| Financier | Commitments |
|---|---|
| International Bank for Reconstruction and Development | 251.03 |
| Borrower/Recipient | 62.80 |
Assam State Secondary Healthcare Initiative for Service Delivery Transformation (ASSIST) Project
Abstract*
The proposed project aims to address critical gaps in Assam’s secondary healthcare system to enhance its performance. The project will prioritize investments in the areas of (i) improved management capacity of health systems at the state, district, and facility level; (ii) improved access to and quality of essential services in existing secondary facilities; and (iii) enhanced access to and structural quality of secondary care. Show More
Development Objective
To strengthen management capacity, access to, and quality of the secondary healthcare system in Assam.
Key Details
Project Details
P179337
Active
Amith Bathula
India
November 18, 2022
(as of board presentation)
June 26, 2023
December 5, 2023
US$ 313.83 million
Assam Health Infrastructure Development and Management Society (AHIDMS), Health and Family Welfare
2023
US$ 251.03 million
N/A
Substantial
November 30, 2029
Yes
BANK APPROVED
December 12, 2023
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 251.03 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 251.03 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 313.83 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Apr 24, 2024 | IBRD-95700 | Loan Disb | 150,968.69 |
| Jun 15, 2024 | IBRD-95700 | Int Charges | 20,079.12 |
| Jun 26, 2023 | IBRD-95700 | Loan Commitment | 251,030,000.00 |
| Jun 24, 2024 | IBRD-95700 | Loan Disb | 2,598,820.00 |
| May 1, 2024 | IBRD-95700 | Loan Disb | 11,192.77 |
| Jun 15, 2024 | IBRD-95700 | Int Charges | 1,075.53 |
| Jun 15, 2024 | IBRD-95700 | Int Charges | 46,380.38 |
| Dec 5, 2023 | IBRD-95700 | Loan Disb | 627,575.00 |
| Dec 5, 2023 | IBRD-95700 | Fee Charges | 627,575.00 |
| May 1, 2024 | IBRD-95700 | Loan Disb | 148,116.25 |
| Jun 15, 2024 | IBRD-95700 | Int Charges | 312,980.12 |
| Aug 7, 2024 | IBRD-95700 | Loan Disb | 279,977.90 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Progress towards achievement of PDO | Moderately Unsatisfactory | 2024-12-10 |
| Procurement | Moderately Satisfactory | 2024-12-10 |
| Project Management | Moderately Satisfactory | 2024-12-10 |
| Financial Management | Moderately Satisfactory | 2024-12-10 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-12-10 |
| Overall Implementation Progress (IP) | Moderately Unsatisfactory | 2024-12-10 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Average performance score of district hospitals Value No Assessment Yet to report 20 pp increase from baseline Date September 14, 2023 September 14, 2023 November 30, 2029 Comment Deliveries in district hospitals Value 90260.00 90260.00 95676.00 Date January 25, 2023 September 14, 2023 November 30, 2028 Comment District hospitals with quality certification Value 0.00 0.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Availability of essential services in targeted district hospitals Value 0.00 0.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Stock of essential medicines in targeted district hospitals Value 5.00 5.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Availability of essential services in targeted district hospitals in lagging districts Value 0.00 0.00 1.00 Date Comment Stock of essential medicines in targeted district hospitals in lagging districts Value 2.00 2.00 3.00 Date Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Management capacity of state and district IPA units Value Will be assessed when project begins Will be assessed when project begins 20 pp increase from baseline Date January 25, 2023 September 14, 2023 November 30, 2029 Comment District Hospitals that have specialists for 14 essential services Value 0.00 0.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment SDHs and CHCs upgraded to District Hospitals Value 0.00 0.00 10.00 Date January 25, 2023 September 14, 2023 January 31, 2023 Comment District Hospitals that have MBBS doctors as per IPHS 2022 Value 0.00 0.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment District hospitals scoring more than 70 percent in national metrics of structural quality Value 1.00 1.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Average performance score of the state administrative units Value Will be assessed when project begins Will be assessed when project begins 5 pp increase from baseline Date Comment District Hospitals that have nurses as per IPHS 2022 Value 1.00 1.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Inpatient and outpatient utilization in District Hospitals Value 270216.00 270216.00 324259.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Average performance score of the district administrative units Value Will be assessed when project begins Will be assessed when project begins 5 pp increase from baseline Date Comment Secondary care HRH management policies and strategies enacted Value 0.00 0.00 6.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment District Hospitals providing essential diagnostic services Value 0.00 0.00 15.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Inpatient and outpatient utilization by female beneficiaries in District Hospitals Value 182117.00 182117.00 189402.00 Date Comment Technical resources developed and actions taken with project support to strengthen nursing Value 0.00 0.00 6.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Public reporting of district hospital quality inclusive of patient satisfaction and experience for targeted hospitals Value 0.00 0.00 75.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment People who have received essential health, nutrition, and population (HNP) services Value 0.00 0.00 564125.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Number of District Hospitals with functional community engagement platform (RKS) Value 0.00 0.00 0.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Grievance redressal rates in target hospitals Value 50.00 50.00 70.00 Date January 25, 2023 September 14, 2023 November 30, 2029 Comment Number of District Hospitals with functional community engagement platform (RKS) with female community representation Value 0.00 0.00 0.00 Date Comment