| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 557.20 |
| Borrower/Recipient | 4530.00 |
Romania Health Program for Results
Abstract*
The development objective of the Health Program for Results Project for Romania is to increase the coverage of primary health care (PHC) for underserved populations and improve the efficiency of health spending by addressing underlying institutional challenges. The program scope is informed by the findings of analytical work and the experiences of previous engagements and defined by the country’s demand and application of the country partnership framework... Show More
Development Objective
The Program Development Objective (PDO) is to increase the coverage of primary health care for underserved populations and improve the efficiency of health spending by addressing underlying institutional challenges.
Key Details
Project Details
P169927
Active
Ana Mercado , Adina Voda
Romania
Romania
April 24, 2019
(as of board presentation)
September 17, 2019
January 12, 2021
US$ 5087.20 million
Ministry of Health
2020
US$ 557.20 million
N/A
June 26, 2024
June 30, 2026
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 557.20 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 557.20 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 5087.20 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Nov 7, 2023 | IBRD-90050 | Loan Disb | 37,359,000.00 |
| Sep 17, 2019 | IBRD-90050 | Loan Commitment | 557,200,000.00 |
| May 23, 2024 | IBRD-90050 | Loan Disb | 37,955,752.00 |
| Apr 9, 2024 | IBRD-90050 | Loan Disb | 97,821,000.00 |
| Mar 1, 2024 | IBRD-90050 | Int Charges | 4,773,466.00 |
| Mar 1, 2024 | IBRD-90050 | Int Charges | 421,409.53 |
| Oct 27, 2022 | IBRD-90050 | Loan Disb | 20,071,000.00 |
| May 2, 2023 | IBRD-90050 | Loan Disb | 43,828,000.00 |
| Mar 1, 2023 | IBRD-90050 | Int Charges | 1,052,568.90 |
| Mar 1, 2023 | IBRD-90050 | Int Charges | 524,072.40 |
| Sep 1, 2023 | IBRD-90050 | Int Charges | 2,981,830.50 |
| Sep 1, 2023 | IBRD-90050 | Int Charges | 496,835.94 |
| Jun 28, 2022 | IBRD-90050 | Loan Disb | 15,867,750.00 |
| Mar 1, 2022 | IBRD-90050 | Int Charges | 58,580.88 |
| Mar 1, 2022 | IBRD-90050 | Int Charges | 607,790.70 |
| Sep 1, 2022 | IBRD-90050 | Int Charges | 86,351.26 |
| Sep 1, 2022 | IBRD-90050 | Int Charges | 529,943.30 |
| Oct 4, 2021 | IBRD-90050 | Loan Disb | 87,157,504.00 |
| Sep 1, 2021 | IBRD-90050 | Int Charges | 744,853.44 |
| Sep 1, 2021 | IBRD-90050 | Int Charges | 1,878,326.10 |
| Mar 1, 2021 | IBRD-90050 | Fee Charges | 1,505,500.00 |
| Nov 30, 2023 | IBRD-90050 | Loan Disb | 32,748,000.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-10-02 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-10-02 |
| Overall Implementation Progress (IP) | Satisfactory | 2024-10-02 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-10-02 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-10-02 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-10-02 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-10-02 |
| Overall Implementation Progress (IP) | Satisfactory | 2024-10-02 |
| Overall Implementation Progress (IP) | Satisfactory | 2024-10-02 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of the uninsured in Romania who are registered with family physicians and entitled to receive the minimum PHC package, whichis aligned with the basic PHC package Value No baseline Up to 2,000,000 Up to 2,000,000 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Percentage of National Health Insurance House’s annual budget allocated to PHC (Percentage, Custom) Value 6.50 9.60 9.50 Date May 1, 2019 December 12, 2023 December 31, 2024 Comment Percentage of adults (40 years old and above) receiving annual medical check-ups from family physicians (disaggregated by gender) Value 1.00 0.96 20.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Proportion of supplies and devices for emergency medical services (in value) procured under framework agreements Value 0.00 0.00 50.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of underserved communities covered by community health care in collaboration with PHC Value 0.00 300.00 300.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Percentage of metformin prescriptions initiated at the PHC level Value 0.00 17.16 20.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Difference between the counties with the highest and lowest coverages of children who have received one dose of measles vaccinationat 12 months old Value 48.6%Highest coverage: 100%Lowest coverage: 51.4 60% for Year 2023: Highest coverage = 91.1%; lowes 41% Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Number of communication tools applied for universal access to PHC and framework contract modification Value 0.00 9.00 12.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Percentage of uninsured who are aware they are entitled to receive an improved PHC benefit package (aligned with the basic benefitspackage for the insured) Value 0.00 60.00 90.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Number of public expenditure reviews conducted Value 0.00 2.00 2.00 Date May 1, 2019 December 12, 2023 December 31, 2024 Comment Number of community health care workers (community health nurses and Roma health mediators) trained Value 0.00 2372.00 2000.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Percentage of women living in communities covered by community health care receiving at least one annual visit from a community health care provider Value 0.00 0.00 70.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Percentage of healthcare providers that automatically share data to the central EHR Value 0.00 0.00 0.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment PHC practices Value 0.00 0.00 30.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Hospitals Value 0.00 0.00 10.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Community health care information system upgraded to share data with the EHR Value No No Yes Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Annual international price comparisons for all medicines with registered shortages in Romania Value No Yes Yes Date May 1, 2019 April 26, 2024 December 31, 2024 Comment At least 50% of patented medicines positively assessed through the new HTA methodology receive conditional reimbursement decisions Value 0.00 0.00 50.00 Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Clawback tax regulation revised to improve access to cost-effective drugs Value Clawback tax not revised No revision Clawback tax revised Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Revision of the list of drugs reimbursed by NHIH Value List of drugs reimbursed by HNIH not revised using No revision in HTA methodology/list of drugs List of drugs reimbursed by NHIH revised Date May 1, 2019 April 26, 2024 December 31, 2024 Comment Decrease in the total number of services relative to the number of cases with exceptional number of services Value 0.00 0.00 10.00 Date November 25, 2022 April 26, 2024 December 31, 2024 Comment Number of investigated hospitalization cases with an unusually high number of services Value 0.00 0.00 1000.00 Date November 25, 2022 April 26, 2024 December 31, 2024 Comment