The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
SOUTH ASIA | Sri Lanka | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 11 | ARCHIVED on 17-Apr-2024 | ISR59819 |
Implementing Agencies: Democratic Socialist Republic of Sri Lanka, Ministry of Finance, Ministry of Health, State Ministry of Samurdhi, Household
Economy, Micro Finance, Self-Employment, Business Development,
Key Dates
Key Project Dates
Bank Approval Date: 02-Apr-2020 Effectiveness Date: 03-Apr-2020
Planned Mid Term Review Date: 04-Apr-2022 Actual Mid-Term Review Date: 16-Jun-2022
Original Closing Date: 31-Dec-2023 Revised Closing Date: 31-Dec-2023
pdoTable
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Sri Lanka
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
Components Table
Name
Component 1: Emergency COVID-19 Response:(Cost $344.97 M)
Component 2: Strengthening National and Sub-national Institutions for Prevention and Preparedness:(Cost
$21.43 M)
Component 3: Strengthening Multi-sectoral, National institutions and Platforms for One Health:(Cost $24.65
M)
Component 4: Implementation Management and Monitoring and Evaluation:(Cost $7.03 M)
Component 5: Contingent Emergency Response Component
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Satisfactory Satisfactory
Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory
Overall Risk Rating Moderate Moderate
Implementation Status and Key Decisions
The project achieved all four Project Development Objectives (PDO) indicators fully achieved. The COVID ERHSP project has made significant
contributions and achieved various outcomes in response to the pandemic. These include: Strengthening the Epidemiology Division and the
National Emergency Center for Epidemics and Pandemics, strengthening and ensuring the functionality of the Emergency Operations Centre
(EOC), surpassing the initial target of 56.8% vaccination rate, with an impressive 98% of the population receiving the first dose, successfully
strengthening and ensuring the functionality of 17 designated laboratories equipped with essential diagnostic equipment, test kits, and reagents
4/17/2024 Page 1 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
recommended by the World Health Organization (WHO), and achieving the establishment of at least one tertiary or secondary care hospital with
isolation capacity in all 25 districts.
In addition to these contributions and outcomes, the project has also supported various intermediate results, including Improving intensive care units
(ICUs) by increasing bed strength and training health staff on infection control measures, capacity building on providing care services for elderly
and differently-abled individuals, supporting health institutions in obtaining environmental protection licenses and implementing proper waste
management systems, providing cash transfers to vulnerable communities during the COVID pandemic, improving capacities at the Ministry of
Health (MOH) for services related to women and gender-based violence, developing national protocols for detection, surveillance, and response
systems for animal and human health infections, and publishing peer-reviewed articles on the interventions supported by the project.
The Project has played a key role in supporting the procurement of emergency medicines and consumables, as well as in supporting the
continuation of health services during the COVID-19 pandemic and economic crisis and supported the mobility facilities of field health care providers
in disease surveillance activities and managing the emergency transportation of patients.
At the time of the project closure on December 31,2023, the project had disbursed 94.5 percent. The Project made significant contributions to Sri
Lanka’s emergency response prevention, control and build resilience. Unfortunately, due to unforeseen challenges caused by the country’s
economic crisis hampered the timely completion of certain project activities.
The project GRM The national Grievance Redress Mechanism (GRM) for the health system, which is also a function of the national level, is now
fully operational with the implementation of the Management Information System (MIS) and has sufficient staff. Complaints can be submitted
through various channels such as postal mail, e-mail (Suwasawana@health.gov.lk), a short code hotline (1907), and social media platforms like
WhatsApp and Viber. The government responded to all grievances within 30 days and surpassed the end of the project target.
MPA Program Development Objective
MPA PDO Table
The Program Development Objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public
health preparedness
MPA Table
Multiphase Programmatic Approach (MPA) Status
MPA Table Body
Sustained efforts continue to be made to advance the implementation of the 87 MPA operations. As reported in the past months, the
overall level of disbursements is being affected by three main reasons: (i) low disbursements in six countries (Bangladesh, Kiribati, Nigeria,
Samoa, Solomon Islands, and Zambia); (ii) pausing of disbursements in two countries – Afghanistan, and Myanmar; and (iii) processing of
refunds to the project accounts, which in the past weeks have increased at this late stage of project implementation. In addition, (i) a large
refund from the UN to the project account of the Myanmar operation was processed in March 2023 due to the inability to implement the
project, and (ii) the amounts of Loans and Credits denominated in SDRs, and Euros have been affected because of fluctuations between
the SDRs and Euros against the US dollar. During the past week, a second large refund was processed under the Trinidad and Tobago
operation because of savings realized for medical supplies and medicines procured through PAHO.
