The World Bank                                                                                       Implementation Status & Results Report
            Ethiopia COVID-19 Emergency Response (P173750)



Ethiopia COVID-19 Emergency Response (P173750)


 EASTERN AND SOUTHERN AFRICA | Ethiopia | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 8 | ARCHIVED on 03-Oct-2023 | ISR57730 |


 Implementing Agencies: Democratic Republic of Ethiopia, Ministry of Health



 Key Dates


  Key Project Dates

   Bank Approval Date: 02-Apr-2020                                               Effectiveness Date: 14-Apr-2020
   Planned Mid Term Review Date: 11-Jul-2022                                     Actual Mid-Term Review Date: 28-Jul-2022
   Original Closing Date: 30-Jun-2021                                            Revised Closing Date: 31-Dec-2025
 pdoTable

 Project Development Objectives

  Project Development Objective (from Project Appraisal Document)
  To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Ethiopia.

  Has the Project Development Objective been changed since Board Approval of the Project Objective?
  No


 Components Table

 Name
 Medical Supplies and Equipment:(Cost $339.67 M)
 Preparedness, Capacity Building and Training:(Cost $164.20 M)
 Community Discussions and Information Outreach:(Cost $27.20 M)
 Quarantine, Isolation and Treatment Centers:(Cost $146.53 M)
 Project Implementation and Monitoring:(Cost $13.00 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                                                           High                                     High


 Implementation Status and Key Decisions

  The project has played a vital role in mobilizing resources for the country to rapidly strengthen its ability to prepare for and respond to the pandemic.
  The project has made notable progress towards achieving the PDO in early detection and timely reporting of outbreaks, and rapid response to
  infectious disease outbreaks and in making progress in several key Intermediate indicators. Three of the PDO indicators, one on early detection and
  timely reporting of outbreaks and two on rapid response to infectious disease outbreaks have surpassed the end-of-project targets. Out of the total
  seventeen intermediate indicators, six have exceeded their end-of-project targets, three have fully met their targets, two are on track to meet their
  end targets and six indicators are lagging behind to meet the end targets. As of August 2023, the country has received 83.7 million COVID-19
  vaccines (AstraZeneca, Johnson, Sino pharm, Pfizer) out of which 79.1 million have been distributed throughout the country and 70 million doses of
  COVID-19 vaccines have been administered. The national coverage from the target population (12+ years) (73.9 million) is 73 percent (54 million)
  that received one dose and 61 percent (44 million) completed the COVID-19 vaccination series. As regards the national coverage from the total


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            Ethiopia COVID-19 Emergency Response (P173750)



  population, 51 percent received at least one dose and, 42 percent completed the vaccination series out of which 51 percent are female and 49
  percent male. About 6 million people received a booster dose. In relation to the special target population, a total dose of the COVID-19 vaccines has
  been administered to 649,474 healthcare workers, 213,510 internally displaced people (IDPs), 45,777 refugees, and 14,874 people with disabilities.
  One million doses of the COVID-19 vaccine were administered through the measles campaign, with a focus on IDPs. MOH has also made
  considerable improvements under the five Project components in procurement of medical supplies and equipment, preparedness, capacity building
  and training, community discussions and information outreach, renovation of Quarantine, Isolation and Treatment Centers and regulatory
  infrastructure and project implementation and monitoring.



 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. After a great deal of activity (restructurings and
 disbursements) processed at the end of FY23 when several operations were restructured just before or on June 30, 2023, the past month has seen a
 slower period of disbursements. The overall level of disbursements is being affected by three main reasons: (i) low disbursements in six countries,
 (ii) pausing of disbursements in three other countries – Afghanistan, Myanmar, and Sudan, and (iii) processing of refunds to the project accounts 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 late March due to the inability to implement the project, and (ii) Loans and Credits denominated in SDRs and Euros are being affected because of
 fluctuations between the SDRs and Euros against the US dollar.

 As of September 18, 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 September 18, 2023, amount to US$3.95 billion
 or 92.4% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V
 operations. Ten operations closed by the end of CY22 and nine operations closed on June 30, 2023. While there are seventeen (17) operations
 with closing dates by the end of CY23, there are plans for several projects to process extensions so this number will change.

