The World Bank Implementation Status & Results Report
Somalia COVID-19 Emergency Vaccination Project (P176956)
Somalia COVID-19 Emergency Vaccination Project (P176956)
EASTERN AND SOUTHERN AFRICA | Somalia | Health, Nutrition & Population Global Practice |
IBRD/IDA | Investment Project Financing | FY 2022 | Seq No: 2 | ARCHIVED on 15-Jul-2022 | ISR51839 |
Implementing Agencies: Federal Government of Somalia, FEDERAL MINISTRY OF HEALTH
Key Dates
Key Project Dates
Bank Approval Date: 28-Sep-2021 Effectiveness Date: 26-Mar-2022
Planned Mid Term Review Date: 28-Feb-2023 Actual Mid-Term Review Date:
Original Closing Date: 30-Jun-2024 Revised Closing Date: 31-Dec-2025
pdoTable
Project Development Objectives
Project Development Objective (from Project Appraisal Document)
The Project Development Objective (PDO) is to support the Federal Republic of Somalia to acquire and deploy Project COVID-19 vaccines and to
strengthen national immunization capacity.
Has the Project Development Objective been changed since Board Approval of the Project Objective?
Yes
Board Approved Revised Project Development Objective (If project is formally restructured)
The Project Development Objective is to support the Federal Republic of Somalia to acquire and deploy COVID-19 vaccines, strengthen national
immunization capacity, and support the continuity of essential health care services
Components Table
Name
Vaccine Deployment and Acquisition:(Cost $34.00 M)
Implementation Management:(Cost $16.50 M)
Continuity of Essential Health Services:(Cost $14.50 M)
Strengthening Solar-Powered Cold Chain:(Cost $3.00 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
An Additional Financing (AF) of US$23 million to the existing parent project of US$45 million was approved on June 29, 2022 which brings the total
project amount to US$68 million. Key activities under the parent project are advancing which involve engaging UN agencies to support the Federal
Ministry of Health (FMoH). This support will include vaccination efforts with transportation, supply chain and logistics; social mobilization efforts; and
key procurements for vaccines and waste management supplies; program management support, technical assistance for vaccine safety monitoring,
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Somalia COVID-19 Emergency Vaccination Project (P176956)
on-the-ground coordination, and human resource management and training; and rehabilitation of health facilities including assessment, design, and
works.
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
As of June 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 have been restructured to include vaccine-related procurement. Total
disbursements as of June 15, 2022, amount to US$3.6 billion or 84% of overall commitments. This amount does not include disbursements
under MPA-V operations which are reported together with AF-V operations. Sixty-seven (67) country projects or 77% of projects approved have
reached 70-100% disbursement (reasons for >100% disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of
the 67 operations, 48 operations or 72% have disbursed over 90% of commitments. Of these, 30 operations are fully disbursed. There are
thirteen (13) operations with closing dates by the end of FY22. Other 10 operations which had closing dates by the end of the FY have
extended their closing dates. There are 12 operations with disbursements under 50%. Out of these 12 operations, one has not disbursed,
and four have disbursed 30 percent or less. The projects are benefitting around 3.7 billion people or 50% of the global 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 and LAC, AFE and AFW. Retroactive Financing represents 26% of
commitments. Country teams for operations, which have been under implementation for twelve months or more by June 30, 2022, are
preparing Mid-Term Review (MTR) ISRs to inform the Global MPA MTR, which will be prepared early next 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. Implementation continues to face challenges as several countries are still under
different levels of mobility restrictions. Bank staff are operating in a hybrid environment with some days at the office and others at
home. Notwithstanding the challenges, 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. The significant 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
Risk Category Rating at Approval Previous Rating Current Rating
Political and Governance High High High
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Somalia COVID-19 Emergency Vaccination Project (P176956)
Macroeconomic Substantial Substantial Substantial
Sector Strategies and Policies Substantial Substantial Substantial
Technical Design of Project or Program High High High
Institutional Capacity for Implementation and
High High High
Sustainability
Fiduciary High High High
Environment and Social Substantial Substantial Substantial
Stakeholders Substantial Substantial Substantial
Other -- -- --
Overall High Substantial Substantial
Results
PDO Indicators by Objectives / Outcomes
COVID-19 vaccine coverage
IN01168841
►Percentage of population fully vaccinated, which is included in the priority population targets defined in the national plan (disaggregated by
sex) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 27.60
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
Numerator: Number of people that received a full COVID-19 vaccine course; Denominator: Total
Comments:
population of Somalia
To measure the change in the provision of care to women & monitor continuity of RMNCAH services
IN01168838
►Percentage of pregnant women who received at least four ante-natal care (ANC) consultations (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 8.20 -- 0.00 55.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
IN01168843
►Percentage of children aged 12-23 months who received basic vaccinations (BCG, measles, and three doses each of DPT and polio
vaccine - excluding polio vaccine given at birth) (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 10.70 -- 0.00 50.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
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Somalia COVID-19 Emergency Vaccination Project (P176956)
The number of children vaccinated with basic vaccinations (BCG, measles, and three doses each of DPT
and polio vaccine - excluding polio vaccine given at birth) divided by the number of children in the target
Comments:
population group.
