Indonesia - Supporting Primary Health Care Reform

Abstract*

The development objective of the Supporting Primary Health Care Reform Program and Supporting Primary and Referral Health Care Reform Program Projects for Indonesia is strengthening the performance of Indonesia’s primary health care system. The program is organized around three pillars: pillar 1 - promoting a healthy paradigm; pillar 2 - strengthening health care services; and pillar 3 - the national health insurance scheme (JKN). The program-for-results... Show More

Development Objective

Strengthening the performance of Indonesia’s primary health care system

Key Details

Project Details

Project ID
P164277
Status
Closed
Team Leader
Eko Pambudi , Jurgen Blum, Yulia Izati
Borrower 2
Ministry of Finance

Country
Indonesia
Disclosure Date
June 22, 2017
Approval Date
(as of board presentation)
June 13, 2018
Effective Date
October 9, 2018

Total Project Cost 1
US$ 93007.00 million
Implementing Agency
Ministry of Health
Region
East Asia and Pacific
Fiscal Year 3
2018

Commitment Amount
US$ 150.00 million
Environmental Category
N/A
Environmental and Social Risk
Not Applicable
Closing Date
December 31, 2024

Consultant Services required
No
Last Stage Reached
BANK APPROVED
Last Update Date
May 29, 2024

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 - Environment and Natural Resource Management

FY17 - Climate change12%
- FY17 - Adaptation12%

FY17 - Human Development and Gender

FY17 - Health Systems and Policies100%
- FY17 - Health Finance41%
- FY17 - Health Service Delivery25%
- FY17 - Health System Strengthening90%

FY17 - Private Sector Development

FY17 - ICT19%
- FY17 - ICT Solutions19%

FY17 - Public Sector Management

FY17 - Public Administration5%
- FY17 - Municipal Institution Building5%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
National Government	13357.00
International Bank for Reconstruction and Development	150.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	150.00
IDA Commitment	N/A
IBRD + IDA Commitment	150.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	93007.00

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

No data available.

Detailed Financial Activity as of April 30, 2025

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Period	Financier	Transaction Type	Amount (US$)
Jun 13, 2018	IBRD-88730	Loan Commitment	150,000,000.00
Jan 22, 2019	IBRD-88730	Loan Disb	37,500,000.00
Jul 15, 2022	IBRD-88730	Int Charges	257,485.27
Jul 15, 2024	IBRD-88730	Int Charges	25,717.86
Jul 15, 2024	IBRD-88730	Int Charges	297.38
Jul 15, 2024	IBRD-88730	Int Charges	30,237.44
Jul 15, 2024	IBRD-88730	Int Charges	3,870,069.50
May 16, 2024	IBRD-88730	Loan Disb	17,612,000.00
Jun 9, 2022	IBRD-88730	Loan Disb	23,985,000.00
Jul 15, 2021	IBRD-88730	Int Charges	124,843.49
Jul 15, 2021	IBRD-88730	Int Charges	215,635.50
Jan 15, 2021	IBRD-88730	Int Charges	26,002.84
Jan 15, 2021	IBRD-88730	Int Charges	126,592.38
Jan 15, 2021	IBRD-88730	Int Charges	236,847.10
Jan 15, 2021	IBRD-88730	Int Charges	2,901.03
Jul 15, 2020	IBRD-88730	Int Charges	136,955.53
Jul 15, 2020	IBRD-88730	Int Charges	464,479.20
Jun 9, 2020	IBRD-88730	Loan Disb	11,797,500.00
Jan 15, 2020	IBRD-88730	Int Charges	141,751.38
Jan 15, 2020	IBRD-88730	Int Charges	536,666.70
Jul 15, 2019	IBRD-88730	Int Charges	141,267.12
Jul 15, 2019	IBRD-88730	Int Charges	627,125.00
Jan 15, 2019	IBRD-88730	Int Charges	125,342.48
Jan 15, 2024	IBRD-88730	Int Charges	31,301.05
Jan 15, 2024	IBRD-88730	Int Charges	78,346.73
Jan 15, 2024	IBRD-88730	Int Charges	2,810,581.50
May 2, 2024	IBRD-88730	Loan Disb	21,093,500.00
Jan 12, 2024	IBRD-88730	Loan Disb	14,512,500.00
Jul 15, 2023	IBRD-88730	Int Charges	96,344.02
Jul 15, 2023	IBRD-88730	Int Charges	95,108.68
Jul 15, 2023	IBRD-88730	Int Charges	1,975,188.10
Sep 25, 2023	IBRD-88730	Loan Disb	23,499,500.00
Jan 15, 2023	IBRD-88730	Int Charges	5,914.10
Jan 15, 2023	IBRD-88730	Int Charges	100,382.11
Jan 15, 2023	IBRD-88730	Int Charges	96,685.06
Jan 15, 2023	IBRD-88730	Int Charges	1,476,365.10
Jan 15, 2022	IBRD-88730	Int Charges	126,912.73
Jan 15, 2022	IBRD-88730	Int Charges	196,532.72
Nov 6, 2018	IBRD-88730	Fee Charges	375,000.00
Jul 15, 2022	IBRD-88730	Int Charges	118,929.39

