The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) El Salvador COVID-19 Emergency Response Project (P173872) LATIN AMERICA AND CARIBBEAN | El Salvador | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 28-Jan-2021 | ISR44734 | Implementing Agencies: Ministry of Health, Republic of El Salvador Key Dates Key Project Dates Bank Approval Date: 17-Apr-2020 Effectiveness Date: 26-Aug-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 29-Jul-2022 Revised Closing Date: 29-Jul-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To respond to and mitigate the threat posed by COVID-19 and strengthen the national system for public health preparedness in El Salvador. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Emergency COVID-19 response to prevention, detection and treatment :(Cost $19000000.00 M) Component 2. Project Management and Monitoring:(Cost $1000000.00 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 Substantial Implementation Status and Key Decisions The El Salvador COVID-19 Emergency Response Project was approved by the World Bank Board of Executive Directors on April 17, 2020 with the objective of responding to and mitigating the threat posed by COVID-19 and strengthening the national system for public health in the country. This Project is part of a World Bank Multi-Phase Programmatic Approach to support countries affected by the COVID-19 pandemic. The Loan Agreement was signed by the Government of el Salvador on June 4th, 2020 and the Project was declared effective on August 26, 2020. MPA Program Development Objective MPA PDO Table 1/28/2021 Page 1 of 5 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) 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 Sustained efforts continue to be made to advance the implementation of the MPA-funded projects. As of November 15, 2020, 81 MPA-projects have been approved providing a total commitment of US$4.1 billion. In addition, 10 PEF funded projects have been approved to complement the COVID response. Disbursements have continued to increase at a rapid pace; some country projects have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 81 approved projects: (i) 32 are in Africa – 11 in AFE and 21 in AFW; (ii) 11 in East Asia; (iii) 12 in Europe and Central Asia; (iv) 10 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Sixty seven (67) projects are disbursing. Total disbursements as of November 15, 2020 under these projects amount to US$1.48 billion or 36% of overall commitment. In addition, $473.2 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 47% actual disbursements and committed amounts. Streamlined procedures, delegated approval coupled with flexible project design and intensified efforts across the Bank have contributed to the progress. Implementation faces significant challenges as some countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. This creates connectivity challenges. 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 disbursement in just over seven months attest to the strong implementation of the Bank response thanks to the commitment of counterparts supported by country teams. However, the capacity of teams is being stretched to meet delivery demands and provide enhanced implementation support to clients. This may not be sustainable in the long term. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial Substantial 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 Substantial Environment and Social Substantial Substantial Substantial Stakeholders Low Low Low Other Substantial Substantial Substantial Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes 1/28/2021 Page 2 of 5 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) To respond to and mitigate the threat posed by COVID-19 and strengthen national system IN00930240 ►Confirmed cases of COVID-19 reported and investigated based on national guidelines. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 137.00 137.00 137.00 0.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 30-Jun-2022 Comments: Number of confirmed cases of COVID-19 reported and investigated based on national guidelines. IN00930336 ►ICU beds in prioritized ICUs that are fully equipped and operational in the COVID-19 network health care facilities. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 30-Jun-2022 An ICU unit will be considered fully equipped and operational if two conditions are satisfied: (i) all individual beds in the ICU unit have the necessary equipment (beds with electronic control, patient monitor, respiratory ventilation unit); and (ii) ICU unit (comprising of multiple beds) has all necessary Comments: shared equipment (ultrasound machine, vital signs monitor, intubation equipment). Numerator: Number of prioritized ICU units in the COVID-19 network health care facilities that satisfy conditions (i) and (ii) above. Denominator: Total number of prioritized ICU units in the COVID-19 network health care facilities. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 response to prevention, detection and treatment IN00930337 ►Public hospitals with personal protective equipment and infection control products and supplies. (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 30-Jun-2022 Numerator: Total number of hospitals that belong to the public health system and receive personal Comments: protective equipment and infection control products and supplies financed under the Project Denominator: Total number of hospitals that belong to the public health system. IN00930338 ►Public health campaign audiovisual materials, education activities prepared and delivered to the population. (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 30.00 Date 02-Apr-2020 02-Apr-2020 02-Apr-2020 30-Jun-2022 1/28/2021 Page 3 of 5 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) As part of the national communication strategy, the Health Education Unit of the National Heatlh Services Comments: Directorate will design, prepared and deliver audiovisual materials (videos, pamphlets, etc.) and education activities to improve population awareness about COVID-19. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173872 IBRD-91000 Effective USD 20.00 20.00 0.00 0.05 19.95 0.3% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173872 IBRD-91000 Effective 17-Apr-2020 04-Jun-2020 26-Aug-2020 29-Jul-2022 29-Jul-2022 Cumulative Disbursements 1/28/2021 Page 4 of 5 The World Bank Implementation Status & Results Report El Salvador COVID-19 Emergency Response Project (P173872) 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) P176033-AF El Salvador COVID-19 Emergency Response 1/28/2021 Page 5 of 5