The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Angola COVID-19 Strategic Preparedness And Response Project (P176630) EASTERN AND SOUTHERN AFRICA | Angola | IBRD/IDA | Investment Project Financing (IPF) | FY 2022 | Seq No: 6 | Archived on 24-Jun-2024 | ISR00489 Implementing Agencies: Angola Ministry of Health 1. OBJECTIVE 1.1 Development Objective Original Development Objective (Approved as part of Approval package on 28-Jul-2021) The Project Development Objective (PDO) is to prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness in Angola. Has the Development Objective been changed since Board Approval of the Project Objective? No 2. COMPONENTS Name Support to the COVID-19 response:(Cost 10,000,000.00) COVID-19 Immunization:(Cost 130,000,000.00) Community engagement and risk communication for demand creation:(Cost 3,000,000.00) Project Implementation and monitoring:(Cost 7,000,000.00) 3. OVERALL RATINGS Name Previous Current Progress towards achievement of PDO Satisfactory Satisfactory Overall Implementation Progress (IP) Moderately Satisfactory Moderately Satisfactory Overall Risk Rating Substantial Substantial 4. KEY ISSUES & STATUS Jun 24, 2024 Page 1 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) 4.1 Implementation Status and Key Decisions The Angola COVID-19 Response and Emergency Preparedness Project was approved on July 29, 2021. Since becoming effective, the project’s implementation pace has been satisfactory, yielding strong results on the ground. The project has successfully supported the Government of Angola in responding to the COVID-19 pandemic, particularly in vaccine deployment. Notably, with the support of the World Bank, Angola has deployed over 26 million COVID-19 vaccines, achieving 87% coverage for the first dose and 51% for the full regimen among the eligible population aged 12 and above. The project has met 13 out of 15 indicators and is on track to achieve its Project Development Objective. The Ministry of Finance has submitted a formal request, dated April 29, 2024, to extend the project closing date to December 31, 2025. This extension would allow for the strengthening of the routine immunization program and related activities. 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) Good progress is being made in the implementation of AF-V operations. As of January 15, 2024, the Bank has approved 117 operations (including MPA-V operations) to support vaccine procurement and rollout in 78 countries amounting to $8.70 billion. Four operations have been approved in the past months including: (i) Senegal AF2 operation for $15 million financed by a Grant from The Global Finance Facility (GFF) approved on June 30, 2023; (ii) a Second AF (IDA Grant of $1.50 million) approved on August 31, 2023 for Sao Tome and Principe, (iii) a Grant of $3.94 approved for Chad on July 23, 2023; and (iv) Zimbabwe AF2 operation for $15 million financed by a Grant from the GFF approved on December 7, 2023. 121 operations had been approved amounting to $10 billion, but partial cancellations have been processed in the past months under several operations. In addition, four operations were cancelled: (i) Costa Rica loan ($120 million), (ii) Peru loan ($500 million), (iii) Gabon loan ($12 million), which loan agreement lapsed, and (iv) Philippines AF2 loan of $300 million. The Afghanistan operation commitment of $113 million was reduced to $60 million. Of the 117 approved operations: (i) 67 are in Africa – 32 in AFE and 35 in AFW; (ii) 10 in East Asia and the Pacific; (iii) 11 in Europe and Central Asia; (iv) 11 in Latin America and the Caribbean; (v) 9 in Middle East and North Africa; and (vi) 9 in South Asia. The 117 operations approved, include 6 operations that involved restructuring of parent projects (Bhutan, Cameroon, North Macedonia, Philippines, and Pakistan) and in the case of Lebanon, restructuring of the Health Resilience Project. Thirty-two (32) operations are being implemented in Fragile and Conflict-affected situations. IDA represents 45 percent and IBRD 55 percent of disbursements. Total disbursements under these projects as of January 15, 2024, amount to US$6.46 billion or 74 percent of overall commitments. Disbursements under MPA-V operations are included in this total while disbursements under the six restructured projects are counted under parent projects. With less than planned demand for IDA/IBRD funds for vaccine procurement because, inter alia, over supply of vaccines from donations from Jun 24, 2024 Page 2 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) various sources, several projects have been/are being restructured and more will need to be restructured to reallocate funds or partially cancel funds allocated to procurement of COVID-19 vaccines and deployment. 