The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) Republic of Congo COVID-19 Emergency Response Project (P173851) AFRICA WEST | Congo, Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 06-May-2021 | ISR46175 | Implementing Agencies: Ministry of Health, Population, Promotion of Women and Integration of Women in Development, Republic of Congo Key Dates Key Project Dates Bank Approval Date: 20-Apr-2020 Effectiveness Date: 26-May-2020 Planned Mid Term Review Date: 11-Oct-2021 Actual Mid-Term Review Date: Original Closing Date: 30-Apr-2022 Revised Closing Date: 30-Apr-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect, and respond to the threat posed by COVID-19 and strengthen the national system for public health preparedness in the Republic of Congo. Has the Project Development Objective been changed since Board Approval of the Project Objective? No Components Table Name Emergency COVID-19 Response and Health System Strengthening:(Cost $9.11 M) Communication Campaign, Community Engagement, and Behavior Change:(Cost $1.50 M) Implementation Management and M&E:(Cost $0.70 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Moderate Implementation Status and Key Decisions This US$ 11.31 million Emergency Response Project was approved on 20 April 2020, signed on 24 April 2020, and became effective on 26 May 2020. The project is supporting the implementation of the Republic of Congo Integrated COVID-19 National Response Plan, including prevention of new COVID-19 cases, epidemiological surveillance, early detection, case confirmation, contact tracing, and behavior change communication. At the request of the Government, the World Bank is providing Hands-on Expanded Implementation Support (HEIS) to facilitate procurement and improve project implementation. In partnership with UNICEF, key supplies and equipment has been procured, including Personal Protective Equipment (PPE), diagnostic tests, laboratory equipment and reagents, as well as other medical supplies. Key instruments for social and environmental safeguards have been prepared and disclosed, and a Grievance Redress Mechanism (GRM) has been established. 5/6/2021 Page 1 of 6 The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) MPA Program Development Objective MPA PDO Table 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 High High Substantial Macroeconomic Substantial Substantial Moderate Sector Strategies and Policies Substantial Substantial Moderate Technical Design of Project or Program Substantial Substantial Moderate Institutional Capacity for Implementation and Substantial High Moderate Sustainability Fiduciary High High Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other -- -- -- Overall Substantial Substantial Moderate 5/6/2021 Page 2 of 6 The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) Results PDO Indicators by Objectives / Outcomes Percentage of suspected cases of COVID-19 reported and investigated based on national guidelines IN00976555 ►Percentage of suspected cases of COVID-19 reported and investigated based on national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 10.00 63.17 80.00 Date 13-Apr-2020 13-Jul-2020 16-Mar-2021 29-Apr-2022 Number of acute healthcare facilities with isolation capacity IN00976572 ►Number of acute healthcare facilities with isolation capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 3.00 6.00 4.00 Date 20-Apr-2020 13-Jul-2020 16-Mar-2021 29-Apr-2022 Country specific risk communication and community engagement strategy developed and disseminated IN00976573 ►Country specific risk communication and community engagement strategy developed and disseminated (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2.00 1.00 Date 13-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 Intermediate Results Indicators by Components Emergency COVID-19 Response and Health System Strengthening IN00976574 ►Number of health staff trained in infection prevention and control per MOH-approved protocols; (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 120.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 5/6/2021 Page 3 of 6 The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) IN00976577 ►Country has prepared a referral system to care for COVID-19 patients (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 1.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 IN00976579 ►Number of acute healthcare facilities with triage capacity (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 4.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 IN00976581 ►At least one multi- sectoral simulation exercise conducted with results incorporated into national COVID-19 preparedness and response plans (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 1.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 IN00976582 ►Number of designated laboratories with staff trained to conduct COVID-19 diagnosis (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 1.00 1.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 Communication Campaign, Community Engagement, and Behavior Change IN00976575 ►Number of communication campaigns about COVID-19 broadcasted to communities per day (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 3.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 Implementation Management and M&E IN00976576 ►M&E system established to monitor COVID-19 preparedness and response plan (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target 5/6/2021 Page 4 of 6 The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) Value 0.00 0.00 0.00 1.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 IN00976578 ►Number of COVID-19 Response M&E reports prepared by the Technical Committee (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 24.00 Date 20-Apr-2020 13-Jul-2020 01-Apr-2021 29-Apr-2022 IN00976580 ►Percentage of grievances received and addressed through the GRM sequential process (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 90.00 Date 18-Sep-2020 18-Sep-2020 18-Sep-2020 29-Apr-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173851 IDA-66340 Effective USD 11.31 11.31 0.00 9.16 3.10 75% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173851 IDA-66340 Effective 20-Apr-2020 24-Apr-2020 26-May-2020 30-Apr-2022 30-Apr-2022 Cumulative Disbursements 5/6/2021 Page 5 of 6 The World Bank Implementation Status & Results Report Republic of Congo COVID-19 Emergency Response Project (P173851) 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) P175805-Republic of Congo COVID-19 Emergency Response Project - Additional Financing 5/6/2021 Page 6 of 6