The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) AFRICA | Western Africa | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2017 | Seq No: 7 | ARCHIVED on 23-Jun-2020 | ISR41865 | Implementing Agencies: Federal Republic of Nigeria, Republic of Togo, Republic of Liberia, West African Health Organization (WAHO), Republic of Guinea Bissau, MINISTRY OF PUBLIC HEALTH (MINSAP) OF GUINEA BISSAU, MINISTRY OF HEALTH (MOH) OF LIBERIA, NIGERIA CENTER FOR DISEASE CONTROL (NCDC), MINISTRY OF HEALTH (MOH) OF TOGO Key Dates Key Project Dates Bank Approval Date: 02-Mar-2017 Effectiveness Date: 27-Jul-2017 Planned Mid Term Review Date: 16-Mar-2021 Actual Mid-Term Review Date: Original Closing Date: Revised Closing Date: 31-Aug-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The PDOs are : (i) to strengthen national and regional cross-sectoral capacity for collaborative disease surveillance and epidemic preparedness in West Africa, thereby addressing systemic weaknesses within the animal and human health systems that hinder effective disease surveillance and response; and (ii) in the event of an Eligible Emergency, to provide immediate and effective response to said Eligible Emergency. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Component 1: Surveillance and Information Systems:(Cost $45.33 M) Component 2: Strengthening of Laboratory Capacity:(Cost $30.89 M) Component 3: Preparedness and Emergency Response:(Cost $26.08 M) Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness:(Cost $22.64 M) Component 5: Institutional Capacity Building, Project Management, Coordination and Advocacy:(Cost $22.06 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The REDISSE II project has been under implementation since effectiveness in August 2017. This ISR covers the period from January 1, 2020 to June 30, 2020. As of June 8, 2020, the total disbursement rate is 19.22%, varying from 16% in Nigeria, 18% in Guinea Bissau, 26% in Liberia and 29% in Togo. Certain expenditures are still pending approval, which will increase the disbursement rate. 6/23/2020 Page 1 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Generally, the project has strengthened disease surveillance and response systems in the project countries (Nigeria, Liberia, Guinea-Bissau, and Togo), and this enabled the quick responses to the COVID-19 pandemic in the REDISSE II countries. Unfortunately, with the COVID-19 pandemic, many planned activities have been placed on hold. All efforts in the countries were mobilized to respond to the pandemic. The World Bank will continue to provide regular implementation support to the project. GUINEA BISSAU: In April 2020, the government requested support to implement the COVID-19 National Contingency Plan through the REDISSE II Project. The project is currently providing support for local and international procurement of laboratory supplies and tests, protective personal equipment (PPEs), and functioning of the Health Emergency Operations Center (COES). A Memorandum of Understanding has been signed between the Government and UNDP for the international procurement of PPE and equipment. LIBERIA: Project continues to support both human and animal health activities. However, overall implementation of animal health activities has been slow due the focus on COVID -19 implementation. Human health activities have been integrated within the core support of COVID-19. Liberia was responding to two epidemics at the same time, initially Lassa fever then came COVID-19. The World Bank was able to provide support to the Lassa fever epidemic response by strengthening of the Lassa fever diagnostics, and this contributed to the strengthening of the capacity to expand the COVID-19 testing. Liberia activated the Contingent Emergency Response Component (CERC) in the amount of US$8.0 million under the REDISSE II Project, in response to the COVID-19 pandemic. The activation of the CERC was for the purpose of supporting COVID-19 responses, including procurement of non-pharmaceutical interventions, ambulances, and social distancing support for health centers. Liberia was able to support animal health training of community animal health surveillance officers under REDISSE II. The project has also supported the recruitment of national consultant in laboratory systems to support National Public Health Institute of Liberia (NPHIL) to manage its laboratory services and laboratory rehabilitation including procuring of laboratory tests, equipment and medical equipment. NIGERIA: Nigeria has also been experiencing two major epidemics at the same time - Lassa Fever and COVID-19. Nigeria was able to review and restructure its implementation plan to support strengthening of Lassa fever epidemic response which for this year recorded the highest number of cases seen. By epidemiological week 20, there were 4761 suspected cases with 1006 confirmed and 194 deaths - 19.3% case fatality rate, which is much lower than the 2019 case fatality rate of 22.4%, based on almost halve the number of cases seen in 2020. This would not have been possible if REDISSE II resources were not available. The project has been the mainstay of support for the COVID-19 response. It has produced significant resources to support Emergency Operation Centers (EOC) and National Program on Immunization interventions including direct support to the states. The REDISSE II resources have raised the level of response and