The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) EASTERN AND SOUTHERN AFRICA | Eastern and Southern Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2023 | Seq No: 1 | ARCHIVED on 02-Dec-2022 | ISR53165 | Implementing Agencies: Africa Centres for Disease Control and Prevention, The African Union Key Dates Key Project Dates Bank Approval Date: 21-Jul-2022 Effectiveness Date: 26-Oct-2022 Planned Mid Term Review Date: 09-Dec-2024 Actual Mid-Term Review Date: Original Closing Date: 31-Jul-2027 Revised Closing Date: 31-Jul-2027 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) Enhance the capacity of Africa Centres for Disease Control and Prevention (Africa CDC) to support AU Member States in preventing, detecting, and responding to current and future public health threats. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name COVID-19 Response:(Cost $2000000.00 M) Enhancing Africa CDC’s technical and programmatic functions to support AU Member States’ preparedness capacities:(Cost $78000000.00 M) Strengthening Africa CDC’s institutional capacity and operational structure:(Cost $20000000.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Low Implementation Status and Key Decisions The Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project was approved by the World Bank Group's Board of Executive Directors on July 21, 2022 and became effective on October 26, 2022. The project aims enhance the capacity of Africa Centres for Disease Control and Prevention (Africa CDC) to support AU Member States in preventing, detecting, and responding to current and future public health threats. The Project Implementation Unit is staffed and operational. A detailed 12-month work plan has been developed and activities are beginning implementation. The next implementation support mission is planned for the first quarter of the 2023 calendar year. 12/2/2022 Page 1 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate Macroeconomic Low -- Low Sector Strategies and Policies Low -- Low Technical Design of Project or Program Moderate -- Moderate Institutional Capacity for Implementation and Low -- Low Sustainability Fiduciary Substantial -- Substantial Environment and Social Moderate -- Moderate Stakeholders Moderate -- Moderate Other -- -- -- Overall Low -- Low Results PDO Indicators by Objectives / Outcomes People recruited in the Africa Volunteers Health Corps roster at RCC level IN01193526 ►Number of people recruited in the Africa Volunteers Health Corps roster at RCC level (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2,500.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of people recruited in the the AVoHC network of medical and public health professionals to Comments: support the response to public health emergencies in Africa, when needed to be deployed. IN01193531 Percentage of females recruited in the Africa Volunteers Health Corps roster at RCC level (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 IN01193533 Percentage of people recruited in the Africa Volunteers Health Corps roster at RCC level from West and Central African countries (Percentage, Custom Supplement) 12/2/2022 Page 2 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 IN01193534 Percentage of people recruited in the Africa Volunteers Health Corps roster at RCC level from East and South African countries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 IN01193535 Percentage of people recruited in the Africa Volunteers Health Corps roster at RCC level from North African countries (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 People trained under the newly updated Africa Epidemiologic Service (AES) program IN01193527 ►Number of people trained under the newly updated Africa Epidemiologic Service (AES) program (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 45.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of people enrolled and trained under the AES program which, as part of the project activities, will Comments: be upgraded and scaled-up with new curricula. IN01193532 Percentage of females trained under the newly updated Africa Epidemiologic Service (AES) program (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 Biosafety and Biosecurity standards at Laboratory Level IN01193530 ►Number of laboratories supported to perform a certification assessment on Minimum Standards for Biosafety and Biosecurity in handling high risk pathogens (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of laboratories in Members States that have been supported by the Africa CDC Laboratory Comments: Division in performing certifications assessments on Minimum Standards for Biosafety and Biosecurity in handiling high risk pathogens. Member States supported through the Vaccine Technology and Intellectual Property Transfer Service IN01193528 12/2/2022 Page 3 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) ►Number of Member States supported through the newly established Vaccine Technology and Intellectual Property (IP) Transfer Support Service (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The indicator aims to capture the number of countries that will be supported or will participate through Africa CDC's support in the Vaccine Technology and Intellectural Property (IP) transfer service. This Comments: indicator aims to monitor the efforts in accelerating the manufacturing agenda and monitors activities included under Component 3 of the project. Africa CDC roadmap for becoming an autonomous health body of the AU operationalized IN01193529 ►Africa CDC's roadmap for becoming an autonomous health body of the AU has been operationalized (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The roadmap for becoming an autonomous health body of the AU is completed and implemented with all Comments: the core fiduciary and administrative functions operational. Overall Comments PDO The Project recently reached effectiveness (October 26, 2022), hence implementation as measured by PDO and IRI indicators still has not begun. Intermediate Results Indicators by Components COVID-19 RESPONSE IN01193536 ►Number of Member States supported to implement high-frequency surveys on COVID-19 vaccine literacy and hesitancy (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 15.