Health Service Delivery Network Project

Abstract*

The objective of the Health Service Delivery Network Project for Bolivia is to improve access to, and quality of, health service delivery in selected health networks. There are three components to the project, the first component being Strengthening Health Service Delivery Networks. This component will support the strengthening of ten health service delivery networks that serve an estimated 3.8 million population. A complete assessment of the networks’... Show More

Development Objective

to improve access to, and quality of, health service delivery in selected health networks and to respond to the threat posed by COVID-19

Key Details

Project Details

Project ID
P164453
Status
Closed
Team Leader
Patricia Alvarez
Borrower 2
Plurinational State of Bolivia

Country
Bolivia
Disclosure Date
February 14, 2018
Approval Date
(as of board presentation)
June 14, 2018
Effective Date
March 21, 2019

Total Project Cost 1
US$ 300.00 million
Implementing Agency
Ministry of Health - Agencia de Infraestructura en Salud y Equipamiento Medico (AISEM),Ministry of Health
Region
Latin America and Caribbean
Fiscal Year 3
2018

Commitment Amount
US$ 300.00 million
Environmental Category
B
Environmental and Social Risk
Not Applicable
Closing Date
January 31, 2024

Consultant Services required
Yes
Last Stage Reached
BANK APPROVED
Last Update Date
May 21, 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 change8%
- FY17 - Adaptation4%
- FY17 - Mitigation4%

FY17 - Human Development and Gender

FY17 - Disease Control0%
- FY17 - Pandemic Response1%
FY17 - Health Systems and Policies100%
- FY17 - Health Service Delivery19%
- FY17 - Health System Strengthening100%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
IDA Credit	48.00
International Bank for Reconstruction and Development	252.00

Total Project Financing (US$ Millions)

Product Line	IBRD/IDA
IBRD Commitment	252.00
IDA Commitment	48.00
IBRD + IDA Commitment	300.00

Lending Instrument
Grant Amount	N/A
Total Project Cost**	300.00

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

No data available.