made it easier to intervene in real time. The animal health sector response has also greatly increased. TOGO: At the start of the COVID-19 epidemic in Togo, the REDISSE II project quickly mobilized funds and aided the Government in its response. REDISSE II has ordered through the UN agencies, laboratory equipment and reagents, three medicalized ambulances, masks, and PPE. It is also refurbishing a few treatment centers as well as supporting all regional, and hospital personnel, 44 health districts in disease surveillance, prevention and control (case definition transmission, prevention, investigation, contact tracing.). REDISSE II has trained Rapid Response Teams in Lomé and 5 regions of the country, and provided them with materials for investigation of cases and follow-up of contacts; strengthening of screening and registration of travelers from endemic countries at targeted points of entry (Cinkasse, Noepe, Kodjovia kope, Samvi condji, PAL, Airport); and provided tents to serve as temporal isolation facilities at the points of entry where suspected cases are isolated. REDISSE II has also provided laboratory reagents and consumables to the National Institute of Hygiene and the Livestock Department as well as training of laboratory technicians. REDISSE II has further established Epidemiological Surveillance Centers (CSE) and trained field epidemiologists. REDISSE II’s total investment to the COVID-19 response plan is estimated at around US$9 million. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Substantial High Sector Strategies and Policies Moderate Moderate High Technical Design of Project or Program Substantial Substantial Substantial 6/23/2020 Page 2 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Institutional Capacity for Implementation and High High High Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Moderate Low Low Stakeholders Substantial Substantial Substantial Other -- -- -- Overall Substantial Substantial Substantial Results PDO Indicators by Objectives / Outcomes To strenghen national and regional cross-sectoral capacity for collaborative disease surveillance IN00845758 ►Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845760 ►Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845832 ►Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number of countries that achieve a JEE score of 3 or higher) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845834 ►Progress on cross-border collaboration and exchange of information across countries (Number of countries that achieve a score of 4 or higher) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845836 6/23/2020 Page 3 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►Progress towards establishing an active, functional regional One Health platform (Number based on 5 point Likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845837 ►LIBERIA - Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845838 ►LIBERIA - Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845839 ►LIBERIA - Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845840 ►LIBERIA - Progress on cross-border collaboration and exchange of information across countries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845841 ►NIGERIA - Progress towards establishing an active, functional One Health Network (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845842 ►NIGERIA - Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number, Custom) 6/23/2020 Page 4 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845843 ►NIGERIA - Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845844 ►NIGERIA - Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845845 ►NIGERIA - Progress on cross-border collaboration and exchange of information across countries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845846 ►GUINEA BISSAU - Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845847 ►GUINEA BISSAU - Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845848 6/23/2020 Page 5 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►GUINEA BISSAU - Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845849 ►GUINEA BISSAU - Progress on cross-border collaboration and exchange of information across countries (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845850 ►TOGO - Laboratory testing capacity for detection of priority diseases (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 4.00 4.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845851 ►TOGO - Progress in establishing indicator and event-based surveillance systems (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845852 ►TOGO - Availability of human resources to implement IHR core capacity requirements (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845853 ►TOGO - Progress on cross-border collaboration and exchange of information across countries (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 6/23/2020 Page 6 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) In the event of an Eligible Emergency, to provide immediate and effective response to said Emergency IN00845757 ►Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number of countries that achieve a JEE score of 4 or higher) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845759 ►LIBERIA - Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845831 ►NIGERIA - Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845833 ►GUINEA BISSAU - Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Score was reviewed after the JEE 2019 was done. Comments: IN00845835 ►TOGO - Multi-hazard national public health emergency preparedness and response plan is developed and implemented (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Intermediate Results Indicators by Components Component 1: Surveillance and Information Systems IN00845856 6/23/2020 Page 7 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►Interoperable, interconnected, electronic real-time reporting system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845861 ►Surveillance Systems in place for priority zoonotic diseases/pathogens: number of countries that achieve a JEE score of 3 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845865 ►Systems for efficient reporting to WHO, OIE/FAO: number of countries that achieve a JEE score of 5 (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845870 ►LIBERIA - Interoperable, interconnected, electronic real-time reporting system (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845875 ►LIBERIA - Surveillance Systems in place for priority zoonotic diseases/pathogens (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845882 ►LIBERIA - Systems for Efficient reporting to WHO, OIE/FAO (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845886 ►NIGERIA - Interoperable, interconnected, electronic real-time reporting system (national capacity scores) (Number, Custom) 6/23/2020 Page 8 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845888 ►NIGERIA - Surveillance Systems in place for priority zoonotic diseases/pathogens (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845890 ►NIGERIA - Systems for Efficient reporting to WHO, OIE/FAO (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 5.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845893 ►GUINEA BISSAU - Interoperable, interconnected, electronic real-time reporting system (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845896 ►GUINEA BISSAU - Surveillance Systems in place for priority zoonotic diseases/pathogens (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845901 ►GUINEA BISSAU - Systems for efficient reporting to WHO, OIE/FAO (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845903 ►TOGO - Interoperable, interconnected, electronic real-time reporting system (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/23/2020 Page 9 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845906 ►TOGO - Surveillance Systems in place for priority zoonotic diseases/pathogens (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845909 ►TOGO - Systems for Efficient reporting to WHO, OIE/FAO (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Component 2: Strengthening of Laboratory Capacity IN00845858 ►Laboratory systems quality: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845863 ►Specimen referral and transport system: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845868 ►Turnaround time from date of specimen collection to date of results returned for priority diseases: number of countrieswith a turnaround time of 3 days or less (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845873 ►LIBERIA - Laboratory systems quality (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 6/23/2020 Page 10 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Value 1.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845876 ►LIBERIA - Specimen referral and transport system (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845880 ►LIBERIA - Turnaround time from date of specimen collection to date of results returned for priority diseases (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845884 ►NIGERIA - Laboratory systems quality (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845889 ►NIGERIA - Specimen referral and transport system (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845891 ►NIGERIA - Turnaround time from date of specimen collection to date of results returned for priority diseases (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 5.00 5.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845894 ►GUINEA BISSAU - Laboratory systems quality (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 6/23/2020 Page 11 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845897 ►GUINEA BISSAU - Specimen referral and transport system (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845899 ►GUINEA BISSAU - Turnaround time from date of specimen collection to date of results returned for priority diseases (Days) (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 5.00 5.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845904 ►TOGO - Laboratory systems quality (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845907 ►TOGO - Specimen referral and transport system (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 1.00 1.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845910 ►TOGO - Turnaround time from date of specimen collection to date of results returned for priority diseases (Days, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 5.00 5.00 5.