The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) AFRICA WEST | Gabon | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 02-May-2021 | ISR45909 | Implementing Agencies: Republic of Gabon, Commission nationale des travaux d'intérêt public pour la promotion de l'entrepreneuriat et de l'emp Key Dates Key Project Dates Bank Approval Date: 15-May-2020 Effectiveness Date: 27-May-2020 Planned Mid Term Review Date: 30-Apr-2021 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 (PDO) is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Gabon. 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 $4.30 M) Component 2: Supporting National and Sub-national, Prevention and Preparedness:(Cost $4.20 M) Component 3: Project Implementation and Monitoring:(Cost $0.50 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Substantial Moderate Implementation Status and Key Decisions The project was approved on May 15, 2020, signed on May 20, 2020, and became effective on May 27, 2020. The project is now 90.6% disbursed, and discussions are underway with the MOH and CN-TIPPEE (the implementing agency) on other priority interventions to finalize the implementation of remaining activities. Most indicators were achieved or surpassed their target, including the number of designated laboratories with COVID-19 diagnostic capacity and the percentage of cases treated per approved protocol. MPA Program Development Objective MPA PDO Table 5/2/2021 Page 1 of 5 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) 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 March 15, 2021, 86 MPA-projects have been approved providing a total commitment of US$4.20 billion. Disbursements have continued to increase at a rapid pace. Thirty four (34) country projects or 40% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 86 approved projects: (i) 33 are in Africa – 12 in AFE and 21 in AFW; (ii) 12 in East Asia; (iii) 13 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. Seventy two (72) projects are disbursing. Total disbursements as of March 15, 2021 under these projects amount to US$2,139.8 million or 51% of overall commitments. In addition, $641 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement. 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 continues to face challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This creates connectivity challenges as internet is not reliable in many of the 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 eleven months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by 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 High Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary Substantial Substantial Moderate Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Substantial Substantial Moderate Results 5/2/2021 Page 2 of 5 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) PDO Indicators by Objectives / Outcomes COVID-19 Emergency Response IN00967591 ►Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 0.00 23.00 5.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 IN00967592 ►Percentage of suspected cases of COVID-19 reported and investigated per approved protocol (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 15.40 60.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 IN00967593 ►Percentage of diagnosed cases treated per approved protocol (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 70.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 Intermediate Results Indicators by Components Emergency COVID-19 Response IN00967594 ►Percentage of health staff equipped with appropriate PPE for infection prevention and control per MOH-approved protocols (Percentage). (Percentage) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 50.00 0.00 95.00 80.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 IN00967597 ►Number of WB financed designated ambulances to transport COVID19 patients per MOH-approved protocols (number) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 26.00 10.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 5/2/2021 Page 3 of 5 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) Supporting National and Sub-national, Prevention and Preparedness IN00967595 ►Number of suspected COVID19 cases tested per MOH-approved protocols at the 5 designated laboratories equipped to conduct COVID-19 diagnosis (number). (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 572.00 0.00 572.00 60,000.00 Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 Implementation Management and Monitoring and Evaluation IN00967596 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No -- Yes Yes Date 07-Apr-2020 05-Aug-2020 01-Apr-2021 30-Jun-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173927 IBRD-91240 Effective USD 9.00 9.00 0.00 8.53 0.85 91% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173927 IBRD-91240 Effective 15-May-2020 20-May-2020 27-May-2020 30-Jun-2022 30-Jun-2022 Cumulative Disbursements 5/2/2021 Page 4 of 5 The World Bank Implementation Status & Results Report GABON COVID-19 Strategic Preparedness and Response Project (SPRP) (P173927) 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) P176464-Gabon COVID-19 Additional Financing 5/2/2021 Page 5 of 5