📋 Tender Overview
Project ID: P171150
Region: Europe and central asia
Commitment Amount: Us$ 75.00 million
Total Project Cost: Us$ 75.00 million
Proposed Development Objective(s) 19. The proposed Project Development Objective is to support improvement in the efficiency of resource management in the health sector and deliver better quality of care in Bosnia and Herzegovina. 20. The PDO addresses the most urgent issue of financial stability in the health care sector, without promising financial balance or guaranteeing sustainability. Instead, improve(d) efficiency of resource management is an outcome for which the project can be held accountable, given its duration, resources, and approach. Specifying better quality of care identifies the principal intended outcome for the key beneficiaries: patients using BiH’s publicly-funded health care systems. The project aims to improve both the financial position of BiH’s health sector, as well as the quality and efficiency of health care services, to improve public satisfaction and ensure that debts cleared today do not reaccumulate tomorrow. This is a necessary first phase in a longer-term programme of work that BiH must undertake, which will most likely also need to include eventual expansion of the revenue base for the health sector. Key Results (From PCN) 21. It is proposed that the project will measure success in achieving the PDO through four indicators: a) At least xx% of health care providers achieving specified liquidity ratio, indebtedness ratio (or some other recognized indicator of prudent financial management) at the end of the FY; b) At least xx% reduction in annual avoidable hospital admission1 rate; c) At least xx% of health care providers demonstrating quality gains through a defined set of indicators that are publicly disclosed; and, d) At least xx% of health care providers using patient satisfaction measures and service-user engagement in business planning, including publicly-disclosed patient satisfaction rates. The proposed indicators directly relate to the PDO, addressing resource management (indicator 1) as well as the efficiency and quality of clinical care (indicators 2 and 3), as experienced directly by the key beneficiaries of the project, i.e. patients and their carers. The final indicator also addresses key beneficiaries, by focusing on citizen feedback as an accountability mechanism to improve health system performance.
