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: 15 | ARCHIVED on 07-Sep-2023 | ISR57667 | 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 This is the final ISR before Project closing on August 31, 2023. It covers all project activities and reports the main findings of the last technical meeting, held in Abidjan, Cote d’Ivoire on July 19-20, 2023 with participating countries (Guinea, Senegal, Sierra Leone) and WAHO. Rating of the overall implementation performance is rated satisfactory due to the successful delivery of the main project outcomes including: (i) Strengthening of surveillance systems across all REDISSE countries, with noticeable improvement of data collection, analysis, reporting, and usage 9/7/2023 Page 1 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) for decision-making ; (ii) Strengthening of laboratory infrastructure at country level and systematic improvement of diagnostic capacity of infectious diseases, evidenced by the reduction of sample turnaround time ; (ii) Establishment of regional and national laboratory reference networks, resulting in sharing of experience/lessons learned, accreditation, and technical support opportunities ; (iii) Establishment of a contingency cross-sectoral planning (National Action Plan for Health Security), which was instrumental for early response for COVID-19 and other diseases outbreaks during the life span of the project life ; (iv) Establishment of Centers for Epidemiological Surveillance (107 centers), strengthening of capacity of the Regional Center for Surveillance and Disease Control (RCSDC), rapid response teams established, and field epidemiology and laboratory trainings conducted ; (v) Strengthened the technical and financial support to respond to COVID-19 and outbreaks (Lassa Fever, Rift Valley Fever, Monkeypox, Dengue, Avian Flu, Rabies, and Foot and Mouth disease) ; (vi) Cross border activities implemented, including capacity building of Points of Entry, data information sharing, and simulation exercises et (vii) Improvement of capacity of WAHO and countries in planning and implementation, and collaboration with health security partners. The contribution of the project to strengthen the surveillance systems and epidemic preparedness across all REDISSE countries was significant and instrumental in the countries’ capacity to respond to the COVID-19 pandemic. 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 IN01336612 ►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 9/7/2023 Page 2 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336614 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336627 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336629 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336630 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336631 ►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 3.00 3.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336632 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336633 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336634 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 9/7/2023 Page 3 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01336635 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336636 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01336637 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01336638 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 IN01336639 ►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 1.00 1.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336640 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 IN01336641 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN01336642 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 9/7/2023 Page 4 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) In the event of an Eligible Emergency, to provide immediate and effective response to said Emergency IN01336613 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336615 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN01336626 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01336628 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 IN01336644 ►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 2.00 2.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336651 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01336655 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 9/7/2023 Page 5 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01336660 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 3.00 IN01336665 ►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 3.00 3.00 3.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336668 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01336672 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01336677 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 IN01336679 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336682 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336683 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336685 Sierra Leone (Number, Custom Supplement) 9/7/2023 Page 6 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 Component 2: Strengthening of Laboratory Capacity IN01336645 ►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 0.00 0.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336648 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN01336654 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01336659 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 IN01336663 ►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 2.00 2.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336669 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336673 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336676 9/7/2023 Page 7 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) 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 IN01336643 ►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 3.00 3.00 2.00 Date 27-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336650 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 IN01336656 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 4.00 IN01336661 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 4.00 4.00 3.00 IN01336666 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336667 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 IN01336671 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 9/7/2023 Page 8 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) IN01336678 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. IN01336646 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336647 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN01336653 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN01336658 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 4.00 IN01336662 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336670 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336674 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 9/7/2023 Page 9 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 4.00 4.00 4.00 4.00 IN01336675 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 IN01336680 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336681 Guinea (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 IN01336684 Senegal (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 IN01336686 Sierra Leone (Number, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 IN01336687 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336688 ►Percentage female, of people trained in applied epidemiology (Basic) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 27.00 27.00 40.00 Date 28-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336689 Guinea (Percentage, Custom Supplement) 9/7/2023 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 34.00 19.00 40.00 IN01336690 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 42.00 42.00 40.00 IN01336691 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 40.00 IN01336692 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336693 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 20.00 13.00 35.00 IN01336694 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 8.00 8.00 35.00 IN01336695 Sierra Leone (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 25.00 25.00 35.00 IN01336696 ►Percentage female, of people trained in applied epidemiology (Advanced) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 22.00 22.00 25.00 Date 28-Jun-2016 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336697 Guinea (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target 9/7/2023 Page 11 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Value 0.00 25.00 13.00 25.00 IN01336698 Senegal (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 25.00 IN01336699 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 IN01336649 ►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 31-Mar-2023 31-Jul-2023 31-Aug-2023 IN01336652 Guinea (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN01336657 Senegal (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes IN01336664 Sierra Leone (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Performance-Based Conditions Data on Financial Performance Disbursements (by loan) 9/7/2023 Page 12 of 14 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) (P154807) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P154807 IDA-58820 Closed USD 20.00 19.18 0.82 18.83 0.00 100% P154807 IDA-58830 Effective USD 20.00 20.00 0.00 19.59 0.12 99% P154807 IDA-58840 Effective USD 30.00 30.00 0.00 28.28 1.29 96% P154807 IDA-72270 Effective USD 7.00 7.00 0.00 0.00 7.88 0% P154807 IDA-D1290 Closed USD 10.00 9.59 0.41 9.43 0.00 100% P154807 IDA-D1300 Effective USD 10.00 10.00 0.00 9.57 0.28 97% 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 0.45 4.89 8.5% 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 5.39 3.58 60% 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 9/7/2023 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 ,Level 2 Approved on 29-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 9/7/2023 Page 14 of 14