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Nepal Quality Health Systems Program-for-Results

Abstract*

The development objective of the Quality Health Systems Program-for-Results for Nepal is to improve quality of healthcare, enhance health insurance coverage for poor, and strengthen health emergency preparedness in the selected provinces. The program has three interlinked results areas (RA) that reinforce their individual contributions to the high-level outcomes and development objectives. The areas are: RA1: improving readiness of healthcare delivery...

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

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Development Objective

To improve quality of healthcare, enhance health insurance coverage for poor, and strengthen health emergency preparedness in the Selected Provinces.

Key Details

Project Details

  • P177389

  • Active

  • Anna Koziel , Mamata Ghimire

  • Nepal

  • Nepal

  • July 14, 2022

  • (as of board presentation)

    April 28, 2023

  • October 27, 2023

  • US$ 1513.00 million

  • Ministry of Health and Population

  • South Asia

  • 2023

  • US$ 103.84 million

  • N/A

  • June 25, 2024

  • July 15, 2028

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
Health Emergency Preparedness and Response Multi-Donor Trust 3.84
IDA Credit 20.00
Borrower/Recipient 1409.16
IDA Shorter Maturity Loan (SML) 80.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment N/A
IDA Commitment 100.00
IBRD + IDA Commitment 100.00
Lending Instrument
Grant Amount 3.84
Total Project Cost** 1513.00

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

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

Detailed Financial Activity as of February 28, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
May 24, 2024 IDA-73040 Loan Disb 4,028,374.00
Aug 15, 2024 IDA-73030 Int Charges 3,358.38
Apr 28, 2023 IDA-73040 Loan Commitment 80,000,000.00
May 24, 2024 IDA-73030 Loan Disb 1,998,816.10
Aug 15, 2024 IDA-73030 Int Charges 3,358.38
Apr 28, 2023 IDA-73030 Loan Commitment 20,000,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Moderately Satisfactory 2024-12-21
Monitoring and Evaluation Moderately Satisfactory 2024-12-21
Overall Implementation Progress (IP) Moderately Satisfactory 2024-12-21

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • Average reduced gap for pregnant women with 1 ANC visit and 4 ANC visits in Selected ProvincesValue17.8017.807.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Functional Rapid Response Teams established in Selected ProvincesValue0.000.00113.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Poor and vulnerable households in Selected Provinces enrolled in the health insurance program (with share of female headed households)Value9.009.0070.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Average percentage of children 0-2 months of age suspected of severe bacterial infection treated with complete doses of Gentamycin injectionValue30.3030.3060.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • In-patients in Program-Supported Health Facilities have EMR RecordsValue0.000.0080.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • Program supported health facilities are implementing minimum service standardsValue36.0036.0080.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Framework for identification of poor and vulnerable households developed and adopted by MoHPValueNoNoYes
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Selected Provinces and Local Levels (LLs) have developed health emergency preparedness and response plansValue0.000.00113.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Provincial public health facilities in Selected Provinces have minimum service standards score of at least 85%Value36.8 percent36.8 percent50 percent Provincial facilities have MSS score of
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Health insurance claims from Selected Provinces settled in timeValue0.000.0070.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Climate sensitive prioritized disease surveillance system established in two Selected ProvincesValue0.000.002.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Biomedical equipment repair and maintenance system established and functional in two Selected ProvincesValue0.000.002.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Memorandum of Understanding signed between MoHP and Nepal Drug Limited for purchase of essential medicinesValueNo MOUNo MOUMOU established
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • EMR standards adopted by MoHPValueNoNoYes
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • EMR implemented by Program-Supported Health FacilitiesValue0.000.0012.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Hospitals in the two Selected Provinces have functional healthcare waste management systemValue0.000.006.00
    DateJuly 15, 2023June 10, 2024July 15, 2028
    Comment
  • Local Levels in each Selected Province have implemented social auditsValue0.000.0015.00
    DateJuly 15, 2023December 4, 2023July 15, 2028
    Comment