The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) WESTERN AND CENTRAL AFRICA | Gabon | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 5 | ARCHIVED on 13-Feb-2023 | ISR54817 | Implementing Agencies: Commission nationale des travaux d'intérêt public pour la promotion de l'entrepreneuriat et de l'emp, Guy Patrick Obiang Ndong, Republic of Gabon Key Dates Key Project Dates Bank Approval Date: 15-May-2020 Effectiveness Date: 27-May-2020 Planned Mid Term Review Date: 31-Oct-2022 Actual Mid-Term Review Date: 03-Jun-2022 Original Closing Date: 30-Jun-2022 Revised Closing Date: 30-Jun-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Gabon. 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 $15.30 M) Component 2: Supporting National and Sub-national, Prevention and Preparedness:(Cost $4.20 M) Component 3: Project Implementation and Monitoring:(Cost $1.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Satisfactory Moderately Unsatisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The parent project was approved on May 15, 2020, signed on May 20, 2020, and became effective on May 27, 2020. Discussions are underway with the Ministry of Health and the implementing agency on other priority interventions to finalize the implementation of remaining activities. Most original indicators were achieved or surpassed their target, including the number of designated laboratories with COVID-19 diagnostic capacity and the percentage of cases treated per approved protocol. An Additional Financing in the amount of US$12 million was approved on October 15, 2021 to support the country’s National Vaccination and Deployment Plan, including the purchase of vaccines through the AVAT mechanism. MPA Program Development Objective 2/13/2023 Page 1 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) MPA PDO Table The Program Development Objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness MPA Table Multiphase Programmatic Approach (MPA) Status MPA Table Body Sustained efforts continue to be made to advance the implementation of the 87 MPA operations. As of November 15, 2022, 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. Six parent projects were restructured to include vaccine-related procurement. Total disbursements as of November 15, 2022, amount to US$3.74 billion or 87% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations. Loans and Credits denominated in SDRs and Euros are being affected because of fluctuations between the SDRs and Euros against the US dollar. To ensure that commitments are not made beyond available funds, teams task-managing these operations are carefully monitoring payments as projects reach the end of their implementation period. At this late stage of implementation, several operations are processing refunds to the special accounts and therefore, total disbursements are affected. Four country operations closed by the end of FY22. Some operations are processing extension of closing dates. At present, however, nine operations are scheduled to close by the end of the CY. Sixty-seven (67) country projects or 77% of projects approved have reached 70-100% disbursement (reasons for 100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 67 operations, 51 operations or 76% have disbursed over 90+% of commitments. Out of the 67 operations, 33 operations or 49% are fully disbursed. There are 12 operations with disbursements under 50%, which is worrisome. Out of these 12 operations, one has not disbursed (AFW), and two have disbursed 30 percent or less. The projects are benefitting around 3.7 billion people or 50% of the global population. If countries that have AF-V operations are counted, the projects are benefitting 4.1 billion of 51 percent of total world population. Of the 87 active projects: (i) 33 are in Africa – 12 in AFE and 21 in AFW; (ii) 12 in East Asia; (iii) 14 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean; (v) 8 in Middle East and North Africa; and (vi) 9 in South Asia. Eighty-six (86) or 99% of projects approved are disbursing. MNA has the highest percentage of disbursements, followed by SRA, EAP, ECA, LAC, AFW, and AFE. Retroactive Financing continues to represent 26% of commitments. Country teams for operations, which have been under implementation for twelve months or more or have disbursed 50% or more of commitments by June 30, 2022, have prepared Mid-Term Review (MTR) ISRs and other documentation to inform the Global MPA MTR, which is being prepared by the EOC this FY. 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. Notwithstanding challenges of implementation, the 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. It is clear that the flexibility of project design has played an important role in achieving the PrDO as many projects have taken advantage of this to restructure operations to allow, inter alia, reallocation of funds among components and activities according to the country's evolving needs. The high level of disbursements attests to the strong implementation of the Bank' response thanks to the commitment of counterparts supported by Bank country teams. Risks Systematic Operations Risk-rating Tool 2/13/2023 Page 2 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic High Substantial Substantial Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes COVID-19 Emergency Response IN01244986 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 23.00 23.00 5.