The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) KOSOVO EMERGENCY COVID-19 PROJECT (P173819) EUROPE AND CENTRAL ASIA | Kosovo | IBRD/IDA | Investment Project Financing (IPF) | FY 2020 | Seq No: 9 | Archived on 10-Feb-2025 | ISR02983 Implementing Agencies: Ministry of Finance, Labor and Transfers, Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 20-May-2020) The project development objective is to prevent, detect, and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Kosovo Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Component 1: Emergency COVID-19 response:(Cost 35,600,000.00) Component 2: Supporting households to comply with public health containment measures:(Cost 31,400,000.00) Component 3: Project management, communications, and community engagement:(Cost 1,200,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Satisfactory Overall Risk Rating Moderate Moderate 4. KEY ISSUES & STATUS Feb 10, 2025 Page 1 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) 4.1 Implementation Status and Key Decisions The Project was approved on May 20, 2020 and became effective on September 3, 2020. An Additional Financing was approved on June 24, 2021 and became effective on November 9, 2021. Progress towards the achievement of development objective is rated as Satisfactory as is the overall implementation progress. All project activities have been completed and contributed to preparation of the country for public health prepardness and response as well as strengthening the overall healthcare system for public health response. Loan proceeds are fully disbursed. 4.2 MPA Program Development Objective Original MPA Program Development Objective (Approved as part of (Seq. ) package on ) Current MPA Program Development Objective (Approved as part of (Seq. ) package on ) 4.3 Multiphase Programmatic Approach (MPA) Status (Public Disclosure) 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 08 - 11 Jan Proposed Rating 20 May 2020 2024 Political and Governance High Moderate Moderate Macroeconomic Substantial Moderate Moderate Sector Strategies and Policies Moderate Substantial Substantial Technical Design of Project or Program Moderate Moderate Moderate Institutional Capacity for Implementation and Moderate Moderate Moderate Sustainability Fiduciary High Moderate Moderate Environment and Social Substantial Substantial Substantial Feb 10, 2025 Page 2 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) Stakeholders Moderate Moderate Moderate Other  Moderate Moderate Overall Substantial Moderate Moderate Feb 10, 2025 Page 3 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes To prevent, detect, and respond to the threat posed by COVID-19 and strengthen national systems Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of suspected cases 6,351.00 Apr/2020 1,992,715.00 11-Dec-2023 1,992,715.00 11-Dec-2023 356,000.00 Jun/2023 of COVID19 reported and Comments on Target overachieved investigated per approved achieving targets protocol (Number) Number of diagnosed cases 80.00 Apr/2020 270,733.00 11-Dec-2023 270,733.00 11-Dec-2023 14,000.00 Jun/2023 treated per approved Comments on Target overachieved protocol (Number) achieving targets Number of beneficiaries 98,096.00 Apr/2020 310,126.00 11-Dec-2023 310,126.00 11-Dec-2023 234,192.00 Jun/2023 receiving financial support to Comments on Target overachieved enable social distancing achieving targets (Number) Percentage of population 0.00 Apr/2021 46.30 11-Dec-2023 46.30 11-Dec-2023 40.00 Jun/2023 vaccinated, which is included Comments on Target overachieved in the priority population achieving targets targets defined in the national plan (disaggregated by gender) (Percentage) 6.2 Intermediate Results Indicators by Components Feb 10, 2025 Page 4 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) Component 1: Emergency COVID-19 response Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of designated 0.00 Apr/2020 6.00 11-Dec-2023 6.00 11-Dec-2023 6.00 Jun/2023 laboratories with COVID-19 Comments on Target achieved. diagnostic equipment, achieving targets consumables, and reagents per MoH guidelines (Number) Number of medical staff in 0.00 Apr/2020 28.00 11-Dec-2023 28.00 11-Dec-2023 28.00 Jun/2023 public health laboratories, Comments on Target achieved trained to undertake contact achieving targets tracing (Number) Number of healthcare 0.00 Apr/2020 978.00 11-Dec-2023 978.00 11-Dec-2023 800.00 Jun/2023 workers trained on Comments on Target overachieved. appropriate use of PPE, achieving targets disease surveillance and prevention of the spread of respiratory infections within healthcare facilities (Number) No Apr/2020 Yes 11-Dec-2023 Yes 11-Dec-2023 Yes Jun/2023 Upgraded infrastructure in Comments on Target achieved. Refers to the application of infrastructure plan to expand and/or install the designated health facilities achieving