The World Bank                                                                                     Implementation Status & Results Report
            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)



KOSOVO EMERGENCY COVID-19 PROJECT (P173819)


 EUROPE AND CENTRAL ASIA | Kosovo | Health, Nutrition & Population Global Practice |
 IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 3 | ARCHIVED on 23-Sep-2021 | ISR48170 |


 Implementing Agencies: Ministry of Health, Ministry of Finance, Labor and Transfers, Republic of Kosovo



 Key Dates


  Key Project Dates

   Bank Approval Date: 20-May-2020                                             Effectiveness Date: 03-Sep-2020
   Planned Mid Term Review Date: --                                            Actual Mid-Term Review Date:
   Original Closing Date: 30-Jun-2022                                          Revised Closing Date: 30-Jun-2023
 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 and strengthen national systems for public
  health preparedness in Kosovo

  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 $35.60 M)
 Component 2: Supporting households to comply with public health containment measures:(Cost $31.40 M)
 Component 3: Project management, communications, and community engagement:(Cost $1.20 M)

 Overall Ratings

 Name                                                                         Previous Rating                          Current Rating

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


 Implementation Status and Key Decisions

  Progress has been made in the last six months in several key project activities, as described below under components. As a result, the DO and IP
  ratings are maintained as Satisfactory and Moderately Satisfactory respectively. A full ISR (including update in the Results Framework) will be filed
  following the virtual support mission, which will be held in October 2021.



 MPA Program Development Objective


 MPA PDO Table


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            The World Bank                                                                                        Implementation Status & Results Report
            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)



 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 PrDO – 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                                    High                             Moderate                     Moderate
  Macroeconomic                                               Substantial                      Moderate                     Moderate
  Sector Strategies and Policies                              Moderate                         Substantial                  Substantial
  Technical Design of Project or Program                      Moderate                         High                         High
  Institutional Capacity for Implementation and
                                                              Moderate                         Substantial                  Substantial
  Sustainability
  Fiduciary                                                   High                             Substantial                  Substantial
  Environment and Social                                      Substantial                      Substantial                  Substantial
  Stakeholders                                                Moderate                         Moderate                     Moderate
  Other                                                       --                                Moderate                     Moderate
  Overall                                                     Substantial                      High                         High




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            The World Bank                                                                                   Implementation Status & Results Report
            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)




  Results


 PDO Indicators by Objectives / Outcomes



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

    IN01037112
    ►Number of suspected cases of COVID19 reported and investigated per approved protocol (Number, Custom)

                                      Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            6,351.00                     354,967.00                   354,967.00                 356,000.00

    Date                             21-Apr-2020                  14-Mar-2021                  14-Mar-2021                30-Jun-2022

                                      This indicator tracks the number of suspected COVID-19 cases reported and investigated based on
   Comments:
                                      guidelines in the whole country.
    IN01037113
    ►Number of diagnosed cases treated per approved protocol (Number, Custom)

                                      Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            80.00                        64,666.00                    64,666.00                  14,000.00

    Date                             21-Apr-2020                  14-Mar-2021                  14-Mar-2021                30-Jun-2022
                                      Numerator: Total number of diagnosed cases that are treated at the appropriate level according to MoH-
   Comments:                          approved protocols (as defined in the Project Operations Manual) Denominator: Total number of
                                      diagnosed cases in the country in a given period.
    IN01037114
    ►Number of beneficiaries receiving financial support to enable social distancing (Number, Custom)

                                      Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            98,096.00                    282,781.00                   282,781.00                 234,192.00

    Date                             21-Apr-2020                  14-Mar-2021                  14-Mar-2021                30-Jun-2022
                                      This indicator measures the number of individuals to be supported through the SAS, the SAS double
   Comments:                          payment and Measure 15. Individuals in households receiving each of these three forms of support are
                                      counted once.
   IN01037115
   ►Percentage of population vaccinated, which is included in the priority population targets defined in the national plan (disaggregated by
   gender) (Percentage, Custom)

                                      Baseline                    Actual (Previous)             Actual (Current)          End Target

    Value                            0.00                         0.00                         0.00                       40.00

    Date                             09-Apr-2021                  09-Apr-2021                  09-Apr-2021                30-Jun-2023



 Intermediate Results Indicators by Components




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            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)




   Health care delivery and health capacity strengthening

   IN01037186
   ►Number of designated laboratories with COVID-19 diagnostic equipment, consumables, and reagents per MoH guidelines (Number,
   Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                             0.00                         6.00                          6.00                       6.00

    Date                              21-Apr-2020                  14-Mar-2021                   14-Mar-2021                30-Jun-2022
                                      Number of designated laboratories supported under the project with COVID-19 diagnostic equipment, test
                                      kits, and reagents per MoH guidelines. The technical specifications of the tests will be defined in the
   Comments:
                                      Project Operations Manual based on the international/national norms and standards for COVID-19
                                      response.
    IN01037188
    ►Number of medical staff in public health laboratories, trained to undertake contact tracing (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                             0.00                         0.00                          0.00                       50.00

    Date                              21-Apr-2020                  14-Mar-2021                   14-Mar-2021                30-Jun-2022

                                      Total number of public health workers who participated in training on contact tracing according to MoH
   Comments:
                                      protocols.
   IN01037191
   ►Number of healthcare workers trained on appropriate use of PPE, disease surveillance and prevention of the spread of respiratory
   infections within healthcare facilities (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                             0.00                         0.00                          0.00                       800.00

    Date                              21-Apr-2020                  14-Mar-2021                   14-Mar-2021                30-Jun-2022

