The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
Moldova Emergency COVID-19 Response Project (P173776)
EUROPE AND CENTRAL ASIA | Moldova | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 9 | ARCHIVED on 18-Apr-2024 | ISR60337 |
Implementing Agencies: Ministry of Health, Republic of Moldova
Key Dates
Key Project Dates
Bank Approval Date: 24-Apr-2020 Effectiveness Date: 28-May-2020
Planned Mid Term Review Date: 23-Feb-2022 Actual Mid-Term Review Date: 23-Feb-2022
Original Closing Date: 30-Apr-2022 Revised Closing Date: 30-Sep-2024
pdoTable
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The objectives of the Project are to prevent, detect and respond to the threat posed by the COVID-19 pandemic in Republic of Moldova.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
No
Components Table
Name
Emergency COVID-19 Response:(Cost $90.78 M)
Implementation Management and Monitoring and Evaluation:(Cost $0.60 M)
Overall Ratings
Name Previous Rating Current Rating
Progress towards achievement of PDO Moderately Satisfactory Satisfactory
Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory
Overall Risk Rating Substantial Substantial
Implementation Status and Key Decisions
Progress toward achieving the Project development objective (PDO) and implementation progress is rated Satisfactory. All four PDO indicators and
13 of 15 interim results (IR) indicators have already been achieved. IR indicator 14 “Number of public health warehouses built or rehabilitated”, and
IR 15 “Number of public health centers renovated” are currently on track to be achieved. Both performance-based conditions have been
accomplished.
The Project has disbursed a cumulative total of US$ 73.04 million, or 78.9 percent of the Project’s total of US$91.38 million. The closing date for
Additional Financing 2 of the Project has been extended to September 30, 2024. The Project supported the procurement of laboratory equipment,
diagnostic supplies, and vehicles to transport diagnostic samples from regions. It has financed personal protective equipment and disinfectants for
health personnel, ambulances, computer tomography systems, and equipment for intensive care units (ventilators, syringe pumps, pulse oximeters,
oxygen generators, mobile X-rays, functional beds, etc.). The refurbishment of 10 intensive care units has been completed, and the remaining
works in the ICU in the Institute of Mother and Child are scheduled for completion in June 2024 11.
4/18/2024 Page 1 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
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$3.98 billion or 94% of overall commitments. This amount
does not include disbursements under MPA-V operations which are reported together with AF-V operations or disbursements under PEF
grants as commitments do not include PEF Grants. Closing dates for MPA operations have been as follows: (i) ten operations closed by the end
of CY22, (ii) nine operations closed on June 30, 2023, (iii) thirteen operations closed on December 31, 2023. Twenty-eight operations are scheduled
to close by June 30, 2024. However, this number is likely to change as extension of closing dates are being processed under some operations.
As with the Mid Term Review (MTR) issued on March 25, 2023, no individual ICR will be required for COVID-19 MPA operations. Only one
ICR will be prepared upon completion of the SPRP COVID-19 MPA Program, which closes on December 31, 2025. The Global ICR will be based on
final ISRs packages prepared by country operations’ teams. A template for the final ISR was issued by OPCS on March 21, 2023. So far, seventeen
operations have finalized final ISR packages, and some others are under preparation. The overall conclusion of the MPA MTR was that: (i) the
COVID-19 MPA Program embodied a rapid, innovative approach to new lending for human health response; (ii) the COVID-19 MPA has been
successful, notwithstanding considerable uncertainty and multiple constraints in the early stages of the pandemic; (iii) the Bank’s emergency
response was remarkably swift in the most vulnerable countries facing human capital losses and development setbacks; and (iv) notwithstanding the
challenges, the MPA is on track to achieve its PrDO, “prevent, detect and respond to the threat posed by COVID-19 and strengthen national
systems for public health preparedness.“
Seventy-five (75) country Projects or 86 percent of Projects approved have reached 70-100+ percent disbursement (reasons for >100%
disbursements relate to fluctuations between the Euro and the SDR against the US$). 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,
4/18/2024 Page 2 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
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.
COVID-19 MPA AF-V
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.
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.
4/18/2024 Page 3 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
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 Substantial Moderate Moderate
Macroeconomic High Substantial Substantial
Sector Strategies and Policies Moderate Moderate Moderate
Technical Design of Project or Program Moderate Moderate Moderate
Institutional Capacity for Implementation and
Moderate Moderate Moderate
Sustainability
Fiduciary Substantial Substantial Substantial
Environment and Social Substantial Substantial Substantial
Stakeholders Moderate Moderate Moderate
Other Moderate Moderate Moderate
Overall Substantial Substantial Substantial
Results
PDO Indicators by Objectives / Outcomes
To prevent, detect, and respond to the threat posed by the COVID-19 pandemic
IN01414803
►Number of designated hospitals with fully equipped and functional intensive care units (ICUs). (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 14.00 21.00 19.00
Date 24-Apr-2020 21-Mar-2022 22-Mar-2024 30-Apr-2023
Overachieved. Out of 21, 18 are equipped and functional, the remaining 3 ICUs are scheduled to become
Comments: functional in April 2024, and works in one additional ICU will be completed in June 2024.
IN01414804
4/18/2024 Page 4 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
►Percentage of designated hospitals with personal protection equipment and infection control products and supplies (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 90.00 90.00 80.00
Date 24-Apr-2020 21-Mar-2022 21-Mar-2022 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414805
►Number of people tested for coronavirus identification (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 8,149.00 3,062,136.00 3,062,136.00 250,000.00
Date 24-Apr-2020 10-Mar-2022 10-Mar-2022 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414806
►Number of Ajutor Social recipients during the emergency period (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 47,569.00 71,802.00 71,802.00 65,000.00
Date 24-Apr-2020 09-Mar-2021 09-Mar-2021 30-Apr-2023
This indicator was achieved in 2022.
Comments:
Intermediate Results Indicators by Components
Emergency COVID-19 Response
IN01414807
►Number of ventilators purchased (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 292.00 292.00 292.00
Date 24-Apr-2020 21-Mar-2022 21-Mar-2022 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414808
►Number of personal protection equipment (PPE) purchased. (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 500,000.00 500,000.00 500,000.00
4/18/2024 Page 5 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
Date 24-Apr-2020 03-Aug-2022 03-Aug-2022 03-Aug-2022
This indicator was achieved in 2022.
Comments:
IN01414809
►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents per MoHLSP guidelines. (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 5.00 5.00 4.00
Date 24-Apr-2020 21-Mar-2022 21-Mar-2022 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414810
►Number of activities in National Communications Strategy for COVID-19 implemented (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 20.00 20.00 10.00
Date 24-Apr-2020 11-Aug-2021 11-Aug-2021 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414811
►Number of Ajutor Social recipients (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 47,659.00 54,231.00 54,231.00 53,000.00
Date 24-Apr-2020 22-Mar-2021 22-Mar-2021 30-Apr-2023
This indicator was achieved in 2022.
Comments:
IN01414812
►Budget Allocation for Ajutor Social Program (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value MDL 495,461,700 MDL 708,749,800 MDL 708,749,800 MDL 697,361,700
Date 24-Apr-2020 22-Mar-2021 22-Mar-2021 30-Apr-2023
This indicator is expected to be achieved in 2023.
Comments:
IN01414813
►Average Ajutor Social benefit amount (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value MDL 828 MDL 1079 MDL 1079 MDL 1099
Date 24-Apr-2020 22-Mar-2021 22-Mar-2021 30-Apr-2023
4/18/2024 Page 6 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
This indicator was achieved in 2022.
Comments:
IN01414814
►Percentage of hospitals (i) establishing approved citizen engagement platforms (in-facilities or online), (ii) responding to citizen views (in-
facilities or online), and (iii) reporting (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 78.69 25.00
Date 16-Oct-2020 21-Mar-2022 21-Mar-2022 30-Apr-2023
This indicator was achieved.
Comments:
IN01414815
►Review of the VIRAT-VRAF 2.0 or updated tool, completed (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No No Yes Yes
Date 15-Feb-2021 21-Mar-2022 22-Mar-2024 30-Sep-2024
This indicator was achieved in 2022.
