The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) Egypt COVID-19 Emergency Response (P173912) MIDDLE EAST AND NORTH AFRICA | Egypt, Arab Republic of | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2020 | Seq No: 8 | ARCHIVED on 24-Jun-2024 | ISR59897 | Implementing Agencies: Arab Republic of Egypt, Ministry of Health and Population Key Dates Key Project Dates Bank Approval Date: 14-May-2020 Effectiveness Date: 18-Mar-2021 Planned Mid Term Review Date: 15-Mar-2022 Actual Mid-Term Review Date: 17-Mar-2022 Original Closing Date: 30-Jun-2022 Revised Closing Date: 31-Aug-2023 pdoTable Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project Development Objective (PDO) is to strengthen the prevention, detection and response to the COVID-19 pandemic in Egypt. 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 $49.00 M) Component 2: Implementation Management and Monitoring and Evaluation:(Cost $0.87 M) Component 3: Contingent Emergency Response Component (CERC) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Highly Satisfactory Highly Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions Project Summary. The Egypt COVID-19 Emergency Response Project was prepared under the World Bank COVID-19 Strategic Preparedness and Response Program (SPRP) using the Multiphase Programmatic Approach (MPA). The US$50 million loan was approved by the World Bank on May 14, 2020, and became effective on March 18, 2021. The project's original closing date was extended twice: (i) In March 2022, the project was restructured to extend the closing date by 12 months from June 30, 2022 to June 30,; and (ii) In June 2023, the project was restructured to extend the closing date by 2 months from June 30, 2023 to August 31, 2023 to enable project activities to be completed. The entire loan amount has been disbursed the project has achieved or exceeded the targets of all project development indicators as well as intermediate results indicators.. MPA Program Development Objective 6/28/2024 Page 1 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) MPA PDO Table 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 87 MPA operations. The overall level of disbursements is being affected by three main reasons: (i) low disbursements in six countries (Bangladesh, Kiribati, Nigeria, Solomon Islands, Trinidad and Tobago, and Zambia); (ii) pausing of disbursements in two countries – Afghanistan, and Myanmar; and (iii) processing of refunds to the project accounts, which in the past months has increased at this late stage of project implementation. Other reasons that are influencing disbursements, include: (i) large refunds have been processed to project accounts of two country projects -- Myanmar from the UN in March 2023 due to the inability to implement the project, and Trinidad and Tobago because of savings realized for medical supplies and medicines procured through PAHO; (ii) the amounts of Loans and Credits denominated in SDRs, and Euros have been affected because of fluctuations between the SDRs and Euros against the US dollar; and (iii) during the past three months, refunds have been processed under the Pakistan and Sri Lanka operations upon closing. As of May 14, 2024, 88 MPA-projects have been approved with a total commitment of US$4.22 billion (the overall commitment has been reduced from $4.25 to $4.22 in the past weeks due to partial cancellations processing prior/at project closing). One operation (Guatemala) was cancelled in mid-September 2021. Total disbursements as of May 14, 2024, amount to US$3.98 billion or 94% of overall commitments. This amount does not include disbursements under MPA-V operations which are reported together with AF-V operations or disbursements under PEF grans as commitments do not include PEF Grants. Closing dates for MPA operations have been as follows: (i) ten operations closed by the end of CY22, (ii) nine operations closed on June 30, 2023, and (iii) thirteen operations closed on December 31, 2023. Twenty-four operations are scheduled to close by June 30, 2024 (27 last month). As with the Mid Term Review (MTR) issued on March 25, 2023, no individual ICR will be required for COVID-19 MPA operations. Only one ICR will be prepared upon completion of the SPRP COVID-19 MPA Program, which closes on December 31, 2025. The Global ICR will be informed by final ISRs packages prepared by country operations’ teams. A template for the final ISR package was issued by OPCS on March 21, 2023. Final ISR packages include a Summary Project Assessment – Annex 1 and a Borrower’s Evaluation – Annex 2, which is optional. So far, twenty-five operations have finalized final ISR packages, and some others are under preparation. The overall conclusion of the MPA MTR was that: (i) the COVID-19 MPA Program embodied a rapid, innovative approach to new lending for human health response; (ii) the COVID-19 MPA has been successful, notwithstanding considerable uncertainty and multiple constraints in the early stages of the pandemic; (iii) the Bank’s emergency response was remarkably swift in the most vulnerable countries facing human capital losses and development setbacks; and (iv) notwithstanding the challenges, the MPA is on track to achieve its PrDO, “prevent, detect and respond to the threat posed by COVID-19 and strengthen national systems for public health preparedness.