 As with the Mid Term Review (MTR) issued on March 25, 2023, no individual COVID-19 MPA operation will need an ICR. Instead, 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 25, 2023. Several operations
 have/are preparing final ISR packages. 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. Further, 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. The MTR also concluded that 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 two (72) country projects or 84 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 72 operations, 62 operations or 86 percent have
 disbursed 90+ percent of commitments. Out of the 72 operations, 43 operations or 60 percent are fully disbursed and fourteen (14) operations
 have disbursed 95-99 percent of commitments. There are four operations with disbursements of 50 percent or less. Out of these four operations,
 one operation has disbursed 30 percent (AFW), two operations in EAP have disbursed 44-48 percent and one operation in AFE has disbursed 54
 percent. The projects are benefitting about 3.7 billion people or 50% of the global population. When countries with AF-V operations are



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            Ethiopia COVID-19 Emergency Response (P173750)



 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. ECA has the highest percentage of disbursements at 100 percent,
 followed by MNA with 99 percent, SAR with 94 percent, LAC with 93 percent, EAP with 86 percent, AFW with 84 percent and AFE with 78
 percent. Disbursements for EAP operations are being affected by low disbursements in three countries. AFE lower disbursements compared to
 other regions are a result of low disbursements under two operations. In the case of AFW low overall disbursements are a result of low
 disbursements under one operation. Retroactive Financing (RF) continues to represent 20 percent of commitments. SAR has the highest
 percentage of RF at 37 percent, followed by ECA at 18 percent. IDA continues to represent 40 percent and IBRD 60 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.

 As of September 18, 2023, the Bank has approved 117 operations (including MPA-V operations) to support vaccine procurement and rollout in 78
 countries amounting to $9.24 billion. The Senegal AF2 operation for $15 million financed by a Grant from The Global Finance Facility was approved
 on June 30, 2023. Also, a Second AF (IDA Grant of $1.50 million) was approved on August 31, 2023 for Sao Tome and Principe. One hundred and
 nineteen (119) operations had been approved amounting to $10 billion, but the: (i) Costa Rica operation ($120 million), and (ii) Peru operation ($500
 million) were cancelled at the request of both governments. Also, (i) the Gabon ($12 million) reported in July as closed is still in the process of being
 closed, and (ii) the Afghanistan operation commitment of $113 million was reduced to $60 million. Partial cancellations have been processed in the
 past weeks under other operations, thereby the overall commitment has decreased in the past months. Of the 117 approved operations: (i) 67 are in
 Africa – 31 in AFE and 36 in AFW; (ii) 10 in East Asia and the Pacific; (iii) 11 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean;
 (v) 9 in Middle East and North Africa; and (vi) 9 in South Asia. The 117 operations approved, include 6 operations that involved restructuring of
 parent projects (Bhutan, Cameroon, North Macedonia, Philippines, and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience
 Project.

 Thirty-two (32) operations are being implemented in Fragile and Conflict-affected situations. IDA represents 45 percent and IBRD 55 percent of
 disbursements. Total disbursements under these projects as of September 18, 2023, amount to US$6.23 billion or 68 percent of overall
 commitments. Disbursements under MPA-V operations are included in this total while disbursements under the six restructured projects are
 counted under parent projects. With less than planned demand for IDA/IBRD funds for vaccine procurement because, inter alia, over supply of
 vaccines from donations from various sources, several projects have been/are being restructured and more will need to be restructured to reallocate
 funds allocated for procurement of COVID-19 vaccines and deployment. Guidance was issued under an Email from Juan Pablo Uribe of July 7,
 2023 to provide direction for the use of undisbursed funds under COVID-19 operations. HNP is monitoring progress with the implementation
 of the guidelines and has presented updates on progress on the compliance with the guidelines on August 3, 2023 and September 6, 2023.

