The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) Uzbekistan Emergency COVID-19 Response Project (P173827) EUROPE AND CENTRAL ASIA | Uzbekistan | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 02-Sep-2021 | ISR47958 | Implementing Agencies: Ministry of Health, Ministry of Finance, Republic of Uzbekistan Key Dates Key Project Dates Bank Approval Date: 24-Apr-2020 Effectiveness Date: 14-Jul-2020 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) The Project development objective is to prevent, detect, and respond to the threat posed by COVID-19 in the Republic of Uzbekistan. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Strengthening National Health System to respond to COVID-19:(Cost $41.79 M) Financial Support to Individuals and Households:(Cost $56.90 M) Implementation Management and Monitoring and Evaluation:(Cost $0.39 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions This ISR covers the period of February 2021 to August 2021. Project Development Objectives (PDO) are on track and are achievable by the current closing date; progress towards the achievement of the PDO is Moderately Satisfactory. However, while the likelihood of achieving the end targets remains strong, the overall PDO rating will need to be reassessed during the next ISR to ensure that it remains feasible given the delays in the procurement of critical equipment. Under Component 1 (Strengthening National Health System, US$ 41.5 million), the Pandemic Emergency Financing Facility (US$ 4.08 million) grant is fully disbursed and closed. Approximately 609 units of various medical and diagnostic equipment totaling US$ 21.5 million have been delivered to 35 inter-district cardiovascular and trauma acute care centers. The Cabinet of Ministers approved the procurement plan for the remaining US$ 20 million on March 11, 2021. As of August 23, 2021, bid evaluations have been completed for computed tomography scanners, ultrasound machines and mobile X-ray machines amounting to US$ 7.1 million. Tendering is underway for hospital equipment and surgical instruments amounting to approximately US$ 8 million. 9/2/2021 Page 1 of 6 The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) Component 2 (Financial Support to Individuals and Households, US$ 56.9 million) is fully disbursed. Benefits have been provided for almost 1 million low-income families, as well as more than 90,000 unemployment benefits have been provided through the project. The Ministry of Finance is currently in the process of collecting the unused funds and beneficiary numbers from the regions. The best available estimate for the unutilized funds amounts to under $0.5 million. 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 The implementation of the MPA-funded projects continues to progress well. As of August 16, 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-nine (49) country projects or 56% 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. Eighty-one (81) or 93% projects are disbursing. Total disbursements as of August 16, 2021, amount to US$2.80 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 many 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 with the Delta variant spreading rapidly among populations. Most Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This “virtual” world poses 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 16 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 Moderate Moderate Moderate Macroeconomic High Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Substantial Moderate Moderate 9/2/2021 Page 2 of 6 The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) Institutional Capacity for Implementation and Substantial Moderate Moderate Sustainability Fiduciary Substantial Moderate Moderate Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Substantial Moderate Moderate Results PDO Indicators by Objectives / Outcomes To prepare for and respond to the COVID-19 pandemic in the Republic of Uzbekistan IN01030938 ►Number of male tested for COVID-19 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 192.00 100,000.00 Date 01-Apr-2020 20-Jul-2020 24-Aug-2021 01-Jun-2022 IN01030939 Number of female tested for COVID-19 (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 128.00 100,000.00 Date 01-Apr-2020 20-Jul-2020 24-Aug-2021 01-Jun-2022 IN01030940 ►Number of diagnosed cases treated in acute healthcare facilities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 10,000.00 Date 01-Apr-2020 20-Jul-2020 20-Jul-2020 30-Apr-2022 Comments: Number of diagnosed cases treated in acute healthcare facilities supported by the Project IN01030956 ►Number of eligible families provided with targeted cash transfers (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 767,459.00 989,757.00 1,619,992.00 902,459.00 Date 15-Apr-2020 01-Jan-2021 25-Aug-2021 30-Apr-2022 Comments: Number of eligible families provided with either type of targeted cash transfers. 