Skip to Main Navigation

Meghalaya Health Systems Strengthening Project

Abstract*

The overall goal of the project is to strengthen the basic public health function and improve access to quality health care for the people of Meghalaya. The specific objectives of the project are to: (i) Strengthen capacity of the health systems to perform public health functions. (ii) Improve the quality and access to health services through innovations in primary health care and improvements of district hospitals, as well as strengthened health...

* The project abstract is drawn from the PAD, SAR or PGD and may not accurately reflect the project's current nature

Show More

Development Objective

The project development objective (PDO) is to improve management capacity, quality and utilization of health services in Meghalaya.

Key Details

Project Details

  • P173589

  • Active

  • Amith Bathula

  • India

  • India

  • June 17, 2020

  • (as of board presentation)

    September 30, 2021

  • November 26, 2021

  • US$ 50.00 million

  • Department of Health and Family Welfare, Government of Meghalaya

  • South Asia

  • 2022

  • US$ 40.00 million

  • N/A

  • Moderate

  • March 31, 2027

  • No

  • BANK APPROVED

  • April 26, 2024

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 40.00
Borrower/Recipient 10.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 40.00
IDA Commitment N/A
IBRD + IDA Commitment 40.00
Lending Instrument
Grant Amount N/A
Total Project Cost** 50.00

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

Download:
No data available.
Financier Approval Date Closing Date Principal Disbursed Repayments Interest, Charges & Fees

Detailed Financial Activity as of April 30, 2025

Download:
No data available.
Period Financier Transaction Type Amount (US$)
Nov 16, 2022 IBRD-92910 Loan Disb 672,956.40
Sep 30, 2021 IBRD-92910 Loan Commitment 40,000,000.00
Mar 27, 2024 IBRD-92910 Loan Disb 1,700,776.80
Feb 29, 2024 IBRD-92910 Loan Disb 2,038,692.40
Apr 15, 2024 IBRD-92910 Int Charges 2,017.97
Apr 15, 2024 IBRD-92910 Int Charges 39,874.83
Apr 15, 2024 IBRD-92910 Int Charges 242,141.52
Oct 15, 2023 IBRD-92910 Int Charges 268.06
Oct 27, 2023 IBRD-92910 Loan Disb 1,130,496.40
Aug 6, 2024 IBRD-92910 Loan Disb 1,661,409.60
Apr 26, 2024 IBRD-92910 Loan Disb 981,452.25
Apr 15, 2023 IBRD-92910 Int Charges 51,454.31
Apr 15, 2023 IBRD-92910 Int Charges 46,967.17
Apr 15, 2023 IBRD-92910 Int Charges 1,579.64
Mar 16, 2023 IBRD-92910 Loan Disb 1,304,598.20
May 11, 2023 IBRD-92910 Loan Disb 1,957,951.90
Aug 11, 2023 IBRD-92910 Loan Disb 903,981.00
Oct 15, 2023 IBRD-92910 Int Charges 165,689.23
Oct 15, 2023 IBRD-92910 Int Charges 43,203.32
Oct 15, 2023 IBRD-92910 Int Charges 6,790.25
Nov 26, 2021 IBRD-92910 Fee Charges 100,000.00
Nov 26, 2021 IBRD-92910 Loan Disb 100,000.00
Jun 13, 2022 IBRD-92910 Loan Disb 699,928.20
Apr 15, 2022 IBRD-92910 Int Charges 307.22
Apr 15, 2022 IBRD-92910 Int Charges 29,769.84
Apr 7, 2022 IBRD-92910 Loan Disb 174,410.55
Apr 7, 2022 IBRD-92910 Loan Disb 163,733.44
Aug 5, 2022 IBRD-92910 Loan Disb 415,293.80
Oct 15, 2022 IBRD-92910 Int Charges 40.84
Oct 15, 2022 IBRD-92910 Int Charges 18.53
Oct 15, 2022 IBRD-92910 Int Charges 15,640.95
Oct 15, 2022 IBRD-92910 Int Charges 48,791.39

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Satisfactory 2025-03-03
Procurement Satisfactory 2025-03-03
Financial Management Satisfactory 2025-03-03
Project Management Satisfactory 2025-03-03
Monitoring and Evaluation Satisfactory 2025-03-03
Overall Implementation Progress (IP) Satisfactory 2025-03-03

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • The percentage point increase in average performance score in targeted administrative units as per internal performance agreement from baseline.Value0.0028.4720.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Cumulative number of districts hospitals which are NQAS certified.Value1.000.009.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • The percentage point increase in average quality index score for CHCs and PHC from baseline.Value0.0027.2520.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Increase in number of patients utilizing government health services OPD in targeted facilities.Value1650932.001817210.001800000.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of claims settled within agreed turnaround time.Value50.0064.6090.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Increase in percentage coverage of households under health insurance scheme.Value56.0077.0080.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of targeted facilities and administrative units that receive performance payment, as per operations manual .Value0.000.00100.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of medical doctors and nurses from targeted facilities participated in clinical vignettes.Value0.000.0090.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Increase in number of women patients utilizing government health services IPD in targeted facilities.Value84055.00100353.00123064.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage point increase in average patient satisfaction score in targeted health facilities.Value0.0040.7025.00
    DateApril 5, 2021March 31, 2024March 31, 2026
    Comment
  • Average score for bio medical waste management in targeted health facilities at district, PHC and CHC level.Value0.000.0030.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of local fund utilization (including performance grants and Insurance reimbursements) in targeted hospitals.Value0.0030.0080.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • People who have received essential health, nutrition, and population (HNP) servicesValue26040.0057296.00137500.00
    DateApril 5, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of targeted facilities where quality scoring was done by higher level in last quarter.Value0.00100.0095.00
    DateApril 5, 2021March 31, 2024March 31, 2026
    Comment
  • Number of deliveries attended by skilled health personnelValue26040.0057296.00137500.00
    DateApril 5, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage point decrease of targeted health facilities reported stock-out of essential drugs.Value0.000.0010.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • Percentage of internal performance agreements reviewed as per the operational manual.Value0.0099.19100.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment
  • The percentage point increase in score among those who participated in clinical vignettes.Value0.000.0025.00
    DateApril 1, 2021March 31, 2024March 31, 2026
    Comment