| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 328.00 |
| Local Govts. (Prov., District, City) of Borrowing Country | 3112.98 |
Andhra Pradesh Health Systems Strengthening Project
Abstract*
The development objectives of Andhra Pradesh Health Systems Strengthening Project for India are to improve the quality and responsiveness of public health services and increase access of the population to an expanded package of primary health services. This project has three components. 1) The first component, Improve Quality of Care, aims to focus on improving the quality of care in Community Health Centers (CHCs) and Primary Health Centers (PHCs)... Show More
Development Objective
The Project Development Objectives are to improve the quality and responsiveness of public health services and increase access of the population to an expanded package of primary health services.
Key Details
Project Details
P167581
Closed
Amith Bathula
Republic of India
October 11, 2018
(as of board presentation)
May 15, 2019
September 9, 2019
US$ 3440.98 million
Department of Health, Medical and Family Welfare, Govt. of Andhra Pradesh
2019
US$ 328.00 million
B
N/A
March 31, 2025
No
BANK APPROVED
November 14, 2023
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 328.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 328.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 3440.98 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Aug 21, 2020 | IBRD-89450 | Loan Disb | 4,550,000.00 |
| May 13, 2020 | IBRD-89450 | Loan Disb | 16,170,000.00 |
| May 15, 2020 | IBRD-89450 | Int Charges | 402,981.16 |
| May 15, 2020 | IBRD-89450 | Int Charges | 40,310.23 |
| Jun 26, 2020 | IBRD-89450 | Loan Disb | 5,829,000.00 |
| Mar 24, 2020 | IBRD-89450 | Loan Disb | 3,710,000.00 |
| Mar 3, 2020 | IBRD-89450 | Loan Disb | 5,030,000.00 |
| Nov 15, 2019 | IBRD-89450 | Int Charges | 181,596.30 |
| Nov 15, 2019 | IBRD-89450 | Int Charges | 4,914.08 |
| Sep 9, 2019 | IBRD-89450 | Loan Disb | 820,000.00 |
| Sep 9, 2019 | IBRD-89450 | Fee Charges | 820,000.00 |
| Aug 4, 2021 | IBRD-89450 | Loan Disb | 1,364,220.60 |
| Sep 27, 2021 | IBRD-89450 | Loan Disb | 7,553,853.00 |
| Nov 15, 2021 | IBRD-89450 | Loan Disb | 2,850,000.00 |
| Sep 7, 2021 | IBRD-89450 | Loan Disb | 902,173.90 |
| Nov 15, 2021 | IBRD-89450 | Int Charges | 322,131.62 |
| Nov 15, 2021 | IBRD-89450 | Int Charges | 402,014.44 |
| Oct 21, 2021 | IBRD-89450 | Loan Disb | 1,150,117.60 |
| May 15, 2021 | IBRD-89450 | Int Charges | 301,140.47 |
| May 17, 2021 | IBRD-89450 | Loan Disb | 1,172,400.00 |
| Jun 22, 2021 | IBRD-89450 | Loan Disb | 910,000.00 |
| Jun 1, 2021 | IBRD-89450 | Loan Disb | 7,210,000.00 |
| Jun 10, 2021 | IBRD-89450 | Loan Disb | 455,000.00 |
| Nov 15, 2020 | IBRD-89450 | Int Charges | 1,538.66 |
| Nov 15, 2020 | IBRD-89450 | Int Charges | 16,044.13 |
| Nov 15, 2020 | IBRD-89450 | Int Charges | 364,323.50 |
| Nov 15, 2020 | IBRD-89450 | Int Charges | 305,933.62 |
| May 15, 2021 | IBRD-89450 | Int Charges | 341,813.60 |
| Feb 17, 2021 | IBRD-89450 | Loan Disb | 1,591,000.00 |
| Feb 16, 2021 | IBRD-89450 | Loan Disb | 10,920,000.00 |
| Nov 15, 2022 | IBRD-89450 | Int Charges | 2,180,121.00 |
| Nov 15, 2022 | IBRD-89450 | Int Charges | 1,493.58 |
| Aug 30, 2022 | IBRD-89450 | Loan Disb | 7,917,000.00 |
| Feb 4, 2022 | IBRD-89450 | Loan Disb | 10,920,000.00 |
| Jul 28, 2022 | IBRD-89450 | Loan Disb | 1,360,000.00 |
| Feb 14, 2022 | IBRD-89450 | Loan Disb | 143,764.70 |
| Jan 26, 2022 | IBRD-89450 | Loan Disb | 5,894,352.50 |
| Jan 25, 2022 | IBRD-89450 | Loan Disb | 3,594,117.50 |
| May 15, 2022 | IBRD-89450 | Int Charges | 2,732.13 |
| May 15, 2022 | IBRD-89450 | Int Charges | 9,677.83 |
| May 15, 2019 | IBRD-89450 | Loan Commitment | 328,000,000.00 |
| May 15, 2022 | IBRD-89450 | Int Charges | 282,285.70 |
| May 15, 2022 | IBRD-89450 | Int Charges | 577,945.06 |
| Jun 27, 2022 | IBRD-89450 | Loan Disb | 3,915,000.00 |
| Jun 9, 2022 | IBRD-89450 | Loan Disb | 6,730,000.00 |
| Dec 10, 2021 | IBRD-89450 | Loan Disb | 1,222,000.00 |
| Apr 12, 2022 | IBRD-89450 | Loan Disb | 6,608,000.00 |
| Aug 27, 2021 | IBRD-89450 | Loan Disb | 4,115,647.00 |
| Jun 28, 2023 | IBRD-89450 | Loan Disb | 16,260,000.00 |
| Jan 26, 2023 | IBRD-89450 | Loan Disb | 61,500,000.00 |
| May 17, 2023 | IBRD-89450 | Loan Disb | 28,600,000.00 |
| Nov 15, 2022 | IBRD-89450 | Int Charges | 5,532.93 |
| Nov 15, 2022 | IBRD-89450 | Int Charges | 252,650.31 |
| Nov 15, 2023 | IBRD-89450 | Int Charges | 113,714.68 |
| Nov 15, 2023 | IBRD-89450 | Int Charges | 115,868.44 |
| Nov 15, 2023 | IBRD-89450 | Int Charges | 7,516,772.50 |
| Nov 15, 2023 | IBRD-89450 | Int Charges | 113,252.06 |
| May 15, 2023 | IBRD-89450 | Int Charges | 188,402.10 |
| May 15, 2023 | IBRD-89450 | Int Charges | 193,963.11 |
| May 15, 2023 | IBRD-89450 | Int Charges | 4,637,537.00 |
| Jun 5, 2023 | IBRD-89450 | Loan Disb | 1,243,243.20 |
| Jun 25, 2024 | IBRD-89450 | Loan Disb | 2,497,750.00 |
| Jun 25, 2024 | IBRD-89450 | Loan Disb | 4,968,333.00 |
| May 15, 2024 | IBRD-89450 | Int Charges | 46,710.45 |