5. SYSTEMATIC OPERATIONS RISK-RATING TOOL Rating at Approval Last Approved Rating Risk Category Approval Package - ISR Seq. 05 - 18 Dec Proposed Rating 29 Jul 2021 2023 Political and Governance Substantial Substantial Substantial Macroeconomic High High High Sector Strategies and Policies Substantial Substantial Substantial Technical Design of Project or Program Substantial Moderate Moderate Institutional Capacity for Implementation and High Substantial Substantial Sustainability Fiduciary High Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Substantial Substantial Substantial Overall High Substantial Substantial Jun 24, 2024 Page 3 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) 6. RESULTS 6.1 PDO Indicators by PDO Outcomes Percentage (%) of priority population vaccinated, based on the targets defined in national plan Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year 1.80 Jun/2021 51.00 30-May-2024 51.00 30-May-2024 48.00 Jul/2024 Comments on The reported coverage uses the denominator of eligible population for COVID-19 vaccine as achieving targets defined by the Angola MoH - population over 12 years old. Percentage (%) of population vaccinated, which is included in the priority population targets defined in the Of note the coverage among eligible population (18,932,660) is 87% for first dose and 51% for national plan [disaggregated full regimen. by sex]. (Percentage) Number of COVID-19 designated hospitals with oxygen producing units Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of COVID-19 3.00 Jun/2021 9.00 29-May-2024 9.00 29-May-2024 11.00 Jul/2024 designated hospitals with Comments on Number of COVID-19 designated hospitals with cryogenic oxygen tanks oxygen producing units achieving targets (Number) 6.2 Intermediate Results Indicators by Components Jun 24, 2024 Page 4 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Support to the COVID-19 response Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of health staff 1,500.00 Jul/2021 15,367.00 26-May-2024 15,367.00 26-May-2024 10,000.00 Jul/2024 trained in infection Comments on Number of health staff trained in infection prevention and control per MOH-approved prevention and control per achieving targets protocols MOH-approved protocols (disaggregated by sex) (Number) Number of designated 13.00 Jul/2021 52.00 26-May-2024 52.00 26-May-2024 18.00 Jul/2024 laboratories with staff Comments on Designated laboratories with trained staff who have the capacity to conduct COVID-19 trained to conduct COVID-19 achieving targets diagnosis (This information will be provided on a national-level and disaggregated to the diagnosis (Number) provincial-level based on the location of the laboratory) Number of COVID-19 Rapid 85.00 Jun/2021 366.00 30-Nov-2023 170.00 Jul/2024 Response Teams trained Comments on Number of COVID-19 Rapid Response Teams trained (Number) achieving targets COVID-19 Immunization Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of provincial level 0.00 Jul/2021 0.00 30-Nov-2023 18.00 Jul/2024 EVMs assessments completed with composite scores of 80% or higher (Number) Percentage of targeted sites 0.00 Jul/2021 100.00 30-Nov-2023 90.00 Jul/2024 where requested Cold Chain Comments on Numerator: Number of targeted sites where requested Cold Chain Equipment has been Equipment has been installed achieving targets installed and functional Denominator: Number of targeted sites that requested Cold Chain and functional (Percentage) Jun 24, 2024 Page 5 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Equipment (This information will be provided on a national-level and disaggregated to the provincial-level based on the location target sites) Number