As of March 18, 2024, 88 MPA-projects had been approved with a total commitment of US$4.25 billion. One operation (Guatemala) was
cancelled in mid-September 2021. Total disbursements as of March 18, 2024, amount to US$3.98 billion or 94% of overall
commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations or
disbursements under PEF grants as commitments do not include PEF Grants. Closing dates for MPA operations have been as follows: (i)
ten operations closed by the end of CY22, (ii) nine operations closed on June 30, 2023, (iii) thirteen operations closed on December 31,
2023. Twenty-eight operations are scheduled to close by June 30, 2024. However, this number is likely to change as extension of closing
dates are being processed under some operations.
As with the Mid Term Review (MTR) issued on March 25, 2023, no individual ICR will be required for COVID-19 MPA operations. Only one
ICR will be prepared upon completion of the SPRP COVID-19 MPA Program, which closes on December 31, 2025. The Global ICR will be
based on final ISRs packages prepared by country operations’ teams. A template for the final ISR was issued by OPCS on March 21,
2023. So far, seventeen operations have finalized final ISR packages, and some others are under preparation. The overall conclusion of
the MPA MTR was that: (i) the COVID-19 MPA Program embodied a rapid, innovative approach to new lending for human health response;
4/17/2024 Page 2 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
(ii) the COVID-19 MPA has been successful, notwithstanding considerable uncertainty and multiple constraints in the early stages of the
pandemic; (iii) the Bank’s emergency response was remarkably swift in the most vulnerable countries facing human capital losses and
development setbacks; and (iv) notwithstanding the challenges, the MPA is on track to achieve its PrDO, “prevent, detect and respond to
the threat posed by COVID-19 and strengthen national systems for public health preparedness.“
Seventy-five (75) country projects or 86 percent of projects approved have reached 70-100+ percent disbursement (reasons for 100%
disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 75 operations, 66 operations or 87 percent
have disbursed 90%+ of commitments. Out of the 75 operations, 52 operations or 69 percent are fully disbursed, and 8 operations have
disbursed 95-99 percent of commitments. There are six operations with disbursements of 65 percent or less. Out of these four operations,
one operation has disbursed 35 percent (AFW), two operations in EAP have disbursed 48-62 percent and one operation in SAR has
disbursed 53 percent. The operation in AFW has been restructured in the past two weeks to: (i) extend the closing date by four months, (ii)
cancel a large amount under the parent project, (iii) reallocate funds under components and activities, and (iv) revise the Results
Framework.
The projects are benefitting about 3.7 billion people or 50% of the global population. When countries with AF-V operations are counted, the
projects are benefitting about 4.1 billion of 51 percent of the global population. This is because some countries that do not have a parent
project have AF-V operations. All projects approved are disbursing. Operations in ECA and MNA are fully disbursed. In other regions,
disbursements have reached: (i) SAR 96 percent, (ii) LAC 94 percent, (iii) EAP 88 percent, (iv) AFW 85 percent, and (v) AFE 82
percent. Disbursements for EAP operations are being affected by low disbursements in three country projects that have disbursed
between 48 and 62 percent. AFE lower disbursements compared to other regions are a result of low disbursements under one operation,
which has disbursed 63 percent. In the case of AFW low overall disbursements are a result of low disbursements under one operation (35
percent). Retroactive Financing (RF) represents 20 percent of commitments. SAR has the highest percentage of RF at 37 percent,
followed by ECA at 18 percent. Direct Payment (DP) disbursements represent 22 percent of commitments. EAP has the highest level of
disbursements using DP – 80 percent, followed by AFW at 38 percent. IDA continues to represent 40 percent while IBRD represents 60
percent of disbursements.
Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts by counterparts and Bank teams
have contributed to the progress. Implementation is being guided by Bank teams working in parallel with other health related projects,
including Additional Financing operations which have supported vaccine procurement and deployment efforts..
