The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) AFRICA WEST | Benin | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 4 | ARCHIVED on 13-Oct-2021 | ISR48367 | Implementing Agencies: Republic of Benin, National Council to Combat HIV/AIDS, Tuberculosis, Malaria and Epidemics Key Dates Key Project Dates Bank Approval Date: 27-Apr-2020 Effectiveness Date: 29-May-2020 Planned Mid Term Review Date: 15-Feb-2022 Actual Mid-Term Review Date: Original Closing Date: 30-Nov-2021 Revised Closing Date: 31-Dec-2022 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) To prevent, detect and respond to COVID-19 and strengthen national systems for public health emergency preparedness in Benin. 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 $40.51 M) Component 2: Supporting National Prevention and Preparedness Component 3: Implementation Management and Monitoring and Evaluation:(Cost $0.83 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating High High Implementation Status and Key Decisions On November 25, 2020, the Government of Benin requested additional resources to expand its COVID-19 activities. In response, the Word Bank approved a second Additional Financing (AF) to the Benin COVID-19 Preparedness and Response Project on June 28, 2021, in an amount of US$30 million. The objectives of this AF are to (1) provide upfront financing to help the Government of Benin purchase and deploy COVID-19 vaccines that meet the World Bank's Vaccine Approval Criteria, (2) strengthen health systems components that are necessary for a successful deployment; and (3) prepare for future health emergencies. It became effective on August 3, 2021 and it is too early to report on results. Progress towards achievement of the Project Development Objectives and Overall Implementation Progress are still deemed “Satisfactory.” mpaTable Multiphase Programmatic Approach (MPA) Status 10/13/2021 Page 1 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) mpaTableBody The implementation of the MPA-funded projects continues to progress well. As of September 17, 2021, 87 MPA-projects have been approved providing a total commitment of US$4.2 billion. Disbursements during the past month have increased at a rapid pace. Forty-nine (49) country projects or 56% of projects approved have reached 70-100% disbursements. The projects benefit around 3.7 billion people or 50% of the global population. Of the 87 approved projects: (i) 33 are in Africa – 12 in AFE and 21 in AFW; (ii) 12 in East Asia; (iii) 14 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. Eighty-one (81) or 93% projects are disbursing. Total disbursements as of September 17, 2021, amount to $2,901.9m or $2.9 billion or 69% of overall commitments. 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 is being guided by Bank teams working in parallel in other health related projects, including Additional Financing operations supporting vaccine procurement and deployment efforts in countries. Implementation continues to face challenges as many countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home or partially from home. Also, countries are phasing new waves of infections with the Delta variant spreading rapidly among populations. Most Bank teams continue to conduct implementation support missions virtually, which is challenging for both Bank teams and counterparts. This “virtual” world poses connectivity challenges as internet is not reliable in many countries, especially IDA countries. Notwithstanding challenges, the MPA is on track to achieving its PrDO – 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 19 months attest to the strong implementation efforts of the Bank response thanks to the commitment of counterparts supported by Bank country teams. The Additional Financing (MPA AF-V) to the COVID-19 Strategic Preparedness and Response Program utilizing the Multiphase Programmatic Approach (“Global COVID-19 MPA”) was approved by the Board on October 13, 2021. The AF-V is significantly expanding Bank support to client countries for COVID-19 vaccination, with the aim to support vaccination of 1 billion people globally. The AF-V was approved with an envelope of US$12 billion ($6 billion from IDA and $6 billion from IBRD) in financing. This financing is critical to expand affordable and equitable financing for vaccine purchase and deployment. The AF-V is expected to enable vaccination for up to 750 million people, with potential surge capacity for an additional 250 million people in the poorest countries (depending on the delivered price of approved vaccines) while scaling support to strengthen immunization delivery, with design flexibility at the country level. The AF-V is a scale-up of planned vaccination activities already anticipated and supported under the Global COVID-19 MPA and a key contribution to the WBG’s overall COVID-19 response. As of September 17, 2021, the Bank has approved 56 operations to support vaccine procurement and rollout in 54 countries amounting to $4.6 billion. The 56 AF-V operations approved, includes 3 operations that involved restructuring of