 Forty-one (41) AF-V/MPA-V operations or 36 percent of operations approved have disbursed over 70 percent of their commitments. Out of the 41,
 seventeen (17) operations or 41 percent have disbursed 90+. Out of the 17, four operations are fully disbursed (Argentina, Indonesia, Sri Lanka AF-
 V 1, and Ukraine AF-V 3). Nine operations have disbursed 95-99 percent of commitments (Cabo Verde, Ecuador AF-V 1, Gambia AF-V 1 and 2,
 Iraq, South Sudan AF-V 2, Sierra Leone AF-V 1, Turkey, and Yemen). Ninety-three (93) operations or 82 percent of total operations approved are
 disbursing. ECA has the highest percentage of disbursements at 86 percent, followed by SAR and MNA at 77 percent, LAC at 76 percent, EAP at 73
 percent, AFE at 58 percent and AFW at 56 percent. As of August 1, 2023, the World Bank had purchased 635.4 million doses of the COVID-19
 vaccine of which 506.8 million had been delivered to client countries and 500.7 million administered.

 Retroactive Financing (RF) represents 37 percent of overall commitments. High levels of RF have been authorized under different operations -
 Ukraine (100%), Panama and Turkey (90%), Argentina and Guyana (80%), and Belize, and Sri Lanka (70%). One hundred and fifteen (115)
 loan/financing agreements or 99 percent of projects approved have been signed and 114 or 99 percent have become effective.

 As with the COVID-19 MPA operations, streamlined procedures, delegated approval, wide use of Bank Facilitated Procurement, coupled with flexible
 project design, and intensified efforts across the Bank have contributed to the rapid design, processing, and implementation of the AF-V operations.



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            Ethiopia COVID-19 Emergency Response (P173750)




  Risks


 Systematic Operations Risk-rating Tool


  Risk Category                                              Rating at Approval               Previous Rating                Current Rating

  Political and Governance                                   High                            High                          High
  Macroeconomic                                              High                            High                          High
  Sector Strategies and Policies                             Moderate                        Moderate                      Moderate
  Technical Design of Project or Program                     Moderate                        Moderate                      Moderate
  Institutional Capacity for Implementation and
                                                             Substantial                     Substantial                   Substantial
  Sustainability
  Fiduciary                                                  High                            High                          High
  Environment and Social                                     High                            High                          High
  Stakeholders                                               Moderate                        Moderate                      Moderate
  Other                                                      --                               --                             --
  Overall                                                    High                            High                          High



  Results


 PDO Indicators by Objectives / Outcomes



   Early detection and timely reporting of outbreaks

    IN01338577
    ►Achieving the required timeliness of reporting for COVID-19 and other immediately reportable diseases under IDSR (Percentage, Custom)

                                      Baseline                     Actual (Previous)               Actual (Current)          End Target

    Value                             0.00                         95.00                           85.00                     80.00

    Date                              02-Apr-2020                  24-Feb-2023                     22-Sep-2023              31-Dec-2025
                                       Numerator: Number of outbreaks (COVID-19 and other immediately reportable diseases) which were
                                       responded to within the required timelines under IDSR Denominator: Total number of outbreaks of
                                       immediately reportable diseases.
   Comments:                           The report timeliness was 100% for the middle of the quarter. However, in the last quarter, some facilities
                                       were unable to report on time due to intermittent outages of the DHIS2 system, even though they acted
                                       and reported within the stated time frame.



   Rapid response to infectious disease outbreaks

   IN01338578
   ►Percentage of priority population vaccinated, which is included in the priority population targets defined in national plan by gender
   (Percentage, Custom)



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            Ethiopia COVID-19 Emergency Response (P173750)




                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        55.00                         73.00                     70.00

    Date                             14-Jan-2021                 24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     Out of the total target population (12+ years) (73.9 million), 73 percent (54 million) received one dose and
                                     61 percent (44 million) completed the COVID-19 vaccination series. As regards the national coverage, out
                                     of the total population, 51 percent received at least one dose and, 42 percent completed the vaccination
                                     series out of which 51 percent are female and 49 percent male. About 6 million people received a booster
                                     dose. In relation to the special target population, a total dose of the COVID-19 vaccines has been
   Comments:
                                     administered to 649,474 healthcare workers, 213,510 internally displaced people (IDPs), 45,777 refugees,
                                     and 14,874 people with disabilities. One million doses of the COVID-19 vaccine were administered
                                     through the measles campaign, with a focus on IDPs.