Implementation Status and Key Decisions (Public Disclosure)
Considerable progress is being made in the implementation of AF-V operations. As of March 18, 2024, the Bank has approved 117
operations (including MPA-V operations) to support vaccine procurement and rollout in 78 countries amounting to $8.54 billion. Four operations have
been approved in the past months including: (i) Senegal AF2 operation for $15 million financed by a Grant from The Global Finance Facility (GFF)
approved on June 30, 2023; (ii) a Second AF (IDA Grant of $2.50 million) approved on August 31, 2023 for Sao Tome and Principe, (iii) a Grant of
$3.94 approved for Chad on July 23, 2023; and (iv) Zimbabwe AF2 operation for $15 million financed by a Grant from the GFF approved on
December 7, 2023. One hundred and twenty-one (121) operations had been approved amounting to $10 billion, but with cancellation of four
operations and partial cancellations processed in the past months under several operations, commitments today amount to $8.54 billion. The four
operations cancelled are: (i) Costa Rica loan ($120 million), (ii) Peru loan ($500 million), (iii) Gabon loan ($12 million), which loan agreement lapsed,
and (iv) Philippines AF2 loan of $300 million. The Afghanistan operation commitment of $113 million was reduced to $60 million. Of the 117
approved operations: (i) 67 are in Africa – 32 in AFE and 35 in AFW; (ii) 10 in East Asia and the Pacific; (iii) 11 in Europe and Central Asia; (iv) 11 in
Latin America and the Caribbean; (v) 9 in Middle East and North Africa; and (vi) 9 in South Asia. The 117 operations approved, include 6 operations
that involved restructuring of parent projects (Bhutan, Cameroon, North Macedonia, Philippines, and Pakistan) and in the case of Lebanon,
restructuring of the Health Resilience Project.
4/17/2024 Page 3 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Partial cancellations have been/are being processed under several operations -- Afghanistan, Bangladesh, Belarus, Benin, Cabo Verde, Cameroon,
Ethiopia, Gabon, Georgia, Lao, Madagascar, Mali, Mozambique, Nepal, Nigeria, Pakistan, Philippines, Papua New Guinea, Sierra Leone, South
Africa, Sudan, Republic of Congo AF2, and Togo.
Thirty-two (32) operations are being implemented in Fragile and Conflict-affected situations. IDA represents 45 percent and IBRD 55 percent of
disbursements. Total disbursements under these projects as of March 18, 2024, amount to US$6.60 billion or 77 percent of overall
commitments. Disbursements under MPA-V operations are included in this total while disbursements under the six restructured projects are
counted under parent projects. With less than planned demand for IDA/IBRD funds for vaccine procurement because, inter alia, over supply of
vaccines from donations from various sources, several projects have been/are being restructured and more will need to be restructured to reallocate
funds or partially cancel funds allocated to procurement of COVID-19 vaccines and deployment. Guidance was issued under an Email from Juan
Pablo Uribe of July 7, 2023, which provided direction for the use of undisbursed funds under COVID-19 operations. HNP is monitoring
implementation of the guidelines.
Six (6) operations are fully disbursed (Argentina, El Salvador AF1, Indonesia, Iraq, Sri Lanka AF-V 1, and Ukraine AF-V 3). Sixty-four (64)
operations or 55 percent of operations approved have disbursed over 70 percent of their commitments. Out of the 64, twenty-nine (29) operations
have disbursed 90+ percent. One hundred and seven (107) operations or 91 percent of total operations approved are disbursing. EAP has the
highest percentage of disbursements at 96 percent, followed by ECA at 89 percent, LAC at 88 percent, SAR at 81 percent, MNA at 81 percent, AFE
at 67 percent, and AFW at 63 percent.
Retroactive Financing (RF) represents 36 percent of overall commitments. ECA has the highest level of RF at 74 percent, followed by SAR at 68
percent, LAC at 59 percent, MNA and AFE at 29 percent and AFW at 13 percent. Disbursements to UN agencies represent 23 percent of overall
disbursements, while Direct Payment represents 17 percent of disbursements.
As with the COVID-19 MPA operations, streamlined procedures, delegated approval, wide use of Bank Facilitated Procurement (BFP), coupled with
flexible project design, and intensified efforts from counterparts and Bank staff have contributed to the rapid design, processing, and implementation
of the AF-V operations.
