The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) WESTERN AND CENTRAL AFRICA | Western and Central Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2016 | Seq No: 14 | ARCHIVED on 31-Jul-2023 | ISR56054 | Implementing Agencies: ECOWAS, Republic of Guinea, Republic of Senegal, Republic of Sierra Leone, WAHO Key Dates Key Project Dates Bank Approval Date: 28-Jun-2016 Effectiveness Date: 02-Dec-2016 Planned Mid Term Review Date: 01-Oct-2020 Actual Mid-Term Review Date: 30-Oct-2020 Original Closing Date: 31-Jan-2023 Revised Closing Date: 31-Aug-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The objectives of the Project are: (i) to strengthen national and regional cross-sectoral capacity for collaborative disease surveillance and epidemic preparedness in West Africa, thereby addressing systemic weaknesses within the animal and human health systems that hinder effective disease surveillance and response; and (ii) in the event of an Eligible Emergency, to provide immediate and effective response to said Eligible Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Surveillance and Information Systems:(Cost $39.03 M) Component 2: Strengthening of Laboratory Capacity:(Cost $20.38 M) Component 3: Preparedness and Emergency Response:(Cost $27.76 M) Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness.:(Cost $14.53 M) Component 5: Institutional Capacity Building, Project Management, Coordination, and Advocacy:(Cost $33.43 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The REDISSE project has been under implementation since December 2016, during which time it has strengthened disease surveillance and response systems in Sierra Leone, Guinea, and Senegal (Participating Countries); and fostered regional level collaboration (information exchange), coordination (regional policies and technical strategies) and resource sharing (training institutions and reference laboratories) among ECOWAS member states and Mauritania. There is clear evidence of progress at both regional and country level. For example, REDISSE 1 countries: (i) strengthened their surveillance and information systems capacities; (ii) disease diagnostics and epidemic detection capacity have improved across 7/31/2023 Page 1 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) countries; (iii) countries made important investment in Preparedness and Emergency response as a result of the response to the Covid-19 pandemic and the many other outbreaks recorded by countries over the past years. The REDISSE operation was one of the first to rapidly respond when the first COVID-19 case was registered in several countries: (i) they put a lot of efforts in addressing existing gaps in human resources; and (ii) trained personnel in human, animal and environmental health in order to effectively ensure the implementation of the One Health approach. Training activities include three tiers of Field Epidemiology and Laboratory Training (FELTP), laboratory technicians, risk communication and community engagement specialists, journalists, socio-scientists, rapid response teams, veterinarians, wildlife staff, etc. Overall implementation of the Project is progressing well and rated satisfactory. The Project execution in 2022 is satisfactory despite the consequences of COVID-19. The project execution rate of planned activities was 65% for WAHO, 61% for Senegal, 57.4% for Guinea, and 30.55% for Sierra Leone. Besides, Sierra Leone has 25 activities ongoing planned to be completed before the end of the project. As of May 31, 2023, disbursement rates are 97% for Guinea, 94% for Senegal, 90%for Sierra Leone and 71.06% for WAHO. Disbursement will increase for Senegal and WAHO as soon as activities under the Additional Financing (AF) are disbursing. The process of conducting the final evaluation of the Project has started in all participating countries and the West African Health Organization (WAHO). At regional level, WAHO has conducted several activities aiming at strengthening its own capacities or those of the REDISSE countries, ranging from the organization of joint field WAHO/WB supervision missions in REDISSE participating countries (Liberia, Mauritania, Guinea, Senegal, Togo). WAHO has also supported REDISSE IV Project by carrying out a monitoring and evaluation support mission in Libreville from 16 - 20 May 2022 for all REDISSE IV countries; conducted virtual missions on justifying indicator scores, how to use M&E template adapted in 2020, to collect Field Epidemiology and Laboratory Training Program (FELTP) data, supported REDISSE Guinea in preparing HIR workshop ; held a regional technical and steering committee meeting on 1-4 November 2022; and coordinated the implementation of the Mid Term Review (MTR) of REDISSE III countries. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and High Substantial Substantial Sustainability Fiduciary Substantial Moderate Moderate Environment and Social Substantial Moderate Moderate Stakeholders Substantial Low Low Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To strengthen national and regional cross-sectoral capacity for collaborative disease surveillance 7/31/2023 Page 2 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01287782 ►Progress towards establishing an active, functional regional One Health platform (Number based on 5 point Likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287784 ►Laboratory testing capacity for detection of priority diseases: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 3.