The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) AFRICA WEST | Cote d'Ivoire | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 2 | ARCHIVED on 25-Jun-2021 | ISR46884 | Implementing Agencies: Government of Côte d'Ivoire, Ministere de la Sante et de l'Hygiene Publique (MSHP) Key Dates Key Project Dates Bank Approval Date: 02-May-2020 Effectiveness Date: 21-May-2020 Planned Mid Term Review Date: -- Actual Mid-Term Review Date: Original Closing Date: 31-May-2021 Revised Closing Date: 30-Jun-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 national systems for public health preparedness in Cote d'Ivoire. 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 $122.50 M) Component 2: Health Communication and Community Engagement:(Cost $6.90 M) Component 3: Project implementation management and monitoring and evaluation:(Cost $5.60 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 To support the Government procure and deploy COVID-19 vaccines, a US$100 Million Additional Financing credit was prepared. It was approved on April 16, 2021, signed on April 21, 2021 and became effective on May 28, 2021 and the new closing date of the project is June 30, 2021. The results framework has also been updated to account for the additional financing. The project performance remains Satisfactory and on track to meet the Project Development Objections MPA Program Development Objective MPA PDO Table 6/25/2021 Page 1 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) 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 May 17, 2021, 86 MPA-projects have been approved providing a total commitment of US$4.20 billion. Disbursements during the past month have increased at a rapid pace. Thirty nine (39) country projects or 45% 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 six (76) projects are disbursing. Total disbursements as of May 17, 2021 under these projects amount to US$2.34 billion or 55% 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 and vaccination efforts in countries. 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 since internet is not reliable in many countries, especially 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 twelve months attest to the strong implementation efforts of the Bank response thanks to the commitment of counterparts supported by Bank country teams. Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Low Low Sector Strategies and Policies Moderate Moderate Moderate Technical Design of Project or Program Moderate High High Institutional Capacity for Implementation and Moderate Substantial Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Low Moderate Moderate Other -- -- -- Overall Substantial High High Results 6/25/2021 Page 2 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) PDO Indicators by Objectives / Outcomes Strengthen national public health preparedness capacity to prevent, detect and respond to COVID-19 IN00998015 ►Number of suspected cases of COVID-19 reported and investigated based on national guidelines (dissagregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 153,225.00 513,302.00 1,017,531.00 Date 04-May-2020 14-Sep-2020 21-May-2021 30-Jun-2022 Cumulative number of suspected COVID-19 suspected cases that are reported and investigated based on Comments: national guidelines, disaggregated by gender IN00998016 ►Number of suspected COVID-19 patients who test positive (disaggregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 19,349.00 45,798.00 78,654.00 Date 04-May-2020 14-Sep-2020 21-May-2021 30-Jun-2022 Comments: Cumulative number of COVID-19 cases who test positive IN00998017 ►Number of severe cases of COVID-19 treated (disaggregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 706.00 1,388.00 15,731.00 Date 04-May-2020 31-Jul-2020 31-May-2021 30-Jun-2022 Comments: Cumulative number of severe COVID-19 cases treated IN00998018 ►Proportion of deaths among confirmed COVID-19 cases (dissagregated by sex) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.58 0.50 0.49 1.00 Date 01-May-2020 14-Sep-2020 21-May-2021 30-Jun-2022 Comments: Cumulative number of deaths among patients with confirmed COVID-19 status IN00998019 ►Percentage of the target population vaccinated against COVID-19 vaccine (disaggregated by sex) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.29 70.00 6/25/2021 Page 3 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 IN00998020 ►Percentage of priority population vaccinated, based on the targets defined in the National Plan (disaggregated by priority group and sex) (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.64 70.00 Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 IN00998021 ►Percentage of the population covered by the communication, consultantion, social and community mobilization interventions (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 Intermediate Results Indicators by Components Component 1: Emergency COVID-19 Response IN00998022 ►Number of healthcare workers trained by project on COVID-19 infection, prevention and control (IPC), preparedness and response (dissagregated by sex) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 282.00 825.00 1,378.00 15,000.00 Date 01-May-2020 14-Sep-2020 31-May-2021 30-Jun-2022 Cumulative number of POE staff, contact tracers and front line health care workers trained by the project Comments: on CoVid19 preparedness and response IN00998025 ►Number of structures (health facility, isolation centers, and cold chain) renovated and/or equipped (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 3.00 4.00 15.00 45.00 Date 01-May-2020 14-Sep-2020 21-May-2021 30-Jun-2022 Comments: Cumulative number of treatment and isolation centers renovated and/or equipped IN00998028 ►Total number of AEFIs notified (disagregated as severe or non-severe) (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 581.00 1,624,402.00 6/25/2021 Page 4 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 May 21, 2021: Severe AEFI = 2; non-severe AEFI = 579 Comments: IN00998031 ►Proportion of health districts with a budgeted micro-plan for COVID-19 vaccination campaign, according to the evolution of different phases of the campaign (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 Component 2: Community Engagement and risk communication IN00998023 ►Number of local radio stations communicating awareness campaigns about COVID-19 and the COVID-19 vaccination campaign (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 117.00 117.00 Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 IN00998026 ►Proportion of planned communication interventions implemented (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 14.29 80.00 Date 15-Mar-2021 31-Mar-2021 31-May-2021 30-Jun-2022 IN00998029 ►Proportion of health districts covered by communication activities (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 100.00 100.00 Date 15-Mar-2021 15-Mar-2021 15-Mar-2021 30-Jun-2022 Component 3: Project management and monitoring and evaluation IN00998024 ►Proportion of vaccination sites that transmit their data via DHIS2 (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 100.00 Date 15-Mar-2021 15-Mar-2021 21-May-2021 30-Jun-2022 IN00998027 6/25/2021 Page 5 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) ►Vaccinators trained on SEA/SH (Number, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 13,000.00 Date 15-Mar-2021 15-Mar-2021 15-Mar-2021 30-Jun-2022 IN00998030 ►Percentage of complaints managed according to project GRM protocol (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 80.00 Date 15-Mar-2021 15-Mar-2021 15-Mar-2021 30-Jun-2022 IN00998032 ►Proportion of health districts with committees for the management of complaints (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 0.00 0.00 70.00 Date 15-Mar-2021 15-Mar-2021 15-Mar-2021 30-Jun-2022 Performance-Based Conditions Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173813 IDA-66520 Effective USD 35.00 35.00 0.00 32.63 5.67 85% P173813 IDA-68690 Effective USD 100.00 100.00 0.00 0.00 100.56 0% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173813 IDA-66520 Effective 02-May-2020 05-May-2020 21-May-2020 31-May-2021 30-Jun-2022 P173813 IDA-68690 Effective 16-Apr-2021 21-Apr-2021 28-May-2021 30-Jun-2022 30-Jun-2022 Cumulative Disbursements 6/25/2021 Page 6 of 7 The World Bank Implementation Status & Results Report Cote d'Ivoire COVID-19 Strategic Preparedness and Response Project (SPRP) (P173813) 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) P176257-Côte d’Ivoire COVID-19 Strategic Preparedness and Response Project Additional Financing on Vaccines 6/25/2021 Page 7 of 7