INTEGRATED SAFEGUARDS DATASHEET
APPRAISAL STAGE
I. Basic Information
Date prepared/updated: 06/08/2009
Report No.: AC4367
1. Basic Project Data
Country: Indonesia
Project ID: P113341
Project Name: Health Professional Education Quality Project
Task Team Leader: Puti Marzoeki
Estimated Appraisal Date: June 1, 2009
Estimated Board Date: August 27, 2009
Managing Unit: EASHD
Lending Instrument: Specific Investment
Loan
Sector: Health (50%);Tertiary education (50%)
Theme: Other human development (67%);Health system performance (33%)
IBRD Amount (US$m.):
74.00
IDA Amount (US$m.):
0.00
GEF Amount (US$m.):
0.00
PCF Amount (US$m.):
0.00
Other financing amounts by source:
Borrower
2.00
2.00
Environmental Category: C - Not Required
Simplified Processing
Simple [X]
Repeater []
Is this project processed under OP 8.50 (Emergency Recovery)
Yes [ ]
No [ ]
or OP 8.00 (Rapid Response to Crises and Emergencies)
2. Project Objectives
The specific Project Development Objective would be to strengthen quality assurance
policies governing the education of health professionals in Indonesia through 1)
rationalizing and assuring competency focused accreditation of public and private health
professional training institutions, 2) developing national competency standards and
testing procedures for certification and licensing of health professionals, and 3) building
institutional capacity to employ results based grants for encouraging use of accreditation
and certification standards in the development of medical school quality.
3. Project Description
The lending instrument for the project is a Specific Investment Loan (SIL). The project
would have 4 components:
Component 1 - Strengthening policies and procedures for school accreditation
The component will focus on improving the accreditation system of medical, dental,
nursing, and midwifery schools to make it comparable to internationally recognized
systems. The goal is to have an independent body for the accreditation of medical, dental,
nursing, and midwifery schools. More specifically, the project will assist in building
consensus on and develop accreditation policies, standards, processes and outcomes, and
in piloting the new system prior to legalizing the system for nation wide implementation.
This includes developing an accreditation strategic framework, accreditation instruments,
assessor recruitment system and training, and a policy mandating publication of
accreditation results for easy access by the general public. The project will revitalize the
function of the National Medical Education Research Center initiated under the World
Bank financed HWS Project and support the DGHE in synchronizing data collection and
analysis for accreditation and EPSBED,(Evaluation of Study Programs Based on SelfEvaluation), a tool designed by DGHE to monitor HEI statistics. This will help the self
evaluation prior to the accreditation process and will inform decision making and
planning processes in the institutions. Project resources would be used for the costs of
workshops and training, benchmarking, international and local technical assistance, legal
assistance studies and surveys, office equipment, IT and audio visual equipment and
furniture.
Component 2 - Certification of graduates using national competency-based examination
The purpose of certification is to assure the standard of education quality. The project
will support the establishment of an independent National Evaluation Center responsible
for developing, validating and implementing strategies, methodologies, and tools to
evaluate the competence of medical, dental, nursing and midwifery students prior to
graduation from the respective education institutions. The challenge is to develop an
evaluation mechanism measuring not only knowledge but also clinical skills, attitude,
ethics, and communication skills; and to develop policies introducing discipline in
determining passing scores and transparent remedial examination for failing students. In
this regard, the project will assist the National Evaluation Center in establishing
Computer Based Testing (CBT) and Objective Structured Clinical Evaluation (OSCE)
facilities in 12 medical education institutions that will function as regional centers. To
improve the validity and reliability of the examination, the project would assist the
establishment of an item bank networking system. The system would also allow Health
HEIs to evaluate their teaching methods. Expenditures include IT and audiovisual
equipment, computer software, skills laboratory equipment, office equipment, furniture,
international and local technical assistance, international benchmarking, workshop and
training.
Component 3 - Results based financial assistance package (FAP)
Building on the agreements on accreditation and certification, the project would allocate
financial assistance packages (FAP) for selected medical education institutions (MEIs) to
meet the accreditation standards. The project would adopt 3 key principles in allocating
the FAPs: (i) results based allocation of resources, (ii) fair competition among MEIs
according to their capacity, and (iii) partnership between leading and less strong NEIs to
build the capacity of the less strong schools according to their specific needs. The project
would have 3 FAP schemes:
- Scheme A: FAP for leading medical education institutions to build their international
reputation and to strengthen Indonesia’s global competitiveness.
- Scheme B: FAP to support weak capacity and new medical education institutions in
achieving medical education standards mandated by the Indonesia Medical Council
(IMC) through partnership with a leading medical education institution,
- Scheme C: FAP to support moderate capacity medical education institutions in
achieving medical education standards mandated by the IMC
The Board of Higher Education (BHE) is responsible for establishing the guidelines for
the FAP recipient selection and proposal approval process and for overseeing the FAP
implementation. A FAP manual would be prepared by the BHE to guide the
implementation of the FAP. The BHE established the criteria for grouping existing MEIs
into 4 categories: leading, moderate, weak, and new MEIs. Applying the criteria, the 69
existing MEIs are grouped into 10 leading, 18 moderate, 14 weak and 27 new MEIs (see
Annex xx for details). There would only be one selection process during the life time of
the project to be conducted immediately after project effectiveness. Each FAP recipient
would implement the program in 4 years.
