The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) SOUTH ASIA | India | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 23-Nov-2020 | ISR42282 | Implementing Agencies: Ministry of Health and Family Welfare, Republic of India, Ministry of Finance Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 06-Apr-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-Dec-2024 Revised Closing Date: 31-Dec-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national health systems for preparedness in India. 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 $750.00 M) Component 2: Strengthening National and State health Systems to support Prevention and Preparedness:(Cost $405.00 M) Component 3: Strengthening Pandemic Research and Multi-sector, National Institutions and Platforms for One Health:(Cost $150.00 M) Component 4: Community Engagement and Risk Communication:(Cost $105.00 M) Component 5: Implementation Management, Capacity Building, Monitoring and Evaluation:(Cost $90.00 M) Component 6: Contingent Emergency Response Component (CERC) 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 The World Bank board approved the US$1 billion COVID-19 emergency project on April 2, 2020. The loan agreement was signed on April 3, 2020 and the project declared effective on April 6, 2020. The task team is working closely with the MOHFW towards implementation of this emergency project. The Asian Infrastructure Investment Bank approved US$500 million co-financing to the project on May 9, 2020. 11/23/2020 Page 1 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) 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 Impressive efforts continue to be made to advance the implementation of the MPA-funded projects. As of October 14, 2020, 83 projects have been approved providing a total commitment of US$3.98 billion. The projects benefit around 3.7 billion people or 49% of the global population. Of the 83 approved projects: (i) 30 are in Africa – 10 in AFE and 20 in AFW; (ii) 14 in East Asia; (iii) 13 in Europe and Central Asia; (iv) 10 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Sixty six (66) projects are disbursing. Total disbursements as of October 14, 2020 under these projects amount to US$1.32 billion or 33% of overall commitment. In addition, $364 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 42% actual disbursements and committed amounts. Streamlined procedures and delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation faces significant challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. 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 disbursement in just over six months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients, this may not be sustainable in the long-term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Substantial Substantial Institutional Capacity for Implementation and Moderate Moderate Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Substantial 11/23/2020 Page 2 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) Results PDO Indicators by Objectives / Outcomes Support GoI to prevent, detect and respond & strengthen national HS for pandemic preparedness IN00857375 ►Percentage of district hospitals with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 98.00 70.00 Date 20-Mar-2020 21-Apr-2020 30-Sep-2020 29-Jul-2022 Denominator: Number of districts Numerator: Number of districts having at least one hospital with isolation Comments: capacity, defined as a separate room with negative pressure. IN00857376 ►Proportion of specimens submitted for COVID-19 laboratory testing confirmed within WHO-stipulated standard time (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 89.00 70.00 Date 20-Mar-2020 21-Apr-2020 30-Sep-2020 28-Jul-2022 Denominator: Number of specimens submitted for COVID-19 laboratory testing Numerator: Number of Comments: specimens submitted for COVID-19 laboratory testing confirmed within WHO stipulated standard time IN00857377 ►Proportion of population able to identify three key symptoms of COVID-19 and/or seasonal influenza and three personal prevention measures (as assessed by a representative population survey) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 28-Oct-2022 Denominator: Number of respondents to representative population survey. Numerator: Number of Comments: respondents to representative population survey who can accurately identify three key symptoms of COVID-19 and three personal prevention measures. IN00857378 ►The Government has activated their one health coordination mechanism for COVID-19 (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No nil nil Yes Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 28-Aug-2020 Comments: One health coordination mechanism developed as defined per the PAD IN00857379 ►Percentage of district health centers/district hospitals with personal protective equipment and infection control products and supplies, without stock-outs in preceding two weeks (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target 11/23/2020 Page 3 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) Value 0.00 0.00 0.00 70.