories Value 0.00 57.00 55.00 Date September 3, 2018 May 30, 2023 December 31, 2023 Comment Percentage of PMCIs with capability for primary detection and management of dengue Value 0.00 58.00 55.00 Date December 31, 2017 May 30, 2023 December 31, 2023 Comment Percentage of PMCIs providing a standard primary oral health care package Value 0.00 60.00 55.00 Date September 3, 2018 May 30, 2023 December 31, 2023 Comment Percentages of PMCIs with basic emergency care facilities Value 10.00 69.00 50.00 Date September 3, 2018 May 30, 2023 December 31, 2023 Comment Percentage of Medical Officer of Health areas offering mental health services in at least one PMCI Value 0.00 75.00 35.00 Date September 3, 2018 May 30, 2023 December 31, 2023 Comment Percentage of PMCIs with capability for TB screening and referral Value 0.00 53.00 45.00 Date September 3, 2018 May 30, 2023 December 31, 2023 Comment Percentage of public sector schools implementing health promoting programs (health promoting schools) Value 31.00 33.00 35.00 Date December 31, 2017 May 30, 2023 December 31, 2023 Comment Number of PMCIs that use personal health records to coordinate patient care over time and through the referral chain (DLI 5) Value 0.00 550.00 550.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Number of PMCIs connected to and using the Medical Supplies Management Information System (DLR 6.1) Value 0.00 265.00 550.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Percentage of annual procurement by MSD that is less than or equal to defined performance benchmarks (DLR 6.3) Value 50.00 90.00 70.00 Date December 31, 2016 May 30, 2023 December 31, 2023 Comment The use of the urgent procurement procedure as a percent of total medical supplies procurement that is reduced from the establishedbaseline (DLR 6.5) Value 0.00 100.00 40.00 Date December 31, 2017 May 30, 2023 December 31, 2023 Comment Community Engagement Mechanism for health sector operational, including grievance redressal mechanism (DLI 7) Value There is no operational community engagement and g Completed MoH makes public consolidated annual report for th Date September 3, 2018 May 30, 2023 December 31, 2022 Comment Number of PMCIs with active community engagement committees (DLR 7.5) Value 0.00 550.00 550.00 Date September 3, 2018 February 29, 2024 December 31, 2023 Comment Adequate and timely release of treasury funds requested to health sector program Value 75.00 75.00 85.00 Date December 31, 2017 October 31, 2023 December 31, 2023 Comment Percentage of Medical Officer of Health areas offering minimum COVID-19/emergency outbreak, epidemic management responses at OPD orand Emergency Department (ETU) Value 0.00 33.00 35.00 Date January 30, 2020 February 29, 2024 December 31, 2023 Comment