The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Africa CDC Regional Investment Financing Project (P167916) EASTERN AND SOUTHERN AFRICA | Eastern and Southern Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 8 | ARCHIVED on 30-Jan-2024 | ISR59366 | Implementing Agencies: Africa Centres for Disease Control and Prevention, African Union, Ethiopia Ministry of Health (MOH), Ethiopia Public Health Institute, Federal Democratic Republic of Ethiopia Ministry of Finance (MOF), Republic of Zambia, Zambia Ministry of Health Key Dates Key Project Dates Bank Approval Date: 10-Dec-2019 Effectiveness Date: 06-Mar-2020 Planned Mid Term Review Date: 24-Oct-2022 Actual Mid-Term Review Date: 24-Oct-2022 Original Closing Date: 31-Dec-2025 Revised Closing Date: 31-Dec-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to support Africa CDC to strengthen continental and regional infectious disease detection and response systems. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Governance, Advocacy, and Operational Frameworks:(Cost $2.14 M) Public Health Assets:(Cost $210.80 M) Human Resources Development:(Cost $23.52 M) Project Management:(Cost $13.54 M) Contingent Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Unsatisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions Project implementation picked up this year. Focus of implementing entities has been on accelerating activities related to big ticket items such as national laboratory complexes and other lab and large civil work investments. 1/30/2024 Page 1 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance High High High Macroeconomic High High High Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary High High High Environment and Social High Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall High High High Results PDO Indicators by Objectives / Outcomes 1. Early detection and timely reporting of outbreaks (surveillance) IN01383631 ►Countries that have achieved the required timeliness of reporting for immediately reportable diseases under IDSR. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 70.30 70.30 100.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 This value is for Zambia only (average of Q1 and Q2 2022). No data currently available for Ethiopia. Comments: IN01383633 ►Samples from suspected outbreaks of immediately reportable diseases that are confirmed within the stipulated WHO standard time at reference laboratories supported by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Comments: Data is not yet available for this indicator. 1/30/2024 Page 2 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Numerator: Number of suspected outbreaks of immediately reportable diseases with samples tested at reference laboratories Denominator: Total number of suspected outbreaks of immediately reportable diseases which require laboratory confirmation 2. Rapid response to infectious disease outbreaks (response) IN01383469 ►Countries responding within 48 hours to confirmed outbreaks of immediately reportable diseases (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Data is not yet available for this indicator. Numerator: Number of countries which responded to outbreaks of immediately reportable diseases within Comments: 48 hrs Denominator: Total number of countries 3. Laboratory quality IN01383470 ►BSL-2 and BSL-3 laboratories supported by the project that have been awarded a SLIPTA rating of two stars or higher under the regional WHO AFRO stepwise accreditation program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 25.00 Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 None of these laboratories have been constructed yet. Number of laboratories in Ethiopia and Zambia that have been awarded a SLIPTA rating of two stars or Comments: above under the regional WHO AFRO step-wise accreditation program IN01383634 Ethiopia (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 7.00 7.00 24.00 Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383636 Zambia (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 30-Apr-2027 4. Regional and continental indicators IN01383632 ►Africa CDC standard manuals, procedures, guidelines developed (Yes/No, Custom) 1/30/2024 Page 3 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 It is 50% for this complex process and its subcomponents (a yes or no answer could only be provided at the end of the project) This is one of the indicators that will be modified for not being measurable in a Comments: meaningful way. IN01383635 For NPHI management and operations (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383637 For epidemic preparedness and response (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Aug-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383638 ►Regions with functional RISLNETs (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Southern Africa RISLNET will be launched in July. For the Eastern Africa RISLNET, a firm has been contracted and implementation is on course. Comments: IN01383639 ►At least one yearly outreach event conducted to link implementing partners of existing regional disease surveillance and response projects in a systematic way (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 6.00 Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 One meeting was held at the regional level, plus two at the country level (one each in Ethiopia and Comments: Zambia). IN01383640 ►The information technology systems developed by the Africa CDC, EPHI, and ZNPHI have been connected (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes 1/30/2024 Page 4 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Ethiopia has done its data center; IT platform for Africa CDC has been installed in the new campus awaiting to be launched. After MTR, the indicator needs to be changed in the restructuring of the project Comments: and update of the Mk&E to measure development of IT systems by each agency without the interconnection because this is unlikely to be achieved Intermediate Results Indicators by Components Component 1: Governance, Advocacy, and Operational Framework IN01383642 ►Zambia: Selected policy reform notes are developed to propose revisions to legislation, procedures, and regulations as a first step to harmonize legal frameworks among SA-RCC countries (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 The ZNPHI currently adopted the AMR guidelines and NPHI Scorecard. Comments: IN01383646 ►Africa CDC: the SA-RCC is operational (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383647 ►MOU signed between Ethiopia and Africa CDC to facilitate cooperation/collaboration and to establish arrangements to ensure the shared use of the Ethiopia’s public health assets (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 30-Jun-2020 IN01383652 ►Zambia: Country Hosting agreement for the SA-RCC implemented (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2020 The Host Country agreement for SA-RCC was signed in March 2021 and has since been operationalized. Comments: Component 2: Public Health Assets IN01383643 1/30/2024 Page 5 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) ►Ethiopia: Laboratories constructed and equipped as per standards (BSL-2 and BSL-3) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 24.