Improving Quality of Health Care Services and Efficiency in Colombia

Abstract*

The development objective of Improving Quality of Health Care Services and Efficiency in Colombia Program project aims to support improvements in the quality of health care services and in the efficiency of the health system. The program contributes directly to the health sector goals of Colombia’s National Development Plan (PND) and to the strategic vision of the Ministry of Health and Social Protection (MSPS). The goals of the proposed operation... Show More

Development Objective

The Development Objective of the Program is to support improvements in the quality of health care services and in the efficiency of the health system

Key Details

Project Details

Project ID
P169866
Status
Closed
Team Leader
Jeremy Veillard , Vanina Camporeale
Borrower 2
Ministry of Finance, Republic of Colombia

Country
Colombia
Disclosure Date
June 12, 2019
Approval Date
(as of board presentation)
March 19, 2020
Effective Date
December 1, 2020

Total Project Cost 1
US$ 36983.00 million
Implementing Agency
Ministry of Health and Social Protection, Republic of Colombia
Region
Latin America and Caribbean
Fiscal Year 3
2020

Commitment Amount
US$ 225.20 million
Environmental Category
N/A
Last Update Date
April 25, 2024
Closing Date
December 31, 2024

Consultant Services required
No
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 - Environment and Natural Resource Management

FY17 - Climate change13%
- FY17 - Adaptation10%
- FY17 - Mitigation3%

FY17 - Human Development and Gender

FY17 - Health Systems and Policies100%
- FY17 - Health Finance50%
- FY17 - Health Service Delivery75%
- FY17 - Health System Strengthening38%

Project Map

Interactive Map

Finances

Financing Plan (US$ Millions)

Financier	Commitments
Concessional Financing Facility	37.60
Global Financing Facility	37.60
International Bank for Reconstruction and Development	150.00
Borrower/Recipient	1795.40

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	75.20
Total Project Cost**	36983.00

Summary Status of World Bank Financing (US$ Millions) as of February 28, 2025

No data available.

Detailed Financial Activity as of February 28, 2025

Download:

Period	Financier	Transaction Type	Amount (US$)
Jan 15, 2022	IBRD-90720	Int Charges	80,386.81
Nov 28, 2022	IBRD-90720	Loan Disb	12,957,487.00
Apr 29, 2021	IBRD-90720	Loan Disb	-79,186,400.00
Jul 15, 2021	IBRD-90720	Int Charges	446,083.38
Jul 15, 2021	IBRD-90720	Int Charges	80,999.12
Jul 15, 2021	IBRD-90720	Int Charges	107,231.59
Nov 17, 2021	IBRD-90720	Loan Disb	21,919,114.00
Dec 7, 2020	IBRD-90720	Fee Charges	375,000.00
Dec 21, 2020	IBRD-90720	Loan Disb	79,186,400.00
Jan 15, 2023	IBRD-90720	Int Charges	1,504,541.60
Jan 15, 2022	IBRD-90720	Int Charges	1,504,541.60
Jul 15, 2022	IBRD-90720	Int Charges	1,504,541.60
Jan 15, 2024	IBRD-90720	Int Charges	1,329,192.10
Jun 14, 2024	IBRD-90720	Loan Disb	9,375,000.00
Jul 16, 2024	IBRD-90720	Int Charges	7,465.36
Jul 16, 2024	IBRD-90720	Int Charges	37,210.42
Jul 15, 2024	IBRD-90720	Int Charges	5,480.22
Jul 15, 2024	IBRD-90720	Int Charges	1,318,210.10
Mar 19, 2020	IBRD-90720	Loan Commitment	150,000,000.00
Jul 15, 2021	IBRD-90720	Int Charges	635,250.90
Apr 29, 2021	IBRD-90720	Loan Disb	79,186,400.00
Jul 15, 2024	IBRD-90720	Int Charges	1,504,541.60
Jul 15, 2023	IBRD-90720	Int Charges	1,504,541.60
Jan 15, 2023	IBRD-90720	Int Charges	533,267.70
Jan 15, 2024	IBRD-90720	Int Charges	45,281.06
Jan 15, 2024	IBRD-90720	Int Charges	1,504,541.60
Jan 15, 2023	IBRD-90720	Int Charges	57,360.45
Jul 15, 2023	IBRD-90720	Int Charges	4,260.00
Jul 15, 2023	IBRD-90720	Int Charges	1,197,652.80
Jul 15, 2023	IBRD-90720	Int Charges	44,552.05
Jul 15, 2023	IBRD-90720	Int Charges	77,976.85
Jul 15, 2022	IBRD-90720	Int Charges	231,429.30
Jul 15, 2022	IBRD-90720	Int Charges	60,615.75
Jul 15, 2022	IBRD-90720	Int Charges	57,599.81
Jul 15, 2022	IBRD-90720	Int Charges	8,857.72

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name	Review	Date
Progress towards achievement of PDO	Moderately Satisfactory	2024-12-23
Monitoring and Evaluation	Moderately Satisfactory	2024-12-23
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-12-23
Progress towards achievement of PDO	Moderately Satisfactory	2024-12-23
Monitoring and Evaluation	Moderately Satisfactory	2024-12-23
Overall Implementation Progress (IP)	Moderately Satisfactory	2024-12-23

