The World Bank Implementation Status & Results Report Haiti COVID-19 Response (P173811) Haiti COVID-19 Response (P173811) LATIN AMERICA AND CARIBBEAN | Haiti | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 25-Jan-2021 | ISR44730 | Implementing Agencies: Ministry of Public Health and the Population, Republic of Haiti Key Dates Key Project Dates Bank Approval Date: 02-Apr-2020 Effectiveness Date: 15-Apr-2020 Planned Mid Term Review Date: 18-Apr-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Mar-2024 Revised Closing Date: 30-Mar-2024 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Haiti. 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 $16.00 M) Component 2: Health System Strengthening:(Cost $3.00 M) Component 3: Implementation Management and Monitoring and Evaluation:(Cost $1.00 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Substantial Substantial Implementation Status and Key Decisions The Project was approved by the Board on April 2, 2020 and the Credit Agreement was declared effective on April 15th, 2020. The Project supports key portions of the Government's COVID-19 Response Plan, and significant progress has been made with implementation, with 89% of the Project's resources already disbursed and the remainder committed. Despite global shortages leading to long delays elsewhere (of several months in many cases), key items procured under the Project in Haiti such as PPEs, COVID-19 testing supplies, and oxygen therapy equipment have been delivered and are being used by health facilities and labs. The Project is progressing well towards achieving its development objective. MPA Program Development Objective MPA PDO Table 1/25/2021 Page 1 of 5 The World Bank Implementation Status & Results Report Haiti COVID-19 Response (P173811) 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 December 14, 2020, 83 MPA-projects have been approved providing a total commitment of US$4.14 billion. In addition, 12 PEF funded projects have been approved to complement the COVID response. Disbursements have continued to increase at a rapid pace. Twenty four (24) country projects or 29% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 83 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) 12 in Latin America and the Caribbean; (v) 7 in Middle East and North Africa; and (vi) 9 in South Asia. Seventy (70) projects are disbursing. Total disbursements as of December 14, 2020 under these projects amount to US$1.76 billion or 43% of overall commitments (a 7% increase in the past month). In addition, $465 million have been committed under signed contracts with UNICEF and Bank Facilitated Procurement (BFP), bringing to 53% 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 disbursements in just nine 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 Substantial Substantial Macroeconomic Substantial Substantial Substantial Sector Strategies and Policies Substantial Substantial Moderate Technical Design of Project or Program Substantial Substantial Moderate Institutional Capacity for Implementation and Substantial Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Low Other Moderate -- -- Overall High Substantial Substantial Results PDO Indicators by Objectives / Outcomes 1/25/2021 Page 2 of 5 The World Bank Implementation Status & Results Report Haiti COVID-19 Response (P173811) Emergency COVID-19 Response IN00930225 ►Percentage of suspected cases of COVID-19 cases reported and investigated based on national guidelines (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 96.36 100.00 90.00 Date 15-Apr-2020 28-Jun-2020 12-Dec-2020 31-Mar-2024 For the period 1 Oct - 12 dec, 9,719 suspected cases of COVID were notified (COVID-19 daily Comments: epidemiological bulletin, MSPP). IN00930242 ►Country has activated their public health Emergency Operations Centre or a coordination mechanism for COVID-19 (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 11.00 11.00 11.00 Date 01-Mar-2020 30-Jun-2020 12-Dec-2020 31-May-2023 Health System Strengthening IN00930241 ►Number of designated laboratories with diagnostic equipment, test kits, and reagents for diseases with mandatory immediate notification per MSPP norms (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 2.00 12.00 3.00 Date 01-Mar-2020 25-Jun-2020 12-Dec-2020 31-Mar-2024 As of Dec 12th, 12 laboratories supported by the project with supplies and training can perform COVID-19 Comments: testing. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN00930243 ►Number of health staff trained in infection prevention and control per MSPP-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,396.00 1,830.00 10,000.00 Date 01-Mar-2020 21-Jun-2020 31-Dec-2020 31-May-2023 The December value only includes MSPP staff trained through PAHO. Total number of health Comments: workers trained across all MSPP directorates and departments will be updated during the next ISR. 1/25/2021 Page 3 of 5 The World Bank Implementation Status & Results Report Haiti COVID-19 Response (P173811) IN00930245 ►Number of individuals reached with tailored information (e.g., individuals and decision makers in different sectors — travel and tourism, food and agriculture, healthcare workers and businesses . . .) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 8,000,000.00 Date 01-Mar-2020 01-Mar-2020 01-Mar-2020 31-Mar-2024 Communication activities have initiated recently and data is not yet available. This indicator will be Comments: reported in the next ISR. Component 2: Health System Strengthening IN00930244 ►Percentage of specimens of diseases with mandatory immediate notification submitted for laboratory testing confirmed within WHO standard time at reference laboratories supported by the project (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 35.63 35.63 35.63 60.00 Date 01-Mar-2020 01-Mar-2020 01-Mar-2020 31-Mar-2024 This indicator will be reported in the next reporting period as data was not immediately available. Comments: Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173811 IDA-D6010 Effective USD 20.00 20.00 0.00 17.93 2.14 89% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173811 IDA-D6010 Effective 02-Apr-2020 03-Apr-2020 15-Apr-2020 30-Mar-2024 30-Mar-2024 Cumulative Disbursements 1/25/2021 Page 4 of 5 The World Bank Implementation Status & Results Report Haiti COVID-19 Response (P173811) 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) There are no related projects. 1/25/2021 Page 5 of 5