| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 75.00 |
Health Systems Improvement Project
Abstract*
The 2016-2020 Country Partnership Framework for Bosnia and Herzegovina identified an efficient public sector as a priority investment, and specifically noted the importance of targeted interventions to improve health care services.
This project aims to improve the quality and efficiency of health care services, an help ensure the sustainability of the health care system. The project will offer a package of technical and financial assistance that... Show More
Development Objective
The Project Development Objective is to contribute to improvement in the quality of care and in the financial sustainability of the health care systems in Republika Srpska and the Federation of Bosnia and Herzegovina.
Key Details
Project Details
P171150
Active
Olena Doroshenko , Zuhra Osmanovic-Pasic
Bosnia and Herzegovina
Bosnia and Herzegovina
December 11, 2019
(as of board presentation)
April 7, 2022
August 5, 2024
US$ 75.00 million
Federal Ministry of Health, Federation of Bosnia and Herzegovina,Ministry of Finance, Republika Srpska,Ministry of Health and Social Welfare, Republika Srpska,Federal Ministry of Finance, Federation of Bosnia and Herzegovina
2022
US$ 75.00 million
N/A
Low
December 31, 2027
TBD
BANK APPROVED
December 22, 2023
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 75.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 75.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 75.00 |
Summary Status of World Bank Financing (US$ Millions) as of April 30, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Aug 5, 2024 | IBRD-93510 | Fee Charges | 184,208.52 |
| Aug 5, 2024 | IBRD-93510 | Loan Disb | 184,208.52 |
| Apr 7, 2022 | IBRD-93510 | Loan Commitment | 75,000,000.00 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Unsatisfactory | 2024-12-13 |
| Procurement | Satisfactory | 2024-12-13 |
| Project Management | Moderately Satisfactory | 2024-12-13 |
| Financial Management | Satisfactory | 2024-12-13 |
| Overall Implementation Progress (IP) | Moderately Unsatisfactory | 2024-12-13 |
| Monitoring and Evaluation | Satisfactory | 2024-12-13 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
The percentage reduction in the rate of hospital admissions where the only recorded diagnosis is arterial hypertension, or where the principal diagnosis is uncomplicated arterial hypertension Value To be defined within the first year of the project No Actual (Current) value yet 20% reduction from baseline Date July 1, 2021 December 15, 2023 December 31, 2026 Comment The percentage of health care providers achieving a debt ratio of 0.5 or less at the end of the financial year Value 20.00 20.00 75.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment The percentage of health care providers demonstrating quality gains through a defined set of indicators that are publicly disclosed Value 0.00 0.00 90.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Republika Srpska Value 20.00 20.00 75.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Federation of Bosnia and Herzegovina Value 20.00 20.00 75.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Republika Srpska Value 0.00 0.00 90.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Republika Srpska Value To be defined within the first year of the project No Actual (Current) value yet 20% reduction from baseline Date June 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Federation of Bosnia and Herzegovina Value 0.00 0.00 90.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment ... in Federation of Bosnia and Herzegovina Value To be defined within the first year of the project No Actual (Current) value yet 20% reduction from baseline Date July 1, 2021 December 15, 2023 December 31, 2026 Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Percentage of health care providers that have established and disclosed an annual, representative patient satisfaction survey consistent with international benchmarks Value 0.00 0.00 90.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Percentage of health care providers that have established and disclosed an annual, representative patient satisfaction survey consistent with international benchmarks Value 0.00 0.00 90.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Percentage of health care service users engaged in providing facility-level feedback on performance who report that their engagement was effective in planning and delivering service improvements Value 0.00 0.00 70.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Percentage of health care service users engaged in providing facility-level feedback on performance who report that their engagement was effective in planning and delivering service improvements Value 0.00 0.00 70.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of clinicians and health care managers trained in health care quality monitoring and improvement techniques Value 0.00 0.00 250.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of clinicians and health care managers trained in health care quality monitoring and improvement techniques Value 0.00 0.00 500.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of studies conducted to allow concentration of specialist health care into fewer providers Value 0.00 0.00 6.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of studies conducted to allow concentration of specialist health care into fewer providers Value 0.00 0.00 6.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Percentage of hospitals publishing waiting times for selected secondary health care services Value 0.00 0.00 95.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Percentage of hospitals publishing waiting times for selected secondary health care services Value 0.00 0.00 95.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment The gap between the percentage of hypertensive men and the percentage of hypertensive women whose hypertension is adequately controlled, as defined by current clinical guidelines Value 13.00 13.00 5.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment The gap between the percentage of hypertensive men and the percentage of hypertensive women whose hypertension is adequately controlled, as defined by current clinical guidelines Value 13.00 13.00 5.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of health care providers or health insurance funds submitting financial reports, including overdue unpaid liabilities, to the appropriate authorities on time Value 0.00 0.00 95.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of health care providers or health insurance funds submitting financial reports, including overdue unpaid liabilities, to the appropriate authorities on time Value 0.00 0.00 95.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of studies of patient pathways conducted to determine true cost and adjust reimbursement tariff Value 0.00 0.00 4.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Number of studies of patient pathways conducted to determine true cost and adjust reimbursement tariff Value 0.00 0.00 4.00 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment Transfers from the general government budget to the health insurance fund for the purposes of paying health care insurance for special categories of the population, '000 000 BAM Value 106.50 106.50 106.50 Date July 1, 2021 December 15, 2023 December 31, 2026 Comment