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 9/23/2021 Page 1 of 8 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 9/23/2021 Page 2 of 8 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 9/23/2021 Page 3 of 8 The World Bank Implementation Status & Results Report 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 9/23/2021 Page 4 of 8 The World Bank Implementation Status & Results Report 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 9/23/2021 Page 5 of 8 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 9/23/2021 Page 6 of 8 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) 9/23/2021 Page 7 of 8 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) P176661-Kosovo Emergency COVID-19 Project - Additional Financing 9/23/2021 Page 8 of 8