The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) Serbia Emergency COVID-19 Response Project (P173892) EUROPE AND CENTRAL ASIA | Serbia | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 6 | ARCHIVED on 22-May-2023 | ISR55427 | Implementing Agencies: Ministry of Health, Republic of Serbia Key Dates Key Project Dates Bank Approval Date: 26-May-2020 Effectiveness Date: 10-Dec-2020 Planned Mid Term Review Date: 17-May-2022 Actual Mid-Term Review Date: 14-Mar-2022 Original Closing Date: 31-May-2022 Revised Closing Date: 31-Aug-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective is to respond to the threat posed by COVID-19 and to strengthen the national health system for public health preparedness in Serbia. 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 $98.03 M) Component 2: Implementation Management and Monitoring and Evaluation:(Cost $1.97 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 (PDO) and implementation progress rating remain Moderately Satisfactory (MS). Of the five PDO indicators, four have reached their end-of-project target values. The remaining indicator (laboratory capacity strengthening related to dealing with pathogens requiring Bio Safety Level 3 (BSL-3)) is not on track to be achieved by the current Project closing. Out of 11 intermediate results indicators, nine have achieved their end-of-project target values, while remaining two (platform for citizen engagement and establishing a BSL-3 laboratory) are not on track to be achieved by the Project closing date. In view of this, a request for Project restructuring with an extension is expected. 5/22/2023 Page 1 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) 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 COVID-19 MPA - ISR Write-up as of April 17, 2023 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. 5/22/2023 Page 2 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Moderate Moderate 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 respond to the threat posed by COVID-19 in Serbia IN01266608 ►Number of acute health care facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6.00 50.00 50.00 36.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266610 ►Personal and community non-pharmaceutical interventions adopted by the GOS (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 Comments: IN01266616 ►National laboratory capacity strengthened for surveillance, detection and research related to pathogens requiring Bio Safety Level 3, such as West Nile virus, SARS-CoV-2 and MERS-CoV (Yes/No, Custom) 5/22/2023 Page 3 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 28-Jul-2022 13-Oct-2022 01-May-2023 31-Aug-2023 Despite recent progress, the timeline for completion of the BSL3 lab exceeds the current Project closing Comments: date. A request for restructuring with extension is expected. IN01266617 ►Percentage of PHC centers with improved capacity for providing emergency medical care (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 18.00 65.00 50.00 Date 28-Jul-2022 13-Oct-2022 01-May-2023 31-Aug-2023 To strengthen the national health system for public health preparedness in Serbia IN01266609 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 5.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN01266619 ►Proportion of health staff trained in infection prevention and control per MOH-approved protocols (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 90.00 90.00 70.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266621 ►Number of designated laboratories with staff trained to conduct SARS-CoV-2 diagnosis (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6.00 6.00 5.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266623 ►Coordinated disease surveillance systems in place in the public health sector for COVID-19 laboratories (Yes/No, Custom) 5/22/2023 Page 4 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266624 ►Physical distancing communication messages targeting vulnerable populations (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 12.00 12.00 10.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266625 ►Number of CT scanners with average age <10 years per 1 million population (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 7.00 13.00 15.00 13.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266626 ►Percentage of Primary Health Care Facilities with newly installed X-ray machines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 39.00 30.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 IN01266627 ►Number of laboratory(ies) upgraded to biosafety level 3 (BSL-3) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 23-Apr-2021 13-Oct-2022 01-May-2023 31-May-2022 Despite recent progress, the timeline for completion of the BSL3 lab exceeds the current Project closing Comments: date. A request for restructuring with extension is expected. IN01266628 ►Number of health care facilities with ICUs equipped with new beds supported by the Project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 46.00 46.00 45.00 Date 26-May-2021 13-Oct-2022 01-May-2023 31-May-2022 Component 2: Implementation Management and Monitoring and Evaluation 5/22/2023 Page 5 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) IN01266618 ►Percentage of health facilities (a) establishing a digital feedback platform, (b) utilizing it to actively obtain feedback from communities, and (c) providing feedback from Govt. on actions taken (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 01-Jan-2020 13-Oct-2022 01-May-2023 29-Apr-2022 A platform has been developed as an integral part of the MoH’s eHealth portal. The platform has the ability to obtain feedback from communities on every PHC facility, as well as a built in function to facilitate feedback loop from the facilities. However, at the moment, the MoH is reassessing the background Comments: information system supporting the eHealth portal, and as the result, the CE platform is also being put on hold. The PCU should follow up closely with the Digital Health Sector (Department) of the MoH and discuss options for getting the platform functional as soon as possible. IN01266620 ►Percentage of grievances successfully addressed (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 23-Apr-2021 13-Oct-2022 01-May-2023 31-May-2022 IN01266622 ►Percentage of vulnerable population/beneficiaries of government free meal program receiving COVID-19 hygiene kits (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 70.00 Date 23-Apr-2021 13-Oct-2022 01-May-2023 31-May-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173892 IBRD-91200 Effective USD 100.00 100.00 0.00 68.16 29.79 70% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173892 IBRD-91200 Effective 26-May-2020 29-May-2020 10-Dec-2020 31-May-2022 31-Aug-2023 Cumulative Disbursements 5/22/2023 Page 6 of 7 The World Bank Implementation Status & Results Report Serbia Emergency COVID-19 Response Project (P173892) Restructuring History Level 2 Approved on 03-Aug-2021 ,Level 2 Approved on 24-Feb-2022 ,Level 2 Approved on 04-Oct-2022 Related Project(s) There are no related projects. 5/22/2023 Page 7 of 7