The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) EAST ASIA AND PACIFIC | China | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 1 | ARCHIVED on 24-Oct-2020 | ISR43471 | Implementing Agencies: National Health Commission, Ministry of Agriculture and Rural Affairs, People's Republic of China, National Forestry and Grassland Administration, Jiangxi Provincial Department of Finance, Hainan Provincial Development Reform Commission Key Dates Key Project Dates Bank Approval Date: 18-Jun-2020 Effectiveness Date: -- Planned Mid Term Review Date: 19-Jun-2023 Actual Mid-Term Review Date: Original Closing Date: 30-Sep-2025 Revised Closing Date: 30-Sep-2025 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objective is to strengthen selected national and provincial systems to pilot a multi-sectoral approach for reducing the risk of zoonotic and other emerging health threats. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Improving risk-based surveillance systems for zoonotic and other emerging health threats:(Cost $90.00 M) Prevention and control programs targeting priority zoonotic and other emerging health threats:(Cost $109.00 M) Institutional strengthening and human resources development consistent with One Health:(Cost $74.00 M) Project management and M&E:(Cost $27.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO -- Satisfactory Overall Implementation Progress (IP) -- Satisfactory Overall Risk Rating -- Substantial Implementation Status and Key Decisions The Project was approved by the Board of Executive Directors of the World Bank on June 18, 2020. Since July 1st, the WB team has held technical discussions with the teams in Jiangxi and Hainan provinces. Preparation activities, to advance the implementation once the project legal agreement is signed, are on the way. 10/24/2020 Page 1 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate -- Moderate Macroeconomic Moderate -- Moderate Sector Strategies and Policies High -- High Technical Design of Project or Program Substantial -- Substantial Institutional Capacity for Implementation and Substantial -- Substantial Sustainability Fiduciary Substantial -- Substantial Environment and Social Substantial -- Substantial Stakeholders High -- High Other -- -- -- Overall Substantial -- Substantial Results PDO Indicators by Objectives / Outcomes Strengthen systems to reduce the risk of zoonotic and other emerging health threats IN00892908 ►Multi-agency monitoring of zoonoses and other emerging health threats is established, and is generating and communicating information for action in project-supported provinces (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Currently, there isn't much exchange of information between human, animal and wildlife health. Through the project, a multi-sectoral system will be established, to facilitate exchange of information and combine information and data to take a comprehensive view for monitoring zoonoses and other emerging health Comments: threats. The system will be able to overlap and provide reports and information resulting in the combination of layers. Criteria will be developed in the operations manual to define what specifics the system needs to comply with for the indicator to be changed to Yes. Participating provinces might target zoonotic risks, or other health threats such as AMR. IN00892909 In Jiangxi (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes 10/24/2020 Page 2 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892910 In Hainan (Yes/No, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892916 ►Counties achieving a reduction in the prevalence of selected zoonotic diseases or other health threats as a result of project-supported activities (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 This indicator will capture the ability of selected counties to reduce the prevalence of selected diseases by implementing the One Health approach. Counties will be selected during the first year of implementation, and independent serological surveys will be carried out to determine the baseline of a selected zoonotic Comments: disease or other emerging health threats. A final target reduction of the selected zoonotic disease or emerging health threat will be selected, and its reduction will also be determined through a serological survey. IN00892917 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892918 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892919 ►Multi-Sectoral Plans prepared and implemented under the project and achieving their performance targets (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Comments: This indicator will measure the number of Multi-Sectoral Plans that are prepared and implemented under the project, at provincial and/or sub-provincial level. For a MSP to be considered as such, it must demonstrate multi-sectoral actions in selected areas such as: (a) Joint field epidemiological training for effective disease surveillance and investigation; (b) Local collaboration of laboratory services; (c) Establishing cross sectoral information sharing; (d) Joint outbreak investigation and response plans and coordinating prevention and control strategies; (e) Developing preparedness and response plans, establishment of rapid response team (drills, tabletop simulation exercises), training of sectoral spokespersons on risk communication; (f) Implementation of zoning/compartmentalization strategies 10/24/2020 Page 3 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) (biosecurity infrastructure, disease surveillance, prevention and control) for specified animal species: (g) Promoting ‘healthy marketplace’ practices in the local wet markets; and (h) Other one health related topics. The MSP will have a set of performance indicators to document progress in its implementation, and these indicators will also be reviewed from time to time by Bank supervision missions. IN00892920 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892921 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Intermediate Results Indicators by Components Improving risk-based surveillance systems for zoonotic and other emerging health threats IN00892923 ►CDC, veterinary and food safety laboratories supported by the project networked and strengthened for accreditation to relevant national or international standards (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 10.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 CDC, veterinary and food safety laboratories need upgrades for better surveillance of animal diseases and food borne pathogens, and to be better integrated into a functioning network. This indicator measures Comments: those upgrades that manage to bring the laboratories to comply with national standards, or international standards as applicable. IN00892927 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892929 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 5.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892933 10/24/2020 Page 4 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) ►Wildlife epidemic disease monitoring stations strengthened by the project and accredited to national standards (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 80.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Monitoring stations are not upgraded and complying with appropriate standards. Through the project, a selected number of the most critical stations at the national, provincial and sub-provincial networks will be Comments: upgraded. These stations will be producing information needed for the risk assessments, hotspot analysis, and for the multi-agency platform monitoring zoonoses. IN00892937 Of which from the national network (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892940 Of which from the provincial and sub-provincial network (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 40.