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Comments: Number of laboratories constructed and/or upgraded as per standards. IN01383645 National Reference Laboratory BSL-3 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383649 Regional Reference laboratories (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 23.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383651 ►Zambia: Laboratories constructed, upgraded as per standards (BSL-3) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Comments: Number of laboratories constructed and/or upgraded as per standards. IN01383653 Regional reference laboratory (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383656 ►NPHI’s system for PHEOCs is operational based on standards (both national and regional) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383657 Ethiopia (Yes/No, Custom Breakdown) 1/30/2024 Page 6 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383658 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383659 ►NPHI system for Communication and Technology (ICT)/Data Management Center is operational (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383660 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383661 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383662 ►Ethiopia: AMR scorecard rolled out in all 11 regions in Ethiopia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 11.00 Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Africa CDC organized an initial meeting for orientation and domestication of the AMR scorecard in Q1 Comments: 2023. Zambia will now hire a consultant to follow on subsequent processes IN01383663 ►Zambia: AMR scorecard implemented in 10 provinces in Zambia (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10.00 1/30/2024 Page 7 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383664 ►NPHI system for EBS is operational according to Standard Operating Procedures (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383665 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383666 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383667 ►Annual operating costs for BSL-3 laboratories have been confirmed and set aside in the annual budget (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383668 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383669 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383670 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No, Custom) 1/30/2024 Page 8 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Ethiopia has implemented a Citizen Score Card, while Zambia has District/Community Surveillance Comments: Teams that engage communities on implementation of programs related to disease outbreak and control. IN01383671 Ethiopia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 IN01383672 Zambia (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Oct-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Component 3: Human Resources Development IN01383641 ►Ethiopia: Professional/semi-professional personnel trained through the Project in critical skills such as disease surveillance, outbreak investigations and response, M&E, risk communication, auditing (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2,303.00 2,303.00 800.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Number of professional/semi-professional personnel trained in critical skills including disease surveillance, Comments: outbreak investigations and response, M&E, risk communication, and auditing. IN01383644 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.80 20.80 30.00 IN01383648 ►Zambia: Professional/semi-professional personnel trained under the Project in critical skills including disease surveillance, outbreak investigations and response, M&E, risk communication, auditing (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 843.00 843.00 500.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Number of professional/semi-professional personnel trained in critical skills including disease surveillance, Comments: outbreak investigations and response, M&E, risk and communication. 16 staff have been trained so far on M&E, 9 of which are female. 1/30/2024 Page 9 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) IN01383650 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 56.25 56.25 30.00 IN01383654 ►Africa CDC - Number of personnel trained in Field Epidemiology Training Program (FETP) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 200.00 Date 01-Apr-2019 15-Jun-2023 15-Jun-2023 31-Dec-2025 Comments: Number of personnel that completed FETP. IN01383655 Of which female (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P167916 IDA-65030 Effective USD 90.00 86.11 3.89 8.18 75.52 9.8% P167916 IDA-65040 Effective USD 75.00 75.00 0.00 27.32 46.23 37% P167916 IDA-D5250 Effective USD 75.00 75.00 0.00 23.93 49.99 32% P167916 IDA-D5260 Effective USD 10.00 10.00 0.00 4.31 6.08 41% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P167916 IDA-65030 Effective 10-Dec-2019 08-May-2020 20-May-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-65040 Effective 10-Dec-2019 06-Feb-2020 14-Apr-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-D5250 Effective 10-Dec-2019 06-Feb-2020 14-Apr-2020 31-Dec-2025 31-Dec-2025 P167916 IDA-D5260 Effective 10-Dec-2019 06-Mar-2020 06-Mar-2020 31-Dec-2025 31-Dec-2025 1/30/2024 Page 10 of 11 The World Bank Implementation Status & Results Report Africa CDC Regional Investment Financing Project (P167916) Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 1/30/2024 Page 11 of 11