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Component 3: Preparedness and Emergency Response IN00845857 ►Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) 6/23/2020 Page 12 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845862 ►Regional surge capacity and stockpiling mechanisms established (capacity based on 5 point likert scale) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845867 ►LIBERIA - Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845872 ►NIGERIA - Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845874 ►GUINEA BISSAU - Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845879 ►TOGO - Mechanisms for responding to infectious zoonoses and potential zoonoses are established and functional (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Component 4: Human Resource Management for Effective Disease Surveillance and Epidemic Preparedness IN00845855 6/23/2020 Page 13 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►Workforce Strategy: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845860 ►Applied epidemiology training program in place such as FETP: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845866 ►Veterinary human health workforce: number of countries that achieve a JEE score of 4 or higher (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845871 ►LIBERIA - Workforce Strategy (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845877 ►LIBERIA - Applied epidemiology training program in place such as FETP (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 4.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845881 ►LIBERIA - Veterinary or animal health workforce (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 2.00 2.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845885 ►NIGERIA - Workforce Strategy (national capacity scores) (Number, Custom) 6/23/2020 Page 14 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845887 ►NIGERIA - Applied epidemiology training program in place such as FETP (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 4.00 4.00 4.00 5.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845892 ►NIGERIA - Veterinary human health workforce (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 3.00 3.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845895 ►GUINEA BISSAU - Workforce Strategy (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845898 ►GUINEA BISSAU - Applied epidemiology training program in place such as FETP (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 3.00 3.00 5.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845900 ►GUINEA BISSAU - Veterinary human health workforce (national capacity scores) (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 2.00 1.00 1.00 4.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 The previous score was from self-evaluation. Reviewed after the JEE 2019 was done. Comments: IN00845902 6/23/2020 Page 15 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►TOGO - Workforce Strategy (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845905 ►TOGO - Applied epidemiology training program in place such as FETP (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 3.00 3.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845908 ►TOGO - Veterinary or animal health workforce (national capacity scores) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 2.00 2.00 3.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Component 5: Institutional Capacity Building, Project Management, Coordination and Advocacy IN00845854 ►Number of policy briefings on the status of Disease Surveillance and Response in the region presented at meetings of ECOWAS Heads of State and relevant Ministers (Health, Agriculture, Finance, and Env (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 2.00 5.00 Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845859 ►Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845864 ►LIBERIA - Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845869 6/23/2020 Page 16 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) ►NIGERIA - Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845878 ►GUINEA BISSAU - Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 IN00845883 ►TOGO - Citizens and/or communities involved in planning/implementation/evaluation of development programs (Yes/No) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 28-Feb-2017 30-Sep-2019 15-Mar-2020 31-Aug-2023 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P159040 IDA-59670 Effective USD 14.00 14.00 0.00 4.41 10.70 29% P159040 IDA-59680 Effective USD 21.00 21.00 0.00 3.99 17.71 18% P159040 IDA-59690 Effective USD 15.00 15.00 0.00 4.69 10.78 30% P159040 IDA-59700 Effective USD 90.00 90.00 0.00 25.00 67.14 27% P159040 IDA-D1700 Effective USD 7.00 7.00 0.00 2.17 5.16 30% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P159040 IDA-59670 Effective 01-Mar-2017 05-Apr-2017 27-Jul-2017 31-Aug-2023 31-Aug-2023 P159040 IDA-59680 Effective 01-Mar-2017 22-May-2017 21-Sep-2017 31-Aug-2023 31-Aug-2023 6/23/2020 Page 17 of 18 The World Bank Implementation Status & Results Report Regional Disease Surveillance Systems Enhancement (REDISSE) Phase II (P159040) P159040 IDA-59690 Effective 01-Mar-2017 16-May-2017 01-Nov-2017 31-Aug-2023 31-Aug-2023 P159040 IDA-59700 Effective 01-Mar-2017 02-Nov-2017 13-Feb-2018 31-Aug-2023 31-Aug-2023 P159040 IDA-D1700 Effective 01-Mar-2017 05-Apr-2017 27-Jul-2017 31-Aug-2023 31-Aug-2023 Cumulative Disbursements PBC Disbursement Achievement Disbursed amount in Disbursement % PBC ID PBC Type Description Coc PBC Amount Status Coc for PBC Restructuring History Level 2 Approved on 13-Feb-2020 Related Project(s) There are no related projects. 6/23/2020 Page 18 of 18