Risks
Systematic Operations Risk-rating Tool
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance Moderate Substantial Substantial
Macroeconomic Substantial Substantial Substantial
Sector Strategies and Policies Moderate Moderate Moderate
Technical Design of Project or Program Substantial Moderate Moderate
Institutional Capacity for Implementation and
Substantial Substantial Substantial
Sustainability
Fiduciary Substantial Substantial Substantial
Environment and Social Substantial Substantial Substantial
Stakeholders Moderate Moderate Moderate
Other -- -- --
Overall Substantial Moderate Moderate
4/17/2024 Page 4 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Results
PDO Indicators by Objectives / Outcomes
To prevent, detect and respond to the threat posed by COVID-19
IN01398462
►Emergency Operations Centre for COVID-19 and pandemic responses established (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No Yes Yes Yes
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Emergency Operations Centre for coordination of pandemic response established and functional.
The Epidemiology Division, MoH is being strengthened as the National Emergency Center for Epidemics
and Pandemics.
Comments:
End target achieved 100 percent.
IN01398464
►Percentage of health districts with a tertiary or secondary care hospital with isolation capacity (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 8.00 100.00 100.00 100.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Indicator Definition - Numerator: Number of districts with at least one tertiary or secondary care hospital
with isolation capacity Denominator: Number of districts (25 districts).
Comments: End target achieved 100 percent.
IN01398465
►Percentage of population vaccinated, which is included in the priority population targets defined in the NDVP, disaggregated by gender
(Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.01 98.00 98.00 56.80
Date 18-Feb-2021 15-Dec-2023 31-Dec-2023 31-Dec-2023
98% of population has been vaccinated with the first dose. Populations male to female ratio is 49:51.
Therefore, it is expected that vaccinations reached a similar percentage of males and females of the
population..
Comments: End target overachieved (173 percent).
To strengthen national health systems for preparedness in Sri Lanka
IN01398463
►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom)
4/17/2024 Page 5 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Baseline Actual (Previous) Actual (Current) End Target
Value 5.00 17.00 17.00 17.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2020
Number of designated laboratories with COVID-19 essential diagnostic equipment, test kits, and reagents
(identified as essential for COVID-19 response as per WHO guidelines) include 17 functional laboratories
Comments: The end target of 17 achieved (100 percent)
Intermediate Results Indicators by Components
Emergency COVID-19 Response
IN01398476
►Number of ICU beds in tertiary and secondary hospitals against planned (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 560.00 750.00 750.00 750.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
The support included strengthening ICU, High Dependency Unit (HDU) with oxygen connectivity. All units
Comments: are fully functional. The Project achieved 100 percent of the end target.
IN01398480
►Number of health staff trained in infection prevention and control per MoH approved protocols (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 100.00 30,000.00 30,000.00 1,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Using online training module developed, all institutions trained 30,000 health staff. This is 3,000 percent
Comments: achievement of the project end target.
IN01398482
►Number of secondary and tertiary care hospitals with environmental protection license (EPL) and Scheduled waste license (SWL) (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 20.00 335.00 335.00 81.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
By the end of the Project, 335 hospitals have obtained EPL/SWL. This is a 414 percent acheivement of
the end target. These also included three IDH hospitals (Angoda, Kilinochchi, and Ampara) obtaining
Comments: license and the fourth IDH hospital (Hambantota) meeting standards and submission of application to
receive certificates.
IN01398484
►Guidelines to engage private health facilities in supporting pandemic response (Yes/No, Custom)
4/17/2024 Page 6 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Baseline Actual (Previous) Actual (Current) End Target
Value No Yes Yes Yes
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Developed laboratory guidelines and coordinated to establish networking of facilities to cater to the pandemic respon
there was a good coordination between public and private sector for testing and cater to the growing needs from peo
testing centers for the public and private sector were available on the Ministry of Health website. This is a 100 perce
of project target.
Comments:
IN01398486
►Number of secondary and tertiary hospitals with solar energy backup to overcome electricity outages (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 1.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2020
This activity could not be completed as planned due to policies introduced by the government to resolve
the economic crisis in 2022 which resulted in energy crisis, foreign exchange crisis, high inflation,
and import restriction policy. However, some of the hospitals managed to use its own resources to install
Comments:
solar energy backups.
The end of project target could not be achieved.
IN01398488
►Number of field staff engaged in elder care, homes for the people with special needs and orphanages trained and equipped for prevention
and care measures (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 100.00 1,000.00 1,000.00 1,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
The Ministry of Health partnered with the National Secretariat for Elders to conduct training of field staff
engaged in eldercare homes and other institutionalized care centers. The project achieved 100 percent
of the end of the year target.
