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: 7 | ARCHIVED on 19-May-2023 | ISR56240 | 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: 31-Mar-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 Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions Progress towards achievement of the project development objective and implementation progress are both rated Moderately Satisfactory. Three out of four project development objective indicators and nine out of fifteen intermediate indicators have already been achieved, and both performance- based conditions have been accomplished. As of May 10, 2023, the overall disbursement level for the project has reached 68% of total financing. 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.). Refurbishment of select intensive care units is ongoing: works continue in 9 out of 11 locations. 5/19/2023 Page 1 of 9 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 of April 17, 2023, 88 MPA-projects had been approved with a total commitment of US$4.3 billion. One operation (Guatemala) was cancelled in mid-September 2021, at the request of the Government. Total disbursements as of April 17, 2023, amount to US$3.86 billion or 90% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations. A large refund from the UN to the special account of the Myanmar operation was processed during the last month due to the inability to implement the project. This transaction affected total disbursements. Also, Loans and Credits denominated in SDRs and Euros are being affected because of fluctuations between the SDRs and Euros against the US dollar. Four country operations closed by the end of FY22 and seven operations closed by the end of CY22. Other eight operations are scheduled to close by the end of CY23. As with the Mid Term Review (issued on March 25, 2023), no individual COVID-19 MPA operation will have to complete an ICR. Instead, one ICR will be prepared for the entire COVID-19 MPA Program based on final ISRs prepared by country operations’ teams. A template for the final ISR was issued by OPCS on March 25, 2022. The overall conclusion of the MTR was that the COVID- 19 MPA Program embodied a rapid, innovative approach to new lending for human health response. The MTR concluded that the COVID-19 MPA has been successful, notwithstanding considerable uncertainty and multiple constraints in the early stages of the pandemic. The Bank’s emergency response was remarkably swift in the most vulnerable countries facing human capital losses and development setbacks. Further, the MTR concluded that notwithstanding the challenges, the COVID-19 MPA is on track to achieve its PrDO, which is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness. Seventy (70) country projects or 80 percent of projects approved have reached 70-100+ percent disbursement (reasons for >100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 70 operations, 58 operations or 83 percent have disbursed over 90+% of commitments. Out of the 70 operations, 38 operations are fully disbursed, and 16 operations have disbursed 95-99 percent of commitments. There are six operations with disbursements of 50 percent or less. Out of these six operations, one has not disbursed (AFW), and one operation has disbursed 30 percent (AFW). The MPA projects are benefitting around 3.7 billion people or 50% of the global population. When countries with AF-V operations are counted, the projects are benefitting 4.1 billion of 51 percent of the global population. This is because some countries that don’t have a parent project have AF-V operations. Eighty-six (86) or 99% of projects approved are disbursing. ECA has the highest percentage of disbursements (97%), followed by MNA (96%), SAR (94%), LAC (92%), EAP (85%), AFW (78%), and AFE (77%). AFE lower disbursements compared to other regions are a result of low disbursements under two operations. In the case of AFW low disbursements are a result of no disbursements under one operation and only 30 percent under another. Retroactive Financing (RF) represents 20 percent of commitments. SAR has the highest percentage of RF at 37 percent, followed by ECA at 18 percent. IDA continues to represent 39 percent and IBRD 41 percent of disbursements. Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation is being guided by Bank teams working in parallel with other health related projects, including Additional Financing operations supporting vaccine procurement and deployment efforts. Risks 5/19/2023 Page 2 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Moderate Macroeconomic High Substantial Substantial Sector Strategies and Policies Moderate Substantial Moderate Technical Design of Project or Program Moderate Substantial Moderate Institutional Capacity for Implementation and Moderate Substantial 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 IN01293297 ►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 14.00 19.00 Date 24-Apr-2020 20-Oct-2022 10-May-2023 31-Mar-2024 This indicator is expected to be achieved in 2023. Comments: IN01293298 ►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 20-Oct-2022 10-May-2023 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293299 ►Number of people tested for coronavirus (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 5/19/2023 Page 3 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) Value 8,149.00 3,794,249.00 3,794,249.00 250,000.00 Date 24-Apr-2020 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293300 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: Intermediate Results Indicators by Components Emergency COVID-19 Response IN01293377 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293378 ►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 Date 24-Apr-2020 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293379 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was over-achieved in 2022. Comments: 5/19/2023 Page 4 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) IN01293380 ►Number of activities in National Communications Strategy for COVID-19 implemented (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 44.00 44.00 10.00 Date 24-Apr-2020 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293381 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293382 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293383 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was substantially achieved in 2022. Comments: IN01293384 ►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 78.69 78.69 25.00 Date 16-Oct-2020 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved. Comments: IN01293385 5/19/2023 Page 5 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) ►Review of the VIRAT-VRAF 2.0 or updated tool, completed (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 15-Feb-2021 20-Oct-2022 20-Oct-2022 30-Apr-2023 This indicator was achieved in 2022. Comments: IN01293386 ►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) 30% (a) 38.8% (a) 70% Value (b) 31% (b) 32% (b) 68.2% (b) 70% Date 15-Feb-2021 20-Oct-2022 11-May-2023 30-Apr-2023 The actual numbers are extracted from the study performed by UNICEF in rural areas. The UNICEF study Comments: is used to replace the previous data source from the WHO study, which was discontinued. IN01293389 ►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 20-Oct-2022 20-Oct-2022 30-Apr-2023 IN01293390 ►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 981 (b) MDL 1975 (a) MDL 708 (a) MDL 708 (a) MDL 800 A correction for the Value (b) MDL 874 (b) MDL 874 (b) MDL 1000 actual previous from October 20, 2022: (a) MDL 958 (b) MDL 1924 Date 15-Feb-2021 20-Oct-2022 01-Mar-2023 30-Apr-2023 This indicator was achieved. Comments: IN01293391 ►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 78.00 100.00 5/19/2023 Page 6 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) Date 15-Feb-2021 20-Oct-2022 11-May-2023 30-Apr-2023 The achievement of the indicator is on track. Comments: IN01295168 ►Number of public health warehouses built or rehabilitated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3.00 Date 10-May-2023 -- 10-May-2023 31-Mar-2024 This indicator is introduced during the 2022 restructuring. Comments: IN01295145 ►Number of public health centers renovated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 7.00 Date 11-May-2023 -- 11-May-2023 31-Mar-2024 This indicator is introduced during the 2022 restructuring of the project. Comments: Performance-Based Conditions IN01293392 ►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 -- IN01293393 ►PBC 2 Increase of the benefit and the coverage by 10% achieved (Percentage, Outcome, 7,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) Completed Value 0.00 34.80 34.80 10.00 Date -- 24-Apr-2020 24-Apr-2020 -- 5/19/2023 Page 7 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173776 IDA-66320 Effective USD 57.90 57.90 0.00 58.65 3.74 94% P173776 IDA-68730 Effective USD 30.00 30.00 0.00 1.06 25.87 3.9% 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 Effective 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 31-Mar-2024 P173776 TF-B4344 Closed 23-Dec-2020 23-Dec-2020 23-Dec-2020 31-Jan-2021 31-Jan-2021 Cumulative Disbursements 5/19/2023 Page 8 of 9 The World Bank Implementation Status & Results Report Moldova Emergency COVID-19 Response Project (P173776) Restructuring History There has been no restructuring to date. Related Project(s) P174761-Moldova Pandemic Emergency Financing for COVID-19 ,P175816-Moldova Emergency COVID-19 Response Project - Additional Financing 5/19/2023 Page 9 of 9