| May 9, 2024 | IBRD-89450 | Loan Disb | 4,554,936.50 |
| May 15, 2024 | IBRD-89450 | Int Charges | 88,296.21 |
| May 15, 2024 | IBRD-89450 | Int Charges | 8,687,385.00 |
| Feb 20, 2024 | IBRD-89450 | Loan Disb | 12,677,027.00 |
| Mar 4, 2024 | IBRD-89450 | Loan Disb | 12,246,250.00 |
| Mar 4, 2024 | IBRD-89450 | Loan Disb | 10,134,841.00 |
| Jul 15, 2020 | IBRD-89450 | Loan Disb | 6,000,000.00 |
| Aug 24, 2020 | IBRD-89450 | Loan Disb | 3,900,000.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Overall Implementation Progress (IP) | Satisfactory | 2025-03-14 |
| Progress towards achievement of PDO | Satisfactory | 2025-03-14 |
| Financial Management | Satisfactory | 2025-03-14 |
| Monitoring and Evaluation | Satisfactory | 2025-03-14 |
| Project Management | Satisfactory | 2025-03-14 |
| Procurement | Satisfactory | 2025-03-14 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Increase in the average patient reported experience score Value Baseline to be established for patient reported ex Not Achieved 5 percentage point increase from baseline Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in number of CHCs and PHCs with quality certification Value 0.00 198.00 198.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in percentage of patients diagnosed and at risk of hypertension and diabetes, managed as per protocol at the SC or PHC Value Baseline to be established following development o Achieved Increase in baseline value by 2 percentage point Date February 1, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of districts with at least 90% of pregnant women receiving full ante-natal care Value 5.00 11.00 11.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Increase in the number of CHCs and PHCs with more than 70 percent quality accreditation score following the State-level internal assessment Value 0.00 390.00 390.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of health facilities with an operational integrated online patient management system Value 0.00 542.00 1400.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of functional health and wellness centres (HWCs) Value 0.00 3000.00 3000.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Establish and operate a quality tracking dashboard covering PHC and CHC facilities for supporting quality improvement and maintenance Value No dashboard currently exists Achieved. 100 PHC and CHC facilities included in q 100 PHC and CHC facilities included in quarterly d Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the percentage of patients accessing their individual EMR Value 0 0 6% increase from baseline Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of CHCs covered by a core package of services contributing towards quality of care Value 0.00 28.00 65.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of subcenters with trained mid-level service providers Value 300.00 10032.00 5900.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the percentage of CHCs achieving at least 90% sanitation score monthly for a period of at least six months in a year Value 80.00 90.00 90.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the number of facilities where the system for measuring and reporting on patient experience is operational Value 0.00 0.00 1400.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the percent of adult population screened and stratified by risk as per clinical protocols for hypertension and diabetes Value 12.00 71.00 67.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Improvement in the pharmaceutical stock management system at the PHCs and CHCs Value Existing system provides information on current st Achieved. Quarterly stock- status reports for PHCs Quarterly stock- status reports for PHCs and CHCs Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Percentage of districts organizing quarterly review meetings on patient feedback Value 0.00 0.00 70.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the percent of male population screened and stratified by risk as per clinical protocols for hypertension and diabetes Value 1.00 70.00 35.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Establish a system for routine maintenance and repair for bio-medical equipment at the CHC level Value No system in place. Achieved. Functional System in place Date June 30, 2019 December 4, 2023 June 30, 2022 Comment Increase in the percent of female population screened and stratified by risk as per clinical protocols for hypertension and diabetes Value 23.00 78.00 70.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Increase in the percentage of women above age 30 years screened for cervical cancer at subcenters or PHC facilities Value 26.00 77.00 70.00 Date February 28, 2019 December 4, 2023 June 30, 2024 Comment Research and evaluation undertaken to support the innovative approaches to delivery of primary health care Value Population-based survey of NCD risk factor prevale Not Achieved End-line study for evaluation on e-subcenter compl Date February 28, 2019 December 4, 2023 June 30, 2023 Comment