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Learning in Lending: The World Bank’s Organisational Learning Journey in Albanian Health Financing Reform Projects, 1994–2022

Ertila Druga
Ertila Druga
   | 14. Juni 2024
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Online veröffentlicht: 14. Juni 2024
Seitenbereich: 72 - 88
Eingereicht: 29. Nov. 2023
Akzeptiert: 25. März 2024
DOI: https://doi.org/10.2478/cejpp-2024-0005
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© 2024 Ertila Druga, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1:

The process of Learning in Lending.Source: Author’s conceptualisation based on the Independent Evaluation Group framework (IEG, 2014, p. 2)
The process of Learning in Lending.Source: Author’s conceptualisation based on the Independent Evaluation Group framework (IEG, 2014, p. 2)

Fig. 2:

Flow chart of the document collection process.
Flow chart of the document collection process.

The World Bank’s health lending projects in Albania (1994–2022).

Case Timeline Projects Mid-Term Review/Restructuring Changes during project implementation Extension of the closing date
I 1994–2001 Health Services Rehabilitation May 1998 The objective did not change

Revision of components:

- Reallocation of un-disbursed funds to new studies: one was on Health Financing

 One year
II 1998–2005 Health System Recovery and Development August 2000 Objectives did not change New activities to align with the new government strategy One year
May 2002 The project scope was revised

Additional technical assistance:

- Establishing a monitoring and evaluation system to support policy and planning in the Ministry of Health

- Implementing a financial and health management information system for the Health Insurance Institute

 One year
III 2006–2012 Health System Modernization December 2008 No changes No changes No changes
April/May 2010 Objectives did not change

Changes in Results Framework and Monitoring:

- Two indicators related to the financial sustainability of the Health Insurance Institute and hospital governance were removed

 18 months (until March 2012)
September/October 2011 -

Changes in activities:

- Cancellation of funds for procurement and installation of software for implementing the information system at the Health Insurance Institute

 -
February 2012 - - Until June 2012
IV 2015–2022 Health System Improvement May 2018 Project objectives were revised to reflect the simplification of the Project Design

- Revision of results framework

- Revision of project activities, timelines, and cost activities

- The project component “Improving the Health Financing System” was dropped

 -
October 2020 - Reallocation of funds to prioritise civil works in response to an earthquake and the COVID-19 outbreak 22 months (beyond December 2022)
November 2021 - Additional financing (effective from April 2022) Until December 2024
eISSN:
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Sprache:
Englisch
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