As of 30 June 2015, The project was physically closed. Overall project progress is satisfactory and the project performance rating in e-ops is on track.
(i) All 17 provinces have developed result-based AOPs from 2010/2011 to 2014-2015. A total of 76 AOPs (17 AOP x 4 yrs + 8 AOP x 1 yr); In 2010-2011, the implementation of plan was 82%; in 2011-2012 and 2012-2013, it was 96% implemented; and in 2013-2014, it was 97%.
(ii) From 2010 to 2014, Government budget allocation for operations and maintenance of health facilities and equipment have been increased. For example, in FY2013-2014, about $2.03 million have been allocated to health facilities nationwide for non-wage recurrent costs.
(iii) Between 2011 and 2014, The number of OPD and IPD visits increased respectively by 89% and 52%. The number of deliveries in health facilities also increased by 50%. The number of surgery procedures by 23%, and the number of cesarean sections by 137%. (source HMIS)
(iv) Health equity fund for the poor was expanded covering 62 districts in 8 northern provinces. Since HEF has been operated in Oct 2011, the cumulative number of poor patient-visits is about 109,000.
(i) Procurement and distribution of medical equipment for hospitals to improve MNCH standard are completed.
(ii) Construction of one district hospital, 10 health centers and renovation of 2 district hospitals and 13 health centers are completed;
(iii) MNCH teams from 6 out of 12 type A district hospitals have been trained and an assessment of training needs for type B district hospitals was completed. 8 out of 13 type A district hospitals in eight provinces are able to provide surgery and cesarean sections.
(iv) The revised standards for district hospital and health center design approved by Minister of health in March 2014 include standards for privacy needs of women: separate toilet for women, delivery and post- delivery rooms.
(v) 5,254 villages declared as MHV as of 30 September 2014 in all provinces, including 2432 MHV in 8 northern provinces. About 1,000 MHV increased annually since 2010.
(vi) Globally in all facilities in 8 northern provinces, between 2011 and 2014, the number of ANC, deliveries, and cesareans increased respectively by 80%, 50%, and 137%.
- 153 health staff (92% are female and 28% are ethnic people) were trained as community midwives.
- 138 health center staff (62% are female and 51 are ethnic people) completed the 2 month SBA training and Training on SBA for another 30 HC staff is ongoing.
- 57 health staff (98% are female) completed the Emonc training, and training on BemONC for 30 district hospital staff is ongoing.
- 112 health staff (58% were female) completed village health workers training.
- 42 staff completed the 3-month management of obstetric and newborn emergencies.
- The Health Personnel Information database has been developed and made operational. Annual reports are produced to monitor implementation of the HPDS by 2020 and particularly indicators related to ethnic groups and females in the health workforce.