Disclosable Restructuring Paper - Improving Quality of Health Care Services and Efficiency in Colombia - P169866 (English)

Table of Contents

• Report No RES00461 1
• INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT 1
• RESTRUCTURING PAPER 1
• ON A 1
• PROPOSED PROGRAM RESTRUCTURING 1
• Improving Quality of Health Care Services and Efficiency in Colombia 1
• APPROVED ON 19-MAR-2020 1
• Republic of Colombia 1
• Health Nutrition Population Latin America And Caribbean 1
• The World Bank 2
• CURRENCY EQUIVALENTS 2
• Exchange Rate Effective Oct 21 2024 2
• Currency Unit Colombian Pesos 2
• 1 US COP 4268.03 2
• GOVERNMENT FISCAL YEAR 2
• January 1 - December 31 2
• The World Bank 3
• ABBREVIATIONS AND ACRONYMS 3
• Entidades Promotoras de Salud 3
• The World Bank 4
• BASIC DATA 4
• Product Information 4
• ACCOUNTABILITY 4
• RegionCountry 4
• Implementing Unit 4
• The World Bank 5
• OPERATION STATUS 5
• Development Objective DO 5
• Disbursement Summary in USD million 5
• Policy Waivers 5
• The World Bank 6
• I. PROJECT STATUS AND RATIONALE FOR RESTRUCTURING 6
• II. DESCRIPTION OF PROPOSED CHANGES 6
• III. PROPOSED CHANGES 6
• IV. DETAILED CHANGES 6
• ANNEX 1 RESULTS 6
• ANNEX 2 PROGRAM ACTION PLAN 6
• The World Bank 7
• I. PROJECT STATUS AND RATIONALE FOR RESTRUCTURING 7
• A. Introduction 7
• This Restructuring Paper seeks the approval of the Country Director for a Level II Restructuring of the Program for Improving Quality of Health Care Services and Efficiency in Colombia P169866 to 7
• B. Program Background 7
• C. Program Status 7
• Progress towards the achievement of DLIs is deemed Moderately Satisfactory 7
• Entidades Promotoras de Salud EPS 7
• Implementation Progress is deemed Moderately Satisfactory. 7
• The World Bank 8
• Ratings related to Technical Fiduciary and Environmental and Social Systems are deemed Satisfactory. 8
• Monitoring and Evaluation ME is assessed as Moderately Satisfactory. 8
• 8. Disbursements 8
• D. Rationale for restructuring 8
• II. DESCRIPTION OF PROPOSED CHANGES 8
• Changes to DLR 1.2 related to the accreditation of EPS. 8
• The MSPS regulation administrative act defining quality standards for Primary Health Care Facilities 8
• The World Bank 9
• Inclusion of a new DLR 2.4 reflecting a new action plan to fight cancer. 9
• The MSPSs instructions circular for the strengthening of actions for cancer control in Colombia published in the digital institutional repository of the MSPS 9
• Adjustments to the RF to reflect the new baseline and target for PDO 1 and the corresponding DLR 2.3 and exclusion of the intermediate indicator 1. 9
• Reallocation of IBRD loan and GCFF grant proceeds between DLRs. 9
• The World Bank 10
• Minor adjustments to the FA. 10
• III. PROPOSED CHANGES 10
• Operation Information Proposed Changes Operation Information Proposed Changes 10
• IV. DETAILED CHANGES 10
• The World Bank 11
• COSTS FINANCING 11
• Is this an MFD-Enabling Project MFD-EP 11
• Is this project Private Capital Enabling PCE 11
• LOANS 11
• Reallocation Between Disbursement Categories 11
• LEGAL 11
• Environmental Assessment EA Category 11
• Legal Covenants 11
• LoanCreditTF Description Status Action 11
• The World Bank 12
• The World Bank 13
• The World Bank 14
• The World Bank 15
• The World Bank 16
• The World Bank 17
• The World Bank 18
• The World Bank 19
• ANNEX 2 PROGRAM ACTION PLAN 19
• Action Description Source DLI Responsibility Timing 19
• Completion Measurement Action 19
• The World Bank 20
• The World Bank 21
• The World Bank 22
• The World Bank 23
• Proposed 23
• Action Description Source DLI Responsibility Timing Completion Measurement 23