Restructuring and Quality Improvement Program of the Hospital and Specialized Care Network of the City of São Paulo - Avanza Salud II
The general objective of this operation is to improve the health conditions of the MSP population, by expanding access and increasing the quality of health services, consolidating the RAS in the most vulnerable regions of the municipality. Its specific objectives are: (i) improve access to the hospital services of the Direct Management RHMSP (ii) improve the quality of the MSP's health services; (iii) increase the efficiency of the Directly Management RHMSP hospitals; and (iv) strengthen the integration of the Direct Management RHMSP hospitals with the other levels of care.

Project Detail

Country

Brazil

Project Number

BR-L1630

Approval Date

February 7, 2025

Project Status

Implementation

Project Type

Loan Operation

Sector

HEALTH

Subsector

HEALTH SYSTEM STRENGTHENING

Lending Instrument

Investment Loan

Lending Instrument Code

INV

Modality

ESP (Specific Investment Operation)

Facility Type

-

Environmental and Social Impact Category (ESIC)

Category B: Likely to cause mostly local and short-term negative environmental and associated social impacts and for which effective mitigation measures are readily available

Total Cost

USD 410,600,000.00

Country Counterpart Financing

USD 205,300,000.00

Original Amount Approved

USD 205,300,000.00
Financial Information
Operation Number Lending Type Reporting Currency Reporting Date Signed Date Fund Financial Instrument
5984/OC-BR Sovereign Guaranteed USD - United States Dollar Ordinary Capital Flexible Financing Facility
Operation Number 5984/OC-BR
  • Lending Type: Sovereign Guaranteed
  • Reporting Currency: USD - United States Dollar
  • Reporting Date:
  • Signed Date:
  • Fund: Ordinary Capital
  • Financial Instrument: Flexible Financing Facility

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 Implementation Phase
https://www.iadb.org/document.cfm?id=EZIDB0000366-965128629-50558
Loan Contract
Programa de Reestructuración y Mejora de la Calidad de la Red Hospitalaria y de Atención Especializada de la Ciudad de São Paulo - Avanza Salud II -
Feb. 14, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0000366-965128629-50557
Loan Contract
Restructuring and Quality Improvement Program of the Hospital and Specialized Care Network of the City of São Paulo – Avança Saúde II - BR-L1630.pdf
Feb. 14, 2025
English
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-78
Loan Proposal
Brazil. Proposal for an individual loan for the _Restructuring and Quality Improvement Program of the Hospital and Specialized Care Network of the Cit
Jan. 27, 2025
English
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-75
Loan Proposal
Brasil. Propuesta de prestamo individual para el _Programa de Reestructuracion y Mejora de la Calidad de la Red Hospitalaria y de Atencion Especializa
Jan. 27, 2025
Spanish
 Other Documents
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-25
Electronic Links
BR-L1630_ESRS_20240627_1222.pdf
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-44
Electronic Links
BR-L1630 - POD - EEO - Planes de Gestion del Cambio.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-43
Electronic Links
BR-L1630 - POD - EEO11 - Resumen Operaciones CCLIP.pdf
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-42
Electronic Links
LINK Estimativa nr. camas_BR-L 1630.pptx
Jan. 28, 2025
English
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-41
Electronic Links
BR-L1630 - POD - EEO10 - Teoria del Cambio.pdf
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-40
Electronic Links
LINK CCLIP_ProSocial.pdf
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-38
Electronic Links
BR-L1630 - POD - EEO1 - Analisis Economico.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-37
Electronic Links
BR-L1630 - POD - EEO3 - Anexo Cambio Climatico.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-36
Electronic Links
BR-L1630 - POD - EEO8 - ROP.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-34
Electronic Links
BR-L1630 - POD - EEO4 - Anexo de Infraestructura.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-33
Electronic Links
BR-L1630 - POD - EEO9 - Enfoque programatico del BID en el sector salud Brasil.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-31
Electronic Links
Link POD - Otras barreras para el acceso a la salud reportado por las personas LGBTQIAP.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-30
Electronic Links
Link POD - La ordenanza de la Secretaria de Salud Municipal SMS.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-29
Electronic Links
Link POD - Etapas mas avanzadas del concepto.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-28
Electronic Links
Link POD - Adecuada organizacion y atencion de los servicios de salud.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-26
Electronic Links
Link POD - Insuficiencia de la sistematica.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-27
Electronic Links
Link POD - Organizacion suboptima de procesos.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-25
Electronic Links
Link POD - Fragilidades en la gestion de la calidad.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-24
Electronic Links
Link POD - Debilidades en la gestion farmaceutica.docx
Jan. 28, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-21
Electronic Links
BR-L1630 - POD - EEO4 - Guion de entrevista a los gestores hospitalarios.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-22
Electronic Links
BR-L1630 - POD - EEO5 - Estudio de Caso - Programa Avanza Salud.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-23
Electronic Links
BR-L1630 - POD - EEO6 - Evaluacion de impacto de Avanza Salud – Sao Paulo.pdf
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-19
Electronic Links
BR-L1630 - POD - EEO2 - Diagnostico Situacional da Rede Hospitalar do MSP Gestao Direta.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-17
Electronic Links
BR-L1630 - POD - EEO_3 - Referencias bibliograficas.docx
Jan. 27, 2025
Spanish
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-16
Electronic Links
POD - EER2 - Plan de Monitoreo y Evaluacion - BR-L1630.docx
Jan. 27, 2025
English
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-14
Electronic Links
POD - EER4 - Plan de Adquisiciones - Plano de Licitacao VF.xlsx
Jan. 27, 2025
English
https://www.iadb.org/document.cfm?id=EZIDB0001378-2125548523-3
Electronic Links
POD - EER1 - PEP-POA - BR-L1630.xlsx
Jan. 27, 2025
Spanish
 Preparation Phase
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-24
Environmental Impact Assessments - Preparation
2024.06.14_BR-L1630_AAS_VF.pdf
Jun. 26, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-21
Environmental and Social Management System - Preparation
2024.06.14_BR-L1630_SGAS_VF.pdf
Jun. 26, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-22
Environmental and Social Management Plan - Preparation
2024.06.14_BR-L1630_PGAS_VF.pdf
Jun. 26, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-23
Environmental and Social Management Plan - Preparation
2024.06.14_BR-L1630_PEPI_VF.pdf
Jun. 26, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-20
Public Consultation Report - Preparation
2024.06.14_BR-L1630_Relatorio de Consultas_VF.pdf
Jun. 26, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-9
Environmental and Social Management System - Preparation
2024.04.22_BR-L1630_SGAS_VP.pdf
May. 01, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-8
Environmental and Social Management Plan - Preparation
2024.04.22_BR-L1630_PEPI_VP.pdf
Apr. 25, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-6
Environmental Impact Assessments - Preparation
2024.04.22_BR-L1630_AAS_VP.pdf
Apr. 25, 2024
Portuguese
https://www.iadb.org/document.cfm?id=EZIDB0001378-171017181-7
Environmental and Social Management Plan - Preparation
2024.04.22_BR-L1630_PGAS_VP.pdf
Apr. 25, 2024
Portuguese

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