parent projects (Philippines and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience Project. One other parent project is being restructured in LAC. Of the 56 approved operations: (i) 30 are in Africa – 15 in AFE and 15 in AFW; (ii) 7 in East Asia; (iii) 6 in Europe and Central Asia; (iv) 4 in Latin America and the Caribbean; (v) 4 in Middle East and North Africa; and (vi) 5 in South Asia. Twenty-two (22) projects are disbursing. Total disbursements as of September 17, 2021, under these projects amount to US$500.1 million or 11% of overall commitments. As with the MPA operations, streamlined procedures, delegated approval, coupled with flexible project design and intensified efforts across the Bank contributed to the rapid design and processing of the operations. Fifty-two (52) loan/financing agreements have already been signed. Also, forty-one (41) loan/financing agreements have become effective; several others are expected to become effective in the coming days/weeks. Implementation of the AF-V operations, as with MPA operations is facing challenges as many countries are still under different levels of lockdown or mobility restrictions and counterparts and Bank teams are operating from home. Risks 10/13/2021 Page 2 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Moderate Moderate Moderate Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Substantial Substantial Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Moderate High High Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to COVID-19 and strengthen national systems for public health emergen IN01042611 ►Designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the National Response Plan (Number) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 1.00 13.00 13.00 20.00 Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042612 ►Acute healthcare facilities with isolation capacity (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042613 ►Country adopted personal and community non-pharmaceutical interventions (schools’ closures, telework and remote meetings, reduce/cancel mass gatherings) (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042614 ►Population fully vaccinated, which is included in the priority population targets defined in the national plan (by gender). (Percentage, Custom) 10/13/2021 Page 3 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 2.10 40.00 Date 07-Jun-2021 07-Jun-2021 30-Sep-2021 30-Dec-2022 IN01042615 Women fully vaccinated among the total population fully vaccinated (Percentage, Custom Breakdown) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 35.16 50.00 Date 01-Apr-2021 31-May-2021 30-Sep-2021 30-Dec-2022 Overall Comments PDO Project Development Objectives (PDO) indicators included in the parent project Three PDO indicators were included in the parent project: 1. Number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the National Response Plan; 2. Percentage of acute healthcare facilities with isolation capacity; and 3. Country adopted personal and community non-pharmaceutical interventions (schools’ closures, telework and remote meetings, reduce/cancel mass gatherings). As of September 30, 2021, the target of all three indicators were attained. Regarding the number of designated laboratories with COVID-19 diagnostic equipment, test kits, and reagents as per the national response plan, it is worth noting that, during implementation, the Government decided to set up only 13 laboratories (one laboratory in each of the 12 regions and one mobile laboratory), instead of the 20 planned. No PDO indicators were included in the first Additional Financing (AF) PDO indicators included in the second AF Two PDO indicators were included in the second AF: 1. Percentage of population fully vaccinated, which is included in the priority population targets defined in the national plan (by gender), and 2. Percentage of women fully vaccinated among the total population fully vaccinated. As of September 30, 2021 (nearly two months after the AF effective date), all indicators were on track. Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN01042616 ►Health staff trained in infection prevention and control per MOH-approved protocols (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 1,832.00 1,832.00 300.00 Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042618 10/13/2021 Page 4 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) ►Country has prepared guidelines to care for COVID-19 patients (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042619 ►Tests per million population (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 6,733.00 27,524.00 74,493.00 12,581.00 Date 08-Sep-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 IN01042620 ►Complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 3 weeks of initial complaint being received (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 08-Sep-2020 25-Nov-2020 30-Sep-2021 30-Dec-2022 IN01042621 ►Management case centers without stock-outs of protective equipment (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 100.00 100.00 100.00 