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892941 ►Quality of surveillance system improved in selected project counties (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Surveillance system in The divergence Surveillance system in selected project between the selected project counties counties has a surveillance system has a divergence when divergence when and the independent compared to compared to serological surveys in independent serological independent selected project Value -- surveys. The specific serological surveys. counties has reduced. divergence will be The specific The final target determined when the divergence will be percentage will be independent survey is determined when the determined after the carried out. independent survey is first year of project carried out. implementation. Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 The surveillance system takes periodic samples to determine prevalence of selected zoonotic diseases and other health threats. In order to improve the detection quality of the system, independent serological Comments: surveys will be conducted, and compared with the surveillance system. The results will show the areas where the surveillance system needs improving. IN00892943 In Jiangxi (Text, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target Value The divergence will be -- The divergence will be The final target determined when the determined when the percentage of independent survey is independent survey is divergence reduction carried out carried out will be determined after 10/24/2020 Page 5 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) the first year of implementation IN00892944 In Hainan (Text, Custom Supplement) Baseline Actual (Previous) Actual (Current) End Target The final target The divergence will be The divergence will be percentage of determined when the determined when the divergence reduction Value -- independent survey is independent survey is will be determined after carried out carried out the first year of implementation Prevention and control programs targeting priority zoonotic and other emerging health threats IN00892925 ►Wet markets piloting ‘healthy marketplaces’ practices supported by the project (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 4.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Wet markets (community agriculture markets) will adapt Hazard Analysis and Critical Control Points (HACCP) approach for piloting ‘healthy marketplaces’ concept by (i) segregating dry areas from wet areas (seafood, poultry, meat products, etc.) in marketspaces for avoiding cross-contamination; (ii) making Comments: improvements in food hygiene, water and sanitation utilities; (iii) enforcing weekly closures for cleaning and disinfection of marketplaces; (iv) promoting good animal health and animal welfare practices; (v) deploying digital technologies for better animal disease and food safety surveillance; (vi) undertaking systematic risk communication campaigns. IN00892926 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892931 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 2.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892932 ►Guidelines reflecting One Health approaches for cross-border inspection and quarantine systems for animal and plant products in Hainan developed and implemented (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892935 10/24/2020 Page 6 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) ►Public communication campaigns to increase public awareness about the risk of human exposure to wildlife in project provinces or counties (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 6.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 The indicator will measure the number of distinct public communication campaigns carried out at national and/or province and/or sub-province level. These campaigns are defined as efforts to inform, persuade, or motivate behavior changes in the public about zoonotic disease risks stemming from wildlife, human Comments: exposure to wildlife, threats of illegal wildlife trade, emerging health threats and other related topics. Each campaign will need to identify a well-defined audience at the appropriate level, and organize communication activities involving different media for a defined period of time. IN00892939 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892942 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 3.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Institutional strengthening and human resources development consistent with One Health IN00892922 ►Policies, guidelines, notices, and other relevant government strategy documents revised incorporating One Health approaches conforming to global and regional good practices (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Existing policies, Existing policies, regulations, notices regulations, notices and and other strategy At least 6 policies, other strategy documents documents related to guidelines, notices or related to human health, human health, animal other relevant Value animal health and wildlife -- health and wildlife government strategy health do not sufficiently health do not documents have been include a One Health sufficiently include a revised and issued. approach in project One Health approach provinces in project provinces Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 This indicator will measure the revisions that are made to policy frameworks. It applies to the revision of policies, guidelines, notices, or other relevant government strategy documents, which are improved to Comments: incorporate a One Health approach. They cover both sectoral instruments (carried out for one sector in particular) and also multi-sector instruments. IN00892928 ►Staff trained by the project in joint field epidemiological programs under a One Health approach (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 10/24/2020 Page 7 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Value 0.00 -- 0.00 800.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 This indicator keeps track of the number of Government staff trained on field epidemiological programs Comments: with a One Health approach, provided to health, animal and wildlife professionals. IN00892930 Of which in Jiangxi (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 300.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892934 Of which in Hainan (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 400.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892936 Of which at the central level (Number, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 IN00892938 ►Cross-sectoral management mechanism for One Health established in Hainan and meeting regularly (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- No Yes Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Cross sectoral management mechanisms will include at least one of the following functions: a) Comments: governance: b) administrative: c) supervision: d) regulatory. Project management and M&E IN00892924 ►Grievances registered and addressed related to the delivery of project benefits (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 0.00 100.00 Date 04-May-2020 -- 28-Aug-2020 30-Sep-2025 Measures the percentage of grievances which have been received and have appropriately been Comments: addressed. 10/24/2020 Page 8 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed Not P173746 IBRD-90840 USD 300.00 300.00 0.00 0.00 300.00 0% Effective Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date Not P173746 IBRD-90840 18-Jun-2020 -- -- 30-Sep-2025 30-Sep-2025 Effective Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC 10/24/2020 Page 9 of 10 The World Bank Implementation Status & Results Report Emerging Infectious Diseases Prevention, Preparedness and Response Project (P173746) Restructuring History There has been no restructuring to date. Related Project(s) There are no related projects. 10/24/2020 Page 10 of 10