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244987 ►Percentage of suspected cases of COVID-19 reported and investigated per approved protocol (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 60.00 60.00 60.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244988 ►Percentage of diagnosed cases treated per approved protocol (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 70.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244989 2/13/2023 Page 3 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) ►Percentage of population vaccinated, which is included in the priority population targets defined in the national plan (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 60.00 Date 30-Jun-2021 03-Jun-2021 03-Jun-2021 30-Jun-2024 IN01244990 Percentage of women vaccinated, which are included in the priority population targets defined in the national plan (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.60 0.60 0.60 50.00 Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 28-Jun-2024 Intermediate Results Indicators by Components Emergency COVID-19 Response IN01244991 ►Percentage of health staff equipped with appropriate PPE for infection prevention and control per MOH-approved protocols (Percentage). (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 95.00 95.00 80.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244994 ►Number of WB financed designated ambulances to transport COVID19 patients per MOH-approved protocols (number) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 26.00 26.00 10.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244996 ►Number of Effective Vaccine Management (EVM) assessments completed with composite scores of 80% or higher (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 30-Jun-2024 IN01244997 ►Number of health departments with health facilities that have adopted COVID-19 related AEFI mechanisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 14.00 14.00 14.00 47.00 2/13/2023 Page 4 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 30-Jun-2024 IN01244998 ►Number of vaccination centers that have implemented standard operating procedures (SOPs) or guidelines updated for collection and disposal of COVID-19 vaccine related medical waste (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 24.00 24.00 24.00 57.00 Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 30-Jun-2024 IN01244999 ►Percentage of targeted sites where requested Cold Chain Equipment has been installed and functional (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 30-Jun-2024 IN01245000 ►Radio/TV Stations broadcast COVID-19 vaccine communication message in French and local languages (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-Aug-2021 13-Aug-2021 13-Aug-2021 30-Jun-2024 IN01245001 ►Gender sensitive educational communication materials on COVID-19 vaccines distributed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 31-Aug-2021 13-Aug-2021 13-Aug-2021 30-Jun-2024 IN01245002 ►Share of female community health workers provided with vaccine information (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 31-Aug-2021 31-Aug-2021 31-Aug-2021 28-Jun-2024 IN01245003 ►Share of vaccinators who are female (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Date 30-Jun-2021 30-Jun-2021 30-Jun-2021 28-Jun-2024 2/13/2023 Page 5 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) Supporting National and Sub-national, Prevention and Preparedness IN01244992 ►Number of suspected COVID19 cases tested per MOH-approved protocols at the 5 designated laboratories equipped to conduct COVID-19 diagnosis (number). (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 572.00 70,000.00 70,000.00 60,000.00 Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 Implementation Management and Monitoring and Evaluation IN01244993 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 07-Apr-2020 03-Jun-2022 15-Dec-2022 30-Jun-2022 IN01244995 ►Percentage of grievances received that were timely addressed through the GRM mechanism (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 31-Aug-2021 13-Aug-2021 13-Aug-2021 30-Jun-2024 Overall Comments IR No activities have been carried out under the AF, therefore only Parent indicators have been measured. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173927 IBRD-91240 Effective USD 9.00 9.00 0.00 9.34 0.09 99% Not P173927 IBRD-93040 USD 12.00 12.00 0.00 0.00 12.00 0% Effective Key Dates (by loan) 2/13/2023 Page 6 of 7 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173927 IBRD-91240 Effective 15-May-2020 20-May-2020 27-May-2020 30-Jun-2022 30-Jun-2024 Not P173927 IBRD-93040 15-Oct-2021 23-Jun-2022 -- 30-Jun-2024 30-Jun-2024 Effective Cumulative Disbursements Restructuring History There has been no restructuring to date. Related Project(s) P176464-Gabonese Republic Additional Financing for COVID-19 Strategic Preparedness and Response 2/13/2023 Page 7 of 7