The World Bank                                                                                         Implementation Status & Results Report
           Cameroon COVID-19 Preparedness and Response Project (P174108)



Cameroon COVID-19 Preparedness and Response Project (P174108)


 AFRICA WEST | Cameroon | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2021 | Seq No: 2 | ARCHIVED on 09-Aug-2021 | ISR47732 |


 Implementing Agencies: Ministry of Public Health, Republic of Cameroon



 Key Dates


  Key Project Dates

   Bank Approval Date: 22-Sep-2020                                                Effectiveness Date: --
   Planned Mid Term Review Date: --                                               Actual Mid-Term Review Date:
   Original Closing Date: 30-Jun-2022                                             Revised Closing Date: 30-Jun-2022
 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 selected
  regions in Cameroon.

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


 Components Table

 Name
 Emergency COVID-19 Response:(Cost $20.50 M)
 Supporting National and Sub-National Prevention and Preparedness:(Cost $5.00 M)
 Community Engagement and Risk Communication:(Cost $2.00 M)
 Implementation Management and Monitoring & Evaluation:(Cost $1.50 M)

 Overall Ratings

 Name                                                                           Previous Rating                            Current Rating

 Progress towards achievement of PDO                                            Satisfactory                              Moderately Satisfactory
 Overall Implementation Progress (IP)                                           Satisfactory                              Moderately Satisfactory
 Overall Risk Rating                                                            Substantial                               Substantial


 Implementation Status and Key Decisions

  The project is not yet effective and is under restructuring. Once completed and effective, the Project will fill critical gaps in implementing the
  government’s COVID-19 response plan, as well as the national vaccination deployment plan.



 MPA Program Development Objective


 MPA PDO Table


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            The World Bank                                                                                        Implementation Status & Results Report
            Cameroon COVID-19 Preparedness and Response Project (P174108)



 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
 The implementation of the MPA-funded projects continues to progress well. As of July 18, 2021, 87 MPA-projects have been
 approved providing a total commitment of US$4.2 billion. Disbursements during the past month have increased at a rapid pace. Forty eight (48)
 country projects or 52% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the
 global population. Of the 87 approved 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) 12 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Seventy nine (79) or 91% projects
 are disbursing. Total disbursements as of July 18, 2021, amount to US$2.76 billion or 66% of overall commitments. Streamlined procedures,
 delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Several projects
 have/are being restructured to include vaccine related procurement. Implementation is being guided by Bank teams working in parallel in
 other health related projects, including Additional Financing operations supporting vaccine procurement and deployment efforts in
 countries. Implementation continues to face challenges as some countries are still under different levels of lockdown or mobility restrictions and
 counterparts and Bank teams are operating from home or partially from home. Also, several countries are phasing new waves of infections. Most
 Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This has
 created connectivity challenges as internet is not reliable in many countries, especially IDA countries. Notwithstanding challenges, the MPA is on
 track to achieving its PDO – 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 in just over 15 months attest to the strong implementation efforts 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                                    Substantial                      Substantial                  Substantial
  Macroeconomic                                               Substantial                      Moderate                     Moderate
  Sector Strategies and Policies                              Moderate                         Moderate                     Moderate
  Technical Design of Project or Program                      Substantial                      Moderate                     Moderate
  Institutional Capacity for Implementation and
                                                              Substantial                      Substantial                  Substantial
  Sustainability
  Fiduciary                                                   Substantial                      Substantial                  Substantial
  Environment and Social                                      Substantial                      Substantial                  Substantial
  Stakeholders                                                Substantial                      Substantial                  Substantial
  Other                                                       Substantial                      Substantial                  Substantial
  Overall                                                     Substantial                      Substantial                  Substantial




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           The World Bank                                                                                  Implementation Status & Results Report
           Cameroon COVID-19 Preparedness and Response Project (P174108)




  Results


 PDO Indicators by Objectives / Outcomes



   To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems

    IN01023313
    ►Number of COVID-19 designated healthcare facilities with appropriate handwashing facilities in place (Number, Custom)

                                      Baseline                   Actual (Previous)           Actual (Current)          End Target

