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

Central European Journal of Public Policy
Volume 18 (2024): Issue 1 (June 2024)
By:
Open Access
|Jun 2024

Figures & Tables

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)_

CaseTimelineProjectsMid-Term Review/RestructuringChanges during project implementationExtension of the closing date
I1994–2001Health Services RehabilitationMay 1998The objective did not change

  • Revision of components:

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

One year
II1998–2005Health System Recovery and DevelopmentAugust 2000Objectives did not changeNew activities to align with the new government strategyOne year
May 2002The 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
III2006–2012Health System ModernizationDecember 2008No changesNo changesNo changes
April/May 2010Objectives 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
IV2015–2022Health System ImprovementMay 2018Project 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 outbreak22 months (beyond December 2022)
November 2021-Additional financing (effective from April 2022)Until December 2024
DOI: https://doi.org/10.2478/cejpp-2024-0005 | Journal eISSN: 1802-4866
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Language: English
Page range: 72 - 88
Submitted on: Nov 29, 2023
Accepted on: Mar 25, 2024
Published on: Jun 14, 2024
Published by: University of Matej Bel in Banska Bystrica, Faculty of Economics
In partnership with: Paradigm Publishing Services
Publication frequency: 2 times per year
Keywords:
World Bank,
organisational learning,
health projects,
Albania,
case study
Related subjects:
Business and economics,
Political economics,
Public finance and fiscal theory,
Business management,
Industries,
Public sector, public private partnerships, public administration,
Social sciences,
Sociology,
Social policy, social work, development aid,
Political science,
Political science, other

© 2024 Ertila Druga, published by University of Matej Bel in Banska Bystrica, Faculty of Economics
This work is licensed under the Creative Commons Attribution 4.0 License.

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