Detailed Financial Activity as of April 30, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Apr 15, 2022	IBRD-88680	Int Charges	2,991.38
Apr 15, 2022	IBRD-88680	Int Charges	16,662.09
Apr 15, 2022	IBRD-88680	Int Charges	158,166.50
Apr 15, 2022	IBRD-88680	Int Charges	986,773.30
Jun 29, 2022	IBRD-88680	Loan Disb	6,358,491.00
Jun 17, 2021	IBRD-88680	Loan Disb	3,033,788.80
Jul 20, 2021	IBRD-88680	Loan Disb	2,635,941.00
Jul 2, 2021	IBRD-88680	Loan Disb	3,218,624.80
May 27, 2021	IBRD-88680	Loan Disb	1,242,077.90
Oct 15, 2021	IBRD-88680	Int Charges	751,061.70
Oct 15, 2021	IDA-62480	Int Charges	56,880.42
Oct 15, 2021	IDA-62480	Int Charges	21,575.70
Sep 7, 2021	IBRD-88680	Loan Disb	5,000,000.00
Aug 5, 2021	IBRD-88680	Loan Disb	2,911,942.50
Oct 15, 2021	IBRD-88680	Int Charges	617.26
Jun 14, 2018	IDA-62480	Loan Commitment	48,000,000.00
Jun 14, 2018	IBRD-88680	Loan Commitment	252,000,000.00
Apr 15, 2024	IDA-62480	Int Charges	95,668.35
Apr 15, 2024	IBRD-88680	Int Charges	7,889.40
Apr 15, 2024	IBRD-88680	Int Charges	4,528,410.50
Apr 15, 2024	IDA-62480	Int Charges	2,797.39
Oct 24, 2023	IBRD-88680	Loan Cancel	127,983,704.00
Oct 24, 2023	IDA-62480	Loan Cancel	45,380,000.00
Oct 15, 2023	IBRD-88680	Int Charges	160,417.92
Oct 15, 2023	IBRD-88680	Int Charges	4,230,092.50
Oct 15, 2023	IDA-62480	Int Charges	56,880.42
Oct 15, 2023	IDA-62480	Int Charges	89,366.02
Apr 15, 2023	IBRD-88680	Int Charges	153,425.56
Apr 15, 2023	IBRD-88680	Int Charges	3,871,538.00
Apr 15, 2020	IDA-62480	Int Charges	56,791.24
Apr 15, 2020	IDA-62480	Int Charges	45,015.97
Apr 20, 2020	IBRD-88680	Loan Disb	11,943,652.00
Apr 15, 2020	IBRD-88680	Int Charges	122,505.28
Apr 15, 2020	IBRD-88680	Int Charges	303,877.10
Apr 15, 2020	IBRD-88680	Int Charges	462.33
Apr 15, 2020	IBRD-88680	Int Charges	7,093.92
May 7, 2020	IBRD-88680	Loan Disb	5,809,074.00
Oct 15, 2020	IDA-62480	Int Charges	35,027.22
Aug 6, 2020	IBRD-88680	Loan Disb	1,635,146.80
Dec 23, 2020	IBRD-88680	Loan Disb	1,697,055.20
Jan 4, 2021	IBRD-88680	Loan Disb	242,711.38
Dec 31, 2020	IBRD-88680	Loan Disb	-2,471,825.20
Oct 15, 2022	IBRD-88680	Int Charges	146,112.95
Oct 15, 2022	IBRD-88680	Int Charges	2,030,870.80
Apr 15, 2023	IDA-62480	Int Charges	56,569.60
Apr 15, 2023	IDA-62480	Int Charges	78,678.60
Dec 21, 2021	IBRD-88680	Loan Disb	1,170,855.60
Dec 16, 2022	IBRD-88680	Loan Disb	-14,401,625.00
Oct 15, 2022	IDA-62480	Int Charges	39,289.08
Oct 15, 2022	IDA-62480	Int Charges	56,880.42
Dec 13, 2021	IBRD-88680	Loan Disb	4,465,668.50
May 5, 2022	IBRD-88680	Loan Disb	3,504,310.00
Apr 15, 2022	IDA-62480	Int Charges	56,569.60
Apr 15, 2022	IDA-62480	Int Charges	20,663.07
Jul 14, 2020	IBRD-88680	Loan Disb	25,000,000.00
Oct 15, 2019	IBRD-88680	Int Charges	1,881.25
Oct 15, 2019	IBRD-88680	Int Charges	311,203.50
Oct 15, 2019	IBRD-88680	Int Charges	68,598.43
Oct 15, 2019	IDA-62480	Int Charges	358.33
Oct 15, 2019	IDA-62480	Int Charges	57,993.42
Oct 15, 2019	IDA-62480	Int Charges	35,481.90
Oct 15, 2019	IBRD-88680	Int Charges	96,549.66
Oct 15, 2019	IDA-62480	Int Charges	18,390.41
Sep 18, 2019	IBRD-88680	Loan Disb	2,500,000.00
Mar 26, 2020	IBRD-88680	Loan Disb	18,796,640.00
Mar 21, 2019	IDA-62480	Fee Charges	120,000.00
Mar 21, 2019	IBRD-88680	Loan Disb	630,000.00
Mar 21, 2019	IBRD-88680	Fee Charges	630,000.00
Jun 19, 2019	IBRD-88680	Loan Disb	3,500,000.00
Jun 19, 2019	IDA-62480	Loan Disb	2,500,000.00
Apr 29, 2019	IBRD-88680	Loan Disb	500,000.00
Mar 21, 2019	IDA-62480	Loan Disb	120,000.00
Oct 15, 2021	IBRD-88680	Int Charges	3,513.29
Oct 15, 2021	IBRD-88680	Int Charges	198,554.80
Sep 30, 2021	IBRD-88680	Loan Disb	5,840,053.00
Aug 26, 2021	IBRD-88680	Loan Disb	3,182,859.00
Oct 20, 2021	IBRD-88680	Loan Disb	4,128,576.50
Nov 23, 2021	IBRD-88680	Loan Disb	6,737,858.00
Feb 26, 2021	IBRD-88680	Loan Disb	1,837,962.40
Feb 4, 2021	IBRD-88680	Loan Disb	3,304,270.80
Dec 11, 2020	IBRD-88680	Loan Disb	3,020,766.50
Jun 11, 2021	IBRD-88680	Loan Disb	3,079,951.20
Apr 13, 2021	IBRD-88680	Loan Disb	949,361.40
Apr 15, 2021	IBRD-88680	Int Charges	217,978.97
Apr 15, 2021	IBRD-88680	Int Charges	637,591.20
Apr 15, 2021	IDA-62480	Int Charges	56,503.36
Apr 15, 2021	IDA-62480	Int Charges	21,855.17
Jul 20, 2020	IBRD-88680	Loan Disb	3,012,112.20
Oct 15, 2020	IBRD-88680	Int Charges	32,728.06
Oct 15, 2020	IBRD-88680	Int Charges	241,502.66
Oct 15, 2020	IBRD-88680	Int Charges	767,618.10
Oct 15, 2020	IBRD-88680	Int Charges	2,567.85
Oct 15, 2020	IDA-62480	Int Charges	56,396.23