of provinces where 6.00 Jul/2021 18.00 27-May-2024 18.00 27-May-2024 18.00 Jul/2024 Logistimo/IOTA management Comments on Number of provinces that have the LOGISTIMO platform implemented and functioning system has been achieving targets implemented (Number) Number of municipalities 50.00 Jul/2021 159.00 29-May-2024 159.00 29-May-2024 130.00 Jul/2024 with health facilities that Comments on Number of municipalities with health facilities that have adopted COVID-19 related AEFI have adopted COVID-19 achieving targets mechanisms. related AEFI mechanisms (Number) Number of vaccination 30.00 Jul/2021 318.00 30-Nov-2023 180.00 Jul/2024 centers that have Comments on Number of vaccination centers that have implemented standard operating procedures implemented standard achieving targets (SOPs) or guidelines updated for collection and disposal of COVID-19 vaccine related medical operating procedures (SOPs) waste (number) (This information will be provided on a national-level and disaggregated to (Number) the provincial-level based on the location target sites) Number of selected hospitals 40.00 Jul/2021 383.00 27-May-2024 383.00 27-May-2024 200.00 Jul/2024 that implemented updated Comments on These include all the facilities (for the three levels -National, Provincial, Municipal) that have guidelines for the collection achieving targets implemented the SOPs for the correct management of the COVID-19 related waste. and disposal of COVID-19 vaccine related medical waste (Number) Community engagement and risk communication for demand creation Baseline Actual (Previous) Actual (Current) Closing Period Indicator Name Value Month/Year Value Date Value Date Value Month/Year Number of people reached 0.00 Jul/2021 18,321,105.00 30-Nov-2023 8,000,000.00 Jul/2024 with key messages and Comments on The percentage breakdown is 47% women and 53% men. materials developed for achieving targets public communications and advocacy, in alignment with Jun 24, 2024 Page 6 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) COVID-19 risk communication and demand plan (disaggregated by sex) (Number) Number of health 0.00 Jul/2021 18,243.00 30-Nov-2023 15,000.00 Jul/2024 professionals and community Comments on Number of health professionals and community workers trained in COVID-19 immunization workers trained in COVID-19 achieving targets risk communication and community engagement (desegregated by sex) immunization risk communication and community engagement (desegregated by sex) (Number) Number of community health 0.00 Jul/2021 6,535.00 28-May-2024 6,535.00 28-May-2024 324.00 Jul/2024 workers trained to deliver Comments on Community health workers includes ADECOS and community health agents. key messages to promote achieving targets demand for COVID-19 vaccines and other essential health services (Number) Consultations through multi- 0.00 Jul/2021 3,551,669.00 28-May-2024 3,551,669.00 28-May-2024 3,000,000.00 Jul/2024 media platform (i.e 111 Comments on The number of consultations that take place through multi-media platforms, specifically hotline) with key information achieving targets Angola’s 111 hotline, with key information on COVID-19, including vaccinations. on COVID-19, including vaccinations (Number) Jun 24, 2024 Page 7 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) 7. DATA ON FINANCIAL PERFORMANCE 7.1 Cumulative Disbursements 7.2 Disbursements (by loan) Loan/Credit/TF Status Original Revised Cancelled Disbursed Undisbursed % Disbursed IBRD-92870 Effective 150.00 150.00 0.00 106.77 43.23 71.18% 7.3 Key Dates (by loan) Loan/Credit/TF Status Approval Signing Effectiveness Orig. Closing Rev. Closing IBRD-92870 Effective 29-Jul-2021 16-Sept-2021 15-Dec-2021 31-Jul-2023 31-Jul-2024 8. KEY DATES Jun 24, 2024 Page 8 of 9 The World Bank Implementation Status & Results Report Angola COVID-19 Strategic Preparedness And Response Project (P176630) Key Events Planned Actual Approval 29-Jul-2021 29-Jul-2021 Effectiveness 22-Oct-2021 15-Dec-2021 Mid-Term Review No. 01 15-Sept-2022 03-Jun-2022 Operation Closing/Cancellation 31-Jul-2024 9. RESTRUCTURING HISTORY Restructuring Level 2 Approved on 22-Mar-2023 10. ASSOCIATED OPERATION(S) There are no associated operations Jun 24, 2024 Page 9 of 9