    IN01338579
    ►Percentage of grievances addressed within the time specified in the project implementation manual (Percentage, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        75.00                         90.00                     80.00

    Date                             03-Dec-2021                 24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     There is a functional grievance redress mechanism (GRM) systems at MOH and Project Implementing
                                     Unit. Currently the GRM system is fully integrated with existing institutional grievance handling of the
                                     Ministry headed by the Institutional Change Executive office. The grievance handling committee is formed
   Comments:
                                     at MOH and regional health bureau. Project implementing agencies also working in similar way to handle
                                     the grievance handling issues related with project implementation. GRM action plan is also revised.



 Intermediate Results Indicators by Components



   Medical Supplies and Equipment

    IN01338609
    ►Number of airports and PoEs received PPE supplies for airport communities and land crossing PoEs. (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        51.00                         13.00                     18.00

    Date                             02-Apr-2020                 24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     The Covid-19 directive has been changed, hence, there is no requirement to supply PPE to the PoEs as
   Comments:                         there is no need for screening.

   IN01338612
   ►Vaccine stock management tools and operating procedures updated to reflect the needs for deployment and management of COVID-19
   vaccines) (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                        2.00                          2.00                      2.00

    Date                             14-Jan-2021                 24-Feb-2023                   22-Sep-2023               31-Dec-2025



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                                     MOH’s vaccine stock management documents and operating procedures, that were conditions of
   Comments:                         effectiveness have been submitted timely.

    IN01338613
    ►Dry storage and cold chain capacity assessed with regards to the COVID-19 vaccines (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                           0.00                         5.00                          2.00                      1.00

    Date                            14-Jan-2021                  24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     In addition to the previous 5 assessments, the Ministry also assessed the National dry supply and cold
                                     chain capacity of 2 health facilities. The figure represents the number of facilities whose capacity was
   Comments:
                                     assessed in this mission. The total number of assessments conducted is 7.



   Preparedness, Capacity Building and Training

   IN01338580
   ►Number of health workers, health facility facilities Surveillance focal persons, PoE screeners, and Woreda, Zonal and regional PHEM
   officers trained on COVID-19. (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                           88.00                        17,507.00                     18,556.00                 2,457.00

    Date                            02-Apr-2020                  24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     The actual target surpassed the end-of-project target as a result of 1) COVID-19 health workforce
                                     displacement and turnover that demanded additional and extensive capacity building across all pillar of
   Comments:                         response; 2) Shift of Human resources in COVID-19 facilities and EOC that need additional capacity
                                     building were attributed reason for more than planned performance.

    IN01338597
    ►Number of health extension workers received orientation to strength COVID-19 community-based surveillance (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                           0.00                         35,022.00                     35,222.00                 27,600.00

    Date                            02-Apr-2020                  24-Feb-2023                   22-Sep-2023               31-Dec-2025

                                     Number of Health Extension Workers received orientation to strength COVID-19 community-based
   Comments:
                                     surveillance
    IN01338599
    ►Number of health workers deployed for COVID-19 preparedness and response. (Number, Custom)

                                     Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                           96.00                        3,908.00                      3,908.00                  1,602.00

    Date                            02-Apr-2020                  24-Feb-2023                   22-Sep-2023               31-Dec-2025
                                     Actual data is higher than planned because there was significant displacement and turnover of health
   Comments:                         workers due to the crises in Tigray which required additional staff deployment and training.

    IN01338603




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   ►Number of target populations estimated who will be prioritized for access to vaccines stratified by target group (sex-disaggregated)
   (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)           End Target

    Value                             0.00                        66,800,000.00                12,159,250.00              300,000.00

    Date                              14-Jan-2021                 24-Feb-2023                  22-Sep-2023                31-Dec-2025
                                      The total target population estimated for COVID-19 vaccination was 73,918,132 (age 12 years and above)
                                      (this is a cumulative figure). So far, MOH managed to reach 73% of the target population and 61% of the
                                      total population remaining with 19,957,897. So MOH planned to reach 12,159,250 from the remaining
                                      target with 1st,2nd, and booster doses. People aged 12 and above who:
                                                have never been vaccinated,
   Comments:
                                                have not completed their primary series.
                                                Special population group: Health workers, Older adults 55 and above, People with comorbidities
                                                Pregnant women, Essential workers (teachers, etc), Refugees and IDPs, underserved and
                                                 marginalized groups, and youth.