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Satisfactory	2024-08-16
Monitoring and Evaluation	Satisfactory	2024-08-16
Overall Implementation Progress (IP)	Satisfactory	2024-08-16

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Districts covered in MOH's published performance dashboard Value 0 The BPKP has verified that over 96% districts cove 90 %
Date December 29, 2017 April 30, 2024 December 31, 2024
Comment
Puskesmas that have received higher levels of accreditation Value 495.00 2265.00 1995.00
Date December 29, 2017 November 3, 2023 December 31, 2024
Comment
Primary care providers that are implementing performance based JKN capitation Value 0 BPKP has verified achievement of 93.31% facilities 60 %
Date December 29, 2017 January 31, 2023 August 30, 2024
Comment

Districts showing an improvement on at least half of the performance indicators in the enhanced DAK non-fisik	Value	0	BPKP has verified that cumulative total of 120 dis	60 %
	Date	December 29, 2017	April 30, 2024	August 30, 2024
	Comment

Pregnant women delivering at a health care facility Value 78.00 87.86 90.00
Date December 29, 2017 December 30, 2022 December 31, 2024
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Puskesmas that have been accredited at any level in Eastern Indonesia Value 197.00 646.00 597.00
Date December 29, 2017 January 31, 2023 December 31, 2024
Comment

Puskesmas using electronic data reporting systems with complete and compliant data in accordance with MOH’s data dictionary	Value	0	The MoH reported that 99% Puskesmas are using SITB	80 %
	Date	December 29, 2017	October 6, 2023	December 31, 2024
	Comment

Ensuring credibility and reliability of the primary care accreditation process	Value	No	The restructuring of DLI 5 is finalized in March 2	1. An international accreditation institution has
	Date	December 29, 2017	May 1, 2024	December 31, 2024
	Comment

Puskesmas using mHealth application to support enhanced PIS-PK Value 0 BPKP has verified that 1,535 Puskesmas (cumulative 1500
Date December 29, 2017 April 30, 2024 December 31, 2024
Comment
People who have received essential health, nutrition, and population (HNP) services Value 0.00 21961689.00 23375000.00
Date June 13, 2018 December 30, 2022 December 31, 2024
Comment
Lagging districts that have produced improved annual plans and budgets Value 0 BPKP has verified that cumulative total of 120 dis 120
Date December 29, 2017 April 30, 2024 December 31, 2024
Comment
Number of deliveries attended by skilled health personnel Value 0.00 21961689.00 23375000.00
Date June 13, 2018 December 30, 2022 December 31, 2024
Comment
Special health worker teams deployed Value 439.00 1040.00 1039.00
Date December 29, 2017 October 6, 2023 December 31, 2024
Comment
Provinces that are using an integrated referal information system (IRIS) Value 0 BPKP has verified the achievement of 5 provinces h 5
Date December 29, 2017 April 19, 2024 December 31, 2024
Comment

Districts covered in MOH's published performance dashboard	Value	0	The BPKP has verified that over 96% districts cove	90 %
	Date	December 29, 2017	April 30, 2024	December 31, 2024
	Comment

Puskesmas that have received higher levels of accreditation	Value	495.00	2265.00	1995.00
	Date	December 29, 2017	November 3, 2023	December 31, 2024
	Comment

Primary care providers that are implementing performance based JKN capitation	Value	0	BPKP has verified achievement of 93.31% facilities	60 %
	Date	December 29, 2017	January 31, 2023	August 30, 2024
	Comment

Pregnant women delivering at a health care facility	Value	78.00	87.86	90.00
	Date	December 29, 2017	December 30, 2022	December 31, 2024
	Comment

Puskesmas that have been accredited at any level in Eastern Indonesia	Value	197.00	646.00	597.00
	Date	December 29, 2017	January 31, 2023	December 31, 2024
	Comment

Puskesmas using mHealth application to support enhanced PIS-PK	Value	0	BPKP has verified that 1,535 Puskesmas (cumulative	1500
	Date	December 29, 2017	April 30, 2024	December 31, 2024
	Comment

People who have received essential health, nutrition, and population (HNP) services	Value	0.00	21961689.00	23375000.00
	Date	June 13, 2018	December 30, 2022	December 31, 2024
	Comment

Special health worker teams deployed	Value	439.00	1040.00	1039.00
	Date	December 29, 2017	October 6, 2023	December 31, 2024
	Comment

Provinces that are using an integrated referal information system (IRIS)	Value	0	BPKP has verified the achievement of 5 provinces h	5
	Date	December 29, 2017	April 19, 2024	December 31, 2024
	Comment

Indonesia - Supporting Primary Health Care Reform

Abstract*

Development Objective

Key Details

Project Details

Sectors

Themes

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Project Map

Finances

Financing Plan (US$ Millions)

Total Project Financing (US$ Millions)

Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025

Detailed Financial Activity as of April 30, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS