The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Solomon Islands COVID-19 Emergency Response Project (P173933) EAST ASIA AND PACIFIC | Solomon Islands | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 7 | ARCHIVED on 22-Apr-2024 | ISR60101 | Implementing Agencies: Ministry of Health and Medical Services, Solomon Islands Key Dates Key Project Dates Bank Approval Date: 04-Jan-2021 Effectiveness Date: 08-Feb-2021 Planned Mid Term Review Date: 21-Feb-2022 Actual Mid-Term Review Date: 02-Jun-2022 Original Closing Date: 31-Dec-2022 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to the threat posed by COVID-19 and to strengthen national systems for public health preparedness in Solomon Islands. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Preparedness and Response:(Cost $6.56 M) Health Systems Strengthening:(Cost $5.62 M) Implementation Management and Monitoring and Evaluation:(Cost $0.82 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions Significant progress has been made in civil works activities during the reporting period, highlighted by the signing of key contracts and the commencement of work across various project sites. The Ministry of Health and Medical Services remains committed in closely overseeing implementation and contract management to ensure that all civil works activities are completed by the end of October 2024, allowing sufficient time for the completion of close-out tasks before the closing date of December 31, 2024. MPA Program Development Objective MPA PDO Table 4/22/2024 Page 1 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) 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, 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 4/22/2024 Page 2 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) 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. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Low Low Macroeconomic Substantial Low Low Sector Strategies and Policies Moderate Low Low Technical Design of Project or Program Moderate Moderate Low Institutional Capacity for Implementation and High Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Low Low Other Moderate Low Low Overall High Moderate Moderate Results PDO Indicators by Objectives / Outcomes To respond to the threat posed by COVID-19 in Solomon Islands IN01407426 ►Number of suspected cases of COVID-19 reported and investigated per MHMS approved protocol (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3,000.00 197,733.00 197,733.00 40,000.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Achieved in June 2022. MHMS Public Health Emergency and Surveillance Unit has no longer provided reports on the number of suspected cases of COVID-19 since 2022. This indicator has met its end target. Comments: 4/22/2024 Page 3 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) IN01407427 ►Number of acute healthcare facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Project to construct 3 new 4-bed isolation units in HGH, GSH, and Nila and indicator on track to be Comments: achieved. To respond to the threat posed by COVID-19 in Solomon Islands IN01407405 ►Percentage of vaccination coverage of the total population (fully vaccinated), disaggregated by sex (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 35.45 35.45 80.00 Date 07-Dec-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Low anticipated demand going forward. Comments: IN01407428 Women (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 34.56 34.56 80.00 Date 13-Oct-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Intermediate Results Indicators by Components Component 1. Emergency COVID-19 Preparedness and Response IN01407430 ►First COVID-19 case reported to WHO within 24 hours of confirmation reported per IHR requirements (SC1.1) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 15-Oct-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator achieved. Comments: IN01407432 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (SC1.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 4/22/2024 Page 4 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Value 2.00 7.00 7.00 6.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator achieved. Comments: IN01407434 ►Percentage of beneficiaries who expressed satisfaction with the project interventions, disagregated by sex (SC1.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 79.50 79.50 70.00 Date 30-Oct-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator achieved. Comments: IN01407437 Percentage of beneficiaries who are women expressing satisfaction with the project interventions (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 65.30 65.30 70.00 Date 30-Oct-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 IN01407438 ►Percentage of healthcare workers fully vaccinated, disaggregated by sex (SC1.2) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.62 75.62 90.00 Date 07-Dec-2021 24-Oct-2023 09-Apr-2024 31-Dec-2024 Denominator uses WHO definition for health workforce; 4,500 (broad definition including public and private as well as traditional community health services) vs. MHMS HIU unit report of 2,427. If the project Comments: used the HIU figures, the indicator is achieved at 98%. No breakdown by gender under the WHO estimates. IN01407441 Percentage of healthcare workers who are women that are fully vaccinated (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 75.49 75.49 90.00 Date 07-Dec-2021 24-Oct-2023 09-Apr-2024 31-Dec-2024 Component 2. Health Systems Strengthening IN01407431 ►Percentage of acute healthcare facilities with triage capacity (SC2.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 10.00 80.00 80.00 80.00 4/22/2024 Page 5 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator achieved. Comments: IN01407433 ►Number of health workers trained in infection prevention and control per MHMS-approved protocols, disaggregated by sex (SC2.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 1,435.00 1,435.00 1,500.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator on track. Comments: IN01407435 Number of health workers who are women trained in infection prevention and control per MHMS-approved protocols (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 38.00 511.00 511.00 743.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 IN01407436 ►Percentage of frontline health care workers with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services, disaggregated by sex (SC2.1) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 59.18 59.18 60.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Indicator on track. Comments: IN01407439 Percentage of frontline health care workers who are women with the knowledge to recognize, medically manage, and refer GBV survivors to appropriate services (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 20.00 70.61 70.61 60.00 Date 30-Sep-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 IN01407440 ►Number of provincial hospitals renovated and refurbished with climate and disaster-resilient standards (SC2.1) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 6.00 Date 30-Oct-2020 24-Oct-2023 09-Apr-2024 31-Dec-2024 Currently on track to achieve 4 out of 6 . Renovations and extensions include the GSH and Nila isolation units, as well as hospital renovations at HGH, which also encompasses isolation facilities without double Comments: counting, and Tulagi. To fulfill all 6, incorporating incinerator and waste management upgrades would be necessary, encompassing Noro and Kilufi. 4/22/2024 Page 6 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) IN01407442 ►Number of frontline workers trained on public health emergency (SC2.2) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1,000.00 Date 07-Dec-2021 24-Oct-2023 09-Apr-2024 31-Dec-2024 The emergency bill will not be enacted during the project life and the indicator will not be achieved. Comments: Component 3: Implementation Management and Monitoring and Evaluation IN01407429 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 30-Apr-2020 24-Oct-2023 09-Apr-2024 30-Jun-2023 Indicator achieved. Comments: Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173933 IDA-66330 Effective USD 2.50 2.50 0.00 0.88 1.55 36% P173933 IDA-D6280 Effective USD 2.50 2.50 0.00 2.24 0.21 91% P173933 IDA-E0250 Effective USD 5.00 5.00 0.00 2.18 2.71 45% P173933 TF-B8365 Effective USD 3.00 3.00 0.00 2.19 0.81 73% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173933 IDA-66330 Effective 04-Jan-2021 27-Jan-2021 08-Feb-2021 31-Dec-2022 31-Dec-2024 P173933 IDA-D6280 Effective 04-Jan-2021 27-Jan-2021 08-Feb-2021 31-Dec-2022 31-Dec-2024 P173933 IDA-E0250 Effective 29-Apr-2022 23-May-2022 31-May-2022 31-Dec-2024 31-Dec-2024 P173933 TF-B8365 Effective 29-Apr-2022 23-May-2022 23-May-2022 31-Dec-2024 31-Dec-2024 4/22/2024 Page 7 of 8 The World Bank Implementation Status & Results Report Solomon Islands COVID-19 Emergency Response Project (P173933) Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) P177552-Solomon Islands Covid-19 Emergency Response Project ,P178250-Solomon Islands Covid-19 Emergency Response Additional Financing 4/22/2024 Page 8 of 8