Peru Second Phase of Health Reform Program Implementation Completion and Results Report

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Document of
The World Bank

Report No: ICR00003691



IMPLEMENTATION COMPLETION AND RESULTS REPORT


(IBRD-76430)

 

ON A



LOAN

IN THE AMOUNT OF US$15.0 MILLION


TO THE

REPUBLIC OF PERU

FOR A

SECOND PHASE OF THE HEALTH REFORM PROGRAM



June 30, 2016
Health, Nutrition and Population
Bolivia, Ecuador, Peru and Venezuela Country Management Unit
Latin America and the Caribbean Region

CURRENCY EQUIVALENTS

(Exchange Rate Effective December 31, 2015)

Currency Unit = Peruvian Nuevo Sol

PEN 300.35 = US$ 1.00

US$ 1.00 = PEN 3.33


FISCAL YEAR

January 1 – December 31


ABBREVIATIONS AND ACRONYMS




APL Adaptable Program Loan

AUS Aseguramiento Universal en Salud Universal Health Insurance

CPS Country Partnership Strategy

CRED Control de Crecimiento y Desarrollo

CRVS Civil Registration and Vital Statistics

DIA Derecho a la Identidad y Aseguramiento

DIRESA Dirección Regional de Salud

EA Environmental Assessment

EDA Extreme Diarrhea

ENDES Encuesta Demográfica y de Salud Familiar

EPPES Estrategia de Promoción de Práctica y Entornos Saludables

FS Feasibility Study

GOP Government of Peru

IADB Inter-American Development Bank

ICR Implementation Completion and Results Report

IMR Infant Mortality Rate

INT Department of Institutional Integrity 

IOI Intermediate Outcome Indicator

IPP Indigenous People Plan

ISR Implementation Status and Results Report



KPI Key Performance Indicator

M Million

M&E Monitory and Evaluation

MA Management Agreement

MEF Ministerio de Economía y Finanzas – Ministry of Economy and Finance

MINSA Ministerio de Salud de PerúMinistry of Health of Peru

MMR Maternal Mortality Rate

PAD Project Appraisal Document

PARSALUD Programa de Apoyo a la Reforma del Sector Salud

PDO Project Development Objective

PIU Project Implementation Unit

PRONIS Programa Nacional de Inversión de Salud

QUALY Quality Adjusted Life Years

RF Results Framework

SIAF Sistema Integrado de Administración Financiera

SIS Seguro Integral de Salud – Comprehensive Health Insurance

SNIP Sistema Nacional de Inversión Publica

SUNASA Superintendencia Nacional de Salud




Senior Global Practice Director:

Timothy G. Evans

Practice Manager:

Daniel Dulitzky

Project Team Leader:

Andre Medici

ICR Team Leader/Author:

Federica Secci








PERU

Second Phase of the Health Reform Program (P095563)




TABLE OF CONTENTS









Data Sheet

B. Key Dates 5

C. Ratings Summary 5

D. Sector and Theme Codes 6

E. Bank Staff 6

F. Results Framework Analysis 6

G. Ratings of Project Performance in ISRs 10

H. Restructuring 11

I. Disbursement Profile 11

1. Project Context, Development Objectives and Design 13

2. Key Factors Affecting Implementation and Outcomes 17

3. Assessment of Outcomes 23

4. Assessment of Risk to Development Outcome 34

5. Assessment of Bank and Borrower Performance 35

6. Lessons Learned 38

7. Comments on Issues Raised by Borrower/Implementing Agencies/Partners 39

Annex 1. Project Costs and Financing 40

Annex 2. Outputs by Component 41

Annex 3. Economic and Financial Analysis 51

Annex 4. Bank Lending and Implementation Support/Supervision Processes 57

Annex 5. Beneficiary Survey Results 59

Annex 6. Stakeholder Workshop Report and Results 60

Annex 7. Summary of Borrower's ICR and/or Comments on Draft ICR 61

Annex 8. Comments of Cofinanciers and Other Partners/Stakeholders 83

Annex 9. List of Supporting Documents 84

Annex 10: Analysis of PDO Achievement 86

Annex 11: Loan Amount Allocation 90

Annex 12: Organization of PARSALUD II Project Implementation Unit (PIU) 92

MAP 93







Data Sheet


A. Basic Information

Country:

Peru

Project Name:

PE- (APL2) Health Reform Program

Project ID:

P095563

L/C/TF Number(s):

IBRD-76430

ICR Date:

06/30/2016

ICR Type:

Core ICR

Lending Instrument:

APL

Borrower:

GOVERNMENT OF PERU

Original Total Commitment:

USD 15.00M

Disbursed Amount:

USD 11.98M

Revised Amount:

USD 15.00M







Environmental Category: B

Implementing Agencies: PARSALUD

Cofinanciers and Other External Partners: Inter-American Development Bank (IADB)


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