Comments:
IN01414816
►Percentage of individuals that will accept a safe and effective COVID-19 vaccine: (a) Males; and (b) Females (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
(a) 31% (a) 57% (a) 57% (a) 70%
Value (b) 31% (b) 57% (b) 57% (b) 70%
Date 15-Feb-2021 11-Aug-2021 11-Aug-2021 30-Apr-2023
IN01414817
►Percentage of applicants that have benefited from the Ajutor Social Program that are: (a) Males; and (b) Females (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
(a) 30% (a) 30% (a) 30% (a) 30%
Value (b) 70% (b) 70% (b) 70% (b) 70%
Date 15-Feb-2021 15-Feb-2021 15-Feb-2021 30-Apr-2023
IN01414818
►Average monthly benefit received by applicants to the Ajutor Social Program: (a) Males; and (b) Females (Text, Custom)
Baseline Actual (Previous) Actual (Current) End Target
(a) MDL 958
(a) MDL 708 (a) MDL 708 (a) MDL 800
(b) MDL 1924
Value (b) MDL 874 (b) MDL 874 (b) MDL 1000
Date 15-Feb-2021 15-Feb-2021 30-Nov-2023 30-Apr-2023
This indicator was achieved.
Comments:
IN01414819
4/18/2024 Page 7 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
►Percentage of workers associated with the Project who have participated in an information session on the code of conduct (Percentage,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 100.00 100.00
Date 15-Feb-2021 21-Mar-2022 30-Nov-2023 30-Sep-2024
Achieved. All signed civil works contracts workers were trained
Comments:
IN01414820
►Number of public health warehouses built or rehabilitated (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 3.00
Date 03-Aug-2022 03-Aug-2022 22-Mar-2024 30-Sep-2024
The construction of one warehouse has been moved to be completed under the Modernization and
Improvement of Rehabilitation Services Project. Two warehouses are in the process of refurbishment, and
Comments:
two regional public health centers are undergoing renovation.
IN01414821
►Number of public health centers renovated (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 1.00 6.00
Date 03-Aug-2022 03-Aug-2022 22-Mar-2024 30-Sep-2024
The renovation of five public health centers is expected to complete by August 2024.
Comments:
Performance-Based Conditions
IN01414822
►PBC 1 Supplement budget increasing allocations for the Ajutor Social program by 39% adopted. (Percentage, Outcome, 17,000,000.00,
0.00%)
Baseline Actual (Previous) Actual (Current) Completed
Value 0.00 39.80 39.80 39.00
Date -- 02-Jun-2020 02-Jun-2020 --
IN01414823
►PBC 2 Increase of the benefit and the coverage by 10% achieved (Percentage, Outcome, 7,000,000.00, 0.00%)
4/18/2024 Page 8 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
Baseline Actual (Previous) Actual (Current) Completed
Value 0.00 34.80 34.80 10.00
Date -- 24-Apr-2020 24-Apr-2020 --
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P173776 IDA-66320 Closed USD 57.90 57.90 0.00 62.35 0.00 100%
P173776 IDA-68730 Effective USD 30.00 30.00 0.00 11.27 15.32 42%
P173776 TF-B4344 Closed USD 3.48 3.48 0.00 3.48 0.00 100%
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P173776 IDA-66320 Closed 24-Apr-2020 28-Apr-2020 28-May-2020 30-Apr-2022 31-Mar-2024
P173776 IDA-68730 Effective 23-Apr-2021 09-Aug-2021 04-Feb-2022 30-Apr-2023 30-Sep-2024
P173776 TF-B4344 Closed 23-Dec-2020 23-Dec-2020 23-Dec-2020 31-Jan-2021 31-Jan-2021
Cumulative Disbursements
4/18/2024 Page 9 of 10
The World Bank Implementation Status & Results Report
Moldova Emergency COVID-19 Response Project (P173776)
Restructuring History
Level 2 Approved on 19-Sep-2022 ,Level 2 Approved on 02-Feb-2024
Related Project(s)
P174761-Moldova Pandemic Emergency Financing for COVID-19 ,P175816-Moldova Emergency COVID-19 Response Project - Additional
Financing
4/18/2024 Page 10 of 10