targets oxygen system in selected regional hospitals. All works have been completed. completed (Text) Number of ICU beds 0.00 Apr/2020 70.00 11-Dec-2023 70.00 11-Dec-2023 60.00 Jun/2023 equipped and functional in Comments on Target overachieved. the Infectious Disease Clinic achieving targets (Number) Feb 10, 2025 Page 5 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) 0.00 Apr/2020 338.00 11-Dec-2023 338.00 11-Dec-2023 400.00 Jun/2023 Number of volunteer Comments on The improvement in the COVID-19 situation shortly after the Project's effectiveness resulted healthcare staff covered with achieving targets in a decrease in surge staffing needs. Specifically, only 338 support staff were hired and paid salaries for at least 3 months over three months (out of a total of 400 planned). No additional support needs were (Number) foreseen before the closing date and the indicator will remains as partially achieved. Number of Primary 0.00 Apr/2021 31.00 11-Dec-2023 31.00 11-Dec-2023 28.00 Jun/2023 Healthcare Centers (PHCs) Comments on Target achieved. equipped with essential achieving targets drugs (Number) Percentage of trained PHC 0.00 Apr/2021 26.90 11-Dec-2023 26.90 11-Dec-2023 20.00 Apr/2024 healthcare workers with the Comments on Target overachieved. knowledge to recognize and achieving targets refer GBV victims during the pandemic (Percentage) Number of Primary 0.00 Aug/2022 22.00 11-Dec-2023 22.00 11-Dec-2023 15.00 Jun/2023 Healthcare Centers (PHCs) Comments on Target overachieved. receiving vehicles for achieving targets outreach (Number) Component 2: Supporting households to comply with public health containment measures Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Not adopted Apr/2020 Adopted 11-Dec-2023 Adopted 11-Dec-2023 SAS Jun/2023 beneficiaries Adoption of Government continue to be Decision to waive SAS paid during exclusion criteria (Text) public health emergency Feb 10, 2025 Page 6 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) Comments on Achieved. This indicator measures the formalization of the Government's intent to waive the achieving targets reapplication process for SAS beneficiaries during the COVID-19 pandemic and then its application for the duration of the public health emergency. Component 3: Project management, communications, and community engagement Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Beneficiaries reporting 0.00 Apr/2020 0.00 11-Dec-2023 52.00 11-Dec-2023 70.00 Apr/2024 satisfaction with Comments on Implementation of the assessment of the emergency cash transfer support provided through Government’s response to achieving targets the SAS in response to COVID-19 has been completed. The assessment found out that 52 COVID-19 through its health percent (out of 70 percent targeted) of beneficiaries were satisfied with the Government’s system and SAS response to COVID-19 through SAS. This indicator will remains as partially achieved. (Percentage) 0.00 Apr/2021 0.00 11-Dec-2023 0.00 11-Dec-2023 50.00 Apr/2024 Comments on After canceling the recruitment of a firm to conduct public awareness and communication The number of communities achieving targets activities, it was necessary to hire additional communications staff (a communication engaged in participatory specialist, a communication assistant, and a public relations specialist) for the needs of the testing of the information division for public communication at the Ministry of Health (MoH). All the three consultants products for COVID-19 were hired as of October 1, 2023. However, the target for this indicator has not been vaccines (Number) achieved given the MoH is no longer producing information on COVID-19 vaccines and the funds for hiring the firm were reallocated prioritizing strengthening internal capacities for communication activities at the MoH. Feb 10, 2025 Page 7 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IDA-69630 Closed 18.20 15.44 0.00 16.37 0.00 99.59% IDA-66780 Closed 50.00 49.94 0.00 55.01 0.00 100.00 % 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IDA-66780 Closed 20-May-2020 29-Jun-2020 03-Sep-2020 30-Jun-2022 31-Dec-2023 Feb 10, 2025 Page 8 of 9 The World Bank Implementation Status & Results Report KOSOVO EMERGENCY COVID-19 PROJECT (P173819) IDA-69630 Closed 24-Jun-2021 23-Jul-2021 09-Nov-2021 30-Jun-2023 31-May-2024 8. KEY DATES Key Events Planned Actual Approval 22-May-2020 20-May-2020 Effectiveness 15-Sep-2020 03-Sep-2020 Mid-Term Review No. 01 28-Mar-2022 28-Mar-2022 Operation Closing/Cancellation 31-May-2024 31-May-2024 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 07-Sep-2022 Restructuring Level 2 Approved on 28-Oct-2021 Restructuring Level 2 Approved on 24-Nov-2023 Restructuring Level 2 Approved on 27-Mar-2023 Restructuring Level 2 Approved on 24-Apr-2024 10. ASSOCIATED OPERATION(S) There are no associated operations Feb 10, 2025 Page 9 of 9