9/2/2021 Page 3 of 6 The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) The number of eligible families provided with targeted cash transfers exceeds the target. 985,757 families received US$ 31,3 million in November 2020, 601,714 families received US$ 19,4 million in December 2020, 29,039 families received US$ 1,01 million in February 2021, 3,516 families received US$ 0,112 million in March, 148 families received $ 0,004 million in April 2021. The remaining unused balance is US$ 906 (9.4 million soums). (some are the same families). IN01030957 ►Number of eligible individuals provided with unemployment cash benefits (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 18,000.00 37,749.00 93,389.00 80,000.00 Date 30-Jun-2020 01-Jan-2021 01-Jun-2021 30-Apr-2022 Number of eligible individuals provided with unemployment benefits (UB). The baseline is the sum of UB payments made between January and June 2020, the first update reflects the additional 19,749 UB payments made in December, 2020 with the support of the project. Comments: The current update reflects additional 55,640 UB payments made from January through May 2021. Specifically in January 2021 - 14,784 UB payments; in February 2021 - 13,194 UB payments; in March 2021 - 11,746 UB payments; in April - 9,170 UB payments; In May 2021 - 6,746 UB payments. Intermediate Results Indicators by Components Emergency COVID-19 Response IN01030958 ►Number of health staff trained in infection prevention and control per MOH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 Date 01-Apr-2020 20-Jul-2020 20-Jul-2020 30-Jun-2022 Number of health staff trained by the Project in infection prevention and control per MOH-approved Comments: protocols IN01030959 ►Number of laboratories with COVID-19 diagnostic equipment, test kits, and supplies (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 36.00 15.00 Date 30-Jun-2022 20-Jul-2020 24-Aug-2021 01-Jun-2022 Number of laboratories supported by the Project with COVID-19 diagnostic equipment and/or test Comments: kits/supplies IN01030960 ►Number of healthcare workers reached with tailored information (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 20,000.00 9/2/2021 Page 4 of 6 The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) Date 01-Apr-2020 20-Jul-2020 24-Aug-2021 30-Jun-2022 Comments: Number of healthcare workers reached by the Project with tailored COVID-19 information IN01030961 ►Risk-adjusted referral systems to care for COVID-19 patients established and functioning (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2020 20-Jul-2020 24-Aug-2021 30-Jun-2022 Referral systems to care for COVID-19 patients with varying levels of severity are established and Comments: functioning at all levels of care IN01030962 ►Online citizen engagement mechanism: (i) established with outreach and staffing (ii) actively providing information (iii) receiving citizen feedback and (iv) PIU/MoH providing just-in-time responses (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Online citizen engagement channel (i) established, (ii) actively providing citizens with official Online citizen Online citizen Online citizen COVID and project Value engagement channel is engagement channel is engagement channel information, (iii) not available not available is not available receiving feedback from citizens, and (iv) the PIU/MOH reporting back on actions annually. Date 01-Oct-2020 01-Oct-2020 24-Aug-2021 30-Jun-2022 Overall Comments IR Online citizen engagement mechanism: a consultant has been hired to help the client to strengthen the existing citizen engagement channels/mechanisms. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173827 IDA-66370 Effective USD 95.00 95.00 0.00 67.41 27.59 71% P173827 TF-B4315 Closed USD 4.08 4.07 0.01 4.07 0.00 100% 9/2/2021 Page 5 of 6 The World Bank Implementation Status & Results Report Uzbekistan Emergency COVID-19 Response Project (P173827) Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173827 IDA-66370 Effective 24-Apr-2020 10-Jul-2020 14-Jul-2020 30-Jun-2022 30-Jun-2022 P173827 TF-B4315 Closed 19-Nov-2020 05-Dec-2020 07-Dec-2020 31-Jan-2021 28-Feb-2021 Cumulative Disbursements 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 12-Aug-2020 ,Level 2 Approved on 31-Jan-2021 Related Project(s) P174956-AF Uzbekistan Emergency COVID-19 Response Project 9/2/2021 Page 6 of 6