“ Seventy-five (75) country projects or 86 percent of projects approved have reached 70-100+ percent disbursement (reasons for >100 percent disbursements relate to fluctuations between the Euro and the SDR against the US$). Out of the 75 operations, 66 operations or 87 percent have disbursed 90 percent+ of commitments. Out of the 75 operations, 52 operations or 69 percent are fully disbursed, and 8 operations have disbursed 95-99 percent of commitments. There are six operations with less than 70 percent of commitments disbursed (1 in AFE, 1 in AFW, 2 in EAP, 1 in LAC, and 1 in SRA). The operation in AFW has disbursed only 47 percent, despite having been recently restructured. The projects are benefitting about 3.7 billion people or 50% of the global population. When countries with AF-V operations are counted, the projects are benefitting about 4.1 billion of 51 percent of the global population. This is because some countries that do not have a parent project have AF-V operations. All projects approved are disbursing. Operations in ECA and MNA are fully disbursed. In other regions, disbursements have reached: (i) LAC and SAR 95 percent, (ii) AFW 90 percent, (iii) EAP 88 percent, and (iii) AFE 83 percent. Retroactive Financing (RF) continues to represent 20 percent of commitments. SAR has the highest percentage of RF at 38 percent, followed by ECA at 18 6/28/2024 Page 2 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) percent. Direct Payment (DP) disbursements represent 22 percent of commitments. EAP has the highest level of disbursements using DP – 80 percent, followed by AFW at 38 percent. IDA continues to represent 40 percent while IBRD represents 60 percent of disbursements. Streamlined procedures, delegated approvals, coupled with flexible project design and intensified efforts by counterparts and Bank teams have contributed to the progress. Implementation is being guided by Bank teams working in parallel with other health related projects, including Additional Financing operations which have supported vaccine procurement and deployment efforts. Risks 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 Moderate Moderate Sustainability Fiduciary Substantial Substantial Substantial Environment and Social Substantial Substantial Substantial Stakeholders Moderate Moderate Moderate Other Moderate Moderate Moderate Overall Moderate Moderate Moderate Results PDO Indicators by Objectives / Outcomes To prevent, detect and respond to the threat posed by COVID-19 IN01401456 ►Number of contextualized messages delivered on COVID-19 prevention (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 108,000,000.00 108,000,000.00 20,000,000.00 Date 01-Apr-2020 03-Oct-2022 03-Oct-2022 30-Jun-2022 The government has relied on various basic and advanced media platforms and technologies to mass Comments: transmit and communciate awareness messages to the public IN01401457 Percentage of contextualized messages delivered on COVID-19 prevention (Text, Custom Supplement) 6/28/2024 Page 3 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) Baseline Actual (Previous) Actual (Current) End Target 38% of messages 38% of messages 50% of messages Value 0.00 conducted for females, conducted for females, conducted for females, 62% for males 62% for males 50% for males IN01401458 ►Number of contacts of confirmed COVID-19 cases who were traced as per the protocol for contact tracing as outlined in the National Comprehensive COVID-19 Response Plan (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 851,847.00 851,847.00 200,000.00 Date 01-Apr-2020 03-Oct-2022 03-Oct-2022 30-Jun-2022 THe government had implemented contract tracing particularly for those travelling into Egypt. Based on an Comments: extrapolation of the WHO verfication report findings, the end-target has been surpassed. IN01401459 ►Number of dedicated quarantine, isolation and treatment facilities for COVID-19 in conformity with the National Comprehensive COVID-19 Response Plan (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 28.00 28.00 28.00 Date 01-Apr-2020 03-Oct-2022 03-Oct-2022 30-Jun-2022 The government has announced 28 facilities that span the coverage of Egypt to act as isolation facilities, the MOHP has also raised the capacities of such facilities and implemented various rounds of IPC Comments: trainings. IN01401460 ►Percentage