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287792 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287794 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287795 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287796 ►Progress in establishing indicator and event-based surveillance systems: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 3.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287797 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 4.00 4.00 IN01287798 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 7/31/2023 Page 3 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 3.00 4.00 4.00 4.00 IN01287799 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 IN01287800 ►Availability of human resources to implement IHR core capacity requirements: Number of countries that achieve a JEE score of 3 or more (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287801 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01287802 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01287803 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 IN01287804 ►Progress on cross-border collaboration and exchange of information across countries: Number of countries that achieve a score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287805 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 4.00 4.00 IN01287806 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 7/31/2023 Page 4 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01287807 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 In the event of an Eligible Emergency, to provide immediate and effective response to said Emergency IN01287783 ►Multi-hazard national public health emergency preparedness and response plan is developed and implemented: Number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287785 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN01287791 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01287793 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 Intermediate Results Indicators by Components Component 1: Surveillance and Information Systems IN01287809 ►Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 2.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287816 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 7/31/2023 Page 5 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 2.00 3.00 4.00 4.00 IN01287820 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01287825 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 3.00 IN01287830 ►Surveillance Systems in place for priority zoonotic diseases/pathogens: number of countries that achieve a JEE score of 3 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 3.00 3.00 Date 27-Jun-2016 30-Nov-2023 31-Mar-2023 31-Aug-2023 IN01287833 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 4.00 4.00 IN01287837 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 4.00 4.00 IN01287842 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 IN01287844 ►Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 5 (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287847 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 7/31/2023 Page 6 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01287848 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287850 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 Component 2: Strengthening of Laboratory Capacity IN01287810 ►Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 0.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287813 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN01287819 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 3.00 4.00 IN01287824 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN01287828 ►Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 2.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287834 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 7/31/2023 Page 7 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 3.00 4.00 4.00 4.00 IN01287838 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 4.00 4.00 IN01287841 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Component 3: Preparedness and Emergency Response IN01287808 ►Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 3.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287815 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 4.00 4.00 IN01287821 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 4.00 4.00 IN01287826 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 3.00 IN01287831 ►Regional surge capacity and stockpiling mechanisms established (capacity based on 5 point likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287832 Guinea (Number, Custom Supplement) 7/31/2023 Page 8 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 IN01287836 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 IN01287843 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness. IN01287811 ►Workforce Strategy: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287812 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN01287818 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN01287823 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN01287827 ►Applied epidemiology training program in place such as FETP: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 3.