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2022 Denominator: Number of designated district hospitals Numerator: Number of designated district hospitals with adequate key personal protective equipment* and IPC supplies without stock-outs in preceding two Comments: weeks. (* Key PPE will include the following): 1. Latex gloves 2. N95 respirator 3. Surgical/medical mask 4. Disposable overall/gown 5. Goggles 6. Face shields 7. Nitrilite rubber gloves 8. Gowns with head cover 9. Shoe cover 10. Head cover 11. Rubber boots IN00857380 ►Number of states with at least 80% of districts having dedicated core surveillance staff in the District Surveillance Unit (District Surveillance Officer, Epidemiologist, and Data Manager) in position (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 28.00 28.00 10.00 65.00 Date 21-May-2020 21-May-2020 30-Sep-2020 28-Jun-2024 Intermediate Results Indicators by Components 1: Emergency COVID-19 Response IN00857381 ►Proportion of states with sufficient COVID-19 testing capacity within 4 weeks of project implementation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 70.00 Date 20-Mar-2020 21-Apr-2020 30-Jun-2020 30-Nov-2022 Denominator: Number of states and union territories. Numerator: Number of states or union territories with sufficient COVID-19 testing capacity defined as: 1000 tests per day in states/UTs with a population ≥100 Comments: million, 500 tests per day in states/UTs with a population of 30-99 million, and 200 tests per day in all other states. IN00857386 ►Proportion of states using a national health information reporting platform that unifies multiple pre-existing platforms. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2022 Denominator: Number of states/UTs. Numerator: Number of states/UTs using a national health Comments: information reporting platform that unifies multiple pre-existing platforms. IN00857389 ►Proportion of suspected cases who are tested within 2 days of being identified (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2022 11/23/2020 Page 4 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) Denominator: Number of suspected cases of COVID-19. Numerator: Number of suspected cases of Comments: COVID-19 whose sample is collected for testing within 2 days of being identified. 2: Strengthening National and State health Systems to support Prevention and Preparedness IN00857384 ►Proportion of district hospital doctors and nurses who are trained on WHO standards of clinical treatment for COVID-19 within 8 weeks of project implementation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Sep-2022 Denominator: Number of doctors and nurses working at designated district hospitals. Numerator: Number Comments: of doctors and nurses working at designated district hospitals who are trained on WHO standards of clinical treatment for COVID-19. IN00857387 ►Proportion of outbreaks where human samples were collected and sent to laboratory for confirmation (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 19.00 19.00 87.00 65.00 Date 21-May-2020 21-May-2020 30-Sep-2020 30-Nov-2022 IN00857390 ►• % of Real Time Polymerase Chain Reaction (RT-PCR) designated laboratories meeting external quality control standards (reflects laboratory system quality, using COVID19 testing as a proxy) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 21-May-2020 21-May-2020 21-May-2020 30-Jun-2023 3. Strengthening Pandemic Research and Multi-sector,National Institutions & Platforms for One Health IN00857385 ►Proportion of states with Emerging Infectious Disease Contingency Plans in place with dedicated budget (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2021 Denominator: Number of states/UTs. Numerator: Number of states/UTs with Emerging Infectious Disease Comments: Contingency Plans in place with dedicated budget. IN00857388 ►Number of new BSL3 labs with biosafety certification (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 5.00 11/23/2020 Page 5 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2021 Comments: Count of BSL3 labs with biosafety certification. 4: Community Engagement and Risk Communication IN00857382 ►Proportion of states issuing school closures with state-level distance learning strategies for primary and secondary school students. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2021 Denominator: Number of states/UTs issuing school closures due to COVID-19 pandemic. Numerator: Comments: Number of states/UTs issuing school closures due to COVID-19 pandemic issuing school closures with state-level distance learning strategies for primary and secondary school students. 5: Implementation Management, Capacity Building, Monitoring and Evaluation IN00857383 ►Number of peer-reviewed publications produced with support of the project funding (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 40.00 Date 20-Mar-2020 21-Apr-2020 21-Apr-2020 30-Nov-2021 Comments: Count of publications in peer-reviewed journals produced with support of the project funding Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173836 IBRD-90860 Effective USD 1,000.00 1,000.00 0.00 502.50 497.50 50% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173836 IBRD-90860 Effective 02-Apr-2020 03-Apr-2020 06-Apr-2020 31-Dec-2024 31-Dec-2024 Cumulative Disbursements 11/23/2020 Page 6 of 7 The World Bank Implementation Status & Results Report India COVID-19 Emergency Response and Health Systems Preparedness Project (P173836) PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 01-Jun-2020 Related Project(s) There are no related projects. 11/23/2020 Page 7 of 7