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC will support Member States in the deployment of high-frequency surveys on COVID-19 Comments: literacy and hesitancy to determine vaccine uptake among the population. ENHANCING AFRICA CDC’S TECHNICAL AND PROGRAMMATIC FUNCTIONS TO SUPPORT AU MEMBER STATES IN01193538 ►Africa CDC Strategic Plan for Endemic and Neglected Tropical Diseases 2023-2027 developed and validated by Member States (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target 12/2/2022 Page 4 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The drafting and development of the Africa CDC Strategic Plan for Endemic and Neglected Tropical Comments: Diseases 2023-2027 has concluded and it has been validated by AU Member States. IN01193540 ►Africa CDC Strategic Plan for Community Health Workers 2023-2027 developed and validated by Member States (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The drafting and development of the Africa CDC Strategic Plan for Community Health Workers 2023-2027 Comments: has concluded and it has been validated by AU Member States IN01193542 ►Regional action plans to respond to mental health and psychosocial support during humanitarian crises and epidemics developed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The drafting and development of the regional action plans to respond to mental health and psychosocial Comments: support suring humanitarian crises and epidemics has concluded. IN01193543 ►Number of Member States that have been capacitated on public health intelligence and event-based surveillance (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of AU Member States that have received technical assistance and support by the Africa CDC on Comments: public health intelligence and event-based surveillance IN01193545 ►Africa CDC continental framework for mortality surveillance developed and validated (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The drafting and development of the Africa CDC continental framework for mortality surveillance has Comments: concluded and it has been validated by AU Member States. IN01193546 ►Regional Integrated Surveillance and Laboratory Network (RISLNET) framework developed and validated by Member States (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes 12/2/2022 Page 5 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The development of the RISLNET framework has concluded and it has been validated by AU Member Comments: States. IN01193547 ►Number of senior laboratory specialists, directors, and quality managers trained under the in-person Laboratory Leadership Training Programme across the continent (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 42.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of senior laboratory specialists, directors, and quality managers trained by the Africa CDC under Comments: the newly in-person Laboratory Leadership Training Programme across the continent and have concluded training. IN01193548 Percentage of female senior laboratory specialists, directors, and quality managers trained under the in-person Laboratory Leadership Training Programme across the continent (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 IN01193549 ►Number of laboratory staff trained in collecting, curating and managing biological data using standardized training materials (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 200.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of laboratory staff trained by the Africa CDC in collecting, curating and managing biological data Comments: using standardized training materials (pathogenomics) and have concluded training. IN01193550 ►Number of regional laboratory networks brought up to full capacity for zoonotic disease diagnosis and data access. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Define “full capacity” as laboratory networks that have undergone a standardized baseline assessment, mapping of existing labs across each region, scoring, and technical assistance for quality Comments: assurance/improvement. For individual laboratories, this entails a regional laboratory with the infrastructural and workforce capacity to test for zoonotic diseases, readily share zoonotic disease lab data and support neighboring countries to test for priority zoonotic diseases. IN01193551 ►Number of Member States supported to improve surveillance of antimicrobial use and AMR microorganisms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 12/2/2022 Page 6 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Define “supported” as providing technical assistance to Member States through a standardized process Comments: that includes laboratory readiness assessment, population mapping, identification of pharmacies in proximity to hospitals and workforce development for collecting and analyzing AMR and AMU data. IN01193552 ►Number of Member States supported in performing UHPR/JEE assessments (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 20.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of AU Member States which have been provided technical assistance by the Africa CDC for Comments: performing Universal Health and Preparedness Reviews (UHPR)/ Joint External Evaluation (JEE) assessments to evalutate preparedness and health security capacities. IN01193553 ►Number of Public Health Emergency Operations Centers (PHEOCs) supported with capacity building (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 11.