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Document of 
The World Bank 
 Report No:ICR0000188IMPLEMENTATION COMPLETION AND RESULTS REPORT(IBRD-44240)FOR ALOAN IN THE AMOUNT OF 61. 1 MILLION EUROS(US$66.0 MILLION EQUIVALENT)TO THEKINGDOM OF MOROCCOFOR AHEALTH FINANCING AND MANAGEMENT PROJECTSeptember 27, 2007Human Development SectorMiddle East and North Africa Region
This document has a restricted distribution and may be used by recipients only in the performance of their official duties. Its content may not otherwise be disclosed without World Bank authorization.
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 CURRENCY EQUIVALENTSExchange Rate Effective December 31, 2006Currency Unit = MADMAD1.00 = US$ 0.12US$ 1.00 = MAD 8.3FISCAL YEARJanuary 1 – December 31ABBREVIATIONS AND ACRONYMS
AMO Assurance maladie obligatoireANAM Agence nationale de l’assurance maladieBAJ Barnamaj Al Aoulaouiyat Al Ijtimaiya/ Social Priorities Program”DO Development ObjectivesEC European CommissionEIB European Investment Bank FAMS Financial and Accounting Management SystemGOM Government of MoroccoHR Human ResourcesICR Implementation Completion ReportISR Implementation Status ReportM&E Monitoring and EvaluationMoF Ministry of FinanceMoH Ministry of HealthPAGSS Projet d’appui à la gestion du secteur de la santéPDO Project Development ObjectivesPEH Plan d’établissement de l’hôpitalPFGSS Projet de financement et de gestion du secteur de la santéPU Project UnitQAE Quality at EntryQAG Quality Assurance GroupQI Quality ImprovementRAMED Régime d’assistance médicale pour les économiquement diminuésSIG-HO Système d’information et de gestion hospitalièreTA Technical AssistanceUMER Unité de la mise en oeuvre de la réformeUSP Unité de suivi du projetVice President:Daniela GressaniCountry Director:Theodore AhlersSector Manager:Akiko MaedaProject Team Leader:Jean-Jacques FrèreICR Primary Author:Sameh El-Saharty
 
 
Kingdom of MoroccoHealth Financing and Management ProjectCONTENTS
A. Basic Information
 1
B. Key Dates
 1
C. Ratings Summary
 1
D. Sector and Theme Codes
 2
E. Bank Staff 
 2
F. Results Framework Analysis
 2
G. Ratings of Project Performance in ISRs
 4
H. Restructuring
4
I. Disbursement Graph
 5Project Context, Development Objectives and Design 6Key Factors Affecting Implementation and Outcomes 9Assessment of Outcomes 13Assessment of Risk to Development Outcomes 16Assessment of Bank and Borrower Performance 17Lessons Learned 18Comments on Issues Raised by Borrower/Implementing Agencies/Partners 19Annex 1: Project Costs and Financing 21Annex 2: Outputs by Component 22Annex 3: Economic and Financial Analysis 24Annex 4: Bank Lending and Implementation Support/Supervision Processes 25Annex 5: Beneficiary Survey Results 27Annex 6: Stakeholder Workshop Report and Results 28Annex 7: Summary of Borrower’s ICR and/or Comments on Draft ICR 29Annex 8: Comments of Cofinanciers and Other Partners/Stakeholders 39Annex 9: List of Supporting Documents 40Annex 10: Status of Introduction of Hospital Management Tools and HospitalDevelopment as of Project Closing 41
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