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 8/9/2021 Page 1 of 6 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 8/9/2021 Page 2 of 6 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 8/9/2021 Page 3 of 6 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 8/9/2021 Page 4 of 6 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 8/9/2021 Page 5 of 6 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. 8/9/2021 Page 6 of 6