   IN01338606
   ►Guidelines, documented procedures and tools for planning and conducting vaccine pharmacovigilance activities (i.e. AEFI reporting,
   investigation, causality assessment, risk communication and response) (Percentage, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)           End Target

    Value                             0.00                        100.00                       100.00                     100.00

    Date                              14-Jan-2021                 24-Feb-2023                  22-Sep-2023                31-Dec-2025

   IN01338610
   ►Percentage of adolescent population vaccinated, which is included in the priority population targets defined in national plan (Percentage,
   Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)           End Target

    Value                             0.00                        11.30                        9.20                       80.00

    Date                              11-Apr-2022                 24-Feb-2023                  22-Sep-2023                31-Dec-2025
                                      The age category of the COVID-19 vaccine is from 12-17 years and 18 and above. Of the total vaccinated
   Comments:                          population, 9.2% were adolescents aged 12-17 years (in percentage not a cumulative %).

    IN01338611
    ►Percentage of population receiving a booster, which is included in the population targets defined in the national plan (Percentage, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)           End Target

    Value                             0.00                        5.00                         11.00                      70.00

    Date                              11-Apr-2022                 24-Feb-2023                  22-Sep-2023                31-Dec-2025
                                      The end-of-project target that was originally was over-estimated. The plan is to provide booster doses for
   Comments:                          15-25% of the target population who completed their vaccination series in each campaign.



   Community Discussions and Information Outreach

    IN01338596
    ►Assessment conducted to identify behavioral and socio-cultural risk factors for COVID-19 covering all the regions. (Yes/No, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)           End Target


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    Value                              No                           Yes                           Yes                        Yes

    Date                               02-Apr-2020                  24-Feb-2023                   22-Sep-2023                31-Dec-2025
                                       Assessment conducted to identify behavioral and socio-cultural risk factors for COVID-19 covering all the
   Comments:                           regions.

    IN01338598
    ►Key COVID19 vaccine messages disseminated through various media outlets (radio, TV, social media, print media etc) (Number, Custom)

                                       Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                              0.00                         380.00                        2,594,936.00               20,000.00

    Date                               22-Jan-2021                  24-Feb-2023                   22-Sep-2023                31-Dec-2025
                                       More than 2.5 million COVID-19 vaccine-related messages were developed and produced and
                                       disseminated through different channels/media outlets to the community which are translated into different
                                       local languages. These include Brochures, posters, banners, TV and Radio messages, social media
   Comments:
                                       messages, and short SMS which were translated into local languages.


     IN01338602
     Number of communication trainings conducted (Number, Custom Breakdown)

                                      Baseline                    Actual (Previous)              Actual (Current)            End Target

     Value                            0.00                        231.00                        174.00                       115.00

     Date                             02-Mar-2021                 24-Feb-2023                   22-Sep-2023                  31-Dec-2025

     IN01338605
     Number of communication material leaflets, posters, job aids, wall chart, banners) distributed (Number, Custom Breakdown)

                                      Baseline                    Actual (Previous)              Actual (Current)            End Target

     Value                            0.00                        288,383.00                    2,594,800.00                 20,000.00

     Date                             02-Mar-2021                 24-Feb-2023                   22-Sep-2023                  31-Dec-2025

    IN01338607
    ►Percentage of grievances addressed within the time specified in the project implementation manual (Percentage, Custom)

                                       Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                              50.00                        75.00                         90.00                      80.00

    Date                               13-May-2022                  24-Feb-2023                   22-Sep-2023                31-Dec-2025
                                       There is a functional grievance redress mechanism (GRM) system at MOH and projecting implementing
                                       units. Currently, the GRM system is fully integrated with the existing institutional grievance handling of the
                                       ministry headed by the Institutional Change Executive office. The grievance handling committee is formed
   Comments:
                                       at MOH and the regional health bureau. Project implementing agencies also work in a similar way to
                                       handle the grievance handling issues related to project implementation. GRM action plan is also revised.