of MOHP hospitals with personal protective equipment and infection control products and supplies, without stock-outs of more than two types of items in the preceding two weeks (Percentage, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 40.00 70.00 70.00 70.00 Date 23-Apr-2020 03-Oct-2022 03-Oct-2022 15-Jun-2022 The Ministry of Health and Unified Procurment Agency worked togother to ensure enough medical Comments: supplies and personal protective equipment were avaialble despite global shortages. Intermediate Results Indicators by Components Supporting the national COVID-19 response IN01401461 ►Number of trained health workers working in or affiliated with facilities that receive COVID-19 patients on COVID-19 IPC measures consistent with MOHP official IPC guidelines (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 6,147.00 10,297.00 10,000.00 Date 01-Apr-2020 03-Oct-2022 31-Aug-2023 30-Jun-2022 IN01401462 6/28/2024 Page 4 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) ►Development and disclosure of a report on social distancing interventions by the GOE at the local and national levels (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2020 03-Oct-2022 31-Aug-2023 30-Jun-2022 Comments: IN01401463 ►Number of trained health professionals (doctors, pharmacists and nurses) on official MOHP COVID-19 case management protocols and guidelines (Number, Custom, PBC) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 5,453.00 5,453.00 5,000.00 Date 01-Apr-2020 03-Oct-2022 03-Oct-2022 30-Jun-2022 WHO verified that 5,453 health professionals (doctors, pharmacists and nurses) receievd training on Comments: official MOHP COVID-19 case management protocols and guidelines, thus surpassing the end-target. IN01401464 ►Implementation of a community volunteer program (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No No Yes Yes Date 01-Apr-2020 03-Oct-2022 31-Aug-2023 30-Jun-2022 Comments: IN01401465 ►Development and adoption of a national strategy for the protection of high-risk groups against COVID-19 (Yes/No, Custom) Baseline Actual (Previous) Actual (Current) End Target Value No Yes Yes Yes Date 09-Apr-2020 03-Oct-2022 03-Oct-2022 30-Jun-2022 Performance-Based Conditions IN01401466 ►PBC 1 Number of contextualized messages delivered on COVID-19 prevention (Number, Output, 5,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY20 - 22 6/28/2024 Page 5 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) Value 0.00 108,000,000.00 108,000,000.00 -- Date -- 03-Oct-2022 03-Oct-2022 -- IN01401467 ►PBC 2 Number of trained health workers working in or affiliated with facilities that receive COVID-19 patients on COVID-19 IPC measures consistent with MOHP official IPC guidelines (Number, Output, 2,000,000.00, 1.07%) Baseline Actual (Previous) Actual (Current) FY20 - 22 Value 0.00 6,147.00 10,297.00 -- Date -- 03-Oct-2022 31-Aug-2023 -- IN01401468 ►PBC 3 Number of contacts of confirmed COVID-19 cases who were traced as per the protocol for contact tracing as outlined in the National Comprehensive COVID-19 Response Plan (Number, Output, 5,000,000.00, 1.07%) Baseline Actual (Previous) Actual (Current) FY20 - 22 Value 0.00 851,847.00 851,847.00 -- Date -- 03-Oct-2022 03-Oct-2022 -- IN01401469 ►PBC 4 Implementing other public health measures (Text, Process, 7,000,000.00, 0.00%) Baseline Actual (Previous) Actual (Current) FY20 - 22 Two out of four PBCs have been achieved. Implementing other PBC 4.1 and PBC 4.4 Value N/A Completed public health (partially achieved); measures remaining PBC 4.2 and 4.3 Date -- 03-Oct-2022 31-Aug-2023 -- IN01401470 ►PBC 5 Number of dedicated quarantine, isolation and treatment facilities for COVID-19 in conformity with the National Comprehensive COVID-19 Response Plan (Number, Output, 8,000,000.00, 2.13%) Baseline Actual (Previous) Actual (Current) FY20 - 22 Value 0.00 28.00 28.00 -- 6/28/2024 Page 6 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) Date -- 03-Oct-2022 03-Oct-2022 -- IN01401471 ►PBC 6 Number of trained health professionals (doctors, pharmacists and nurses) on official MOHP COVID-19 case management protocols and guidelines (Number, Output, 2,000,000.00, 0.85%) Baseline Actual (Previous) Actual (Current) FY20 - 22 Value 0.00 5,453.00 5,453.00 -- Date -- 03-Oct-2022 03-Oct-2022 -- Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P173912 IBRD-91230 Closed USD 50.00 50.00 0.00 50.00 0.00 100% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P173912 IBRD-91230 Closed 14-May-2020 05-Jul-2020 18-Mar-2021 30-Jun-2022 31-Aug-2023 Cumulative Disbursements 6/28/2024 Page 7 of 8 The World Bank Implementation Status & Results Report Egypt COVID-19 Emergency Response (P173912) Restructuring History Level 2 Approved on 18-Apr-2022 ,Level 2 Approved on 28-Jun-2023 Related Project(s) There are no related projects. 6/28/2024 Page 8 of 8