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Percentage of women with breast cancer detected in early stage (IIA) (PND) Value 55.70 51.47 69.00
Date August 30, 2019 December 31, 2021 December 30, 2022
Comment
Performance Index for public hospitals (Ai Hospitals) Value 61.00 77.78 70.00
Date July 31, 2019 September 30, 2022 December 30, 2022
Comment
Efficieny gains achieved over the period 2020 - 2022 with new regulations in the pharmaceutical market Value 0.00 1,400,000,000 800,000,000
Date July 31, 2019 December 14, 2022 December 30, 2022
Comment

INTERMEDIATE RESULTS INDICATORS

INDICATOR		BASELINE	CURRENT	TARGET

Development of a prioritization mechanism to update the benefits plan	Value	NA	Matrix of prioritization for benefits plan publish	New prioritization matrix of Benefit Plan publishe
	Date	August 30, 2019	June 30, 2021	September 30, 2022
	Comment

Percentage of municipalities with an intersectoral mechanism to respond to gender-based violence in place Value 55.00 81.30 70.00
Date August 30, 2019 December 14, 2022 September 30, 2022
Comment

Percentage of citizen consultations and claims submitted through the internet site of the MSPS solved on time according to resolution 3687 of 2016 (PQRSD)	Value	80.00	88.10	87.00
	Date	August 30, 2019	October 31, 2023	March 31, 2023
	Comment

Ministerial decree on SOGC has been approved and issued	Value	2006 Ministerial decree on SOGC	2006 Ministerial decree on SOGC	Ministerial decree Updating the SOGC, has been iss
	Date	August 30, 2019	December 14, 2022	September 30, 2022
	Comment

Number of departments with strengthened capabilities to allow the affiliation of migrants to the SGSSS Value 0.00 24.00 24.00
Date August 30, 2019 December 14, 2022 September 30, 2022
Comment

Public release of key performance indicators for public hospitals on a quarterly basis (cumulative)	Value	2 public quarterly releases	15	14 public quarterly released
	Date	August 30, 2019	March 31, 2023	September 30, 2022
	Comment

Percentage of women 50 - 69 years of age screened for breast cancer according to defined protocols. Value 21.20 32.34 30.00
Date December 31, 2018 December 30, 2022 December 30, 2022
Comment
Roll out of pilot for pre-judicial agreements to new departments Value 0.00 0.00 6.00
Date August 30, 2019 December 14, 2021 December 30, 2022
Comment
Number of low complexity public hospitals technically assisted in the accreditation process (cumulative) Value 2.00 132.00 60.00
Date August 30, 2019 November 29, 2023 September 30, 2022
Comment

Publication of analysis of the pharmaceutical market for the incorporation of medicines and medical devices into the probation regime (libertad vigilada y control directo)	Value	Bulletin 1	Bulletin 4	Bulletin 4
	Date	August 30, 2019	December 14, 2022	March 31, 2023
	Comment

Regulation for training heatlh care personnel in continous quality improvement approved Value N/A Regulation Published Regulation Published
Date August 30, 2019 March 31, 2022 September 30, 2022
Comment

Interoperability (IO) standards for electronic health records developed and implemented in priority regions	Value	No definition of minimum interoperability standard	Resolution 866 of June 25, 2021 issued	Regulation published defining minimum interoperabi
	Date	August 30, 2019	June 30, 2021	September 30, 2022
	Comment

Updating regulation of use of telemedicine to improve access to quality care Value NA Regulation Updated Regulation updated
Date December 31, 2019 March 31, 2022 December 31, 2020
Comment

Percentage of women with breast cancer detected in early stage (IIA) (PND)	Value	55.70	51.47	69.00
	Date	August 30, 2019	December 31, 2021	December 30, 2022
	Comment

Performance Index for public hospitals (Ai Hospitals)	Value	61.00	77.78	70.00
	Date	July 31, 2019	September 30, 2022	December 30, 2022
	Comment

Efficieny gains achieved over the period 2020 - 2022 with new regulations in the pharmaceutical market	Value	0.00	1,400,000,000	800,000,000
	Date	July 31, 2019	December 14, 2022	December 30, 2022
	Comment

Percentage of municipalities with an intersectoral mechanism to respond to gender-based violence in place	Value	55.00	81.30	70.00
	Date	August 30, 2019	December 14, 2022	September 30, 2022
	Comment

Percentage of women 50 - 69 years of age screened for breast cancer according to defined protocols.	Value	21.20	32.34	30.00
	Date	December 31, 2018	December 30, 2022	December 30, 2022
	Comment

Number of low complexity public hospitals technically assisted in the accreditation process (cumulative)	Value	2.00	132.00	60.00
	Date	August 30, 2019	November 29, 2023	September 30, 2022
	Comment

Regulation for training heatlh care personnel in continous quality improvement approved	Value	N/A	Regulation Published	Regulation Published
	Date	August 30, 2019	March 31, 2022	September 30, 2022
	Comment

Updating regulation of use of telemedicine to improve access to quality care	Value	NA	Regulation Updated	Regulation updated
	Date	December 31, 2019	March 31, 2022	December 31, 2020
	Comment

Improving Quality of Health Care Services and Efficiency in Colombia

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 February 28, 2025

Detailed Financial Activity as of February 28, 2025

Ratings

IMPLEMENTATION RATINGS

COMPLETION RATINGS

INDEPENDENT EVALUATION RATINGS

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INTERMEDIATE RESULTS INDICATORS