Intermediate Results Indicators by Components
Component 1: Vaccine Deployment and Acquisition
IN01168840
►Proportion of the population which expresses acceptance of COVID-19 vaccines, by sex (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 77.00 77.00 77.00 90.00
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
IN01168844
►Proportion of COVID-19 vaccine doses administered against allocations, by state (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 80.00 80.00 80.00 90.00
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
IN01168847
►Number of social mobilization campaigns on COVID-19 vaccination. (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 50.00
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
IN01168849
►Number of Effective Vaccine Management (EVM) assessments completed with composite scores of 80 percent or higher (Number,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 6.00
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
IN01168851
►A AEFI system is put in place and is capable of reporting adverse effects (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 0.00 0.00 6.00
Date 08-Jul-2021 17-Dec-2021 30-Jun-2022 31-Jul-2023
IN01168853
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Somalia COVID-19 Emergency Vaccination Project (P176956)
►Number of Points of Entry staff trained on screening and management of suspected COVID-19 cases (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 1.00 -- 0.00 400.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168855
►Number of vaccination centers with a female vaccinator present (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 100.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
Component 2: Implementation Management
IN01168836
►Number of training attended by healthcare workers (including community health workers) on climate shock emergency preparedness and
response (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 5.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168846
►Number of Gender-Based Violence (GBV) and SEA/SH cases identified by frontline health workers and reported to the appropriate
departments for national support (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 100.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168848
►Number of vaccinators trained on GBV/SEA/SH (disaggregated by sex) (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 1,500.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168850
►Gender-sensitive educational materials developed for public communications and advocacy, in accordance with demand plan (Yes/No,
Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value No -- No Yes
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168852
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►Number of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 100.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168854
►Number of beneficiaries reporting that community engagement and outreach meet their needs (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 200.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
Component 3: Continuity of Essential Health Services
IN01168837
►Number of health facilities designated with sufficient equipment and medical supplies to provide essential care (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 50.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168845
►People who have received essential health, nutrition, and population (HNP) services (Number, Corporate)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 49,500.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
IN01168856
People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) (Number, Corporate
Supplement)
Baseline Actual (Previous) Actual (Current) End Target
Value 2,377.00 -- 0.00 5,000.00
IN01168857
Number of children immunized (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 2,304.00 -- 0.00 5,500.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
IN01168858
Number of women and children who have received basic nutrition services (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
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Somalia COVID-19 Emergency Vaccination Project (P176956)
Value 13,843.00 -- 0.00 17,000.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
IN01168859
Number of deliveries attended by skilled health personnel (Number, Corporate Breakdown)
Baseline Actual (Previous) Actual (Current) End Target
Value 18,445.00 -- 0.00 22,000.00
Date 30-Jun-2020 -- 30-Jun-2022 31-Jul-2023
Component 4: Strengthening Solar-Powered Cold chain
IN01168839
►Percentage of vaccination sites with functional solar-powered cold chain (Percentage, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 80.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
IN01168842
►Number of women trained on the installation, monitoring and maintenance of the cold chain equipment (Number, Custom)
Baseline Actual (Previous) Actual (Current) End Target
Value 0.00 -- 0.00 50.00
Date 08-Jul-2021 -- 30-Jun-2022 31-Jul-2023
Performance-Based Conditions
Data on Financial Performance
Disbursements (by loan)
Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed
P176956 IDA-D9090 Effective USD 45.00 45.00 0.00 0.00 43.09 0%
Not
P176956 IDA-E1090 USD 20.00 20.00 0.00 0.00 19.86 0%
Effective
Key Dates (by loan)
Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date
P176956 IDA-D9090 Effective 28-Sep-2021 26-Oct-2021 26-Mar-2022 30-Jun-2024 30-Jun-2024
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Somalia COVID-19 Emergency Vaccination Project (P176956)
Not
P176956 IDA-E1090 29-Jun-2022 -- -- 31-Dec-2025 31-Dec-2025
Effective
Cumulative Disbursements
Restructuring History
There has been no restructuring to date.
Related Project(s)
P178886-Additional Financing for Somalia COVID-19 Emergency Vaccination Project
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