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 This indicator aims to monitor the number of PHEOCs supported through the project in terms of technical Comments: expertise and programmatic assistance and operational functions. IN01193554 ►Africa Volunteer Health Corps (AVoHC) framework updated and disseminated (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has updated the Africa Volunteer Health Corps (AVoHC) framework and the document Comments: has been disseminated among AU Member States. IN01193555 ►Number of RCCs operational under the newly developed operational framework (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC's RCCs in the Western, Central, Southern, and Eastern Regions are functional Comments: (exercising its function as liaison with NPHIs) based ont he operational and administrative framework recently developed by the Africa CDC. IN01193556 ►Number of scholars deployed to NPHIs under the Kofi Annan Fellowship Programme (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 12/2/2022 Page 7 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Number of scholars deployed to AU Member States' NPHIs under the Kofi Annan Fellowship Programme Comments: to provide technical assistance to the public health workforce. IN01193557 Percentage of female scholars deployed to NPHIs under the Kofi Annan Fellowship Programme (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 50.00 IN01193558 ►Africa CDC Workforce Development Framework has been revised and validated by Member States (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has finalized the development of the Workforce Development Framework and it has been Comments: validated by AU Member States. IN01193559 A module on "gender in preparedness" has been included in the Africa CDC Workforce Development Framework (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes IN01193560 ►Number of people enrolled under the two-year Field Epidemiologic Training Program (FETP) from Member States (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 120.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of AU Member State's public health workers enrolled under the two-year Field Epidemiologic Comments: Training Program (FETP). IN01193561 Percentage of females enrolled under the two-year Field Epidemiologic Training Program from Member States (Percentage, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 IN01193562 ►Number of Africa CDC staff members who have completed professional training (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 75.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 Number of Africa CDC staff personnel that has participated in technical and leadership training programs Comments: supported under the project. IN01193563 12/2/2022 Page 8 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) ►Vaccine technology and intellectual property (IP) transfer support service for Member States has been established (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has designed and established the vaccine technology and intellectual property (IP) Comments: transfer support service to provide technical assistance to Member States. IN01193564 ►Fill and Finish tech transfers between local manufacturers and international manufacturers facilitated by the Africa CDC Manufacturing Unit (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 6.00 Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has provided technical support to facilitate tech transfers between local manufacturers Comments: (meaning manufacturers based in AU Member States) and international manufacturers. IN01193565 ►Africa Vaccine Procurement Pooling Mechanism designed and launched (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has designed the Africa Vaccine Procurement Pooling Mechanism and it has been Comments: launched. STRENGTHENING AFRICA CDC’S INSTITUTIONAL CAPACITY AND OPERATIONAL STRUCTURE IN01193537 ►Organizational frameworks for operationalizing Africa CDC's transition into an autonomous health body of the AU have been developed (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has developed and set in motiong its internal organizational frameworks for Comments: operationalizing its transition into an autonomous health body of the AU. IN01193539 Gender-responsive HR hiring, retention and promotion processes are developed and operationalized as part of the Africa CDC transition into an autonomous health body of the AU (Yes/No, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes IN01193541 ►Africa CDC's Partnership Unit is established and functional (Yes/No, Custom) 12/2/2022 Page 9 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has designed and established its internal Partnership Unit and is currently exercising its Comments: functions. IN01193544 ►Strategy and action plan developed for the transition of the AU COVID-19 Response Fund into the Africa Epidemic Fund (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 18-Jul-2022 -- 22-Nov-2022 31-Jul-2027 The Africa CDC has developed the strategy and action plan for the transition of the AU COVID-19 Comments: Response Fund into the Africa Epidemic Fund. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P178633 IDA-E1110 Effective USD 100.00 100.00 0.00 0.00 96.63 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P178633 IDA-E1110 Effective 21-Jul-2022 12-Sep-2022 26-Oct-2022 31-Jul-2027 31-Jul-2027 Cumulative Disbursements 12/2/2022 Page 10 of 11 The World Bank Implementation Status & Results Report Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project (P178633) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 12/2/2022 Page 11 of 11