    Value                            400.00                      400.00                      400.00                    3,000.00

    Date                             15-Sep-2020                 15-Sep-2020                 15-Sep-2020              30-Jun-2022



   To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems

    IN01023314
    ►Percentage of contacts followed for all 14 days (Percentage, Custom)

                                      Baseline                   Actual (Previous)           Actual (Current)          End Target

    Value                            70.00                       70.00                       70.00                     80.00

    Date                             15-Sep-2020                 15-Sep-2020                 15-Sep-2020              30-Jun-2022



   To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems

    IN01023315
    ►Number of acute healthcare facilities with isolation capacity (Number, Custom)

                                      Baseline                   Actual (Previous)           Actual (Current)          End Target

    Value                            50.00                       50.00                       50.00                     250.00

    Date                             15-Sep-2020                 15-Sep-2020                 15-Sep-2020              30-Jun-2022



   •To prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems

    IN01023316
    ►Number of COVID-19 designated healthcare facilities with required equipment for treatment of critica (Number, Custom)

                                      Baseline                   Actual (Previous)           Actual (Current)          End Target

    Value                            50.00                       50.00                       50.00                     250.00

    Date                             15-Sep-2020                 15-Sep-2020                 15-Sep-2020              30-Jun-2022



 Intermediate Results Indicators by Components




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           The World Bank                                                                                   Implementation Status & Results Report
           Cameroon COVID-19 Preparedness and Response Project (P174108)




   Emergency COVID-19 Response

    IN01023317
    ►Number of acute health care facilities beds with isolation capacity (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)         End Target

    Value                            500.00                      500.00                       500.00                    3,000.00

    Date                             15-Sep-2020                 15-Sep-2020                  15-Sep-2020               30-Jun-2022

    IN01023321
    ►Number of households provided with food and basic supplies within quarantined populations (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)         End Target

    Value                            0.00                        0.00                         0.00                      10,000.00

    Date                             15-Sep-2020                 15-Sep-2020                  15-Sep-2020               30-Jun-2022



   Supporting National and Sub-national, Prevention and Preparedness

    IN01023318
    ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits and reagents (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)         End Target

    Value                            7.00                        7.00                         7.00                      17.00

    Date                             15-Sep-2020                 15-Sep-2020                  15-Sep-2020               30-Jun-2022



   Community Engagement and Risk-Communication

    IN01023319
    ►Number of households reached with tailored information (Number, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)         End Target

    Value                            0.00                        0.00                         0.00                      10,000.00

    Date                             15-Sep-2020                 15-Sep-2020                  15-Sep-2020               30-Jun-2022
                                      Number of households reached with tailored information (e.g individuals and decision makers in different
   Comments:                          sectors – travel and tourism, food and agriculture, health care workers and businesses)



   Implementation Management and Monitoring and Evaluation

    IN01023320
    ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom)

                                      Baseline                    Actual (Previous)            Actual (Current)         End Target

    Value                            No                          No                           No                        Yes



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           The World Bank                                                                                        Implementation Status & Results Report
           Cameroon COVID-19 Preparedness and Response Project (P174108)




    Date                             15-Sep-2020                  15-Sep-2020                      15-Sep-2020              30-Jun-2022



 Performance-Based Conditions



 Data on Financial Performance


 Disbursements (by loan)

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

                                 Not
 P174108       IDA-67830                     USD               29.00      29.00             0.00           0.00             30.30                       0%
                                 Effective


 Key Dates (by loan)

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

                                 Not
 P174108        IDA-67830                    22-Sep-2020         --               --                        30-Jun-2022             30-Jun-2022
                                 Effective


Cumulative Disbursements




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           The World Bank                                                                      Implementation Status & Results Report
           Cameroon COVID-19 Preparedness and Response Project (P174108)



 PBC Disbursement

                                                                              Achievement   Disbursed amount in     Disbursement %
 PBC ID                    PBC Type    Description       Coc     PBC Amount
                                                                              Status        Coc                     for PBC




  Restructuring History


  There has been no restructuring to date.


  Related Project(s)


  There are no related projects.




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