Component 4 – Project Management
A Central Project Coordination Unit (CPCU) would be established at the DGHE.
Project resources would finance the cost of staff honoraria, project management
consultant, office equipment, furniture and project monitoring and evaluation.
4. Project Location and salient physical characteristics relevant to the safeguard
analysis
Component 1, 2, and 4 will be implemented in Jakarta. Component 3 will be
implemented in medical schools in Indonesia selected to get the Financial Assistance
Package.
5. Environmental and Social Safeguards Specialists
Ms Francisca Melia Setiawati (EASIS)
Mr Andrew Daniel Sembel (EASIS)
6. Safeguard Policies Triggered
Environmental Assessment (OP/BP 4.01)
Natural Habitats (OP/BP 4.04)
Forests (OP/BP 4.36)
Pest Management (OP 4.09)
Physical Cultural Resources (OP/BP 4.11)
Indigenous Peoples (OP/BP 4.10)
Involuntary Resettlement (OP/BP 4.12)
Safety of Dams (OP/BP 4.37)
Projects on International Waterways (OP/BP 7.50)
Projects in Disputed Areas (OP/BP 7.60)
Yes
No
X
X
X
X
X
X
X
X
X
X
II. Key Safeguard Policy Issues and Their Management
A. Summary of Key Safeguard Issues
1. Describe any safeguard issues and impacts associated with the proposed project.
Identify and describe any potential large scale, significant and/or irreversible impacts:
The project does not affect communities of indigenous peoples and thus the IP Policies
are not triggered. The project will provide Financial Assistance Package (FAP) to
selected medical schools, and an eligible spending under the FAP is providing access of
the poor to medical education through a scholarship program. The medical schools will
not actively seek scholarship candidates from the poor community. This is consistent
with the Government policy of promoting access of underprivileged students to higher
education
Limited civil work is an eligible expenditure under Scheme B1, B2 and C of the FAP,
but any civil work undertaken through the FAP program in the project is limited to the
rehabilitation of existing lecture rooms and laboratories. The FAP manual states this
provision and the manual would be used as reference not only by the medical schools in
preparing the proposal but also by the reviewer of the FAP proposals.
2. Describe any potential indirect and/or long term impacts due to anticipated future
activities in the project area:
No potential indirect and/or long term impacts are expected
3. Describe any project alternatives (if relevant) considered to help avoid or minimize
adverse impacts.
N/A
4. Describe measures taken by the borrower to address safeguard policy issues. Provide
an assessment of borrower capacity to plan and implement the measures described.
N/A
5. Identify the key stakeholders and describe the mechanisms for consultation and
disclosure on safeguard policies, with an emphasis on potentially affected people.
N/A
B. Disclosure Requirements Date
Environmental Assessment/Audit/Management Plan/Other:
Was the document disclosed prior to appraisal?
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
For category A projects, date of distributing the Executive
Summary of the EA to the Executive Directors
Resettlement Action Plan/Framework/Policy Process:
Was the document disclosed prior to appraisal?
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
Indigenous Peoples Plan/Planning Framework:
Was the document disclosed prior to appraisal?
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
Pest Management Plan:
Was the document disclosed prior to appraisal?
Date of receipt by the Bank
Date of "in-country" disclosure
Date of submission to InfoShop
* If the project triggers the Pest Management and/or Physical Cultural Resources,
the respective issues are to be addressed and disclosed as part of the Environmental
Assessment/Audit/or EMP.
If in-country disclosure of any of the above documents is not expected, please
explain why:
N/A
C. Compliance Monitoring Indicators at the Corporate Level (to be filled in when the
ISDS is finalized by the project decision meeting)
The World Bank Policy on Disclosure of Information
Have relevant safeguard policies documents been sent to the World Bank's
Infoshop?
Have relevant documents been disclosed in-country in a public place in a
form and language that are understandable and accessible to project-affected
groups and local NGOs?
All Safeguard Policies
Have satisfactory calendar, budget and clear institutional responsibilities
been prepared for the implementation of measures related to safeguard
policies?
Have costs related to safeguard policy measures been included in the project
cost?
Does the Monitoring and Evaluation system of the project include the
monitoring of safeguard impacts and measures related to safeguard policies?
Have satisfactory implementation arrangements been agreed with the
borrower and the same been adequately reflected in the project legal
documents?
N/A
N/A
N/A
N/A
N/A
N/A
D. Approvals
Signed and submitted by:
Task Team Leader:
Environmental Specialist:
Social Development Specialist
Additional Environmental and/or
Social Development Specialist(s):
Name
Date
Ms Puti Marzoeki
Mr Virza S. Sasmitawidjaja
Mr Jose Vicente Zevallos
06/01/2009
05/19/2006
05/20/2006
Mr Juan Pablo Uribe
06/05/2009
Approved by:
Sector Manager:
Comments: