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Armenia - Enabling Universal Health Coverage Program

Abstract*

The objectives of the Armenia - Enabling Universal Health Coverage Program are to improve the quality and utilization of primary health care, increase the efficiency of government health spending, and reduce financial barriers to accessing health care. The proposed Program (“P”) is a subset of the NHDS (“p”) which will support achievement of UHC. The NHDS’s main priorities are the “maintenance and improvement” of the health of the population, as well...

* 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 the quality and utilization of primary health care, increase the efficiency of Government health spending, and reduce financial barriers to accessing health care.

Key Details

Project Details

  • P179482

  • Active

  • Christine Pena , Fatimah Ajus

  • Republic of Armenia

  • Armenia

  • April 11, 2023

  • (as of board presentation)

    June 28, 2024

  • N/A

  • US$ 610.00 million

  • Project Implementation Unit,Ministry of Health

  • Europe and Central Asia

  • 2024

  • US$ 109.40 million

  • N/A

  • May 25, 2023

  • September 30, 2029

  • No

  • BANK APPROVED

  • Notes

Finances

Financing Plan (US$ Millions)

No data available.
Financier Commitments
International Bank for Reconstruction and Development 109.40
Borrower/Recipient 2716.00

Total Project Financing (US$ Millions)

Product Line IBRD/IDA
IBRD Commitment 109.40
IDA Commitment N/A
IBRD + IDA Commitment 109.40
Lending Instrument
Grant Amount N/A
Total Project Cost** 610.00

Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025

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

Detailed Financial Activity as of March 31, 2025

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No data available.
Period Financier Transaction Type Amount (US$)
Jun 28, 2024 IBRD-97090 Loan Commitment 109,400,000.00

Footnotes

Ratings

IMPLEMENTATION RATINGS

Name Review Date
Progress towards achievement of PDO Satisfactory 2024-10-15
Monitoring and Evaluation Satisfactory 2024-10-15
Overall Implementation Progress (IP) Satisfactory 2024-10-15

COMPLETION RATINGS

No data available.

INDEPENDENT EVALUATION RATINGS

No data available.

Results Framework

PROJECT DEVELOPMENT OBJECTIVE INDICATORS

INDICATORBASELINECURRENTTARGET
  • The share of the population that reported cost as the main reason for forgoing care over the past 12 monthsValue40.000.0030.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The proportion of people with hypertension registered in a primary care facility that have achieved disease controlValue10.000.0030.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • Reduction in public spending on the management of a set of ambulatory-care-sensitive conditions relative to the program baselineValue0.000.0020.00
    DateMarch 29, 2023December 31, 2027
    Comment

INTERMEDIATE RESULTS INDICATORS

INDICATORBASELINECURRENTTARGET
  • The average difference between the proportion of the non-poor and poor in reporting cost as the main reason for not visiting primary careValue10 ppt5 ppt
    DateMarch 29, 2023December 31, 2027
    Comment
  • Twinning partnership agreement with health insurance fund or purchaser in partner country endorsedValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment
  • The uniform health benefits package is approved and is consistent with the evidence-based and consultative revision regulationValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment
  • The proportion of the covered population has visited a primary healthcare clinic in the last 12 monthsValue30.000.0070.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The proportion of primary care practitioners that have been licensed in the past three yearsValue0.000.0070.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The national 30-day inpatient facility readmission rate for heart failureValue15.000.005.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • Establishment of a research unit to support assessments for benefits and essential medicine list revisionValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment
  • The ratio of National Health Fund reserves to total average annual expendituresValue0.000.005.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The Government’s MTEF reflects multi-annual projections for the National Health FundValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment
  • The proportion of primary care managers that have undergone skills-based training in the past five yearsValue10.000.0070.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The proportion of positions in rural ambulatory facilities that licensed family physicians fillValue0.000.0080.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • Percentage of state-reimbursed medicines prescribed by a generic nameValue10.000.0060.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The percentage of prescriptions for state-reimbursed medication in the essential medicines list is made through the e-prescription systemValue0.000.0060.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • Percentage of total purchasing value in savings from the implementation of centralized procurement planning and tenders of a defined basket of medicinesValue0.000.0010.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • Number of civil society organizations consulted by the MoH on reform design and implementationValue0.000.0050.00
    DateMarch 29, 2023December 31, 2027
    Comment
  • The uniform health benefits package statutorily covers 60% of the populationValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment
  • Methodology for periodic costing of the benefits package developedValueNoYes
    DateMarch 29, 2023December 31, 2027
    Comment