   Isolation and Quarantine Centers

    IN01338601



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            Ethiopia COVID-19 Emergency Response (P173750)




    ►Number of vaccine laboratory renovated and equipped. (Number, Custom)

                                     Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                           0.00                         0.00                         0.00                      1.00

    Date                            14-Jan-2021                  13-Sep-2022                  22-Sep-2023               31-Dec-2025
                                     The renovation of the vaccine laboratory has begun and has reached 11% completion.
   Comments:



   Project Management and Monitoring

    IN01338600
    ►Number of monthly assessed (using checklist) PoEs, isolation and quarantine centers (Number, Custom)

                                     Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                           0.00                         185.00                       13.00                     192.00

    Date                            02-Apr-2020                  24-Feb-2023                  22-Sep-2023               31-Dec-2025
                                     Following the integration of COVID-19, the isolation and quarantine centers are no longer operational.
                                     However, all existing 13 PoEs are providing daily reporting, getting daily feedback, and quarterly
   Comments:
                                     supportive supervision.

   IN01338604
   ►Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 15 weeks of initial complaint being
   recorded (Percentage, Custom)

                                     Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                           0.00                         75.00                        80.00                     90.00

    Date                            02-Apr-2020                  24-Feb-2023                  22-Sep-2023               31-Dec-2025
                                     The functional GRM system at MOH and the Project implementing unit is in place which is fully integrated
   Comments:                         with the existing grievance handling of MOH headed by the Institutional Change Executive Office.

    IN01338608
    ►Distribution of female PPE matches daily needs of female workers (Yes/No, Custom)

                                     Baseline                    Actual (Previous)            Actual (Current)          End Target

    Value                           No                           Yes                          Yes                       Yes

    Date                            22-Feb-2021                  24-Feb-2023                  22-Sep-2023               31-Dec-2025



 Performance-Based Conditions



 Data on Financial Performance


 Disbursements (by loan)



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 Project        Loan/Credit/TF    Status      Currency        Original   Revised     Cancelled     Disbursed       Undisbursed             % Disbursed


 P173750        IDA-65870         Effective   USD               41.30      41.30           0.00          40.01             2.05                   95%

 P173750        IDA-D5940         Effective   USD               41.30      41.30           0.00          41.86             0.00                  100%

 P173750        IDA-D7910         Effective   USD             207.00      207.00           0.00         123.52            68.94                   64%

 P173750        IDA-D9550         Effective   USD             206.00      206.00           0.00          72.37           120.20                   38%

 P173750        IDA-E0640         Effective   USD             195.00      195.00           0.00          77.55           115.40                   40%


 Key Dates (by loan)

 Project         Loan/Credit/TF   Status      Approval Date       Signing Date     Effectiveness Date      Orig. Closing Date     Rev. Closing Date

 P173750         IDA-65870        Effective   02-Apr-2020         03-Apr-2020      14-Apr-2020             30-Jun-2021            31-Dec-2025
 P173750         IDA-D5940        Effective   02-Apr-2020         03-Apr-2020      14-Apr-2020             30-Jun-2021            31-Dec-2025
 P173750         IDA-D7910        Effective   26-Mar-2021         23-Apr-2021      08-Jun-2021             31-Dec-2023            31-Dec-2025
 P173750         IDA-D9550        Effective   20-Dec-2021         10-Feb-2022      01-Mar-2022             31-Oct-2024            31-Dec-2025
 P173750         IDA-E0640        Effective   31-May-2022         17-Jun-2022      13-Oct-2022             31-Dec-2025            31-Dec-2025


Cumulative Disbursements




10/3/2023                                                                                                                  Page 10 of 11
            The World Bank                                                                         Implementation Status & Results Report
            Ethiopia COVID-19 Emergency Response (P173750)




  Restructuring History


  There has been no restructuring to date.


  Related Project(s)

 P175853-Additional Financing for Ethiopia COVID-19 Emergency Response Project ,P177906-Second AF for the Ethiopia Covid-19 Emergency
 Response Project ,P178821-Third Additional Financing for the Ethiopia COVID-19 Emergency Response Project




10/3/2023                                                                                                       Page 11 of 11