                                      Total number of health workers who participated in training on appropriate use of PPE, disease
   Comments:
                                      surveillance and prevention of the spread of respiratory infections within healthcare facilities.
    IN01037192
    ►Upgraded infrastructure of the Infectious Disease Clinic in UCCK completed (Text, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                             No                           No                            No                         Yes

    Date                              21-Apr-2020                  14-Mar-2021                   14-Mar-2021                30-Jun-2022

                                      Refers to the application of infrastructure plan to expand and/or private the room capacity of the clinic to
   Comments:
                                      accommodate high number of patients seeking treatment.
    IN01037193
    ►Number of ICU beds equipped and functional in the Infectious Disease Clinic (Number, Custom)

                                      Baseline                     Actual (Previous)             Actual (Current)           End Target

    Value                             0.00                         70.00                         70.00                      60.00

    Date                              21-Apr-2020                  14-Mar-2021                   14-Mar-2021                30-Jun-2022



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            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)



                                     Cumulative number of ICU beds purchased and fully operational for COVID-19 patients, as defined by the
   Comments:
                                     Project Operational Manual.
    IN01037194
    ►Number of volunteer healthcare staff covered with salaries for at least 3 months (Number, Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target

    Value                            0.00                        323.00                      323.00                    400.00

    Date                             21-Apr-2020                 14-Mar-2021                 14-Mar-2021               21-Apr-2020

                                     Cumulative number of temporary healthcare staff hired and paid to provide medical services for surging
   Comments:
                                     patient needs.
    IN01037195
    ►Number of public events (workshops and symposia on COVID-19 surveillance, treatment, and prophylaxis) (Number, Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target

    Value                            0.00                        0.00                        0.00                      2.00

    Date                             21-Apr-2020                 14-Mar-2021                 14-Mar-2021               30-Jun-2022

   Comments:                         The total number of public events on COVID-19 hosted by the MoH.

    IN01037196
    ►Number of eligible COVID-19 vaccine doses procured by the project (Number, Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target

    Value                            0.00                        0.00                        0.00                      300,000.00

    Date                             09-Apr-2021                 09-Apr-2021                 09-Apr-2021               30-Jun-2023

    IN01037197
    ►Number of Primary Healthcare Centers (PHCs) equipped with essential drugs (Number, Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target

    Value                            0.00                        0.00                        0.00                      28.00

    Date                             09-Apr-2021                 09-Apr-2021                 09-Apr-2021               30-Jun-2023

   IN01037198
   ►Percentage of trained PHC healthcare workers with the knowledge to recognize and refer GBV victims during the pandemic (Percentage,
   Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target

    Value                            0.00                        0.00                        0.00                      20.00

    Date                             14-Apr-2021                 14-Apr-2021                 14-Apr-2021               30-Jun-2023

   IN01037199
   ►Standard operating procedures (SOPs) or guidelines established for collection and disposal of medical waste to the relevant stakeholders
   (Number, Custom)

                                     Baseline                    Actual (Previous)           Actual (Current)          End Target




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            The World Bank                                                                                     Implementation Status & Results Report
            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)




    Value                           0.00                         0.00                            0.00                      2.00

    Date                            13-May-2021                  13-May-2021                     13-May-2021              30-Jun-2023



   Supporting households to comply with public health containment measures

    IN01037190
    ►Adoption of Government Decision to waive SAS exclusion criteria (Text, Custom)

                                     Baseline                    Actual (Previous)               Actual (Current)         End Target
                                                                                                                          SAS beneficiaries
                                                                                                                          continue to be paid
    Value                           Not adopted                  Adopted                         Adopted
                                                                                                                          during public health
                                                                                                                          emergency
    Date                            16-Apr-2020                  14-Mar-2021                     14-Mar-2021              30-Jun-2022
                                     This indicator measures the formalization of the Government's intent to waive the reapplication process for
   Comments:                         SAS beneficiaries during the COVID-19 pandemic and then its application for the duration of the public
                                     health emergency.


   Project management, communication and citizen engagement

    IN01037187
    ►Beneficiaries reporting satisfaction with Government’s response to COVID-19 through its health system and SAS (Percentage, Custom)

                                     Baseline                    Actual (Previous)               Actual (Current)          End Target

    Value                           0.00                         0.00                            0.00                      70.00

    Date                            22-Apr-2020                  14-Mar-2021                     14-Mar-2021              30-Jun-2022
                                     This indicator aims to measure the satisfaction of beneficiaries and non-beneficiaries with the
   Comments:                         Government's response to COVID-19 through its health system and through the SAS (including Measure
                                     15)
    IN01037189
    ►The number of communities engaged in participatory testing of the information products for COVID-19 vaccines (Number, Custom)

                                     Baseline                    Actual (Previous)               Actual (Current)          End Target

    Value                           0.00                         0.00                            0.00                      50.00

    Date                            13-Apr-2021                  13-Apr-2021                     13-Apr-2021              30-Jun-2023



 Performance-Based Conditions



 Data on Financial Performance


 Disbursements (by loan)

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



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            The World Bank                                                                              Implementation Status & Results Report
            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)




 P173819       IDA-66780         Effective   USD             50.00     50.00           0.00         44.00           12.01                     79%

                                 Not
 P173819       IDA-69630                     USD             18.20     18.20           0.00          0.00           17.69                         0%
                                 Effective


 Key Dates (by loan)

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

 P173819        IDA-66780        Effective   20-May-2020      29-Jun-2020      03-Sep-2020            30-Jun-2022             30-Jun-2022
                                 Not
 P173819        IDA-69630                    24-Jun-2021      23-Jul-2021      --                     30-Jun-2023             30-Jun-2023
                                 Effective


Cumulative Disbursements




 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)



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            KOSOVO EMERGENCY COVID-19 PROJECT (P173819)




 P176661-Kosovo Emergency COVID-19 Project - Additional Financing




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