100.00 Date 18-Jan-2021 18-Jan-2021 30-Sep-2021 30-Nov-2021 IN01042622 ►Key gender-responsive messages and materials developed for public communications and advocacy, in alignment with demand plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No No Yes Date 01-Apr-2021 03-May-2021 30-Sep-2021 30-Dec-2022 IN01042623 ►Health districts with a budgeted micro-plan for COVID-19 vaccination campaign (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 100.00 Date 01-Apr-2021 03-May-2021 30-Sep-2021 31-Dec-2022 IN01042624 ►Health region with cold rooms fully equipped (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 41.70 80.00 Date 01-Apr-2021 03-May-2021 30-Sep-2021 31-Dec-2022 10/13/2021 Page 5 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) IN01042625 ►AEFI cases that have been monitored as per national protocol (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 100.00 100.00 90.00 Date 01-Apr-2021 03-May-2021 30-Sep-2021 31-Dec-2022 IN01042626 ►Vaccinators trained on GBV/SEA/SH (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 95.00 Date 07-Jun-2021 07-Jun-2021 30-Sep-2021 30-Dec-2022 IN01042627 ►Beneficiaries reporting that community engagement and outreach meet their needs (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 50.00 Date 11-Jun-2021 11-Jun-2021 30-Sep-2021 31-Dec-2022 Component 3: Implementation Management and Monitoring and Evaluation IN01042617 ►M&E system established to monitor COVID-19 preparedness and response plan (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 27-Apr-2020 25-Nov-2020 30-Sep-2021 30-Nov-2021 Overall Comments IR Intermediate indicators included in the parent project and the first Additional Financing (AF) Six intermediate indicators were included in the parent project and the first AF, with November 30, 2021 as the end target date: 1. Number of health staff trained in infection prevention and control per MOH-approved protocols; 2. Country has prepared guidelines to care for COVID-19 patients; 3. Number of tests per million population; 4. Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 3 weeks of initial complaint being received; 5. Percentage of management case centers without stock-outs of protective equipment; and 6. M&E system established to monitor COVID-19 preparedness and response plan As of September 30, 2021, the target of all six indicators were attained or surpassed. Since the "Percentage of complaints to the Grievance Redress Mechanism (GRM) satisfactorily addressed within 3 weeks of initial complaint being received" was included as part of the World Bank's corporate commitment on citizen engagement, it will continue to be used until the closing date of the second AF. 10/13/2021 Page 6 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Intermediate indicators included in the second AF Six intermediate indicators were included in the second AF: 1. Key gender-responsive messages and materials developed for public communications and advocacy, in alignment with demand plan 2. Percentage of Health districts with a budgeted micro-plan for COVID-19 vaccination campaign 3. Percentage of health region with cold rooms fully equipped 4. Percentage of AEFI cases that have been monitored as per national protocol 5. Percentage of Vaccinators trained on BGV/SEA/SH 6. Percentage of Beneficiaries reporting that community engagement and outreach meet their needs As of September 30, 2021, the target of two indicators were attained. These indicators are the following: (1) percentage of Health districts with a budgeted micro-plan for COVID-19 vaccination campaign; and (2) percentage of AEFI cases that have been monitored as per national protocol. The other four indicators are on track; their related activities are being implemented as planned in the 2021 annual operation plan. Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173839 IDA-66400 Effective USD 5.20 5.20 0.00 5.41 0.01 100% P173839 IDA-69720 Effective USD 15.00 15.00 0.00 0.00 14.54 0% P173839 IDA-D6320 Effective USD 5.20 5.20 0.00 5.35 0.04 99% P173839 IDA-D8980 Effective USD 15.00 15.00 0.00 2.54 12.29 17% P173839 TF-B4521 Closed USD 0.94 0.91 0.03 0.91 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173839 IDA-66400 Effective 27-Apr-2020 04-May-2020 29-May-2020 30-Nov-2021 30-Nov-2021 P173839 IDA-69720 Effective 28-Jun-2021 06-Jul-2021 03-Aug-2021 31-Dec-2022 31-Dec-2022 P173839 IDA-D6320 Effective 27-Apr-2020 04-May-2020 29-May-2020 30-Nov-2021 30-Nov-2021 P173839 IDA-D8980 Effective 28-Jun-2021 06-Jul-2021 03-Aug-2021 31-Dec-2022 31-Dec-2022 P173839 TF-B4521 Closed 24-Feb-2021 26-Feb-2021 26-Feb-2021 28-Feb-2021 28-Feb-2021 Cumulative Disbursements 10/13/2021 Page 7 of 8 The World Bank Implementation Status & Results Report BENIN COVID-19 PREPAREDNESS AND RESPONSE PROJECT (P173839) Restructuring History There has been no restructuring to date. Related Project(s) P175441-AF Benin COVID-19 Preparedness and Response Project ,P176557-BENIN COVID-19 VACCINES DEPLOYEMENT PROJECT ,P176562-Second Additional Financing for the COVID-19 Preparedness and Response Project 10/13/2021 Page 8 of 8