Comments:
IN01398489
►Number of beneficiaries provided with cash transfers in response to COVID-19 (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 3,150,429.00 3,150,429.00 600,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Aug-2020
Comments: In total, the cash transfer program has supported 629,303 elderly persons, 52,940 people with special
needs, 18,972 patients with chronic kidney disease, and 2,229,214 people who lost livelihoods. The in-
kind transfer program has supported 417,427 beneficiaries sent on home quarantine with food packs for
two weeks. In total, this subcomponent has provided benefits to 3.5 million people (cash transfer benefits
4/17/2024 Page 7 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
to 3.1 million beneficiaries and in-kind benefits to 417,427). The number of persons supported through
cash transfers was an achievement of 525 percent of the end of the project target.
IN01398490
►Risk communication plan implemented (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No Yes Yes Yes
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Mar-2021
Risk communication campaign plan developed and implemented to the satisfaction of the MOH. UNICEF
partners with the MoH in planning and implementing risk communication. The project achieved 100
Comments:
percent of the end of the project target.
IN01398491
►Number of individuals utilizing GBV services through the Mithuru Piyasas (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 9,000.00 16,350.00 16,350.00 12,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
The number of persons seeking GBV services through Mithuru Piyasa exceeded with an achievement of
136 percent of the end of project target. It is interesting to note that 94.8 percent women and 5.2
percent of males and children have sought GBV services through the Mithuru Piyasa. Women’s use of
Comments:
Mithuru Piyasa for GBV services showed an achievement of 141 percent of end of the project target
created for women.
IN01398492
Number of women utilizing gender-based violence services through the Mithuru Piyasas (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 8,500.00 15,510.00 15,510.00 11,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
IN01398493
Number of children and men utilizing gender-based violence services through the Mithuru Piyasas (Number, Custom Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 500.00 841.00 841.00 1,000.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
IN01398494
►National Deployment and Vaccination Plan for COVID-19 vaccines with input from relevant bodies is updated by the government, as
needed (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No Yes Yes Yes
Date 18-Feb-2021 15-Dec-2023 31-Dec-2023 31-Dec-2023
4/17/2024 Page 8 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
National Deployment and Vaccination Plan for COVID-19 vaccination initially prepared by forming a
partnership with the COVAX facility. The Ministry prepared COVID preparedness response plan in 2020
and updated in 2021. Thereafter, the Ministry of Health prepared a plan focusing on ‘Strategic
Preparedness, Readiness and Response Plan to End COVID - 19 Emergency in 2022.’ When the World
Comments: Health Organization declared end of COVID-19 pandemic in 2023, the Ministry of Health’s Technical
Committee decided not to update 2022 plan prepared by the Ministry of Health. The Project achieved 100
percent of the end of project target.
IN01398495
►Number of districts with functional vaccination tracking system/HMIS collecting sex and age disaggregated data on COVID-19 vaccines at
district level (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 3.00 25.00 25.00 25.00
Date 18-Feb-2021 15-Dec-2023 31-Dec-2023 31-Dec-2023
The vaccination tracking system was developed and functioned in all 25 districts. The innovative DHIS
tracker and App developed was fully functional (see results stories: https://dhis2.org/sri-lanka-covid-
surveillance/ and https://www.who.int/about/accountability/results/who-results-report-2020-mtr/country-
Comments:
story/2021/sri-lanka).
The project achieved 100 percent of the end of project target.
Strengthening National and Sub-national Institutions for Prevention and Preparedness
IN01398477
►Number of individual isolation rooms established within the National Institute of Infectious Diseases established (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 48.00 48.00 24.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
A total of 48 isolation rooms have been established (16 isolation rooms at regional infectious disease
hospitals and 32 isolation rooms at Hambantota sub-national ID). The project achieved 200 percent of
Comments:
the end of project target.
IN01398483
►Number of secondary and tertiary care hospitals with networked laboratory information system in place (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 50.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2021
In 2022, the GoSL started the development of a blueprint of a National Information Management System
(HMIS) which included a network of laboratories.The blueprint of the National Information System (HMIS)
has been almost completed. At present, laboratories are networked internally without connecting to an
Comments:
integrated system. (see: https://www.icta.lk/projects/digitalizing-government/hospital-health-information-
management-system-hhims
IN01398485
►Number of sub-national emergency operational centers with an established quarantine mechanism (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
4/17/2024 Page 9 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Value 8.00 28.00 28.00 26.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Quarantine mechanisms have been established at identified subnational centers to help strengthen
provincial administration. In addition, Epidemiological Unit and Disaster and Emergency Management
Center at MOH have also been strengthened. The project has achieved 104 percent of the end of
Comments:
project targets.