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Procurement	Moderately Satisfactory	2023-09-28
Project Management	Moderately Unsatisfactory	2023-09-28
Overall Implementation Progress (IP)	Moderately Unsatisfactory	2023-09-28
Progress towards achievement of PDO	Moderately Unsatisfactory	2023-09-28
Financial Management	Moderately Unsatisfactory	2023-09-28
Monitoring and Evaluation	Satisfactory	2023-09-28

COMPLETION RATINGS

INDICATOR	IMPLEMENTATION COMPLETION & RESULTS REPORT: 08-01-2024
Outcomes
Risk to Development Outcome
Bank Performance
Borrower Performance
Government Performance
Implementing Agency

INDEPENDENT EVALUATION RATINGS

INDICATOR	ICR REVIEW: 12-16-2024	PROJECT PERFORMANCE ASSESSMENT REPORT:
Outcome Rating	Unsatisfactory	N/a
Risk To Development Outcome		N/a
Bank Performance	Unsatisfactory	N/a
Borrower Performance		N/a
Government Performance		N/a
Implementing Agency		N/a
Icr Quality	High	N/a
M&e Quality	Modest	N/a

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Health facilities of targeted networks aplying updated clinic health standards (normas de atención clínica) Value 0.00 0.00 50.00
Date May 31, 2018 April 18, 2024 May 20, 2024
Comment
Number of diagnosed cases treated per approved COVID-19 protocol Value 0.00 55349.00 15000.00
Date March 30, 2020 April 18, 2024 December 31, 2023
Comment
Network referral centers operational with at least 60% of the required medical staff and providing health services Value 0.00 0.00 0.00
Date June 28, 2018 April 18, 2024
Comment
Doctors checking the MoH clinical guidelines application at least once in the last 60 days Value 0.00 0.00 0.00
Date June 28, 2018 January 30, 2024
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Medical specialists enrolled in residency program supported by the project Value 0.00 0.00 300.00
Date May 31, 2018 April 18, 2024 March 29, 2024
Comment
Number of health facilities equipped to improve response to COVID-19 outbreak Value 0.00 286.00 0.00
Date March 10, 2020 April 18, 2024
Comment
Grievance Redress Mechanism (GRM) designed and operational available to attend in indigenous languages of the region Value No Yes Yes
Date May 31, 2018 April 18, 2024
Comment
Healthcare professionales graduated from health diploma programs Value 0.00 150.00 0.00
Date May 31, 2018 April 18, 2024
Comment
Number of regional laboratories equipped to improve response to COVID-19 outbreak Value 0.00 3.00 0.00
Date March 10, 2020 April 18, 2024
Comment

Patients reporting being satisfied with health services provided in the targeted networks desagregated by gender (including LGBTI) and self- ethnic identification	Value	0.00	0.00	0.00
	Date	May 31, 2018	April 18, 2024
	Comment

Female patients reporting being satisfied with health services provided in the targeted networks Value 0.00 0.00 0.00
Date May 31, 2018 April 18, 2024
Comment
New hospitals equipped Value 0.00 0.00 0.00
Date June 28, 2018 April 18, 2024
Comment
Number of clinical guidelines updated, approved by the MoHS and officially disseminated Value 0.00 6.00 7.00
Date May 31, 2018 April 18, 2024 July 31, 2024
Comment
New hospitals that do not use incineration to treat hospital waste in the targeted networks Value 0.00 0.00 0.00
Date June 28, 2018 April 18, 2024
Comment

New hospitals equipped	Value	0.00	0.00	0.00
	Date	June 28, 2018	April 18, 2024
	Comment

Grievance Redress Mechanism (GRM) designed and operational available to attend in indigenous languages of the region	Value	No	Yes	Yes
	Date	May 31, 2018	April 18, 2024
	Comment