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287835 Guinea (Number, Custom Supplement) 7/31/2023 Page 9 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287839 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 IN01287840 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01287845 ►Veterinary human health workforce: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 2.00 Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287846 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 3.00 4.00 IN01287849 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01287851 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 IN01287852 ►Percentage female, of people trained in applied epidemiology (All categories) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 24.00 24.00 35.00 Date 28-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287853 ►Percentage female, of people trained in applied epidemiology (Basic) (Percentage, Custom) 7/31/2023 Page 10 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 27.00 27.00 40.00 Date 28-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287854 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 34.00 40.00 IN01287855 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 42.00 42.00 40.00 IN01287856 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 40.00 IN01287857 ►Percentage female, of people trained in applied epidemiology (Intermediate) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 19.00 19.00 35.00 Date 28-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287858 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 20.00 35.00 IN01287859 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 30.00 8.00 35.00 IN01287860 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 35.00 IN01287861 ►Percentage female, of people trained in applied epidemiology (Advanced) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 7/31/2023 Page 11 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 0.00 22.00 22.00 25.00 Date 28-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287862 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 17.00 25.00 25.00 IN01287863 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 IN01287864 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 15.00 15.00 25.00 Component 5: Institutional Capacity Building, Project Management, Coordination, and Advocacy IN01287814 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Jun-2016 30-Nov-2022 31-Mar-2023 31-Aug-2023 IN01287817 Guinea (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN01287822 Senegal (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN01287829 Sierra Leone (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Performance-Based Conditions 7/31/2023 Page 12 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P154807 IDA-58820 Closed USD 20.00 20.00 0.00 18.99 0.67 97% P154807 IDA-58830 Effective USD 20.00 20.00 0.00 19.30 0.41 98% P154807 IDA-58840 Effective USD 30.00 30.00 0.00 28.04 1.54 95% P154807 IDA-72270 Effective USD 7.00 7.00 0.00 0.00 7.88 0% P154807 IDA-D1290 Closed USD 10.00 10.00 0.00 8.68 1.16 88% P154807 IDA-D1300 Effective USD 10.00 10.00 0.00 9.40 0.44 96% P154807 IDA-D1310 Effective USD 20.00 20.00 0.00 19.82 0.00 100% P154807 IDA-E1330 Effective USD 5.00 5.00 0.00 0.00 5.40 0% P154807 TF-A2534 Effective USD 4.06 4.06 0.00 3.84 0.23 94% P154807 TF-B1239 Effective USD 8.96 8.96 0.00 4.79 4.17 53% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P154807 IDA-58820 Closed 28-Jun-2016 04-Aug-2016 02-Dec-2016 31-Jan-2023 30-Jun-2023 P154807 IDA-58830 Effective 28-Jun-2016 23-Aug-2016 23-Jan-2017 31-Jan-2023 31-Aug-2023 P154807 IDA-58840 Effective 28-Jun-2016 31-Aug-2016 16-Dec-2016 31-Jan-2023 31-Aug-2023 P154807 IDA-72270 Effective 06-Dec-2022 30-Dec-2022 28-Feb-2023 31-Aug-2023 31-Aug-2023 P154807 IDA-D1290 Closed 28-Jun-2016 04-Aug-2016 02-Dec-2016 31-Jan-2023 30-Jun-2023 P154807 IDA-D1300 Effective 28-Jun-2016 23-Aug-2016 23-Jan-2017 31-Jan-2023 31-Aug-2023 P154807 IDA-D1310 Effective 28-Jun-2016 28-Oct-2016 27-Jan-2017 31-Jan-2023 31-Aug-2023 P154807 IDA-E1330 Effective 06-Dec-2022 03-Jan-2023 22-Feb-2023 31-Aug-2023 31-Aug-2023 P154807 TF-A2534 Effective 28-Jun-2016 28-Oct-2016 27-Jan-2017 30-Jun-2020 31-Aug-2023 P154807 TF-B1239 Effective 01-Oct-2019 21-Jan-2020 17-Mar-2020 31-Jan-2022 31-Aug-2023 Cumulative Disbursements 7/31/2023 Page 13 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Restructuring History Level 2 Approved on 30-Jan-2023 ,Level 2 Approved on 09-Jun-2023 Related Project(s) P170373-Additional Financing - Regional Disease Surveillance Systems Enhancement Project in West Africa, Phase 1 (REDISSE 1) ,P170788- Additional Financing - Regional Disease Surveillance Systems Enhancement Project in West Africa, Phase 1 (REDISSE 1) ,P175612-REGIONAL DISEASE SURVEILLANCE SYSTEMS ENHANCEMENT (REDISSE) - AF ,P176643-Second Additional Financing to the Regional Disease Surveillance Systems Enhancement Project in West Africa, Phase I 7/31/2023 Page 14 of 14