IN01398487
►Number of secondary and tertiary care hospitals with classified accredited labs (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 50.00 50.00 50.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
As part of the national accreditation process, internal quality assurance required for 50 labs have been
completed. Ongoing WB financed PSSO project has provided technical assistance for the quality
Comments: assurance process. The project has achieved 100 percent of the end of project target.
Strengthening Multi-sectoral, National institutions and Platforms for One Health
IN01398479
►National protocols for detection, surveillance, and response systems for animal and human health infections (Yes/No, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No Yes Yes Yes
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
The national protocols for detection, surveillance, and response systems for animal and human health
Comments: infections have been developed. The project has achieved 100 percent of the end target.
Implementation Management and Monitoring and Evaluation
IN01398478
►Number of peer-reviewed publications from Research Institutions supported to undertake research and monitor progress and capacity of
the health system for pandemic preparedness (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 3.00 5.00 5.00
Date 01-Apr-2020 15-Dec-2023 31-Dec-2023 31-Dec-2023
Research studies conducted are at different levels of completion that vary from draft manuscript to
Comments: acceptance for publication. The Project achieved 100 percent of end of project target.
IN01398481
►Percentage of received grievances that are addressed within 30 days (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
4/17/2024 Page 10 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Value 0.00 74.00 100.00 80.00
Date 28-Nov-2021 15-Dec-2023 31-Dec-2023 31-Dec-2023
The system to address grievances set up and addressed within 30 days increased from zero percent to
100 percent by the end of the Project and this is an achievement of 125 percent of the end of project
Comments:
target.
Performance-Based Conditions
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P173867 IBRD-90850 Closed USD 35.00 35.00 0.00 31.44 3.56 90%
P173867 IBRD-92370 Closed USD 54.00 54.00 0.00 53.97 0.03 100%
P173867 IBRD-92960 Closed USD 100.00 100.00 0.00 86.75 13.25 87%
P173867 IDA-65950 Closed USD 93.60 93.60 0.00 87.96 5.64 94%
P173867 IDA-67270 Closed USD 41.90 41.90 0.00 38.53 3.37 92%
P173867 IDA-67280 Closed USD 45.34 45.34 0.00 47.02 0.00 100%
P173867 IDA-68750 Closed USD 26.52 26.52 0.00 26.60 0.00 100%
P173867 TF-B3017 Closed USD 1.72 1.72 0.00 1.72 0.00 100%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P173867 IBRD-90850 Closed 02-Apr-2020 03-Apr-2020 03-Apr-2020 31-Dec-2023 31-Dec-2023
P173867 IBRD-92370 Closed 27-Apr-2021 13-May-2021 17-May-2021 31-Dec-2023 31-Dec-2023
P173867 IBRD-92960 Closed 24-Sep-2021 27-Sep-2021 28-Sep-2021 31-Dec-2023 31-Dec-2023
P173867 IDA-65950 Closed 02-Apr-2020 03-Apr-2020 03-Apr-2020 31-Dec-2023 31-Dec-2023
P173867 IDA-67270 Closed 22-Jun-2020 23-Jul-2020 24-Jul-2020 31-Dec-2023 31-Dec-2023
P173867 IDA-67280 Closed 22-Jun-2020 23-Jul-2020 24-Jul-2020 31-Dec-2023 31-Dec-2023
P173867 IDA-68750 Closed 27-Apr-2021 13-May-2021 17-May-2021 31-Dec-2023 31-Dec-2023
P173867 TF-B3017 Closed 22-Jun-2020 23-Jul-2020 24-Jul-2020 31-Jan-2021 31-Jan-2021
Cumulative Disbursements
4/17/2024 Page 11 of 12
The World Bank Implementation Status & Results Report
Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project (P173867)
Restructuring History
Level 2 Approved on 18-Jan-2021 ,Level 2 Approved on 04-Sep-2023
Related Project(s)
P174291-Sri Lanka COVID-19 Emergency Response and Health Systems Preparedness Project AF ,P176422-Second Additional Financing for Sri
Lanka COVID-19 Emergency Response and Health Systems Preparedness Project ,P177714-Third Additional Financing for Sri Lanka COVID-19
Emergency Response and Health System Preparedness Project
4/17/2024 Page 12 of 12